DR. THERIAULT JEANNE TODD (NPI# 1952621351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952621351 |
Entity Type | Individual |
Full Name | DR. THERIAULT JEANNE TODD |
Credential | PH.D. |
Practice Address |
9940 Talbert Ave Suite 100 Fountain Valley CA 92708-5153 |
Mailing Address |
18446 Santa Alberta Cir Fountain Valley CA 92708-5521 |
Practice Telephone | 7143697012 |
Practice Fax Number | 7149397720 |
Mailing Telephone | 7143697012 |
Mailing Fax Number | 7149397720 |
Enumeration Date | 2010-06-08 |
Last Update Date | 2010-07-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY14108 | CA | Behavioral Health & Social Service Providers |
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY14108 | CA | Behavioral Health & Social Service Providers |
N | 103TH0004X |
Psychologist Specialization: Health |
PSY14108 | CA | Behavioral Health & Social Service Providers |
Street Address |
9940 TALBERT AVE SUITE 100 |
City | FOUNTAIN VALLEY |
State | CA |
Zip Code | 92708-5153 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174527774 | Fernando H Austin | Internal Medicine | 9940 Talbert Ave, Fountain Valley, CA 92708-5153 | 2005-06-10 |
1487023222 | Heather Ha-thanh Nguyen | Physician Assistant | 9940 Talbert Ave, #101, Fountain Valley, CA 92708-5153 | 2015-09-23 |
1952643512 | Truong Neuroscience Institute Inc. | Psychiatry & Neurology | 9940 Talbert Ave, Suite 204, Fountain Valley, CA 92708-5153 | 2013-03-21 |
1841567781 | Best Center Inc. | Neurological Surgery | 9940 Talbert Ave, Suite 201, Fountain Valley, CA 92708-5153 | 2011-11-21 |
1467741728 | Lena B Nguyen | Obstetrics & Gynecology | 9940 Talbert Ave, #303, Fountain Valley, CA 92708 | 2011-04-06 |
1851696967 | Ricardo Cardenas | Physician Assistant | 9940 Talbert Ave, Suite 101, Fountain Valley, CA 92708-5153 | 2011-01-20 |
1023329125 | Kong Truong | Psychiatry & Neurology | 9940 Talbert Ave, Suite 204, Fountain Valley, CA 92708-5153 | 2010-06-24 |
1528299849 | Russell P Rapoza M D A Professional Corporation | Specialist | 9940 Talbert Ave, Suite 201, Fountain Valley, CA 92708-5153 | 2009-08-04 |
1679701072 | Debi Duci Lambert | Obstetrics & Gynecology | 9940 Talbert Ave, 303, Fountain Valley, CA 92708-5153 | 2009-06-24 |
1235366949 | Eleanor Senseney Hawkins | Obstetrics & Gynecology | 9940 Talbert Ave, Suite 303, Fountain Valley, CA 92708-5153 | 2009-06-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
Find all providers in zip 92708 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245528447 | Sharon Gerstenzang | Psychologist | 10101 Slater Ave Ste 205, Fountain Valley, CA 92708-4741 | 2011-07-21 |
1457412579 | Philip F Newberg | Psychologist | 16560 Harbor Blvd, Suite A, Fountain Valley, CA 92708-1336 | 2006-12-12 |
1588769053 | Keri L. Pesanti | Psychologist | 11770 Warner Ave Ste 226, Fountain Valley, CA 92708-2662 | 2006-09-13 |
1700808086 | Kenneth Robert Fineman | Psychologist | 11770 Warner Ave, Suite 226, Fountain Valley, CA 92708-2663 | 2006-07-24 |
1811947310 | Tracy Mason | Psychologist | 10061 Talbert Ave, Suite 200, Fountain Valley, CA 92708-5159 | 2006-05-12 |
1255336111 | Jo Anne Golden | Psychologist | 10101 Slater Ave, Ste 237, Fountain Valley, CA 92708-4723 | 2005-06-16 |
1578916847 | Oc Psychological Counseling, P.C. | Psychologist | 18430 Brookhurst St, Suite 202h, Fountain Valley, CA 92708-6726 | 2016-07-21 |
1023486651 | Elyssa Goodside Cacali | Psychologist | 18350 Mount Langley St Ste 220, Fountain Valley, CA 92708-6912 | 2015-09-14 |
1831506971 | Pierpoint Therapy Associates, Inc. | Psychologist | 10061 Talbert Ave, Suite 234, Fountain Valley, CA 92708-5159 | 2014-07-21 |
1922429893 | Health & Psychology Care Group | Psychologist | 16171 Brookhurst St, Fountain Valley, CA 92708-1550 | 2013-12-19 |
Find all providers in FOUNTAIN VALLEY |
City | FOUNTAIN VALLEY |
Zip Code | 92708 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.