| Chiron Psychological, Inc | |
|
19742 Macarthur Blvd Suite 100 Irvine CA 92612-2432 | |
| (714) 646-8034 | |
| Not Available |
| Full Name | Chiron Psychological, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 19742 Macarthur Blvd, Irvine, California |
| Authorized Official Name and Position | Raymond Weaver (TREASURER, CEO) |
| Authorized Official Contact | 7143716050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chiron Psychological, Inc Po Box 6465 Orange CA 92863-6465 Ph: (714) 371-6050 | Chiron Psychological, Inc 19742 Macarthur Blvd Suite 100 Irvine CA 92612-2432 Ph: (714) 646-8034 |
| NPI Number | 1467984377 |
|---|---|
| Provider Enumeration Date | 03/30/2017 |
| Last Update Date | 03/30/2017 |
| Medicare PECOS PAC ID | 9234496308 |
|---|---|
| Medicare Enrollment ID | O20171127003238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467984377 | NPI | - | NPPES |
| Provider Name | Nicholas Lazaris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760849178 PECOS PAC ID: 2961709951 Enrollment ID: I20160317001727 |
| Provider Name | Scott Lester Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164551933 PECOS PAC ID: 8224206701 Enrollment ID: I20210219001437 |
| Provider Name | Catherine Thielen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356551287 PECOS PAC ID: 1951719848 Enrollment ID: I20210413002944 |
| Provider Name | Christopher Plant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538732524 PECOS PAC ID: 8022412139 Enrollment ID: I20210811004450 |
| Provider Name | Kieu Balthasar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093439937 PECOS PAC ID: 3577930528 Enrollment ID: I20221103000789 |
| Provider Name | Sommer J Miranda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265558688 PECOS PAC ID: 5193193118 Enrollment ID: I20221123001440 |
| Provider Name | Kristen Ivers Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265775589 PECOS PAC ID: 0547616278 Enrollment ID: I20231031003531 |
| Provider Name | Heidi Headding |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285913863 PECOS PAC ID: 7214385376 Enrollment ID: I20231129003557 |
| Provider Name | Kimberley Ann Dorantes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770596603 PECOS PAC ID: 3274982335 Enrollment ID: I20231214001183 |
| Provider Name | Jason Pon |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558564765 PECOS PAC ID: 5395888176 Enrollment ID: I20240102001417 |
| Provider Name | Matthew Fleischman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891718334 PECOS PAC ID: 9133262876 Enrollment ID: I20240104000613 |
| Provider Name | Kristen F. Roberts |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841332491 PECOS PAC ID: 6901257252 Enrollment ID: I20240110004860 |
| Provider Name | Peter Aguero |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801276357 PECOS PAC ID: 4981055159 Enrollment ID: I20240111004605 |
| Provider Name | Doris Caralto |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902171952 PECOS PAC ID: 2860844909 Enrollment ID: I20240115000484 |
| Provider Name | Jessica Bonette |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972679538 PECOS PAC ID: 0749632800 Enrollment ID: I20240115000919 |
| Provider Name | Lauren Taylor Hopkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962115949 PECOS PAC ID: 7416309497 Enrollment ID: I20240115001706 |
| Provider Name | Taylor Pyle |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427828227 PECOS PAC ID: 4587016100 Enrollment ID: I20240119000985 |
| Provider Name | Jenny Merrill Hall |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437435799 PECOS PAC ID: 8224471578 Enrollment ID: I20240203000527 |
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