| Dr. Tanika Gayle & Clinical Associates | |
|
5051 Canyon Crest Dr Suite 204 Riverside CA 92507 | |
| (951) 682-1488 | |
| Not Available |
| Full Name | Dr. Tanika Gayle & Clinical Associates |
|---|---|
| Speciality | Psychologist |
| Location | 5051 Canyon Crest Dr, Riverside, California |
| Authorized Official Name and Position | Tanika Gayle (OWNER/CEO) |
| Authorized Official Contact | 9516821488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Tanika Gayle & Clinical Associates 5051 Canyon Crest Dr Suite 204 Riverside CA 92507-6099 Ph: () - | Dr. Tanika Gayle & Clinical Associates 5051 Canyon Crest Dr Suite 204 Riverside CA 92507 Ph: (951) 682-1488 |
| NPI Number | 1336532340 |
|---|---|
| Provider Enumeration Date | 03/16/2015 |
| Last Update Date | 10/17/2020 |
| Certification Date | 10/17/2020 |
| Medicare PECOS PAC ID | 9436494671 |
|---|---|
| Medicare Enrollment ID | O20181217002672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336532340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 23903 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Glenn R Powers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194782789 PECOS PAC ID: 1052413895 Enrollment ID: I20070224000080 |
| Provider Name | Tanika N Gayle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780871574 PECOS PAC ID: 3274775044 Enrollment ID: I20130807000080 |
| Provider Name | Darlena Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396812434 PECOS PAC ID: 5092166413 Enrollment ID: I20240110003615 |
| Provider Name | Vivian A Villalobos |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700131596 PECOS PAC ID: 1759732902 Enrollment ID: I20240111003557 |
| Provider Name | Carol L Davidson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255963948 PECOS PAC ID: 1153774005 Enrollment ID: I20240127000402 |
| Provider Name | Robyn D Norris |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659711539 PECOS PAC ID: 1052755329 Enrollment ID: I20240215000790 |
| Provider Name | Crystal G Folk |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972989408 PECOS PAC ID: 6901240274 Enrollment ID: I20240215000969 |
| Provider Name | Madeline Saavedra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932766888 PECOS PAC ID: 5193169217 Enrollment ID: I20240216002201 |
| Provider Name | Samantha N Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831757327 PECOS PAC ID: 0244675189 Enrollment ID: I20240229004144 |
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