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9265 Sky Park Ct Ste 100 San Diego CA 92123-4375 | |
| (844) 737-3638 | |
| (619) 403-9496 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 9265 Sky Park Ct Ste 100, San Diego, California |
| Authorized Official Name and Position | Oscar V Medina (CEO) |
| Authorized Official Contact | 8447373638 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
9265 Sky Park Ct Ste 100 San Diego CA 92123-4375 Ph: (844) 737-3638 | 9265 Sky Park Ct Ste 100 San Diego CA 92123-4375 Ph: (844) 737-3638 |
| NPI Number | 1649809526 |
|---|---|
| Provider Enumeration Date | 04/03/2020 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/16/2025 |
| Medicare PECOS PAC ID | 0244652139 |
|---|---|
| Medicare Enrollment ID | O20200623001361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649809526 | NPI | - | NPPES |
| 214EN118 | Medicaid | CA |
| Provider Name | Sanjai Thankachen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982751756 PECOS PAC ID: 9931259488 Enrollment ID: I20090604000273 |
| Provider Name | James D Veltmeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679750152 PECOS PAC ID: 5092869040 Enrollment ID: I20090811000249 |
| Provider Name | Lisa Duhaylongsod |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396933818 PECOS PAC ID: 8022154582 Enrollment ID: I20091014000199 |
| Provider Name | Juliet Suzanne Mcneil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811028939 PECOS PAC ID: 0042646440 Enrollment ID: I20200203002333 |
| Provider Name | Elizabeth Sarinana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083846448 PECOS PAC ID: 9234559410 Enrollment ID: I20201009001765 |
| Provider Name | Maricela Partida |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972962793 PECOS PAC ID: 4981001732 Enrollment ID: I20210922000835 |
| Provider Name | Alaina Bigger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821234196 PECOS PAC ID: 0345628848 Enrollment ID: I20220610001523 |
| Provider Name | Meaghan Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710256961 PECOS PAC ID: 4284012782 Enrollment ID: I20220610001782 |
| Provider Name | Jessica Quevedo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548391907 PECOS PAC ID: 3274913173 Enrollment ID: I20220709000607 |
| Provider Name | Elizabeth A Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285345553 PECOS PAC ID: 4789047382 Enrollment ID: I20230830001441 |
| Provider Name | Rachel S Davidge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629600515 PECOS PAC ID: 9931554359 Enrollment ID: I20231004003447 |
| Provider Name | Michelle M Joseph |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669901948 PECOS PAC ID: 6002251550 Enrollment ID: I20240223003769 |
| Provider Name | Mahdis H Bormand |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538788203 PECOS PAC ID: 2466897640 Enrollment ID: I20240227003346 |
| Provider Name | Audra Sengstock |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659581841 PECOS PAC ID: 7517302102 Enrollment ID: I20240305003796 |
| Provider Name | Jaimie Lynn Snyder |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427407451 PECOS PAC ID: 7113363763 Enrollment ID: I20240306001665 |
| Provider Name | Kristin Lynn Kwiatkowski |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497340962 PECOS PAC ID: 8820434525 Enrollment ID: I20240315001023 |
| Provider Name | Kenyera L Lofton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750929634 PECOS PAC ID: 1355783481 Enrollment ID: I20240521003272 |
| Provider Name | Amy L Duplan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194396986 PECOS PAC ID: 2769824655 Enrollment ID: I20240523001460 |
| Provider Name | Laurena Pham |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356997290 PECOS PAC ID: 5294177937 Enrollment ID: I20240524003282 |
| Provider Name | Benigno Quirarte |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003945809 PECOS PAC ID: 5698218675 Enrollment ID: I20240618003932 |
| Provider Name | Vanessa Icazbalceta-soto |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1083264519 PECOS PAC ID: 3173061579 Enrollment ID: I20240816000865 |
| Provider Name | Jennifer Crystal Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932568896 PECOS PAC ID: 2668911314 Enrollment ID: I20240827001240 |
| Provider Name | Marcia Cheryl-ann Spencer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285019984 PECOS PAC ID: 7012457930 Enrollment ID: I20240906000548 |
| Provider Name | Morgan L Webster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285989814 PECOS PAC ID: 1951833409 Enrollment ID: I20241022002648 |
| Provider Name | Pauline Ortiz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265968127 PECOS PAC ID: 6103351614 Enrollment ID: I20241120003949 |
| Provider Name | Jasmine Avilez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649776980 PECOS PAC ID: 7113452194 Enrollment ID: I20241127002712 |
Aefct Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 Murphy Canyon Rd Ste 212, San Diego, CA 92123 Phone: 858-569-0056 Fax: 858-569-4233 | |
R D Dipp Do Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1350 Columbia St, Unit 800, San Diego, CA 92101 Phone: 619-255-1649 Fax: 619-255-1649 | |
True Crew California Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8910 University Center Ln Ste 400, San Diego, CA 92122 Phone: 603-692-8173 | |
Wise Self Psychology, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2535 Kettner Blvd Ste 2b1, San Diego, CA 92101 Phone: 619-678-0020 |