| Sud Specialty Group - Ca | |
|
4633 Old Ironsides Dr Ste 304 Santa Clara CA 95054-1846 | |
| (323) 205-7088 | |
| Not Available |
| Full Name | Sud Specialty Group - Ca |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4633 Old Ironsides Dr Ste 304, Santa Clara, California |
| Authorized Official Name and Position | Gabriel Diop (AUTHORIZED AGENT) |
| Authorized Official Contact | 3232057088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sud Specialty Group - Ca Po Box 746877 Atlanta GA 30374-6877 Ph: (323) 205-7088 | Sud Specialty Group - Ca 4633 Old Ironsides Dr Ste 304 Santa Clara CA 95054-1846 Ph: (323) 205-7088 |
| NPI Number | 1972138238 |
|---|---|
| Provider Enumeration Date | 03/06/2020 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Medicare PECOS PAC ID | 9537534177 |
|---|---|
| Medicare Enrollment ID | O20230412001370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972138238 | NPI | - | NPPES |
| Provider Name | Camille S Reineke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336243401 PECOS PAC ID: 5395643761 Enrollment ID: I20031222000904 |
| Provider Name | Sonya M Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821402132 PECOS PAC ID: 8426031105 Enrollment ID: I20040611001499 |
| Provider Name | Suzanne G Pike |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710030564 PECOS PAC ID: 6002896586 Enrollment ID: I20040723001133 |
| Provider Name | Mamiko Yamazato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912934399 PECOS PAC ID: 6709826837 Enrollment ID: I20050509000649 |
| Provider Name | Alan L Lawrence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073747473 PECOS PAC ID: 0244271526 Enrollment ID: I20050517000625 |
| Provider Name | Rosalyn M Laudati |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275646713 PECOS PAC ID: 0446286389 Enrollment ID: I20050712001278 |
| Provider Name | Deborah Lynn Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386807600 PECOS PAC ID: 1850314386 Enrollment ID: I20060110000919 |
| Provider Name | Michelle Kurtz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740367093 PECOS PAC ID: 4486654902 Enrollment ID: I20070108000280 |
| Provider Name | Veronica De Alba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912125071 PECOS PAC ID: 3870688344 Enrollment ID: I20070927000989 |
| Provider Name | Afsaneh Matloob |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558486118 PECOS PAC ID: 4880770601 Enrollment ID: I20080319000449 |
| Provider Name | William K Marek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851560544 PECOS PAC ID: 6709965486 Enrollment ID: I20080506000735 |
| Provider Name | Marvin S Beitner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164590469 PECOS PAC ID: 3779652052 Enrollment ID: I20080513000742 |
| Provider Name | George Caballero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053413351 PECOS PAC ID: 5799854220 Enrollment ID: I20080522000718 |
| Provider Name | Joann L Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740310127 PECOS PAC ID: 9830269422 Enrollment ID: I20080609000719 |
| Provider Name | Andrea L Martel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407920267 PECOS PAC ID: 2860563566 Enrollment ID: I20080624000725 |
| Provider Name | Elena Farias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629150552 PECOS PAC ID: 3173683950 Enrollment ID: I20081124000623 |
| Provider Name | Jana S Gottfried |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689786998 PECOS PAC ID: 8921169087 Enrollment ID: I20081208000309 |
| Provider Name | Michael Mccormick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275783177 PECOS PAC ID: 7012070154 Enrollment ID: I20090115000220 |
| Provider Name | Benita Grauman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265666473 PECOS PAC ID: 7810042462 Enrollment ID: I20090902000539 |
| Provider Name | Lorin Lindner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114131927 PECOS PAC ID: 5193868560 Enrollment ID: I20100208000082 |
| Provider Name | Andrew Mendonsa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760530117 PECOS PAC ID: 2365586294 Enrollment ID: I20100216000679 |
| Provider Name | Peter R Pretkel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093836603 PECOS PAC ID: 1658406129 Enrollment ID: I20100323000388 |
| Provider Name | Fredrica Jill Gover |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669496899 PECOS PAC ID: 7315131737 Enrollment ID: I20101029001000 |
| Provider Name | Linda Comin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215110911 PECOS PAC ID: 8921013087 Enrollment ID: I20101103000100 |
| Provider Name | Karla Maureen Hanks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215294871 PECOS PAC ID: 4486810413 Enrollment ID: I20120719000312 |
| Provider Name | Brett C Rhodes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316987084 PECOS PAC ID: 1759538986 Enrollment ID: I20120823000325 |
| Provider Name | Janet P Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003932799 PECOS PAC ID: 4082865886 Enrollment ID: I20121102000305 |
| Provider Name | Cindy M Engel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255560447 PECOS PAC ID: 0244483576 Enrollment ID: I20130116000384 |
| Provider Name | Amy Brom |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861680845 PECOS PAC ID: 7113163205 Enrollment ID: I20130416000254 |
| Provider Name | Alexandra S Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548384662 PECOS PAC ID: 8628216777 Enrollment ID: I20130530000567 |
| Provider Name | Lakisha Lavette Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205955309 PECOS PAC ID: 2062657661 Enrollment ID: I20140715000072 |
| Provider Name | Alison Iong-szeto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518009554 PECOS PAC ID: 0042438467 Enrollment ID: I20140827000994 |
| Provider Name | Toni M Onkka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588733802 PECOS PAC ID: 6002035623 Enrollment ID: I20140915000498 |
| Provider Name | Janie Echeverria |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215070008 PECOS PAC ID: 4789806225 Enrollment ID: I20141117001388 |
| Provider Name | Donna M Starr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831347434 PECOS PAC ID: 6709008287 Enrollment ID: I20141119002047 |
| Provider Name | Cindy L Capretz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134409907 PECOS PAC ID: 0042533986 Enrollment ID: I20141229000312 |
| Provider Name | Kim D Shippey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497817670 PECOS PAC ID: 5395063937 Enrollment ID: I20150413000253 |
| Provider Name | Adria Danet Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588998603 PECOS PAC ID: 9234443979 Enrollment ID: I20150807015566 |
| Provider Name | Edward Lei |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538536230 PECOS PAC ID: 1052628286 Enrollment ID: I20150921000316 |
| Provider Name | Laura Neimark-gizara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932359429 PECOS PAC ID: 5496906802 Enrollment ID: I20150923000651 |
| Provider Name | Alexandra Abercrombie Bruun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275714016 PECOS PAC ID: 2062713035 Enrollment ID: I20151216000799 |
| Provider Name | Rhoda G Carino Diokno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629109483 PECOS PAC ID: 5597054569 Enrollment ID: I20160513001262 |
| Provider Name | Shawn D Hackett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285786582 PECOS PAC ID: 2961589759 Enrollment ID: I20160614002090 |
| Provider Name | Jennifer A Janssen-st James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215093612 PECOS PAC ID: 7315258407 Enrollment ID: I20170301002604 |
| Provider Name | Cheryl Joy Babb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114247137 PECOS PAC ID: 8123302304 Enrollment ID: I20170307002369 |
| Provider Name | Margarita Abramov |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629513395 PECOS PAC ID: 9931276615 Enrollment ID: I20170322001723 |
| Provider Name | Sylvia H Samy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275975245 PECOS PAC ID: 3072881770 Enrollment ID: I20170621003273 |
| Provider Name | Carlos Galvan Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023205390 PECOS PAC ID: 9830469428 Enrollment ID: I20170713002926 |
| Provider Name | Betty Gutman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023199510 PECOS PAC ID: 6800882796 Enrollment ID: I20170817004112 |
| Provider Name | Sonja Zonee Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255476362 PECOS PAC ID: 4981976255 Enrollment ID: I20170821003477 |
| Provider Name | Matthew Berlin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538207634 PECOS PAC ID: 1557635810 Enrollment ID: I20170925003659 |
| Provider Name | Gina Marie Vaughn Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710020490 PECOS PAC ID: 5294000287 Enrollment ID: I20170929003445 |
| Provider Name | Sammy Glenn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699064147 PECOS PAC ID: 4082858386 Enrollment ID: I20171122001098 |
| Provider Name | Andy Yen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023521010 PECOS PAC ID: 4385902964 Enrollment ID: I20180103003091 |
| Provider Name | Jonathan David Perlman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144747122 PECOS PAC ID: 4486913092 Enrollment ID: I20180104001786 |
| Provider Name | Christina Wong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811036502 PECOS PAC ID: 4981964715 Enrollment ID: I20180215002361 |
| Provider Name | Ruby D Varela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073642484 PECOS PAC ID: 7517228133 Enrollment ID: I20180222002008 |
| Provider Name | Graciela R Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811222425 PECOS PAC ID: 1951662816 Enrollment ID: I20180309002108 |
| Provider Name | Julie L Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538611025 PECOS PAC ID: 3375805443 Enrollment ID: I20180329002391 |
| Provider Name | George Bronson Scripture |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912297664 PECOS PAC ID: 8022288745 Enrollment ID: I20180405000305 |
| Provider Name | Rocco E Cademartori |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659554939 PECOS PAC ID: 0345503850 Enrollment ID: I20180416002362 |
| Provider Name | Daisy K Lam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235481565 PECOS PAC ID: 6709137425 Enrollment ID: I20180919002747 |
| Provider Name | Melissa Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841380250 PECOS PAC ID: 1850637695 Enrollment ID: I20190115002444 |
| Provider Name | Daniel J O Connell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154668218 PECOS PAC ID: 3577800663 Enrollment ID: I20190128002239 |
| Provider Name | Brieanne Marie Jennings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013215029 PECOS PAC ID: 3476886995 Enrollment ID: I20190614000634 |
| Provider Name | Aleena M Commandeur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295978161 PECOS PAC ID: 9335473404 Enrollment ID: I20190624000852 |
| Provider Name | Miranda Dianne Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669863767 PECOS PAC ID: 0345575312 Enrollment ID: I20190712001320 |
| Provider Name | Christine Yun Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245479492 PECOS PAC ID: 4688901267 Enrollment ID: I20190805001976 |
| Provider Name | Blake Barber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740842848 PECOS PAC ID: 1658608476 Enrollment ID: I20190815003362 |
| Provider Name | Shareela M Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578793337 PECOS PAC ID: 4284964073 Enrollment ID: I20190920000966 |
| Provider Name | Jaimi S Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245460344 PECOS PAC ID: 6800127242 Enrollment ID: I20191016000013 |
| Provider Name | Reina M Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942423215 PECOS PAC ID: 4981036373 Enrollment ID: I20191125000801 |
| Provider Name | Aida Estela Colocho |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427533819 PECOS PAC ID: 3971930876 Enrollment ID: I20200304002360 |
| Provider Name | Susan Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124362694 PECOS PAC ID: 2769819606 Enrollment ID: I20200305001274 |
| Provider Name | Isaac Marston Ozobiani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184811531 PECOS PAC ID: 5597193342 Enrollment ID: I20200310001833 |
| Provider Name | Jeanette Gracie Shin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689205494 PECOS PAC ID: 6901229772 Enrollment ID: I20200713001329 |
| Provider Name | Hyehyun J Park |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679097166 PECOS PAC ID: 3274957741 Enrollment ID: I20200717000588 |
| Provider Name | Rebecca S Ruberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811184641 PECOS PAC ID: 1254755606 Enrollment ID: I20200720000950 |
| Provider Name | Kathleen P Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710033691 PECOS PAC ID: 9739282666 Enrollment ID: I20200729000820 |
| Provider Name | Elda Mandi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245578772 PECOS PAC ID: 9830516319 Enrollment ID: I20200828001242 |
| Provider Name | Eleana Coll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710399670 PECOS PAC ID: 3779903356 Enrollment ID: I20201020003855 |
| Provider Name | Shirley J Cheney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326247032 PECOS PAC ID: 4587074240 Enrollment ID: I20201109000865 |
| Provider Name | Quoi Mai |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891076543 PECOS PAC ID: 6709292915 Enrollment ID: I20210315000639 |
| Provider Name | Janice Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689980393 PECOS PAC ID: 1850417908 Enrollment ID: I20210329000907 |
| Provider Name | Kari Michelle Sacks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356818132 PECOS PAC ID: 8123436086 Enrollment ID: I20210414002683 |
| Provider Name | Joyce Mayne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396243705 PECOS PAC ID: 4486062924 Enrollment ID: I20210421001592 |
| Provider Name | Marie Antoinette Fowler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255602470 PECOS PAC ID: 9436558749 Enrollment ID: I20210518002502 |
| Provider Name | Celia S Petersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093068355 PECOS PAC ID: 4486054947 Enrollment ID: I20210621002297 |
| Provider Name | Kahina Cathleen Kaci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720538283 PECOS PAC ID: 7416359211 Enrollment ID: I20210716000263 |
| Provider Name | Francisca A Buenrostro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568862472 PECOS PAC ID: 6103229737 Enrollment ID: I20210720003112 |
| Provider Name | Otishia Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376726406 PECOS PAC ID: 8224433818 Enrollment ID: I20210819002315 |
| Provider Name | Harold Ames |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093980807 PECOS PAC ID: 4981000601 Enrollment ID: I20210903002656 |
| Provider Name | Deborah Fujimoto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851545404 PECOS PAC ID: 6002214228 Enrollment ID: I20211001001346 |
| Provider Name | Samantha Stermon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851811020 PECOS PAC ID: 1759793797 Enrollment ID: I20211019001702 |
| Provider Name | Orsini Yurandir Estrada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073914255 PECOS PAC ID: 8820486913 Enrollment ID: I20211021002309 |
| Provider Name | Nikki Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346856697 PECOS PAC ID: 2567850027 Enrollment ID: I20211102002682 |
| Provider Name | Janet Forelo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811243132 PECOS PAC ID: 4688063712 Enrollment ID: I20211111001142 |
| Provider Name | Angelica Diane Soto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881951358 PECOS PAC ID: 3072902972 Enrollment ID: I20211115003030 |
| Provider Name | Denise Louise Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831504901 PECOS PAC ID: 1951707306 Enrollment ID: I20211230001136 |
| Provider Name | Sarah Ann Jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366101255 PECOS PAC ID: 3870985443 Enrollment ID: I20220112001181 |
| Provider Name | Beth Coke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114302403 PECOS PAC ID: 6800288820 Enrollment ID: I20220124001843 |
| Provider Name | Joanna Stan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952685828 PECOS PAC ID: 0042603169 Enrollment ID: I20220211001333 |
| Provider Name | Kimberly A Coady Heikkila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295939569 PECOS PAC ID: 9335532472 Enrollment ID: I20220211002153 |
| Provider Name | Hilario E Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154701373 PECOS PAC ID: 0749674141 Enrollment ID: I20220301001499 |
| Provider Name | Henri Koroveshi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316601479 PECOS PAC ID: 0345635314 Enrollment ID: I20220310001133 |
| Provider Name | Teri M Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174835409 PECOS PAC ID: 0244625135 Enrollment ID: I20220310002123 |
| Provider Name | Demetric Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629190848 PECOS PAC ID: 9638270226 Enrollment ID: I20220311001827 |
| Provider Name | Mary Sowah-quaye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841791456 PECOS PAC ID: 4789079526 Enrollment ID: I20220315000628 |
| Provider Name | Laura Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285820522 PECOS PAC ID: 8325433915 Enrollment ID: I20220317001397 |
| Provider Name | Celene Medina-amador |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972270346 PECOS PAC ID: 0648665844 Enrollment ID: I20220325001673 |
| Provider Name | Kaixin Zhang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184088239 PECOS PAC ID: 4183011224 Enrollment ID: I20220420001301 |
| Provider Name | Krystal M Bowen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609258516 PECOS PAC ID: 7911394341 Enrollment ID: I20220503001356 |
| Provider Name | Karie G Peel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093865834 PECOS PAC ID: 3577552918 Enrollment ID: I20220608000618 |
| Provider Name | Alaina Bigger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821234196 PECOS PAC ID: 0345628848 Enrollment ID: I20220610001523 |
| Provider Name | Alexis Sheng Wong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629319306 PECOS PAC ID: 4789914466 Enrollment ID: I20220621001668 |
| Provider Name | Kimberly Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063927291 PECOS PAC ID: 2961760764 Enrollment ID: I20220624001177 |
| Provider Name | Ana Maria De Jesus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487029435 PECOS PAC ID: 5698155067 Enrollment ID: I20220701002434 |
| Provider Name | Jacquelyn Nicole Norris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437385622 PECOS PAC ID: 2860872033 Enrollment ID: I20220706000436 |
| Provider Name | Tisa Rae Garrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265684054 PECOS PAC ID: 5597146704 Enrollment ID: I20220719003953 |
| Provider Name | Nalini Persaud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750570909 PECOS PAC ID: 5092190249 Enrollment ID: I20220923002024 |
| Provider Name | Larry William Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306366182 PECOS PAC ID: 4385012954 Enrollment ID: I20221201003397 |
| Provider Name | Brandy Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679225239 PECOS PAC ID: 9739558396 Enrollment ID: I20221205000569 |
| Provider Name | Micah Kevin Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699387092 PECOS PAC ID: 7113396342 Enrollment ID: I20221212000340 |
| Provider Name | Audrey Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235617655 PECOS PAC ID: 3072986876 Enrollment ID: I20230226000022 |
| Provider Name | Chung Thi Pham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568504678 PECOS PAC ID: 3476926221 Enrollment ID: I20230227002042 |
| Provider Name | Elizabeth Anaya-olmedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982293510 PECOS PAC ID: 9234503095 Enrollment ID: I20230316002490 |
| Provider Name | Carla Chomka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487862678 PECOS PAC ID: 0446624944 Enrollment ID: I20230324000329 |
| Provider Name | Stephanie Kann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780978395 PECOS PAC ID: 5092184853 Enrollment ID: I20230329002245 |
| Provider Name | Sharon Ann Beal Armendariz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639626641 PECOS PAC ID: 3173988318 Enrollment ID: I20230424000750 |
| Provider Name | Kristina Anna Lugo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487846143 PECOS PAC ID: 1850756297 Enrollment ID: I20230508001985 |
| Provider Name | Blake Kerr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962621078 PECOS PAC ID: 8628434735 Enrollment ID: I20230516001511 |
| Provider Name | Denise Aguilar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104958818 PECOS PAC ID: 9335505296 Enrollment ID: I20230518001553 |
| Provider Name | Anna Aper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184191033 PECOS PAC ID: 1759747231 Enrollment ID: I20230525003058 |
| Provider Name | Karen L Patton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265785505 PECOS PAC ID: 1254798622 Enrollment ID: I20230531002012 |
| Provider Name | Davis Lo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710434279 PECOS PAC ID: 1355708686 Enrollment ID: I20230601001230 |
| Provider Name | Mark Chaney-gay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629448048 PECOS PAC ID: 6507223765 Enrollment ID: I20230601002785 |
| Provider Name | Sergio A Ibanez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972021152 PECOS PAC ID: 8426415233 Enrollment ID: I20230609002669 |
| Provider Name | Henry Joseph Mendoza Cordova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720721939 PECOS PAC ID: 6901263581 Enrollment ID: I20230613002912 |
| Provider Name | Glen Alvin Mcclintock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467520668 PECOS PAC ID: 1759334683 Enrollment ID: I20230629000957 |
| Provider Name | Terry Lynn Surinsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740382241 PECOS PAC ID: 2466450325 Enrollment ID: I20230811000183 |
| Provider Name | Casandra U C Oyeka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588207849 PECOS PAC ID: 0446613020 Enrollment ID: I20230830000468 |
| Provider Name | Jamie M Neal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497065767 PECOS PAC ID: 9234593799 Enrollment ID: I20230915003503 |
| Provider Name | Dena Webster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083018709 PECOS PAC ID: 3476907460 Enrollment ID: I20230925002401 |
| Provider Name | Karre Kern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922364991 PECOS PAC ID: 2163834383 Enrollment ID: I20230928004101 |
| Provider Name | Andrea Tong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487083747 PECOS PAC ID: 5597119024 Enrollment ID: I20231002002254 |
| 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 | Stephanie M Dorsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629464532 PECOS PAC ID: 8022464098 Enrollment ID: I20231026003910 |
| Provider Name | Diann Lynn Ricokaainoa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457521049 PECOS PAC ID: 4789030420 Enrollment ID: I20231101000106 |
| Provider Name | Vanessa Melchor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275052912 PECOS PAC ID: 6305293341 Enrollment ID: I20231113001422 |
| Provider Name | Shannon O'brien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962088062 PECOS PAC ID: 7416305057 Enrollment ID: I20231127000824 |
| Provider Name | Angela Riggio |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770025181 PECOS PAC ID: 0749638948 Enrollment ID: I20231129000644 |
| Provider Name | Alex Joseph Gallegos |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972749919 PECOS PAC ID: 6305295742 Enrollment ID: I20231212000289 |
| Provider Name | Miriam Guillen-ibarra |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164691424 PECOS PAC ID: 2961852751 Enrollment ID: I20231219003915 |
| Provider Name | Marianna Birdsong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992176788 PECOS PAC ID: 9234589888 Enrollment ID: I20231222002285 |
| Provider Name | Ronald Cummings |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063875060 PECOS PAC ID: 9436509635 Enrollment ID: I20240102000044 |
| Provider Name | Vernon Everett Proctor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609192038 PECOS PAC ID: 7416307566 Enrollment ID: I20240102001900 |
| Provider Name | Mariah Betancourt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699357962 PECOS PAC ID: 5395196364 Enrollment ID: I20240104001250 |
| Provider Name | Aimee Mikalinis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922493493 PECOS PAC ID: 0941651889 Enrollment ID: I20240104004052 |
| Provider Name | Alison S Adler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538357637 PECOS PAC ID: 3274984117 Enrollment ID: I20240104004209 |
| Provider Name | Michael Henderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659465193 PECOS PAC ID: 3870944572 Enrollment ID: I20240108000090 |
| Provider Name | Yulia O Ievleva |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659411841 PECOS PAC ID: 0244681757 Enrollment ID: I20240109004196 |
| Provider Name | Anthony Joseph Williams |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649613563 PECOS PAC ID: 9537510961 Enrollment ID: I20240110000021 |
| Provider Name | Betty Avery |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417489733 PECOS PAC ID: 7618328030 Enrollment ID: I20240110003305 |
| Provider Name | Maria Luisa Mendoza |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790011781 PECOS PAC ID: 5698126852 Enrollment ID: I20240111004261 |
| Provider Name | Charlie Fay Ruff |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275646960 PECOS PAC ID: 1153772231 Enrollment ID: I20240112003327 |
| Provider Name | Kellie Marie Jarvie |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578877338 PECOS PAC ID: 7517319692 Enrollment ID: I20240115001427 |
| Provider Name | Matthew John Kohagen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255904421 PECOS PAC ID: 5991157935 Enrollment ID: I20240116001685 |
| Provider Name | Crystal Liz Corona Mendoza |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750768206 PECOS PAC ID: 4183076086 Enrollment ID: I20240116003645 |
| Provider Name | Daniel Cheung-ching Fong |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447443841 PECOS PAC ID: 7012369838 Enrollment ID: I20240117003250 |
| Provider Name | Andrew M Finley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689891467 PECOS PAC ID: 0042444382 Enrollment ID: I20240117003855 |
| Provider Name | Katy Brianna Michaels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043605686 PECOS PAC ID: 6901258581 Enrollment ID: I20240118004409 |
| Provider Name | Cheryl Liza Gilbert |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407472483 PECOS PAC ID: 8820440449 Enrollment ID: I20240119001063 |
| Provider Name | Tracey L Chester |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740549658 PECOS PAC ID: 9739597923 Enrollment ID: I20240119001290 |
| Provider Name | Savannah Whitney Guimond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497371835 PECOS PAC ID: 7012367204 Enrollment ID: I20240119002137 |
| Provider Name | Elizabeth Wray |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043880818 PECOS PAC ID: 0941652416 Enrollment ID: I20240119003124 |
| Provider Name | Merna Eissa |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073163416 PECOS PAC ID: 8224480447 Enrollment ID: I20240123003246 |
| Provider Name | Phillip E Salas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134621485 PECOS PAC ID: 1759734940 Enrollment ID: I20240124000950 |
| Provider Name | Alina Antonyants |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295043024 PECOS PAC ID: 5991158115 Enrollment ID: I20240124001753 |
| Provider Name | Jennifer Drown |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871878413 PECOS PAC ID: 9234582263 Enrollment ID: I20240126000110 |
| Provider Name | Kendre G Sanborn |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194096545 PECOS PAC ID: 2668825530 Enrollment ID: I20240126001754 |
| Provider Name | Erica Khamvongsa |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942705363 PECOS PAC ID: 8224481718 Enrollment ID: I20240131004115 |
| Provider Name | Rosanna Gustafson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669874202 PECOS PAC ID: 0547613853 Enrollment ID: I20240201003693 |
| Provider Name | Tamara Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396860086 PECOS PAC ID: 3274872981 Enrollment ID: I20240207004162 |
| Provider Name | Arlene Klein Unger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508961863 PECOS PAC ID: 9537503941 Enrollment ID: I20240213004262 |
| Provider Name | Ebony D Freeman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215454145 PECOS PAC ID: 3678917986 Enrollment ID: I20240214003366 |
| Provider Name | Carole Lynn Arlt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497883821 PECOS PAC ID: 0446694525 Enrollment ID: I20240216000751 |
| Provider Name | Mazu Master |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679780506 PECOS PAC ID: 0244674901 Enrollment ID: I20240221001675 |
| Provider Name | Natasha V Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952641805 PECOS PAC ID: 7416201983 Enrollment ID: I20240226003885 |
| Provider Name | Dzenana Tiric |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346473006 PECOS PAC ID: 5193160448 Enrollment ID: I20240227002140 |
| Provider Name | Maude Nazaire |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841957685 PECOS PAC ID: 4688018237 Enrollment ID: I20240228001310 |
| Provider Name | Jacqueline Gordon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770949307 PECOS PAC ID: 6709221310 Enrollment ID: I20240305000927 |
| Provider Name | Alexander Gilburd |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336673730 PECOS PAC ID: 4688010168 Enrollment ID: I20240306003136 |
| Provider Name | Nadja Schlabitz Catano |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104199454 PECOS PAC ID: 5395181853 Enrollment ID: I20240307001009 |
| Provider Name | Carrie Mcelwee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467934190 PECOS PAC ID: 9335585785 Enrollment ID: I20240308000039 |
| Provider Name | Brandi T Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144882226 PECOS PAC ID: 9335585462 Enrollment ID: I20240312002383 |
| Provider Name | Steven Alexander Cooper |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679079776 PECOS PAC ID: 2668818675 Enrollment ID: I20240313001497 |
| Provider Name | Camilla Alexandra Lettini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922509082 PECOS PAC ID: 1759727670 Enrollment ID: I20240313002362 |
| Provider Name | Beverly A Clemons Snowden |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255886867 PECOS PAC ID: 3678919388 Enrollment ID: I20240315001349 |
| Provider Name | Jilla Lavian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568071850 PECOS PAC ID: 7618324625 Enrollment ID: I20240319002648 |
| Provider Name | Esau Joel Valdez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326225376 PECOS PAC ID: 5294172623 Enrollment ID: I20240321001284 |
| Provider Name | Ashour Badal |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780041335 PECOS PAC ID: 0749627933 Enrollment ID: I20240322004369 |
| Provider Name | Jacqueline Angeles |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548430879 PECOS PAC ID: 9032556170 Enrollment ID: I20240325001782 |
| Provider Name | Steven Nelson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588189732 PECOS PAC ID: 4486091402 Enrollment ID: I20240326000981 |
| Provider Name | Brid F Power |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003596545 PECOS PAC ID: 0840637682 Enrollment ID: I20240328000971 |
| Provider Name | Marisa Swain |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922553650 PECOS PAC ID: 9931568086 Enrollment ID: I20240329002170 |
| Provider Name | Karlie A Tepley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821511486 PECOS PAC ID: 4880032523 Enrollment ID: I20240401002460 |
| Provider Name | Heidi Dryer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396099081 PECOS PAC ID: 1557709714 Enrollment ID: I20240405003543 |
| Provider Name | Maria Reyes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215211891 PECOS PAC ID: 6800234014 Enrollment ID: I20240409000028 |
| Provider Name | Jacquelyn I Mitchell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750620902 PECOS PAC ID: 2264870351 Enrollment ID: I20240409002682 |
| Provider Name | Linda England |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750707667 PECOS PAC ID: 9133568744 Enrollment ID: I20240416001520 |
| Provider Name | Lana Trapp |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659682474 PECOS PAC ID: 8527407170 Enrollment ID: I20240416002806 |
| Provider Name | Don Ross |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1881935807 PECOS PAC ID: 8022457027 Enrollment ID: I20240423001985 |
| Provider Name | Jon L Stovall |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053518738 PECOS PAC ID: 5395185284 Enrollment ID: I20240425001280 |
| Provider Name | Arlen Grajeda |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235474941 PECOS PAC ID: 7618317470 Enrollment ID: I20240427001885 |
| Provider Name | Herbert Burrell Wright |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700368073 PECOS PAC ID: 0446690127 Enrollment ID: I20240429000759 |
| Provider Name | Jonathan Bach |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295853570 PECOS PAC ID: 9234579913 Enrollment ID: I20240429000888 |
| Provider Name | Rebecca Anne Gehlke Nolan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972519650 PECOS PAC ID: 4284074980 Enrollment ID: I20240429001612 |
| Provider Name | Nahtanha P Marler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740829357 PECOS PAC ID: 9931549177 Enrollment ID: I20240503003333 |
| Provider Name | Leticia Cantor-lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295176303 PECOS PAC ID: 7911351002 Enrollment ID: I20240506004411 |
| Provider Name | Victor Hernandez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396889846 PECOS PAC ID: 3173964160 Enrollment ID: I20240508001004 |
| Provider Name | Karina Tamayo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447716535 PECOS PAC ID: 7517308224 Enrollment ID: I20240513002395 |
| Provider Name | Valentyna Stusenko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972105518 PECOS PAC ID: 6901247527 Enrollment ID: I20240514003373 |
| Provider Name | Marisa Farnsworth |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730652082 PECOS PAC ID: 2466893888 Enrollment ID: I20240515003515 |
| Provider Name | Michele Bussell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275035172 PECOS PAC ID: 7315388634 Enrollment ID: I20240516003054 |
| Provider Name | Nicholas Monzon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942957303 PECOS PAC ID: 2466894647 Enrollment ID: I20240521001233 |
| Provider Name | Estrella Ramirez-robles |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962712943 PECOS PAC ID: 8426490574 Enrollment ID: I20240521004267 |
| Provider Name | Ashwini Gupta |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740305986 PECOS PAC ID: 6800238833 Enrollment ID: I20240522003156 |
| Provider Name | Rebecca Hahn-hooten |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750756714 PECOS PAC ID: 3173965126 Enrollment ID: I20240522003964 |
| Provider Name | Stephanie Marlene Navarro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740523414 PECOS PAC ID: 1951743830 Enrollment ID: I20240523000962 |
| Provider Name | Juliana Amiri |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962676627 PECOS PAC ID: 4981046828 Enrollment ID: I20240523003396 |
| Provider Name | Gregory C Owens |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023509346 PECOS PAC ID: 7618319427 Enrollment ID: I20240524001758 |
| Provider Name | Marlon C January |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306346986 PECOS PAC ID: 7618319096 Enrollment ID: I20240530003280 |
| Provider Name | Anastasiya Ekpo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326702366 PECOS PAC ID: 1456893411 Enrollment ID: I20240605001795 |
| Provider Name | Kari L Beckman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861243271 PECOS PAC ID: 4486196334 Enrollment ID: I20240606001375 |
| Provider Name | Khamila Ii |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851830426 PECOS PAC ID: 1153863808 Enrollment ID: I20240610000812 |
| Provider Name | Corie Leann Jones Duzsa |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508995846 PECOS PAC ID: 8325580814 Enrollment ID: I20240612001778 |
| Provider Name | Linda Carol Mirich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063889103 PECOS PAC ID: 2860934270 Enrollment ID: I20240612002966 |
| Provider Name | Crystal Gee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548653793 PECOS PAC ID: 2567803786 Enrollment ID: I20240612003776 |
| Provider Name | Rosa A Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619451333 PECOS PAC ID: 1153864293 Enrollment ID: I20240618001776 |
| Provider Name | Juan J Huerta |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861522609 PECOS PAC ID: 9234672213 Enrollment ID: I20240618003893 |
| Provider Name | Janel Marie Guinane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699808188 PECOS PAC ID: 8022551639 Enrollment ID: I20240624000777 |
| Provider Name | Sally Sue Millsap |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649868043 PECOS PAC ID: 3577007012 Enrollment ID: I20240626000527 |
| Provider Name | Monica Hermosillo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598043978 PECOS PAC ID: 5698219897 Enrollment ID: I20240628001580 |
| Provider Name | Angela L Abbott |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336448059 PECOS PAC ID: 6305381419 Enrollment ID: I20240712003472 |
| Provider Name | Shayne Thomas Kelley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063878130 PECOS PAC ID: 6608312343 Enrollment ID: I20240718001879 |
| Provider Name | Brittany Purdy Angeja |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306268842 PECOS PAC ID: 5698211340 Enrollment ID: I20240718002389 |
| Provider Name | Liza Castro |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1720572654 PECOS PAC ID: 8628514288 Enrollment ID: I20240719001867 |
| Provider Name | Kathey Michelle Wilborn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841486131 PECOS PAC ID: 0941746317 Enrollment ID: I20240722001858 |
| Provider Name | Vanda Kim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942450697 PECOS PAC ID: 7618201948 Enrollment ID: I20240725000583 |
| Provider Name | Shayma Mortazavi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629315098 PECOS PAC ID: 3476099599 Enrollment ID: I20240725002020 |
| Provider Name | Kurt Helfrich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376831149 PECOS PAC ID: 5991241853 Enrollment ID: I20240726003282 |
| Provider Name | Christina Marin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275936817 PECOS PAC ID: 5395282180 Enrollment ID: I20240729004092 |
| Provider Name | Catherine Yee Schwartz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265585525 PECOS PAC ID: 8325585151 Enrollment ID: I20240730000889 |
| Provider Name | Christopher Michael Stone |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871875146 PECOS PAC ID: 1658818224 Enrollment ID: I20240731002653 |
| Provider Name | Karina Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316379274 PECOS PAC ID: 2961949573 Enrollment ID: I20240731004310 |
| Provider Name | Richard John Halverson-muenzer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588868723 PECOS PAC ID: 0042627846 Enrollment ID: I20240805001252 |
| Provider Name | Charles Edward Wigle |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407911878 PECOS PAC ID: 5597202440 Enrollment ID: I20240814003127 |
| Provider Name | Grace Peprah |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235601444 PECOS PAC ID: 4284172529 Enrollment ID: I20240816003238 |
| Provider Name | Autumn Matthews |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336682517 PECOS PAC ID: 5991243271 Enrollment ID: I20240817000606 |
| Provider Name | Jennifer L Mcallister |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912270208 PECOS PAC ID: 4981142262 Enrollment ID: I20240817000641 |
| Provider Name | Ritika Kaur |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083987655 PECOS PAC ID: 2567900632 Enrollment ID: I20240820003611 |
| Provider Name | Karen Williams |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497342968 PECOS PAC ID: 6406395425 Enrollment ID: I20240822000714 |
| Provider Name | Naomi Jimenez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669927828 PECOS PAC ID: 3971042425 Enrollment ID: I20240828001326 |
| Provider Name | George Stamer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073717120 PECOS PAC ID: 2668911967 Enrollment ID: I20240830001314 |
| Provider Name | Jennifer Villar |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598127318 PECOS PAC ID: 1456890680 Enrollment ID: I20240830002937 |
| Provider Name | Jamie Ann David |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861863557 PECOS PAC ID: 1052850112 Enrollment ID: I20240903003560 |
| Provider Name | Pooneh Asgari |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649943721 PECOS PAC ID: 1557801487 Enrollment ID: I20240906001014 |
| Provider Name | Pascale A Claus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669004347 PECOS PAC ID: 8325588197 Enrollment ID: I20240906002959 |
| Provider Name | Maricsa S Evans |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235256652 PECOS PAC ID: 4587104021 Enrollment ID: I20240910004921 |
| Provider Name | Mark Leon Willenbring |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003930124 PECOS PAC ID: 1850302597 Enrollment ID: I20240919001970 |
| Provider Name | Karyn Anne Anderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912039777 PECOS PAC ID: 0345781167 Enrollment ID: I20240920000643 |
| Provider Name | Juanita Gipaya |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235500042 PECOS PAC ID: 3072044106 Enrollment ID: I20241001000953 |
| Provider Name | Wilene Chang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952095051 PECOS PAC ID: 6709317688 Enrollment ID: I20241002002652 |
| Provider Name | Curran Mark Commerford |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1528375847 PECOS PAC ID: 3577094283 Enrollment ID: I20241007000000 |
| Provider Name | Sheri L Akins |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427220896 PECOS PAC ID: 1153853338 Enrollment ID: I20241011003920 |
| Provider Name | Corlie Presswood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427538487 PECOS PAC ID: 6709319122 Enrollment ID: I20241023004734 |
| Provider Name | Emanuel Lewis Esquivel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124363726 PECOS PAC ID: 7719410919 Enrollment ID: I20241025003783 |
| Provider Name | Kristy Verma |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689283251 PECOS PAC ID: 8224562848 Enrollment ID: I20241105002435 |
| Provider Name | Shanae Kathryn Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356008379 PECOS PAC ID: 7113451741 Enrollment ID: I20241105002545 |
| Provider Name | Heidi Gergurich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093447864 PECOS PAC ID: 6103350632 Enrollment ID: I20241106003272 |
| Provider Name | Airy Itzel Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649888421 PECOS PAC ID: 0749714111 Enrollment ID: I20241107001040 |
| Provider Name | Yevett Enid Ogea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689233728 PECOS PAC ID: 5698209807 Enrollment ID: I20241111003449 |
| Provider Name | Karessa Johns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073163135 PECOS PAC ID: 8022543156 Enrollment ID: I20241126000570 |
| Provider Name | Noralyn Mariano Jackson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598170334 PECOS PAC ID: 2860927670 Enrollment ID: I20241202003790 |
| Provider Name | Darrell Hamilton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760719561 PECOS PAC ID: 4981130234 Enrollment ID: I20241210001243 |
| Provider Name | Kandie Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679959951 PECOS PAC ID: 9335675669 Enrollment ID: I20241210004540 |
| Provider Name | Layla Catherine Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437868676 PECOS PAC ID: 1355877465 Enrollment ID: I20241212003728 |
| Provider Name | John Peters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013751742 PECOS PAC ID: 2961939475 Enrollment ID: I20241223001678 |
| Provider Name | Kristal Alexis Audoma |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093838500 PECOS PAC ID: 8325575756 Enrollment ID: I20241226001260 |
| Provider Name | Imelda Marie Marin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255079802 PECOS PAC ID: 5597292672 Enrollment ID: I20241231003151 |
| Provider Name | Dairine Mary Pearson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952552614 PECOS PAC ID: 7618404609 Enrollment ID: I20250103000488 |
| Provider Name | Latossia Delores Barda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639819824 PECOS PAC ID: 8527596543 Enrollment ID: I20250103002093 |
| Provider Name | Joann Spangler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063108660 PECOS PAC ID: 6901334606 Enrollment ID: I20250108003683 |
| Provider Name | Donald Lawrence Mauro |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952629396 PECOS PAC ID: 6002345147 Enrollment ID: I20250117003375 |
| Provider Name | Alexandria Ayres |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588035687 PECOS PAC ID: 3577092113 Enrollment ID: I20250127000660 |
| Provider Name | Forrest Hong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679841001 PECOS PAC ID: 3870022387 Enrollment ID: I20250129001385 |
| Provider Name | Alexandra Sierra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992325278 PECOS PAC ID: 7113456625 Enrollment ID: I20250129001508 |
| Provider Name | Cameron Gabriel Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255701975 PECOS PAC ID: 3375072887 Enrollment ID: I20250129001601 |
| Provider Name | Kimberly Anne Coshnear |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437271921 PECOS PAC ID: 1052840576 Enrollment ID: I20250129001798 |
| Provider Name | Lan Wang |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053561316 PECOS PAC ID: 3870022395 Enrollment ID: I20250129001807 |
| Provider Name | Deems Morrione |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366981664 PECOS PAC ID: 3779012299 Enrollment ID: I20250129001842 |
| Provider Name | Stacey Janelle Callis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366911505 PECOS PAC ID: 2365971884 Enrollment ID: I20250129001987 |
| Provider Name | Gregory Raul Gomez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205348968 PECOS PAC ID: 8628507142 Enrollment ID: I20250129002017 |
| Provider Name | Bernadet Yaghobian |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467995449 PECOS PAC ID: 0345779765 Enrollment ID: I20250129002073 |
| Provider Name | William E. Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124511647 PECOS PAC ID: 2668901083 Enrollment ID: I20250129002250 |
| Provider Name | Megan E Scott |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437336252 PECOS PAC ID: 5193254514 Enrollment ID: I20250129002354 |
| Provider Name | Jocelyn Volk Finn |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174177240 PECOS PAC ID: 5597294926 Enrollment ID: I20250129002612 |
| Provider Name | Rachael Anne Forbes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184031056 PECOS PAC ID: 6406385830 Enrollment ID: I20250129002616 |
| Provider Name | Marian Ivarsson Marioni |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457498156 PECOS PAC ID: 1557890985 Enrollment ID: I20250129002770 |
| Provider Name | Kandice Nicole Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609462316 PECOS PAC ID: 1557890993 Enrollment ID: I20250129002831 |
| Provider Name | Sandra D. Godfrey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093895153 PECOS PAC ID: 0345779781 Enrollment ID: I20250129002886 |
| Provider Name | Elizabeth Penelope Jacobo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578843686 PECOS PAC ID: 0648709097 Enrollment ID: I20250129003033 |
| Provider Name | Alejandra Guerrero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700354263 PECOS PAC ID: 7719416163 Enrollment ID: I20250129003105 |
| Provider Name | Angelica Marie Rodriguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386211175 PECOS PAC ID: 4486183837 Enrollment ID: I20250130000001 |
| Provider Name | Heather Markay Burdine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487169744 PECOS PAC ID: 1759810120 Enrollment ID: I20250130000275 |
| Provider Name | John Choy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467887208 PECOS PAC ID: 8729517198 Enrollment ID: I20250130000342 |
| Provider Name | Dona J Clair |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952597890 PECOS PAC ID: 4981133352 Enrollment ID: I20250130000420 |
| Provider Name | Marlayna Rattanapote |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689816837 PECOS PAC ID: 7911436316 Enrollment ID: I20250130001572 |
| Provider Name | Kristalena Sauls |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245014588 PECOS PAC ID: 6103355417 Enrollment ID: I20250130002432 |
| Provider Name | Tamara Lynn Garner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356589089 PECOS PAC ID: 3274062583 Enrollment ID: I20250130002470 |
| Provider Name | Susan Hien Nguyen Lam |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285825117 PECOS PAC ID: 2062941388 Enrollment ID: I20250130002699 |
| Provider Name | Elizabeth Ann Phelan Rohrer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598819831 PECOS PAC ID: 0042749368 Enrollment ID: I20250130002780 |
| Provider Name | Aryeh Yitzhak Lazar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750801965 PECOS PAC ID: 6002345329 Enrollment ID: I20250130002979 |
| Provider Name | Wendy Nuessle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770745341 PECOS PAC ID: 4981133212 Enrollment ID: I20250130003136 |
| Provider Name | Yanscy Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407068125 PECOS PAC ID: 7517496847 Enrollment ID: I20250130003151 |
| Provider Name | Kristine Marie Hughes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649311010 PECOS PAC ID: 7113456443 Enrollment ID: I20250130003295 |
| Provider Name | Sylvia Guzman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851527220 PECOS PAC ID: 0840729174 Enrollment ID: I20250130003299 |
| Provider Name | Maral Pushian Sultanian |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811025323 PECOS PAC ID: 2567991896 Enrollment ID: I20250130003319 |
| Provider Name | Linda Alcala |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548763956 PECOS PAC ID: 3173052412 Enrollment ID: I20250130003524 |
| Provider Name | Jill Michelle Jackson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154538981 PECOS PAC ID: 6608305941 Enrollment ID: I20250130003629 |
| Provider Name | Brandy Ane Ziriax |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144710963 PECOS PAC ID: 5294264552 Enrollment ID: I20250130004207 |
| Provider Name | Melissa Linda Bautista |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053037515 PECOS PAC ID: 0446789713 Enrollment ID: I20250131000466 |
| Provider Name | David Michael Cayton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881133213 PECOS PAC ID: 4981133287 Enrollment ID: I20250131001521 |
| Provider Name | Mirna E Beltran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760739221 PECOS PAC ID: 7416486618 Enrollment ID: I20250131001900 |
| Provider Name | Ji Eun Gina Midlam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861791634 PECOS PAC ID: 0840729059 Enrollment ID: I20250131002483 |
| Provider Name | Dino Petruzzi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477953834 PECOS PAC ID: 1355870577 Enrollment ID: I20250131002719 |
| Provider Name | Elizabeth Marleen-butler Bevan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356869424 PECOS PAC ID: 8921537143 Enrollment ID: I20250131003011 |
| Provider Name | Catherine Blanche Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588155170 PECOS PAC ID: 9335678564 Enrollment ID: I20250131003303 |
| Provider Name | Joanne Kathryn Talbot |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750823928 PECOS PAC ID: 5698204873 Enrollment ID: I20250203001308 |
| Provider Name | Jason Allen Owens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689454886 PECOS PAC ID: 4385174598 Enrollment ID: I20250203003415 |
| Provider Name | Fatima Mendoza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780418574 PECOS PAC ID: 1456881689 Enrollment ID: I20250204000262 |
| Provider Name | Maribel Flores Hartford |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1881250413 PECOS PAC ID: 1254861412 Enrollment ID: I20250204001637 |
| Provider Name | Kristen Rene Bustillos Fragoso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013447457 PECOS PAC ID: 8224568357 Enrollment ID: I20250205000908 |
| Provider Name | Rosalva Salerno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710022488 PECOS PAC ID: 9739619875 Enrollment ID: I20250205001120 |
| Provider Name | Erin Fennell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083091094 PECOS PAC ID: 9931639085 Enrollment ID: I20250205001521 |
| Provider Name | Eric Llorente |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750740296 PECOS PAC ID: 1658801543 Enrollment ID: I20250206003182 |
| Provider Name | Shena Lenore Crowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467815290 PECOS PAC ID: 3072043967 Enrollment ID: I20250206003297 |
| Provider Name | Gary M Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790227957 PECOS PAC ID: 7012297963 Enrollment ID: I20250207001079 |
| Provider Name | Sylvia Petitt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265561237 PECOS PAC ID: 8022548965 Enrollment ID: I20250207001510 |
| Provider Name | Brittany Marie Evans |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487938510 PECOS PAC ID: 4082144894 Enrollment ID: I20250210001115 |
| Provider Name | Kenji Michelle Jones |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578901120 PECOS PAC ID: 5597295238 Enrollment ID: I20250210002585 |
| Provider Name | Erlene Kay Borden |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821148040 PECOS PAC ID: 7911437678 Enrollment ID: I20250210003296 |
| Provider Name | Michael L Jackson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740478155 PECOS PAC ID: 1153851787 Enrollment ID: I20250211003002 |
| Provider Name | Jennifer Denise Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417390220 PECOS PAC ID: 4587194113 Enrollment ID: I20250211003170 |
| Provider Name | Tara Maazel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336782853 PECOS PAC ID: 5597295105 Enrollment ID: I20250212001599 |
| Provider Name | Lisa Robin Whitmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669137287 PECOS PAC ID: 4587194915 Enrollment ID: I20250213003124 |
| Provider Name | William Everett Middleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124725205 PECOS PAC ID: 1658801964 Enrollment ID: I20250214002558 |
| Provider Name | Vicki Dawn Van Winkle |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932209913 PECOS PAC ID: 9830629120 Enrollment ID: I20250217001647 |
| Provider Name | Andrea M Wasserman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902517345 PECOS PAC ID: 4486174794 Enrollment ID: I20250217002838 |
| Provider Name | Delmy Maria Portillo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811609019 PECOS PAC ID: 2567982762 Enrollment ID: I20250218003078 |
| Provider Name | David Patrick France |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376617134 PECOS PAC ID: 5799205878 Enrollment ID: I20250219002089 |
| Provider Name | Cherie Lynn Felzer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134641483 PECOS PAC ID: 4385164466 Enrollment ID: I20250219002254 |
| Provider Name | Natonya Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215515358 PECOS PAC ID: 2365888773 Enrollment ID: I20250220002206 |
| Provider Name | Wendi Lee Witherell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134695604 PECOS PAC ID: 1052831070 Enrollment ID: I20250220003615 |
| Provider Name | Robert Steven Conboy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780953778 PECOS PAC ID: 2163942046 Enrollment ID: I20250221002292 |
| Provider Name | Jesse Michael Marez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629164991 PECOS PAC ID: 2567982333 Enrollment ID: I20250224001595 |
| Provider Name | Lamarre Edouard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407547953 PECOS PAC ID: 4981124583 Enrollment ID: I20250226002622 |
| Provider Name | Jennifer Susan Jones |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750962122 PECOS PAC ID: 4486174968 Enrollment ID: I20250227001718 |
| Provider Name | Tiffany Nicole Lewis-hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699239913 PECOS PAC ID: 6901280924 Enrollment ID: I20250303001490 |
| Provider Name | Veronica Marie Ewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770369597 PECOS PAC ID: 1951822089 Enrollment ID: I20250305003273 |
| Provider Name | Stephanie Rae Garris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780368480 PECOS PAC ID: 5294256327 Enrollment ID: I20250305003443 |
| Provider Name | Grethel Vanessa Vega |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497005789 PECOS PAC ID: 1355862335 Enrollment ID: I20250306001331 |
| Provider Name | Victor R Alcantar |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457481772 PECOS PAC ID: 9537680533 Enrollment ID: I20250306002188 |
| Provider Name | Deborah Gay Corsaro |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659613982 PECOS PAC ID: 4688195613 Enrollment ID: I20250306003046 |
| Provider Name | Michelle L. Powers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215566773 PECOS PAC ID: 7618498502 Enrollment ID: I20250307001823 |
| Provider Name | Kandi Martel Dudley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194845453 PECOS PAC ID: 2365963121 Enrollment ID: I20250310000918 |
| Provider Name | Chandra Sekhar Potnuru |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780393314 PECOS PAC ID: 8921529561 Enrollment ID: I20250311003042 |
| Provider Name | Maryann Y Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831169051 PECOS PAC ID: 8224192778 Enrollment ID: I20250311003468 |
| Provider Name | Mandi Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386044725 PECOS PAC ID: 3577084136 Enrollment ID: I20250311003537 |
| Provider Name | Emily Mayer Mendez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275600678 PECOS PAC ID: 0244751782 Enrollment ID: I20250312003519 |
| Provider Name | Richard Henry Roth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477790608 PECOS PAC ID: 9739321159 Enrollment ID: I20250313001389 |
| Provider Name | James William Hamill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700345212 PECOS PAC ID: 0446780795 Enrollment ID: I20250313001808 |
| Provider Name | Lauresha Zinatae Hawkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972936185 PECOS PAC ID: 7214459742 Enrollment ID: I20250313002705 |
| Provider Name | Jean Adela Foster |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922138130 PECOS PAC ID: 5496277766 Enrollment ID: I20250314003601 |
| Provider Name | Tina Louise Luke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063676211 PECOS PAC ID: 3678095908 Enrollment ID: I20250317001686 |
| Provider Name | Allyce Christine Gomez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932710647 PECOS PAC ID: 9133641483 Enrollment ID: I20250317002279 |
| Provider Name | Dvora Masha Kravitz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689284879 PECOS PAC ID: 0547782567 Enrollment ID: I20250319003529 |
| Provider Name | April Carew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538302781 PECOS PAC ID: 1254853005 Enrollment ID: I20250320003470 |
| Provider Name | Abel Blanco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710332556 PECOS PAC ID: 3971025735 Enrollment ID: I20250320003892 |
| Provider Name | Erika Venegas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326490996 PECOS PAC ID: 7719409424 Enrollment ID: I20250321001573 |
| Provider Name | Cassie Michelle Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023677978 PECOS PAC ID: 8224550983 Enrollment ID: I20250321003229 |
| Provider Name | Gisela Batres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255756102 PECOS PAC ID: 9032631700 Enrollment ID: I20250321003306 |
| Provider Name | Ulysees T Cantero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164906632 PECOS PAC ID: 1052762317 Enrollment ID: I20250326001457 |
| Provider Name | Terri Marie Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861935108 PECOS PAC ID: 2668995051 Enrollment ID: I20250326002270 |
| Provider Name | Hanna Korrine Diaz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710342167 PECOS PAC ID: 2264955509 Enrollment ID: I20250327002883 |
| Provider Name | Jenny Marie Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114548476 PECOS PAC ID: 0749703783 Enrollment ID: I20250331001507 |
| Provider Name | Kristin Beech |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811282999 PECOS PAC ID: 6507389459 Enrollment ID: I20250401001689 |
| Provider Name | Amberle J Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467870899 PECOS PAC ID: 3476076365 Enrollment ID: I20250401002609 |
| Provider Name | Kayla Michelle Rowland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225641327 PECOS PAC ID: 6901320639 Enrollment ID: I20250403002295 |
| Provider Name | Gehan Raafat Halim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417381468 PECOS PAC ID: 1153845706 Enrollment ID: I20250404002395 |
| Provider Name | Harout Harry Berberian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508272642 PECOS PAC ID: 8921522459 Enrollment ID: I20250407001601 |
| Provider Name | Katherine Marie Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790023885 PECOS PAC ID: 0648794818 Enrollment ID: I20250409001050 |
| Provider Name | Stephanie Nichole Giammichele |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255192381 PECOS PAC ID: 3274057336 Enrollment ID: I20250410000482 |
| Provider Name | Cynthia D'anna |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528189149 PECOS PAC ID: 3274057385 Enrollment ID: I20250410001907 |
| Provider Name | Sara Ann Suman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467895433 PECOS PAC ID: 7012431844 Enrollment ID: I20250414001304 |
| Provider Name | Cheryl Ann Swanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629267554 PECOS PAC ID: 0941724710 Enrollment ID: I20250414002502 |
| Provider Name | Donald Lavezzo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730864422 PECOS PAC ID: 5991220766 Enrollment ID: I20250415001647 |
| Provider Name | Andrew Spaulding |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114115896 PECOS PAC ID: 3476078155 Enrollment ID: I20250415001971 |
| Provider Name | Sylvie Fermanian |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487099131 PECOS PAC ID: 8224553771 Enrollment ID: I20250417001379 |
| Provider Name | Brandi Woller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134760317 PECOS PAC ID: 2163947540 Enrollment ID: I20250417002676 |
| Provider Name | Alicia Rueda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932452984 PECOS PAC ID: 8426573502 Enrollment ID: I20250422001309 |
| Provider Name | Nadin N Nasser |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033826854 PECOS PAC ID: 8628594215 Enrollment ID: I20250428000768 |
| Provider Name | Beatriz Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346436540 PECOS PAC ID: 0446776058 Enrollment ID: I20250428001278 |
| Provider Name | Justin Huy To |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053705905 PECOS PAC ID: 2062938608 Enrollment ID: I20250428001808 |
| Provider Name | Iisha Marie Toombs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548493349 PECOS PAC ID: 7911148952 Enrollment ID: I20250428003068 |
| Provider Name | Emma Mae Timmins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881323194 PECOS PAC ID: 0749706034 Enrollment ID: I20250429003861 |
| Provider Name | Zachary Gilliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053771188 PECOS PAC ID: 8224410212 Enrollment ID: I20250430001701 |
| Provider Name | Michelle Renee Roncevic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033519210 PECOS PAC ID: 6608399670 Enrollment ID: I20250430003805 |
| Provider Name | Erin Richmond Borum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013488519 PECOS PAC ID: 7719225317 Enrollment ID: I20250505003232 |
| Provider Name | Chika Okechukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306290150 PECOS PAC ID: 2668738162 Enrollment ID: I20250507000784 |
| Provider Name | Karen L Claybeck |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922534643 PECOS PAC ID: 7517484181 Enrollment ID: I20250507001221 |
| Provider Name | Nasrin Vossough |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518053628 PECOS PAC ID: 0648797225 Enrollment ID: I20250507001373 |
| Provider Name | Nicole Estelle Lapointe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376063685 PECOS PAC ID: 6709303340 Enrollment ID: I20250507002864 |
| Provider Name | Dana Lynn Lapsley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255129359 PECOS PAC ID: 0244757466 Enrollment ID: I20250509002512 |
| Provider Name | Jeremy Wayne Gregory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538540315 PECOS PAC ID: 8527585728 Enrollment ID: I20250512000815 |
| Provider Name | Andria Yvette Delreal |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1881947547 PECOS PAC ID: 6709304850 Enrollment ID: I20250513002594 |
| Provider Name | Michelle Moushir Ibrahim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689461766 PECOS PAC ID: 6709304710 Enrollment ID: I20250514000599 |
| Provider Name | April Poynor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902035546 PECOS PAC ID: 1153849047 Enrollment ID: I20250514002997 |
| Provider Name | Kathleen Marie Totoris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063013183 PECOS PAC ID: 7618495516 Enrollment ID: I20250514003240 |
| Provider Name | Daniel Josef Pinney |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770007130 PECOS PAC ID: 1052839800 Enrollment ID: I20250515003096 |
| Provider Name | Kimberly Fanning-shiles |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063867737 PECOS PAC ID: 4587182258 Enrollment ID: I20250516000387 |
| Provider Name | Alexandria Noel Palomaria |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255988754 PECOS PAC ID: 5698293264 Enrollment ID: I20250516003035 |
| Provider Name | Sheila Lynch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982070983 PECOS PAC ID: 2466970066 Enrollment ID: I20250516003236 |
| Provider Name | Brettina Ashworth |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437952462 PECOS PAC ID: 2062930415 Enrollment ID: I20250519003231 |
| Provider Name | Emma Loruhama Ruiz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598431959 PECOS PAC ID: 1052839404 Enrollment ID: I20250519003264 |
| Provider Name | Jennifer Robertson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699333211 PECOS PAC ID: 3971960030 Enrollment ID: I20250522003209 |
| Provider Name | Sarah Pettengill |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770911836 PECOS PAC ID: 0547789471 Enrollment ID: I20250523001095 |
| Provider Name | Coreen M Beasley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699961094 PECOS PAC ID: 3274052097 Enrollment ID: I20250526000000 |
| Provider Name | Melissa K. Stratton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932644341 PECOS PAC ID: 8022537695 Enrollment ID: I20250527003351 |
| Provider Name | Melanie Jane Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710118583 PECOS PAC ID: 9739608183 Enrollment ID: I20250528003607 |
| Provider Name | Marie Elisa Capizzi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396305462 PECOS PAC ID: 2860855681 Enrollment ID: I20250528003653 |
| Provider Name | Laura Crystal Mallory |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215103593 PECOS PAC ID: 3476072703 Enrollment ID: I20250529001834 |
| Provider Name | Karolin Matousian |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891412219 PECOS PAC ID: 1850800145 Enrollment ID: I20250529003069 |
| Provider Name | Alison Forster |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124319157 PECOS PAC ID: 0547779787 Enrollment ID: I20250530001884 |
| Provider Name | Chelsea Denegri |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548906779 PECOS PAC ID: 5799294948 Enrollment ID: I20250530002211 |
| Provider Name | Anjana M Kathuria |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710659438 PECOS PAC ID: 8628587763 Enrollment ID: I20250602000679 |
| Provider Name | Corri Jene Inouye |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972743615 PECOS PAC ID: 1254840903 Enrollment ID: I20250603003878 |
| Provider Name | Rebekah Lee Williams |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972247583 PECOS PAC ID: 5799294310 Enrollment ID: I20250604001430 |
| Provider Name | Vincent Stephen Morda |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295243319 PECOS PAC ID: 8123537768 Enrollment ID: I20250604001622 |
| Provider Name | Mayra Campos Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104371905 PECOS PAC ID: 8820507429 Enrollment ID: I20250604002782 |
| Provider Name | Elizabeth Stacey Marshall |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568707552 PECOS PAC ID: 3779092135 Enrollment ID: I20250605001647 |
| Provider Name | Roberta Lynn Hood |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346900156 PECOS PAC ID: 7214446608 Enrollment ID: I20250605002162 |
| Provider Name | Rosalee Amber Conley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831661685 PECOS PAC ID: 3870003270 Enrollment ID: I20250605002677 |
| Provider Name | Jasmin Paula Littlefield |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154935930 PECOS PAC ID: 8123538410 Enrollment ID: I20250606000479 |
| Provider Name | Emily Naomi Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902492861 PECOS PAC ID: 9335659606 Enrollment ID: I20250606001667 |
| Provider Name | Sarah Perdiguerra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285120972 PECOS PAC ID: 3476093618 Enrollment ID: I20250606002824 |
| Provider Name | Mark Allen Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467740886 PECOS PAC ID: 2567972789 Enrollment ID: I20250606003092 |
| Provider Name | Michelle Diane Grebe |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1720602469 PECOS PAC ID: 9638689680 Enrollment ID: I20250609002306 |
| Provider Name | Leanna Carrier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083036180 PECOS PAC ID: 3173033099 Enrollment ID: I20250610002381 |
| Provider Name | Jennifer Cumiskey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568906428 PECOS PAC ID: 3072023738 Enrollment ID: I20250611001604 |
| Provider Name | Norman Alberto Quintero |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548947039 PECOS PAC ID: 4082124789 Enrollment ID: I20250611002367 |
| Provider Name | Karen Sue Baumann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891871794 PECOS PAC ID: 8820155013 Enrollment ID: I20250611003060 |
| Provider Name | Yasmin Scott Halcromb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689155269 PECOS PAC ID: 8123539640 Enrollment ID: I20250612002860 |
| Provider Name | Mariana Gonzalez Torres |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225735871 PECOS PAC ID: 9234640780 Enrollment ID: I20250612003428 |
| Provider Name | Tiffany Marie Earnest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306591383 PECOS PAC ID: 3072024538 Enrollment ID: I20250612003668 |
| Provider Name | Susan Nicole Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528461738 PECOS PAC ID: 0345751731 Enrollment ID: I20250613000077 |
| Provider Name | Catherine Joyce Butcher |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437707221 PECOS PAC ID: 7214448687 Enrollment ID: I20250613001870 |
Cucumber Wellness, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 833-427-3566 | |
Lucid Behavioral Health Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2556 Amethyst Dr, Santa Clara, CA 95051 Phone: 734-730-4218 | |
Best Steps Psychology P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3170 De La Cruz Blvd Ste 111, Santa Clara, CA 95054 Phone: 669-292-5501 | |
Bill Wilson Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-850-6154 Fax: 408-246-5752 | |
Naama Magen Lugasi Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2811 Barcells Ave, Santa Clara, CA 95051 Phone: 408-618-9922 | |
Bill Wilson Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-278-2551 | |
Brian Licorish Psychiatry Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 408-384-3758 |