| Ms Dana Emerson Basu, PSYD | |
|
2549 Eastbluff Dr # 134, Newport Beach, CA 92660-3500 | |
| (608) 575-2111 | |
| (949) 220-7004 |
| Full Name | Ms Dana Emerson Basu |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 2549 Eastbluff Dr # 134, Newport Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023267549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY24579 (California) | Primary |
| Entity Name | Avalon Medical Development Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346250347 PECOS PAC ID: 1850283995 Enrollment ID: O20040721000841 |
| Entity Name | Avalon Medical Development Corporation |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1346250347 PECOS PAC ID: 1850283995 Enrollment ID: O20061104000281 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Dana Emerson Basu, PSYD 2549 Eastbluff Dr # 134, Newport Beach, CA 92660-3500 Ph: (608) 575-2111 | Ms Dana Emerson Basu, PSYD 2549 Eastbluff Dr # 134, Newport Beach, CA 92660-3500 Ph: (608) 575-2111 |
Margaret Mary Decker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 Dove St, Suite 140, Newport Beach, CA 92660 Phone: 949-922-1529 Fax: 949-809-5779 | |
Dr. Paul T Depompo, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4060 Campus Dr, Suite 120, Newport Beach, CA 92660 Phone: 949-300-1952 Fax: 949-313-1723 | |
Negar Shekarabi, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2161 San Joaquin Hills Rd, Newport Beach, CA 92660 Phone: 949-386-5700 Fax: 833-623-5063 | |
Dr. Jacqueline A Josephson, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1400 Quail St Ste 136, Newport Beach, CA 92660 Phone: 510-686-3306 | |
Ghada Al-seilawi, EDUCATIONAL PSYCHOLO Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Dove St Ste 270, Newport Beach, CA 92660 Phone: 949-432-4815 | |
Dr. Vance B Becker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1451 Quail St, Ste 102, Newport Beach, CA 92660 Phone: 949-757-1113 Fax: 949-757-1114 |