Rainbow Connection Professional Clinical Counselor Service PC (NPI# 1558964791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1558964791 |
| Entity Type | Organization |
| Organization Name | RAINBOW CONNECTION PROFESSIONAL CLINICAL COUNSELOR SERVICE PC |
| Practice Address |
1223 Cleveland Ave Ste 200 San Diego CA 92103-3301 |
| Practice Telephone | 4252969793 |
| Mailing Address |
1223 Cleveland Ave Ste 200 San Diego CA 92103-3301 |
| Authorized Official Name | Harry Dixon (OWNER) |
| Authorized Official Telephone | 4252969793 |
| Authorized Official Credential | MA, LMHC, LPCC |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2020-11-19 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 261QM0850X | Clinic/Center · Adult Mental Health | Ambulatory Health Care Facilities |
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165688 | San Diego Center for Recreation, Inc. | Clinic/Center | 4535 Quantico Ave, San Diego, CA 92117-3831 | 2020-05-08 |
| 1548762388 | Ana Thomat, Ph.d., Psychologist, Inc. | Clinic/Center | 3368 2nd Ave Ste C1, San Diego, CA 92103-5666 | 2018-03-07 |
| 1871009332 | Farrow Psychological Services, Inc. | Clinic/Center | 9330 Carmel Mountain Rd Ste F, San Diego, CA 92129-2160 | 2017-12-20 |
| 1760916555 | Solara Health, Inc. | Clinic/Center | 1321 Garnet Ave, San Diego, CA 92109-3012 | 2017-04-18 |
| 1306379136 | Ruchira Densert, M.d. Inc | Clinic/Center | 5489 Bothe Ave, San Diego, CA 92122-4019 | 2017-04-08 |
| 1154867661 | Huffman Health | Clinic/Center | 18029 Calle Ambiente Suite 506, San Diego, CA 92127-0001 | 2017-01-09 |
| 1598364887 | Mental Health Center of San Diego | Clinic/Center | 960 Grand Ave, San Diego, CA 92109-4064 | 2020-10-19 |
| 1316576515 | Graziano Therapy, Individual and Marriage Counseling, PC | Clinic/Center | 3333 Camino Del Rio S Ste 215, San Diego, CA 92108-3837 | 2020-04-08 |
| 1063044410 | Pacific Coast Psychiatric Associates, Inc. | Clinic/Center | 4550 Kearny Villa Rd Ste 116, San Diego, CA 92123-1583 | 2020-02-04 |
| 1134779705 | Telecare Corporation | Clinic/Center | 3491 Kurtz St Ste 150, San Diego, CA 92110-4430 | 2019-09-16 |
| Find all providers in SAN DIEGO | ||||
| Street Address |
1223 CLEVELAND AVE STE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.