Patricia Leon Guerrero Taimanglo, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

CP000022 Issued in GU

Practice address

590 S Marine Corps Drive
Suite 219 Gitc BLDG
Tamuning, GU 96913

Phone

(671) 649-2080

Fax

(671) 649-2083

NPI assigned

Sep 5, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Patricia Taimanglo Pier Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1003000761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 S MARINE CORPS DRIVE",
            "address_2": "SUITE 219 GITC BLDG",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96914",
            "telephone_number": "671-649-2080",
            "fax_number": "671-649-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 S MARINE CORPS DRIVE",
            "address_2": "SUITE 219 GITC BLDG",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-649-2080",
            "fax_number": "671-649-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIMANGLO",
        "first_name": "PATRICIA",
        "middle_name": "LEON GUERRERO",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GU",
            "license": "CP000022",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "PIER",
            "middle_name": "TAIMANGLO",
            "prefix": "MS.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Superdrug Tumon
• Collette Elke Supit, D.D.S.
• Edwin Jess Supit, M.D.
• Deborah Ann Swena, M.D.
• Sheri Lynne Tackett, APRN-CNP
• Denise Taitano-Ritter
• John Ray Taitano, MD
• Rosalind Taitingfong, O.T.
• Takecare Ins Co Inc
• Takecare Insurance Company Inc

• Clinical Psychologist in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Clinical Psychologist in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.