Individual provider Active NPI

Mary Ann Esmieu, PH.D.

  • Psychologist
  • Riverside, CA
National Provider Identifier
1184052375
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
10275 Hole Ave # 7205
Riverside, CA 92503-3457
Phone
(562) 363-5348
Fax
(866) 302-1556
NPI assigned
Oct 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CJP400109 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X RI-E0807161445 CA

Addresses

Primary practice location

10275 Hole Ave # 7205
Riverside, CA 92503-3457

Mailing address

10275 Hole Ave # 7205
Riverside, CA 92503-3457
Phone (562) 363-5348

Other names 1

  • Mary Ann Collins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CJP400109CAMDAddiction (Substance Use Disorder) Counselor
RI-E0807161445CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1184052375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10275 HOLE AVE # 7205",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033457",
            "telephone_number": "562-363-5348",
            "fax_number": "866-302-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10275 HOLE AVE # 7205",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033457",
            "telephone_number": "562-363-5348",
            "fax_number": "866-302-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESMIEU",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CJP400109",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RI-E0807161445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "COLLINS",
            "middle_name": "ANN",
            "credential": "M.ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.