Theresa Ann Vincent, N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

7763 Issued in CA

Practice address

18126 Muir Woods CT
Fountain Valley, CA 92708-5937

Phone

(714) 594-3887

Fax

(714) 534-3887

NPI assigned

Oct 15, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Theresa Ann Armijo Former name

Medicare fee-for-service enrollment

Enrolled in CA, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Special Service for Groups IncGroup PAC ID 2769396886, 61 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Special Service for Groups, Inc.

  • Voluntary or Charitable Agency
  • Los Angeles, CA
  • NPI 1952442949
  Medicare reassignment Care Compare group NPD
• County of Fresno

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fresno, CA
  • NPI 1770538001
  Medicare reassignment NPD
• Telecare Mental Health Services of Washington, Inc

  • Psychiatric Residential Treatment Facility
  • Tacoma, WA
  • NPI 1780913657
  Medicare reassignment NPD
• County of Fresno

  • State or Local Public Health Clinic/Center
  • Fresno, CA
  • NPI 1174606420
  NPD
• Special Service for Groups, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gardena, CA
  • NPI 1669503629
  NPD
• Special Service for Groups, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Los Angeles, CA
  • NPI 1982735932
  NPD
• Telecare Mental Health Services of Washington Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tukwila, WA
  • NPI 1902540362
  NPD
• Telecare Mental Health Services of Washington, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Sedro Woolley, WA
  • NPI 1659758639
  NPD

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1619129178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18126 MUIR WOODS CT",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085937",
            "telephone_number": "714-594-3887",
            "fax_number": "714-534-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18126 MUIR WOODS CT",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085937",
            "telephone_number": "714-594-3887",
            "fax_number": "714-534-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "7763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "ARMIJO",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eileen Vieyra
• Charles Grant Vigilia
• Bianey Villanueva, RBT
• Gabriela Villasenor, BEHAVIOR TECHNICIAN
• Laura Vincent, M.S., CCC-SLP
• Viney Soni, M.D. Apc
• Vinh Pham, DDS, Inc.
• Vision Care
• Vision Neuropsychology & Psychology
• Vital Access Care Foundation

• Psychiatric/Mental Health Nurse Practitioner in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.