Psychology Consulting, Professional Corporation

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

A122488 Issued in CA

Legal business name

PSYCHOLOGY CONSULTING, PROFESSIONAL CORPORATION

Doing business as

Embrasse Resources

Practice address

550 W Vista Way Ste 103
Vista, CA 92083-5735

Phone

(760) 295-8727

NPI assigned

Oct 6, 2017

Organization subpart

Yes

Parent organization

PSYCHOLOGY CONSULTING, PROFESSIONAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Twee Hyler

Title

Vice President

Phone

(818) 645-6636

Specialties & licenses 2

Addresses

Other names 1

• Embrasse Resources Doing business as

Part of

Psychology Consulting Professional Corporation

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justene Ann Ilog, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Vista, CA
  • NPI 1598451445
  NPD (past)

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1912417775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W VISTA WAY STE 103",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835735",
            "telephone_number": "760-295-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W VISTA WAY STE 103",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835735",
            "telephone_number": "760-295-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY CONSULTING, PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSYCHOLOGY CONSULTING, PROFESSIONAL CORPORATION",
        "enumeration_date": "2017-10-06",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "HYLER",
        "authorized_official_first_name": "TWEE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "818-645-6636"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "A122488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embrasse Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madeline R Price, NP
• Paula A Proffitt, MD
• Irina F Proshkina, M.D.
• Sharon Provenzano, RDH
• Psycare, Inc.
• Psychology Consulting, Professional Corporation (Embrasse Treatment Center)
• Christopher Pudol, D.O.
• Pulse Nursing Corporation
• Kari Lynn Purcott, M.D.
• Judy Puryear, CNP

• Addiction Psychiatry Physician in Vista, CA
• Providers in Vista, CA by specialty
• Addiction Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.