ABRAHAM ISAAC ACKLIN (NPI# 1013392752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013392752 |
| Entity Type | Individual |
| Full Name | ABRAHAM ISAAC ACKLIN |
| Practice Address |
201 Redlands Ave Perris CA 92571-2600 |
| Mailing Address |
10935 Terra Vista Pkwy Apt 181 Rancho Cucamonga CA 91730-6356 |
| Practice Telephone | 9519406600 |
| Mailing Telephone | 9092488453 |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
201 REDLANDS AVE |
| City | PERRIS |
| State | CA |
| Zip Code | 92571-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659412666 | Naresh Govindbhai Patel | Psychiatry & Neurology | 201 Redlands Ave, Perris, CA 92571-2600 | 2007-02-11 |
| 1205456175 | County of Riverside | Community/Behavioral Health | 201 Redlands Ave, Perris, CA 92571-2600 | 2020-04-21 |
| 1295387744 | Cassandra Ann Fox | Counselor | 201 Redlands Ave, Perris, CA 92571-2600 | 2019-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376199422 | Pico De Loro, Incorporated | Assisted Living Facility | 620 North Perris Boulevard, Perris, CA 92571 | 2019-08-14 |
| 1053802579 | Kadiatou Dafney | Nurse Practitioner | 126 Avocado Ave Ste 106, Perris, CA 92571 | 2018-05-21 |
| 1730677014 | Ruth Gasselle Rodriguez | Nutritionist | 1020 Huntington Way, Perris, CA 92571 | 2018-04-23 |
| 1649788167 | Leslie Bautista | Counselor | 1276 Autumnwood Ln, Perris, CA 92571 | 2018-01-18 |
| 1588180459 | Eduardo Orozco-zavala | Licensed Vocational Nurse | 85 Ramona Expressway, Suite 1, Perris, CA 92571 | 2017-08-22 |
| 1396267365 | National Vision, Inc. | Technician/Technologist | 1850 N Perris Boulevard, Suite 40, Perris, CA 92571 | 2017-07-12 |
| 1336669506 | Gary Huang | Optometrist | 1850 N Perris Boulevard Ste 40, Perris, CA 92571 | 2017-06-20 |
| 1750814745 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 106 Worth St, Perris, CA 92571 | 2017-04-06 |
| 1013456235 | Sohal and Pham Dental Corporation | Dentist | 1820 Perris Blvd, Suite 70, Perris, CA 92571 | 2017-02-21 |
| 1093267569 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 2464 Slew of Gold Ct, Perris, CA 92571 | 2016-10-31 |
| Find all providers in zip 92571 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539451 | Cynthia Ascencio | Counselor | 2340 Firebrand Ave, Perris, CA 92571-2697 | 2020-05-07 |
| 1518594191 | Sarai Velasquez | Counselor | 2560 N Perris Blvd Ste N-i, Perris, CA 92571-3254 | 2020-03-24 |
| 1861035966 | Community Access Network | Counselor | 14294 Oakdale Dr, Perris, CA 92570-8419 | 2019-10-21 |
| 1760983431 | Desteny Lisette Soriano | Counselor | 537 Redding Way, Perris, CA 92570-4547 | 2018-02-27 |
| 1649788167 | Leslie Bautista | Counselor | 1276 Autumnwood Ln, Perris, CA 92571 | 2018-01-18 |
| 1073026308 | Christina Joanna Covarrubias | Counselor | 85 Ramona Expy Ste 1-4, Perris, CA 92571-7014 | 2017-11-08 |
| 1184076200 | Ashley Nicole Gartin | Counselor | 131 Perou St, Perris, CA 92570-2515 | 2016-07-13 |
| 1790091718 | Josh B Neal | Counselor | 827 Georgiana Ct, Perris, CA 92570 | 2010-08-27 |
| 1184951022 | Michelle Alice Creed | Counselor | 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 | 2009-11-13 |
| 1205091790 | Jill None Demos | Counselor | 24050 Christmas Tree Lane, Perris, CA 92570 | 2008-07-23 |
| Find all providers in PERRIS | ||||
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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.