MR. DEREK MICHAEL SAUCEDA


Address: 1222 Monaco Ct Ste 28, Stockton, CA 95207-6742
Phone: 2096446328

MR. DEREK MICHAEL SAUCEDA (NPI# 1023520590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023520590
Entity Type Individual
Full Name MR. DEREK MICHAEL SAUCEDA
Credential CATC
Practice Address 1222 Monaco Ct Ste 28
Stockton
CA 95207-6742
Mailing Address 102 W Bianchi Rd
Stockton
CA 95207-7132
Practice Telephone 2096446328
Practice Fax Number 2096446308
Mailing Telephone 2096446319
Enumeration Date 2017-10-24
Last Update Date 2018-06-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
390017AN CA Behavioral Health & Social Service Providers
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
179702 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA COURT ORDERED ORSELF PAY 390017AN 01

Office Location

Street Address 1222 MONACO CT STE 28
City STOCKTON
State CA
Zip Code 95207-6742

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417593864 John Mattthew Ilonummi Counselor 1222 Monaco Ct Ste 28, Stockton, CA 95207-6742 2019-11-20
1346749918 Janice Gerhart Counselor 1222 Monaco Ct Ste 28, Stockton, CA 95207-6742 2018-02-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669004438 Dr. Jeffrey A Saladin, Dental Corporation Dentist 1002 Robinhood Drive, Stockton, CA 95207 2020-02-10
1811533110 Tanya V Jones Dental Hygienist Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 2019-11-21
1053966358 Ingrid Marcela Saavedra Behavioral Analyst 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 2019-08-05
1497218861 Turning Point Community Programs Community/Behavioral Health 1803 W March Ln Ste C-d, Stockton, CA 95207 2019-04-11
1427510627 Stockton Sleep Center Inc Physiological Laboratory 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 2019-04-05
1518436229 Nicolas Anthony Overby Occupational Therapist Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 2018-11-26
1912475724 Ashley Johnson Behavior Technician 87 W. March Ln. Suite 6, Stockton, CA 95207 2018-11-09
1124596085 Korie Cottrell Behavior Technician 87 W. March Ln., Suite 6, Stockton, CA 95207 2018-11-08
1760979645 Maria Esther Rodriguez Counselor 2425 W March Ln., Stockton, CA 95207 2018-04-17
1902301161 Lashray Elliott Behavior Technician 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 2018-03-28
Find all providers in zip 95207

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740893155 Tracey Black Counselor 130 W Flora St, Stockton, CA 95202-1636 2020-08-25
1699305508 Juan Robles Counselor 1947 N California St # 95204, Stockton, CA 95204-6029 2020-01-20
1831730555 Ronnie C Murray Counselor 1947 North California Street, Stockton, CA 95204 2019-10-03
1821648353 Kaye Lynn Scott-roy Counselor 285 H Rd, Stockton, KS 67669-8889 2019-09-17
1760049043 Jay Frank Williams Counselor 1105 N El Dorado St, Stockton, CA 95202-1305 2019-05-22
1184105462 Rachelle Diane Wilson Counselor 2733 N Sutter St, Stockton, CA 95204-4548 2018-08-24
1568943835 Heather Lynn Rogers Counselor 3990 Black Butte Cir, Stockton, CA 95209-3500 2018-08-24
1235631722 Parker Yang Counselor 1111 N. El Dorado St, Stockton, CA 95202 2018-03-01
1487162087 Linda Soun Counselor 1111 N. El Dorado Street, Stockton, CA 95202 2018-01-17
1760995781 Dana Lamont Harris Counselor 2833 Buckner Ct, Stockton, CA 95207-2302 2017-11-13
Find all providers in STOCKTON

Competitor

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City STOCKTON
Zip Code 95207

Improve Information

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Dataset Information

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.

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