COUNTY OF STANISLAUS (NPI# 1043411762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043411762 |
| Entity Type | Organization |
| Organization Name | COUNTY OF STANISLAUS |
| Other Organization Name | GENESIS METHADONE |
| Practice Address |
800 Scenic Dr Modesto CA 95350-6131 |
| Practice Telephone | 2095256225 |
| Mailing Telephone | 2095256225 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | RUBEN IMPERIAL (BEHAVIORAL HEALTH INTERIM DIRECTOR) |
| Authorized Official Telephone | 2095256225 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF STANISLAUS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 5014 | 05 |
| Other Name | Type Code |
|---|---|
| GENESIS METHADONE | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730650524 | County of Stanislaus | Community/Behavioral Health | 4640 Spyres Way Ste B7, Modesto, CA 95356-9800 | 2018-12-06 |
| 1992909378 | County of Stanislaus | Community/Behavioral Health | 500 N 9th St, Bldg B, Modesto, CA 95350 | 2007-06-12 |
| 1265634281 | County of Stanislaus | Community/Behavioral Health | 190 Hackett Road, Modesto, CA 95358 | 2007-06-01 |
| 1205969904 | County of Stanislaus | Community/Behavioral Health | 1904 Richland Ave, Cert - C2 Bldg, Ceres, CA 95307-4562 | 2007-03-13 |
| 1750413704 | County of Stanislaus | Community/Behavioral Health | 631 West F. Street, Oakdale, CA 95361-3734 | 2007-03-12 |
| 1639208820 | County of Stanislaus | Community/Behavioral Health | 1418 J St, Modesto, CA 95354-1013 | 2007-03-05 |
| 1679601736 | County of Stanislaus | Community/Behavioral Health | 500 N 9th St, Bldg A, Modesto, CA 95350 | 2007-03-01 |
| 1225166739 | County of Stanislaus | Community/Behavioral Health | 2101 Geer Rd Ste 120, Turlock, CA 95382 | 2007-02-28 |
| 1538297973 | County of Stanislaus | Community/Behavioral Health | 251 East Hackett Road, Modesto, CA 95358 | 2007-02-28 |
| 1578691903 | County of Stanislaus | Community/Behavioral Health | 500 N. 9th Street, Bldg. A, Modesto, CA 95350 | 2007-02-28 |
| Street Address |
800 SCENIC DR |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-6131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669582557 | Kathleen Leatherbarrow | Nurse Practitioner | 800 Scenic Dr, Bldg 4, Modesto, CA 95350-6131 | 2006-08-30 |
| 1477112282 | Christopher Hastay | Nutritionist | 800 Scenic Dr, Modesto, CA 95350-6131 | 2019-06-06 |
| 1548829369 | Jamie Lee Spadoni | Nutritionist | 800 Scenic Dr, Modesto, CA 95350-6131 | 2019-06-06 |
| 1972169167 | Lucy Soto | Technician | 800 Scenic Dr, Modesto, CA 95350-6131 | 2019-05-14 |
| 1124682224 | Carlos Cervantes | Technician | 800 Scenic Dr, Modesto, CA 95350-6131 | 2019-04-24 |
| 1285297614 | Kirsten Lynn Jasek-rysdahl | Social Worker | 800 Scenic Dr, Modesto, CA 95350-6131 | 2019-04-22 |
| 1902469299 | Erica Pierce | Technician | 800 Scenic Dr, Modesto, CA 95350-6131 | 2019-04-22 |
| 1558924050 | Francine Jew | Case Manager/Care Coordinator | 800 Scenic Dr, Modesto, CA 95350-6131 | 2019-04-19 |
| 1659934149 | Ann Louise Salvi | Prevention Professional | 800 Scenic Dr, Modesto, CA 95350-6131 | 2019-04-19 |
| 1710540703 | Nanette Hovasine | Technician | 800 Scenic Dr, Modesto, CA 95350-6131 | 2019-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053882035 | Stanislaus County Behavioral Health and Recovery Services | Community/Behavioral Health | 190 E. Hackett Road, Modesto, CA 95358-9450 | 2018-12-17 |
| 1730650524 | County of Stanislaus | Community/Behavioral Health | 4640 Spyres Way Ste B7, Modesto, CA 95356-9800 | 2018-12-06 |
| 1780199711 | Resilience and Wellness Counseling | Community/Behavioral Health | 1012 11th St Ste Ll4, Modesto, CA 95354-0827 | 2017-12-13 |
| 1194260133 | Koinonia Foster Homes Inc | Community/Behavioral Health | 406 Motor City Ct, Ste. F, Modesto, CA 95356-9200 | 2016-12-29 |
| 1841732302 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 1539 Mchenry Ave., Modesto, CA 95350-4528 | 2016-11-14 |
| 1356798383 | Childrens Crisis Intervention Program | Community/Behavioral Health | 1540 Florida Ave Ste 212, Modesto, CA 95350-4430 | 2016-05-19 |
| 1245637230 | Sierra Vista Drop In Center | Community/Behavioral Health | 908 Sierra Dr, Modesto, CA 95351-3254 | 2014-11-19 |
| 1700126158 | Living Well Bcs Inc | Community/Behavioral Health | 510 Chabot Ave, Modesto, CA 95354-0233 | 2013-02-21 |
| 1740513266 | Sierra Vista Child & Family Services | Community/Behavioral Health | 1700 Mchenry Village Way Ste B, Modesto, CA 95350-4308 | 2009-09-16 |
| 1992909378 | County of Stanislaus | Community/Behavioral Health | 500 N 9th St, Bldg B, Modesto, CA 95350 | 2007-06-12 |
| Find all providers in MODESTO | ||||
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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.