SCOTT MICHAEL CHARLTON (NPI# 1043652944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043652944 |
| Entity Type | Individual |
| Full Name | SCOTT MICHAEL CHARLTON |
| Practice Address |
2215 Blue Gum Ave Modesto CA 95358-1052 |
| Mailing Address |
2215 Blue Gum Ave Modesto CA 95358 |
| Practice Telephone | (209) 573-1981 |
| Practice Fax Number | 2095255498 |
| Mailing Telephone | (209) 573-1981 |
| Mailing Fax Number | 2095255498 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
IMF89161 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | IMF89161 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2900 Standiford Ave Ste 16b-109, Modesto, CA 953500167 | 2095731981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447238951 | Scott Ashley Charlton | Allergy & Immunology | 101 E Brunson St, Suite 102, Enterprise, AL 36330-2526 | 2006-01-04 |
| Street Address |
2215 BLUE GUM AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95358-1052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710012489 | Keri Berbena Rodgers | Registered Nurse | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2007-02-22 |
| 1255994745 | Joseph Aaron Quismondo Hernandez | Technician | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2019-04-19 |
| 1073176566 | Ricardo Maravilla-garcia | Technician | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2019-04-19 |
| 1609439199 | Gloria Cecilia Arroyo | Technician | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2019-04-19 |
| 1962863795 | Norma Elena Ramirez | Case Manager/Care Coordinator | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2016-03-07 |
| 1013314574 | Rita Zabrina Preciado | Case Manager/Care Coordinator | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2014-11-29 |
| 1174920607 | Jessica Nicole Van Tuinen | Technician | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2014-11-26 |
| 1235539859 | Lisa Cortez | Social Worker | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2014-09-02 |
| 1851791941 | Jessica Herrera | Counselor | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2014-08-26 |
| 1598194128 | Victoria Galvan | Counselor | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2013-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902321805 | Cecilia Yolanda Guajardo | Counselor | 2524 Finney Road, Ceres, CA 95358 | 2017-08-11 |
| 1205203049 | Olga Olivia Castillo | Case Manager/Care Coordinator | 1620 Cummings Rd, Modesto, CA 95358 | 2015-08-27 |
| 1174942270 | Rajneel Singh | Case Manager/Care Coordinator | 1524 Radcliffe Ave, Modesto, CA 95358 | 2014-04-16 |
| 1447486139 | Karl David Meabrod | Counselor | 190 E. Hackett Rd., Modesto, CA 95358 | 2009-06-08 |
| 1265634281 | County of Stanislaus | Community/Behavioral Health | 190 Hackett Road, Modesto, CA 95358 | 2007-06-01 |
| 1134250400 | Shelley Marie Southern | Marriage & Family Therapist | 1620 Cummins Drive, Modesto, CA 95358 | 2007-03-08 |
| 1538297973 | County of Stanislaus | Community/Behavioral Health | 251 East Hackett Road, Modesto, CA 95358 | 2007-02-28 |
| 1407347248 | Jamie Lauren Mcgillis | Counselor | 1620 Cummins Dr, Modesto, CA 95358 | 2018-05-29 |
| 1508250135 | Michelle Eldridge | Case Manager/Care Coordinator | 1620 Cummins Drive, Modesto, CA 95358 | 2015-03-20 |
| 1083747604 | Juan Carlos Teran Jr. | Case Manager/Care Coordinator | 1620 Cummins Dr, Modesto, CA 95358 | 2007-03-13 |
| Find all providers in zip 95358 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378408 | Amelia Ann Garcia | Counselor | 1004 Whitemarsh Way, Modesto, CA 95356-1237 | 2020-08-28 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1720463029 | Valerie Kristine Seagle | Counselor | 615 13th St Ste B1, Modesto, CA 95354-2456 | 2015-07-28 |
| 1952702706 | Michelle Ann Culver | Counselor | 4640 Spyres Way Ste 7, Modesto, CA 95356-9800 | 2014-09-11 |
| 1942601398 | Brianna Bossard | Counselor | 1231 8th St Ste 775, Modesto, CA 95354-2232 | 2014-09-04 |
| 1043619380 | Fanny Cortez | Counselor | 121 Downey Ave Apt 120, Modesto, CA 95354-1208 | 2014-08-21 |
| 1548669500 | Shannon Breckenridge | Counselor | 1800 Tully Rd # Stua-2, Modesto, CA 95350-2946 | 2014-08-15 |
| 1639503352 | Nicole Valadao | Counselor | 2625 F Coffee Rd # 132, Modesto, CA 95355-2053 | 2013-08-29 |
| 1942633979 | Monika Nicole Teves | Counselor | 504 King Richard Ln, Modesto, CA 95350-1532 | 2013-08-13 |
| 1700156007 | Erin L Black | Counselor | 426 14th St Ste 119, Modesto, CA 95354-2661 | 2012-01-04 |
| 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.