CHARLES SLOCUM (NPI# 1043789555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043789555 |
| Entity Type | Individual |
| Full Name | CHARLES SLOCUM |
| Practice Address |
496 S Barton Ave Fresno CA 93701 |
| Mailing Address |
496 S. Barton Ave Fresno CA 93702 |
| Practice Telephone | 5598921128 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2019-01-25 |
| 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 | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 10YM0000X | 05 | |
| CA | $$$$$$$$$ | 05 |
| Street Address |
496 S BARTON AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619370004 | Phyllis Rodriguez | Licensed Psychiatric Technician | 496 S Barton Ave, Fresno, CA 93702-2985 | 2014-09-30 |
| 1821698051 | Areli Quinilla | Counselor | 496 S Barton Ave, Fresno, CA 93702-2985 | 2020-10-27 |
| 1447859889 | Luis Omar Rodriguez | Counselor | 496 S Barton Ave, Fresno, CA 93702-2985 | 2020-10-17 |
| 1225644297 | Guadalupe Gil | Licensed Vocational Nurse | 496 S Barton Ave, Fresno, CA 93702-2985 | 2020-09-16 |
| 1790390714 | Kiranjeet Bhinder | Licensed Vocational Nurse | 496 S Barton Ave, Fresno, CA 93702-2985 | 2020-09-15 |
| 1184238909 | Luis Alberto Suarez-lopez | Counselor | 496 S Barton Ave, Fresno, CA 93702-2985 | 2020-08-31 |
| 1225649197 | Domonique E Soto | Counselor | 496 S Barton Ave, Fresno, CA 93702-2985 | 2020-08-13 |
| 1497372247 | Ezereli Ledesma Gomez | Marriage & Family Therapist | 496 S Barton Ave, Fresno, CA 93702-2985 | 2020-06-28 |
| 1992321384 | Saylene A Servin | Licensed Vocational Nurse | 496 S Barton Ave, Fresno, CA 93702-2985 | 2020-06-22 |
| 1346862158 | Jason Alan Cavataio | Licensed Vocational Nurse | 496 S Barton Ave, Fresno, CA 93702-2985 | 2020-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
| 1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
| 1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
| 1235650391 | Plastic Surgery Partners of Fresno Inc | Plastic Surgery | 215 N Fresno St, Ste 490, Fresno, CA 93701 | 2017-06-29 |
| 1205369790 | Amy Alagh | Student in an Organized Health Care Education/Training Program | 155 N Fresno Street, Fresno, CA 93701 | 2017-04-11 |
| 1922462159 | Henry Matthew Dunn | Student in an Organized Health Care Education/Training Program | Ucsf Fresno, 155 N. Fresno St., Department of Orthopaedic Surgery, Fresno, CA 93701 | 2016-04-13 |
| Find all providers in zip 93701 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962012658 | Susan Vue | Counselor | 4855 E King Cyn Rd Ste 105, Fresno, CA 93727-3811 | 2020-08-06 |
| 1104445543 | Chavon Cecily Williams | Counselor | 4006 Redwood Hill Ct, Fresno, TX 77545-8726 | 2020-04-15 |
| 1003444530 | Healing Hopes, Inc. | Counselor | 1960 N Gateway Blvd, Fresno, CA 93727-1604 | 2020-03-30 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1730726407 | Martha Lynn Hosier | Counselor | 1616 W Shaw Ave Ste B2, Fresno, CA 93711-3513 | 2019-12-02 |
| 1598228439 | Bayon B Harris Sr. | Counselor | 4111 W Princeton Ave, Fresno, CA 93722-6810 | 2019-04-08 |
| 1205392008 | Andrew Marshall Davis | Counselor | 320 E Warner Ave, Fresno, CA 93710-3711 | 2019-02-16 |
| 1902375637 | Andrew Arroyo | Counselor | 1925 E Rialto Ave, Fresno, CA 93726-0229 | 2018-11-26 |
| 1265917504 | Romaine Ornelia Desclos | Counselor | 6435 N Palm Ave Ste 103, Fresno, CA 93704-1086 | 2018-10-02 |
| 1508357773 | Armando Mendoza | Counselor | 3138 W Dakota Ave Spc 215, Fresno, CA 93722-4991 | 2018-05-23 |
| Find all providers in FRESNO | ||||
Please comment or provide details below to improve the information on CHARLES SLOCUM.
| 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.