JACQUELINE TAYLOR (NPI# 1053951624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053951624 |
| Entity Type | Individual |
| Full Name | JACQUELINE TAYLOR |
| Credential | B.A., HUMAN SERVICES |
| Practice Address |
1483 Alva St Carpinteria CA 93013-1501 |
| Mailing Address |
1033 W Iris St Oxnard CA 93033-3342 |
| Practice Telephone | 8055660299 |
| Mailing Telephone | 8056650302 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083191944 | Jacqueline Taylor | Community Health Worker | 700 W Judge Perez Dr Ste 204, Chalmette, LA 70043-4872 | 2018-07-24 |
| 1114424272 | Jacqueline Marie Taylor | Counselor | 1769 E Moody Blvd, Bunnell, FL 32110-6355 | 2018-04-06 |
| 1841413648 | Jacqueline M Taylor | Social Worker | 5720 Nw 81st Ave, Tamarac, FL 33321-4525 | 2007-04-10 |
| 1972586113 | Jacqueline L Taylor | Obstetrics & Gynecology | 1435 E 12 Mile Rd, Madison Heights, MI 48071-2653 | 2005-11-22 |
| 1902441827 | Jacqueline Taylor | Nurse Practitioner | 760 Bayou Pines East Dr, Lake Charles, LA 70601-7184 | 2019-11-14 |
| 1932670858 | Jacqueline Taylor | Chore Provider | 6725 S Eastern Ave, Las Vegas, NV 89119-3948 | 2018-12-17 |
| 1053813691 | Jacqueline Taylor | Chore Provider | 1785 E Sahara Ave Ste 485, Las Vegas, NV 89104-3757 | 2018-02-28 |
| 1174049894 | Jacqueline Michele Taylor | Social Worker | 24600 Northwestern Hwy, Southfield, MI 48075-2471 | 2017-08-15 |
| 1962927764 | Jacqueline Elaine Taylor | Optometrist | 22 N Jackson St, Belleville, IL 62220-1425 | 2017-08-14 |
| 1780034967 | Jacqueline Taylor | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2016-06-17 |
| Street Address |
1483 ALVA ST |
| City | CARPINTERIA |
| State | CA |
| Zip Code | 93013-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457815326 | Olivia Marquel Tobin | Counselor | 1483 Alva St, Carpinteria, CA 93013-1501 | 2019-01-24 |
| 1093312845 | Lenita Anne Davison | Case Manager/Care Coordinator | 1483 Alva St, Carpinteria, CA 93013-1501 | 2020-10-05 |
| 1114524980 | Camila Constancio | Case Manager/Care Coordinator | 1483 Alva St, Carpinteria, CA 93013-1501 | 2020-10-05 |
| 1730796517 | Nancy Rocio Rodriguez | Case Manager/Care Coordinator | 1483 Alva St, Carpinteria, CA 93013-1501 | 2020-09-25 |
| 1982210001 | Arielle Dittman-sompel | Contractor | 1483 Alva St, Carpinteria, CA 93013-1501 | 2020-09-23 |
| 1205440039 | Jasmyn Harrion | Case Manager/Care Coordinator | 1483 Alva St, Carpinteria, CA 93013-1501 | 2020-08-31 |
| 1356954309 | Melanie Crowther | Case Manager/Care Coordinator | 1483 Alva St, Carpinteria, CA 93013-1501 | 2020-08-28 |
| 1013526722 | Nicole Victoria Griggs | Case Manager/Care Coordinator | 1483 Alva St, Carpinteria, CA 93013-1501 | 2020-07-28 |
| 1861017055 | Marisol Rodriguez | Counselor | 1483 Alva St, Carpinteria, CA 93013-1501 | 2020-06-12 |
| 1588289052 | Jahmahl Slater | Counselor | 1483 Alva St, Carpinteria, CA 93013-1501 | 2020-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407312689 | 4 Kids 2 Kids | Psychiatric Residential Treatment Facility | 1483 Alva Street, Capinteria, CA 93013 | 2019-02-13 |
| 1396084265 | Armin Rapaport | Anesthesiology | 1940 Paquita Drive, Carpinteria, CA 93013 | 2013-02-12 |
| 1336449024 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 1018 Casitas Pass Rd, Carpinteria, CA 93013 | 2010-10-27 |
| 1396913430 | Christian Norbert Issels | Allergy & Immunology | 5464 Carpinteria Avenue, Carpinteria, CA 93013 | 2008-02-12 |
| 1477738490 | The Council On Alcoholism and Drug | Case Management | 4810 Foolhill Road, Carpinteria, CA 93013 | 2008-01-09 |
| 1992847966 | Danielle Yvette Hernandez | Marriage & Family Therapist | 1722 South Lewis Road, Camarillo, CA 93013 | 2007-02-13 |
| 1891773917 | Freudenberg Medical LLC | Durable Medical Equipment & Medical Supplies | 1110 Mark Avenue, Carpinteria, CA 93013 | 2006-01-09 |
| 1720571581 | 805 Angels LLC | Technician | 5565 Carpinteria Ave, Ste 1, Carpinteria, CA 93013 | 2018-06-07 |
| 1053792382 | Albertsons LLC | Pharmacist | 1018 Casitas Pass Rd, Carpinteria, CA 93013 | 2015-06-11 |
| 1568684488 | Lynn Harold Bunting | Marriage & Family Therapist | 4155 Venice Lane, Carpinteria, CA 93013-1209 | 2007-05-02 |
| Find all providers in zip 93013 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365831 | Daniel David Lerma | Residential Treatment Facility, Emotionally Disturbed Children | 1483 Alva St, Carpinteria, CA 93013-1501 | 2020-01-23 |
| 1134769193 | 4 Kids 2 Kids | Residential Treatment Facility, Emotionally Disturbed Children | 1483 Alva St, Carpinteria, CA 93013-1501 | 2020-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820499 | Catholic Charities of The Diocese of Oakland | Residential Treatment Facility, Emotionally Disturbed Children | 3700 Dorisa Ave, Oakland, CA 94605-4941 | 2020-10-27 |
| 1922607944 | Inspire A Youth, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7556 Avenida Baja, Riverside, CA 92509-3449 | 2020-10-21 |
| 1235736554 | Yvonne Dionne Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1223 E Helmick St, Carson, CA 90746-3163 | 2020-10-09 |
| 1740897784 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 602 Woodlark Dr, Suisun City, CA 94585-2244 | 2020-09-24 |
| 1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
| 1902412182 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 136 Valdivia Cir, San Ramon, CA 94583-2228 | 2020-09-22 |
| 1073128492 | Samuel Campbell Jr. | Residential Treatment Facility, Emotionally Disturbed Children | 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 | 2020-09-11 |
| 1336753433 | Aaron's Boys Home | Residential Treatment Facility, Emotionally Disturbed Children | 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 | 2020-09-04 |
| 1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
| 1538779871 | Hidden Treasures Foundation, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1240 W 13th Ave, Escondido, CA 92025-5560 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
| City | CARPINTERIA |
| Zip Code | 93013 |
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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.