CRITTENTON SERVICES FOR CHILDREN AND FAMILIES (NPI# 1063796308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063796308 |
| Entity Type | Organization |
| Organization Name | CRITTENTON SERVICES FOR CHILDREN AND FAMILIES |
| Practice Address |
801 E Chapman Ave Fullerton CA 92831-3839 |
| Mailing Address |
6911 Brenner Ave Buena Park CA 90621-3416 |
| Practice Telephone | 7142695353 |
| Mailing Telephone | 7142695353 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |
| Authorized Official Name | MR. ANTHONY EDWARD MIRANDA (CHILD AND FAMILY SPECIALIST) |
| Authorized Official Telephone | 7142695353 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134341530 | Crittenton Services for Children and Families | Marriage & Family Therapist | 801 E. Chapman Ave., Suite 230, Fullerton, CA 92831 | 2007-05-03 |
| 1679857940 | Crittenton Services for Children and Families | Community/Behavioral Health | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2011-10-05 |
| 1649476425 | Crittenton Services for Children and Families | Community/Behavioral Health | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2007-06-27 |
| Street Address |
801 E CHAPMAN AVE |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-3839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588676795 | Dawn Marie Ledesma | Marriage & Family Therapist | 801 E Chapman Ave, #203, Fullerton, CA 92831-3839 | 2006-08-13 |
| 1760080402 | Victoria R Calhoun | Rehabilitation Counselor | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2020-10-14 |
| 1992315774 | Luis Cordoba | Case Manager/Care Coordinator | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2020-08-05 |
| 1033766811 | Amanda Rose Wightman | Student in an Organized Health Care Education/Training Program | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2019-08-26 |
| 1750941209 | Nichole Gonzalez | Licensed Vocational Nurse | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2019-06-17 |
| 1760040935 | Maricela Verduzco | Case Manager/Care Coordinator | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2019-06-03 |
| 1194294918 | Onofre Castro | Rehabilitation Practitioner | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2018-11-21 |
| 1083198428 | Gabriel Franco | Counselor | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2018-09-21 |
| 1023503133 | Allyson Pelletier | Marriage & Family Therapist | 801 E Chapman Ave, Fullerton, CA 92831 | 2018-06-30 |
| 1447753710 | Ana Quispe | Rehabilitation Practitioner | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2018-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
| Find all providers in zip 92831 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879277 | California Evaluation and Psychotherapy Center, Inc. | Clinic/Center | 1370 Brea Blvd Ste 210, Fullerton, CA 92835-4128 | 2020-04-03 |
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|---|---|---|---|---|
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| 1447857040 | Mary Cox, Lmft | Clinic/Center | 13800 Heacock St Ste 230a, Moreno Valley, CA 92553-8824 | 2020-10-06 |
| 1821607771 | Tonya Octave, Lcsw, Prof Corp | Clinic/Center | 237 S Lakeview Ave Ste A, Placentia, CA 92870-6756 | 2020-07-27 |
| 1972121762 | Environmental Alternatives Susanville | Clinic/Center | 2003 Main St, Susanville, CA 96130-4501 | 2020-07-08 |
| 1083231781 | Treehouse Child Therapy Professional Corporation | Clinic/Center | 514 N California Ave Ste 13, Beaumont, CA 92223-2120 | 2020-06-29 |
| 1083230262 | Socal Adolescent Wellness, Inc. | Clinic/Center | 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899 | 2020-06-23 |
| 1447876123 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 454 E Cerritos St, Rialto, CA 92376-3658 | 2020-06-18 |
| 1669098505 | Rowi Valencia, Inc. | Clinic/Center | 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 | 2020-06-16 |
| 1386267870 | Bni Treatment Centers | Clinic/Center | 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 | 2020-05-19 |
| 1538781042 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 3872 Carthage St, Riverside, CA 92501-2102 | 2020-05-07 |
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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.