MR. WILLIAM CHARLES PEARSON JR. (NPI# 1073025268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073025268 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM CHARLES PEARSON JR. |
| Credential | CADC-CAS |
| Practice Address |
1904 Richland Ave Ceres CA 95307-4562 |
| Mailing Address |
925 Loughborough Dr Apt 227 Merced CA 95348-2316 |
| Practice Telephone | 2095257411 |
| Mailing Telephone | 2092718257 |
| Enumeration Date | 2017-10-29 |
| Last Update Date | 2020-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972085579 | William Brian Pearson | Contractor | 687 W 450 N, Marion, IN 46952-9729 | 2018-08-30 |
| 1821411174 | William Pearson | Nurse Practitioner | 10 Burton Hills Blvd, Nashville, TN 37215-6105 | 2014-01-22 |
| 1770727471 | William J Pearson | Contractor | 264 Cradle Lake Dr, Divide, CO 80814-9780 | 2009-04-24 |
| 1124267125 | William E Pearson | Neurological Surgery | 9454 Parks Rd, Utica, KY 42376-9574 | 2009-02-13 |
| 1417160987 | William Clay Pearson | Counselor | 211 W Mesa Ave, Suite #4, Gallup, NM 87301-6382 | 2007-05-08 |
| 1831287523 | William Edwin Pearson | Dentist | 749 Oxford Dr, Idaho Falls, ID 83401-4203 | 2006-10-10 |
| 1497766976 | William Richard Pearson | Dentist | 36 Genesee Street, Hornell, NY 14843-1614 | 2006-08-10 |
| 1619942968 | William F. Pearson | Anesthesiology | 4500 Berringer Dr, Niceville, FL 32578-4258 | 2006-02-21 |
| 1699776153 | William Keith Pearson | Dentist | 40 N Kingshighway Blvd Apt 4l, Saint Louis, MO 63108-1350 | 2005-08-09 |
| 1033602644 | William O. Pearson Iv | Marriage & Family Therapist | Anne Carlsen Center, 3030 24th Ave S, Moorhead, MN 56560 | 2018-06-08 |
| Street Address |
1904 RICHLAND AVE |
| City | CERES |
| State | CA |
| Zip Code | 95307-4562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174605067 | Kenneth Edwin Richter Jr. | Psychiatry & Neurology | 1904 Richland Ave, Ceres, CA 95307-4562 | 2006-10-19 |
| 1386252807 | Terren Hinojosa | Social Worker | 1904 Richland Ave, Ceres, CA 95307-4562 | 2020-07-21 |
| 1124654447 | James Verma | Technician | 1904 Richland Ave, Ceres, CA 95307-4562 | 2020-03-18 |
| 1144856576 | Randy Lee Freitas | Technician | 1904 Richland Ave, Ceres, CA 95307-4562 | 2020-03-17 |
| 1124651294 | Ash Singh | Registered Nurse | 1904 Richland Ave, Ceres, CA 95307-4562 | 2020-02-18 |
| 1922639038 | Sarah Marie Norwood | Technician | 1904 Richland Ave, Ceres, CA 95307-4562 | 2020-01-28 |
| 1215585716 | Praveena Devi Pal | Registered Nurse | 1904 Richland Ave, Ceres, CA 95307-4562 | 2019-08-28 |
| 1336791052 | Travis Shawn Whitehead | Technician | 1904 Richland Ave, Ceres, CA 95307-4562 | 2019-07-12 |
| 1487212288 | Sandra Elaine Ainslie | Technician | 1904 Richland Ave, Ceres, CA 95307-4562 | 2019-06-05 |
| 1699333153 | Cherish Anne Medeiros | Technician | 1904 Richland Ave, Ceres, CA 95307-4562 | 2019-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144762022 | Roxanne Mata | Technician | 1904 Richland Ave., Ceres, CA 95307 | 2016-11-09 |
| 1023496379 | Steven Leonard II | Technician, Other | 1904 Richalnd Ave, Ceres, CA 95307 | 2015-05-07 |
| 1942619820 | Thevi Phanthalangsy | Pharmacist | 1421 Coffee Road, Modesto, CA 95307 | 2014-08-05 |
| 1588973937 | Gloria June Coats | Nurse Practitioner | 3641 Mitchell Road, Suite H, Ceres, CA 95307 | 2010-10-04 |
| 1992953236 | John H Meekay | Dentist | 1788 Mitchell Road Suite 105, Ceres, CA 95307 | 2008-08-28 |
| 1316073778 | Donna J Payne | Case Manager/Care Coordinator | 1904 Richland Avenue, Ceres, CA 95307 | 2007-02-27 |
| 1104994656 | Katherine Anne Kucera | Dentist | 3507 Morgan Rd, Ceres, CA 95307 | 2006-12-01 |
| 1073615084 | Tracy S Park | Dentist | 2760 3rd Street, Suite A, Ceres, CA 95307 | 2006-09-01 |
| 1902855588 | Kerry B Evnin Md Inc A Professional Medical Corporation | Family Medicine | 3641 Mitchell Rd, H, Ceres, CA 95307 | 2006-05-09 |
| 1376012559 | David Andrew Kirkpatrick | Technician | 1904 Richland Ave Bldg D, Ceres, CA 95307 | 2018-11-17 |
| Find all providers in zip 95307 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447722921 | Todd Anthony Freeman | Counselor | 3920 Hollywood Dr, Ceres, CA 95307-9776 | 2018-12-21 |
| 1073709507 | Tina K Gill | Counselor | 2829 Alphonse Dr, Ceres, CA 95307-2128 | 2007-09-18 |
| 1740308220 | Luz Pulido | Counselor | 943 Big Creek Ln, Ceres, CA 95307-7241 | 2007-03-26 |
| 1417074063 | Robin Neal Vanderheiden | Counselor | 2305 Hidden Oak Ln, Ceres, CA 95307-7113 | 2007-03-26 |
| 1225155179 | Alejandro Duran | Counselor | 1766 Southlawn Dr, Ceres, CA 95307-4581 | 2007-03-24 |
| 1639203490 | Veronica P Daniel | Counselor | 2304 Calcagno St, Ceres, CA 95307-1646 | 2007-03-15 |
| 1821128661 | John Richard Mataka | Counselor | 1904 Richland Ave Bldg F, Ceres, CA 95307-4562 | 2007-03-07 |
| 1821606369 | Jose Alfredo Arevalos Jr. | Counselor | 1768 Mitchell Rd, Ceres, CA 95307-2156 | 2020-07-21 |
| 1144843749 | Ebony Shealease Davis | Counselor | 1768 Mitchell Rd Ste 301, Ceres, CA 95307-2156 | 2020-05-19 |
| 1982173274 | Daniel Wayne Brown Jr. | Counselor | 1904 Richland Ave, Ceres, CA 95307-4562 | 2018-11-16 |
| Find all providers in CERES | ||||
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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.