CAROLYN MARIE PATCH (NPI# 1073055562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073055562 |
| Entity Type | Individual |
| Full Name | CAROLYN MARIE PATCH |
| Practice Address |
30755 Auld Rd Ste B Murrieta CA 92563-2581 |
| Practice Telephone | 9516963112 |
| Practice Fax Number | 9516963445 |
| Mailing Telephone | 9516963112 |
| Mailing Fax Number | 9516963445 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
30755 AULD RD STE B |
| City | MURRIETA |
| State | CA |
| Zip Code | 92563-2581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033251913 | Carl Douglas Strong | Marriage & Family Therapist | 30755 Auld Rd Ste B, Murrieta, CA 92563-2581 | 2007-02-13 |
| 1902431844 | Angela Christine Austin | Marriage & Family Therapist | 30755 Auld Rd Ste B, Murrieta, CA 92563-2581 | 2020-03-11 |
| 1568908218 | Kristin Gonzalez | Case Manager/Care Coordinator | 30755 Auld Rd Ste B, Murrieta, CA 92563-2581 | 2017-01-18 |
| 1811447683 | Charlene Terry | Counselor | 30755 Auld Rd Ste B, Murrieta, CA 92563-2581 | 2016-10-05 |
| 1124476809 | Sarah Jolynn Villalobos | Counselor | 30755 Auld Rd Ste B, Murrieta, CA 92563 | 2016-06-02 |
| 1619378288 | Raquel Renee Jones-pierce | Counselor | 30755 Auld Rd Ste B, Murrieta, CA 92563-2581 | 2014-09-15 |
| 1093122376 | Lorraine Sanchez | Marriage & Family Therapist | 30755 Auld Rd Ste B, Murrieta, CA 92563-2581 | 2014-07-17 |
| 1164835716 | Carly Jane Herbert | Marriage & Family Therapist | 30755 Auld Rd Ste B, Murrieta, CA 92563-2581 | 2014-06-10 |
| 1780952804 | Harpreet Kaur | Marriage & Family Therapist | 30755 Auld Rd Ste B, Murrieta, CA 92563-2581 | 2011-12-03 |
| 1811165939 | Jackie Ann Maher | Registered Nurse | 30755 Auld Rd Ste B, Murrieta, CA 92563-2581 | 2008-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972137073 | Catherine Sanders | Physical Therapist | 39815 Alta Murrieta Drive, Suite C-1, Murrieta, CA 92563 | 2020-02-27 |
| 1588201990 | Joanna Chante Rios Montoya | Case Manager/Care Coordinator | 30755 Auld Rd B, Murrieta, CA 92563 | 2019-12-04 |
| 1881154896 | Just for You Home Care Inc. | In Home Supportive Care | 30535 Marlow Ct., Murrieta, CA 92563 | 2019-03-25 |
| 1548751985 | Day By Day Treatment, Inc. | Clinic/Center | 40119 Murrieta Hot Springs Rd Ste B104, Murrieta, CA 92563 | 2018-05-22 |
| 1952802225 | Temecula Valley Skilled Nursing and Rehabilitation Center, Lp | Skilled Nursing Facility | 25924 Jackson Ave, Murrieta, CA 92563 | 2018-02-22 |
| 1114432721 | May Farrah Blanco Yoshisaki | Nurse Practitioner | 39525 Los Alamos Road, Ste E, Murrieta, CA 92563 | 2017-12-05 |
| 1942721899 | Cecilia Cristina Flores-castillo | Interpreter | 29910 Murrieta Hot Sprngs Rd., Ste. G-235, Murrieta, CA 92563 | 2017-06-30 |
| 1144756354 | Anh-thu Kent | Pharmacist | 40234 Miklich Dr, Murrieta, CA 92563 | 2017-05-08 |
| 1750817177 | Anahita Akbari Farahani | Dentist | 39209 Wichester Rd, Ste 100, Temecula, CA 92563 | 2017-05-04 |
| 1588196612 | Galena Dapra | Nurse Practitioner | 27808 Baxter Rd. Suite 320, Murrieta, CA 92563 | 2017-03-29 |
| Find all providers in zip 92563 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733233 | Kevin Mccann | Recreation Therapist | 201 9th St # 11-k, Marina, CA 93933-6039 | 2020-06-03 |
| 1962024950 | Jacqueline K Volz | Recreation Therapist | 21732 S Vermont Ave, Torrance, CA 90502-2179 | 2020-05-12 |
| 1578190104 | Carolyn Neufeld | Recreation Therapist | 2915 Buthmann Ave, Tracy, CA 95376-1806 | 2020-03-24 |
| 1922634625 | Deborah Paulus | Recreation Therapist | 4777 Grouse Run Dr Apt 218, Stockton, CA 95207-5384 | 2020-03-14 |
| 1518433259 | Jenality Thurman | Recreation Therapist | 1766 Kenneth St, Seaside, CA 93955-3842 | 2018-10-20 |
| 1962986042 | Long Pham | Recreation Therapist | 7175 Enclave Dr, Eastvale, CA 92880-3828 | 2018-09-24 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1669995742 | Christina Randle | Recreation Therapist | 2221 Lily Ave, Upland, CA 91784-7997 | 2017-07-20 |
| 1982127288 | Tiffany Chiyeko Yonemoto | Recreation Therapist | 7601 E. Imperial Hwy., Downey, CA 90242 | 2017-07-19 |
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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.