CHAMILLE SEANTE TATE (NPI# 1093226417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093226417 |
| Entity Type | Individual |
| Full Name | CHAMILLE SEANTE TATE |
| Practice Address |
2180 Valley Blvd Pomona CA 91768-3325 |
| Practice Telephone | 9098652336 |
| Practice Fax Number | 9098651831 |
| Mailing Telephone | 9098652336 |
| Mailing Fax Number | 9098651831 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT37946 | CA | Nursing Service Providers |
| Street Address |
2180 VALLEY BLVD |
| City | POMONA |
| State | CA |
| Zip Code | 91768-3325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710029780 | Robert Leo Quesada | Counselor | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2007-02-13 |
| 1710592308 | Emma Margarita Lopez | Counselor | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2020-09-10 |
| 1144840968 | Yan Chen | Registered Nurse | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2020-04-22 |
| 1417577594 | Kiriam Alfaro | Licensed Practical Nurse | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2020-04-20 |
| 1437781598 | Ana Torres | Counselor | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2020-02-06 |
| 1043841745 | Alex Sarpong | Licensed Psychiatric Technician | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2020-01-31 |
| 1760013064 | Marquita Monique Carter | Counselor | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2020-01-27 |
| 1932730249 | Eva Cristina Jimenez Morones | Registered Nurse | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2020-01-27 |
| 1700427655 | Janet Sylvia Ortega | Registered Nurse | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2019-10-02 |
| 1659921666 | Xavier Martinez | Licensed Vocational Nurse | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2019-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385971 | Behavioral Health Services, Inc. | Substance Abuse Rehabilitation Facility | 2180 West Valley Blvd., Floor 200, Pomona, CA 91768 | 2020-08-03 |
| 1427690338 | Sharon Beatrice Moreno | Counselor | 2180 Valley Bvld, Pomona, CA 91768 | 2019-10-11 |
| 1710492087 | Freddie Lee Dominguez | Counselor | 2180 W Vally Blvd, Pomona, CA 91768 | 2017-12-08 |
| 1205350295 | Angie Lorraine Gallego-arellano | Case Manager/Care Coordinator | 801 Corporate Center Drive, Suite 202, Pomona, CA 91768 | 2017-08-01 |
| 1154851913 | Maria Concepcion Galvez | Counselor | 2180 W Valley Blvd, Pomona, CA 91768 | 2017-06-14 |
| 1689107500 | Margie Moreno Interpriting Services | Case Management | 675 North Park Avenue, Pomona, CA 91768 | 2017-04-07 |
| 1386006864 | Evelyn Benitez | Marriage & Family Therapist | 1023 Groff St, Pomona, CA 91768 | 2016-03-24 |
| 1962891291 | Consuelo Rivera Aguilar | Speech-Language Pathologist | 651 North Main Street, Pomona, CA 91768 | 2015-01-09 |
| 1134557648 | Rodolfo Perez Jr. | Nurse Practitioner | 1196 North Park Ave, Pomona, CA 91768 | 2013-10-18 |
| 1588008361 | Medi-cure Health Services | Counselor | 1921 West Arroyo Street, Pomona, CA 91768 | 2013-04-23 |
| Find all providers in zip 91768 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235535527 | Maya Malik | Licensed Psychiatric Technician | 6 Ridge Crest Cir, Pomona, CA 91766-4913 | 2014-11-13 |
| 1043841745 | Alex Sarpong | Licensed Psychiatric Technician | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2020-01-31 |
| 1376101212 | Nelson Jose Bolanos | Licensed Psychiatric Technician | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-06-05 |
| 1477118990 | Shawna Marie Acosta | Licensed Psychiatric Technician | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2019-05-09 |
| 1073076857 | Mary Fluke | Licensed Psychiatric Technician | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2019-04-09 |
| 1609388925 | Brenda Joyce Brown | Licensed Psychiatric Technician | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2017-10-26 |
| 1437693728 | Nora Delia Garcia | Licensed Psychiatric Technician | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2016-12-06 |
| 1205379237 | Stephanie Lambourg | Licensed Psychiatric Technician | 160 E Holt Ave, B, Pomona, CA 91767-5406 | 2016-11-22 |
| 1619328952 | Noehly Partida | Licensed Psychiatric Technician | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2016-06-28 |
| 1811344781 | Jessica Angela Munoz | Licensed Psychiatric Technician | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2016-05-19 |
| Find all providers in POMONA | ||||
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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.