STANISLAUS COUNTY (NPI# 1104958198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104958198 |
| Entity Type | Organization |
| Organization Name | STANISLAUS COUNTY |
| Other Organization Name | TELECARE - VILLA FAIRMONT |
| Practice Address |
15200 Foothill Blvd San Leandro CA 94578-1013 |
| Mailing Address |
800 Scenic Dr Modesto CA 95350-6131 |
| Practice Telephone | 2095257423 |
| Mailing Telephone | 2095257423 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DENISE C HUNT (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Telephone | 2095256225 |
| Authorized Official Credential | RN, MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 5089 | 05 |
| Other Name | Type Code |
|---|---|
| TELECARE - VILLA FAIRMONT | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952502676 | Stanislaus County | Community/Behavioral Health | 1501 F St, Modesto, CA 95354-2522 | 2007-05-30 |
| 1194926246 | Stanislaus County | Community/Behavioral Health | 2028 W Orangeburg Ave, Modesto, CA 95350-3742 | 2007-05-29 |
| 1861525081 | Stanislaus County | Community/Behavioral Health | 12555 B Street, Merced, CA 95340 | 2007-03-14 |
| 1790818821 | Stanislaus County | Community/Behavioral Health | 823 E Orangeburg Ave, Modesto, CA 95350-4619 | 2007-03-14 |
| 1770616674 | Stanislaus County | Community/Behavioral Health | 101 Lander Ave, Turlock, CA 95380-5201 | 2007-03-13 |
| 1417080300 | Stanislaus County | Community/Behavioral Health | 1803 Enslen Ave, Modesto, CA 95350-3112 | 2007-03-13 |
| 1851423834 | Stanislaus County | Community/Behavioral Health | 1024 J St, Suite 225, Modesto, CA 95354-0828 | 2007-03-12 |
| 1942332077 | Stanislaus County | Community/Behavioral Health | 5725 Paradise Dr, Corte Madera, CA 94925-1212 | 2007-03-12 |
| 1962534099 | Stanislaus County | Community/Behavioral Health | 755 S Yosemite Ave, Oakdale, CA 95361-4094 | 2007-03-12 |
| 1467584599 | Stanislaus County | Community/Behavioral Health | 22791 Foothill Blvd, Hayward, CA 94541-4207 | 2007-03-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STANISLAUS COUNTY POLICE ACTIVITIES LEAGUE | 1325 Beverly Dr, Modesto, CA 95351-2313 |
| System for Award Management (SAM) Entities | STANISLAUS COUNTY PROBATION DEPARTMENT | 2215 Blue Gum Avez, Modesto, CA 95358 |
| Street Address |
15200 FOOTHILL BLVD |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073695011 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 15200 Foothill Blvd, San Leandro, CA 94578 | 2006-10-19 |
| 1629511159 | Ellen Ross | Psychologist | 15200 Foothill Blvd, San Leandro, CA 94578-1013 | 2016-12-01 |
| 1427479039 | Luisito M. Roxas, M.d., P.C. | Community Based Residential Treatment Facility, Mental Illness | 15200 Foothill Blvd, San Leandro, CA 94578-1013 | 2013-12-27 |
| 1154566313 | Ann Cristina Elliott | Social Worker | 15200 Foothill Blvd, San Leandro, CA 94578-1013 | 2008-12-02 |
| 1932351855 | Maisie Lasher Ketron | Social Worker | 15200 Foothill Blvd, San Leandro, CA 94578-1013 | 2008-10-22 |
| 1073787727 | Roberyre Dianne Johnson | Social Worker | 15200 Foothill Blvd, San Leandro, CA 94578-1013 | 2008-04-14 |
| 1629251533 | Brian Gilbane | Social Worker | 15200 Foothill Blvd, Villa Fairmont Mhrc, San Leandro, CA 94578-1013 | 2007-12-13 |
| 1952584229 | Karin Jo Powlen | Social Worker | 15200 Foothill Blvd, San Leandro, CA 94578-1013 | 2007-12-10 |
| 1205019577 | May Tayeko Kawamoto | Marriage & Family Therapist | 15200 Foothill Blvd, San Leandro, CA 94578-1013 | 2007-12-10 |
| 1215050190 | Suzanne Margarete Bruch | Psychiatry & Neurology | 15200 Foothill Blvd, San Leandro, CA 94578-1013 | 2007-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609341817 | Korean Community Center of The East Bay | Community/Behavioral Health | 101 Callan Ave Ste 400, San Leandro, CA 94577-4523 | 2018-10-04 |
| 1114429180 | Jasmyne Richmond | Community/Behavioral Health | 1570 164th Ave, San Leandro, CA 94578-2286 | 2018-03-06 |
| 1013464072 | East Bay Agency for Children | Community/Behavioral Health | 1444 Williams St., John Muir Mdl Sch Rm A-7, San Leandro, CA 94577-2403 | 2016-09-07 |
| 1194170381 | Girls Incorporated of Alameda County | Community/Behavioral Health | 2251 Bancroft Ave, San Leandro, CA 94577 | 2016-04-26 |
| 1477923209 | Biopsych Consulting | Community/Behavioral Health | 1684 E 14th St, #203, San Leandro, CA 94577-4800 | 2015-10-06 |
| 1770992380 | Stars, Inc. | Community/Behavioral Health | 14790 Corvallis Street, Counseling Office, San Leandro, CA 94579-1174 | 2014-08-07 |
| 1841608932 | Alliant International University | Community/Behavioral Health | 2200 Bancroft Ave, San Leandro, CA 94577-6108 | 2014-08-01 |
| 1558796953 | East Bay Agency for Children | Community/Behavioral Health | 15980 Marcella St, Hillside Rm 8, San Leandro, CA 94578-2122 | 2013-09-05 |
| 1235564667 | East Bay Agency for Children | Community/Behavioral Health | 1150 Bancroft Ave, San Leandro, CA 94577-3863 | 2013-09-04 |
| 1144655572 | East Bay Agency for Children | Community/Behavioral Health | 2200 Bancroft Ave Rm 501b503b, San Leandro, CA 94577-6108 | 2013-09-04 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
Please comment or provide details below to improve the information on STANISLAUS COUNTY.
| 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.