STANISLAUS COUNTY BHRS (NPI# 1134320856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134320856 |
| Entity Type | Organization |
| Organization Name | STANISLAUS COUNTY BHRS |
| Other Organization Name | JUVENILE JUSTICE |
| Practice Address |
2215 Blue Gum Ave Modesto CA 95358-1052 |
| Mailing Address |
800 Scenic Dr Modesto CA 95350-6131 |
| Practice Telephone | 2095584752 |
| Mailing Telephone | 2095256225 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2016-11-04 |
| Authorized Official Name | RICHARD DEGETTE (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Telephone | 2095256225 |
| Authorized Official Credential | MFT |
| Is Organization Subpart | Y |
| Parent Organization Name | STANISLAUS COUNTY BHRS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 5006 | 05 |
| Other Name | Type Code |
|---|---|
| JUVENILE JUSTICE | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467654483 | Stanislaus County Bhrs | Community/Behavioral Health | 1321 I St, Suite 3, Modesto, CA 95354-0902 | 2007-06-01 |
| 1629279823 | Stanislaus County Bhrs | Community/Behavioral Health | 1917 Memorial Dr Ste B, Ceres, CA 95307-1861 | 2007-05-29 |
| 1720111545 | Stanislaus County Bhrs | Community/Behavioral Health | 920 16th St, Suite B & C, Modesto, CA 95354-1119 | 2007-03-13 |
| 1457480642 | Stanislaus County Bhrs | Community/Behavioral Health | 1301 G St, Modesto, CA 95354-2421 | 2007-03-05 |
| 1275735292 | Stanislaus County Bhrs | Community/Behavioral Health | 251 E Hackett Rd, Modesto, CA 95358-9415 | 2007-06-01 |
| 1750592184 | Stanislaus County Bhrs | Psychiatry & Neurology | 800 Scenic Dr, Modesto, CA 95350-6131 | 2007-05-25 |
| 1063545473 | Stanislaus County Bhrs | Community/Behavioral Health | 500 N 9th St, Modesto, CA 95350-5814 | 2007-03-14 |
| 1295868305 | Stanislaus County Bhrs | Substance Abuse Rehabilitation Facility | 1904 Richland Ave, Ceres, CA 95307-4562 | 2007-03-14 |
| 1649303546 | Stanislaus County Bhrs | Community/Behavioral Health | 1920 Memorial Dr, Ceres, CA 95307-1827 | 2007-03-13 |
| 1053444877 | Stanislaus County Bhrs | Community/Behavioral Health | 800 Scenic Dr, Modesto, CA 95350-6131 | 2007-03-13 |
| Street Address |
2215 BLUE GUM AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95358-1052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710012489 | Keri Berbena Rodgers | Registered Nurse | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2007-02-22 |
| 1255994745 | Joseph Aaron Quismondo Hernandez | Technician | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2019-04-19 |
| 1073176566 | Ricardo Maravilla-garcia | Technician | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2019-04-19 |
| 1609439199 | Gloria Cecilia Arroyo | Technician | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2019-04-19 |
| 1962863795 | Norma Elena Ramirez | Case Manager/Care Coordinator | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2016-03-07 |
| 1013314574 | Rita Zabrina Preciado | Case Manager/Care Coordinator | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2014-11-29 |
| 1174920607 | Jessica Nicole Van Tuinen | Technician | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2014-11-26 |
| 1235539859 | Lisa Cortez | Social Worker | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2014-09-02 |
| 1851791941 | Jessica Herrera | Counselor | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2014-08-26 |
| 1598194128 | Victoria Galvan | Counselor | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2013-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902321805 | Cecilia Yolanda Guajardo | Counselor | 2524 Finney Road, Ceres, CA 95358 | 2017-08-11 |
| 1205203049 | Olga Olivia Castillo | Case Manager/Care Coordinator | 1620 Cummings Rd, Modesto, CA 95358 | 2015-08-27 |
| 1174942270 | Rajneel Singh | Case Manager/Care Coordinator | 1524 Radcliffe Ave, Modesto, CA 95358 | 2014-04-16 |
| 1447486139 | Karl David Meabrod | Counselor | 190 E. Hackett Rd., Modesto, CA 95358 | 2009-06-08 |
| 1265634281 | County of Stanislaus | Community/Behavioral Health | 190 Hackett Road, Modesto, CA 95358 | 2007-06-01 |
| 1134250400 | Shelley Marie Southern | Marriage & Family Therapist | 1620 Cummins Drive, Modesto, CA 95358 | 2007-03-08 |
| 1538297973 | County of Stanislaus | Community/Behavioral Health | 251 East Hackett Road, Modesto, CA 95358 | 2007-02-28 |
| 1407347248 | Jamie Lauren Mcgillis | Counselor | 1620 Cummins Dr, Modesto, CA 95358 | 2018-05-29 |
| 1508250135 | Michelle Eldridge | Case Manager/Care Coordinator | 1620 Cummins Drive, Modesto, CA 95358 | 2015-03-20 |
| 1083747604 | Juan Carlos Teran Jr. | Case Manager/Care Coordinator | 1620 Cummins Dr, Modesto, CA 95358 | 2007-03-13 |
| Find all providers in zip 95358 | ||||
| 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 |
|---|---|---|---|---|
| 1053882035 | Stanislaus County Behavioral Health and Recovery Services | Community/Behavioral Health | 190 E. Hackett Road, Modesto, CA 95358-9450 | 2018-12-17 |
| 1730650524 | County of Stanislaus | Community/Behavioral Health | 4640 Spyres Way Ste B7, Modesto, CA 95356-9800 | 2018-12-06 |
| 1780199711 | Resilience and Wellness Counseling | Community/Behavioral Health | 1012 11th St Ste Ll4, Modesto, CA 95354-0827 | 2017-12-13 |
| 1194260133 | Koinonia Foster Homes Inc | Community/Behavioral Health | 406 Motor City Ct, Ste. F, Modesto, CA 95356-9200 | 2016-12-29 |
| 1841732302 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 1539 Mchenry Ave., Modesto, CA 95350-4528 | 2016-11-14 |
| 1356798383 | Childrens Crisis Intervention Program | Community/Behavioral Health | 1540 Florida Ave Ste 212, Modesto, CA 95350-4430 | 2016-05-19 |
| 1245637230 | Sierra Vista Drop In Center | Community/Behavioral Health | 908 Sierra Dr, Modesto, CA 95351-3254 | 2014-11-19 |
| 1700126158 | Living Well Bcs Inc | Community/Behavioral Health | 510 Chabot Ave, Modesto, CA 95354-0233 | 2013-02-21 |
| 1740513266 | Sierra Vista Child & Family Services | Community/Behavioral Health | 1700 Mchenry Village Way Ste B, Modesto, CA 95350-4308 | 2009-09-16 |
| 1992909378 | County of Stanislaus | Community/Behavioral Health | 500 N 9th St, Bldg B, Modesto, CA 95350 | 2007-06-12 |
| Find all providers in MODESTO | ||||
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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.