SARAH COSTANZA-MONTELLANO (NPI# 1144673195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144673195 |
| Entity Type | Individual |
| Full Name | SARAH COSTANZA-MONTELLANO |
| Practice Address |
1700 Mchenry Village Way Modesto CA 95350 |
| Mailing Address |
1700 Mchenry Village Way Modesto CA 95350-4308 |
| Practice Telephone | 2095505850 |
| Practice Fax Number | 2095440487 |
| Mailing Telephone | 2095505850 |
| Mailing Fax Number | 2095440487 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2017-05-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers |
| Street Address |
1700 MCHENRY VILLAGE WAY |
| City | MODESTO |
| State | CA |
| Zip Code | 95350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699807677 | Sierra Vista Child & Family Services | Community/Behavioral Health | 1700 Mchenry Village Way, Modesto, CA 95350-4308 | 2007-03-12 |
| 1578101895 | Jessica Charlene Nunez | Licensed Vocational Nurse | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350-4341 | 2019-12-17 |
| 1225556814 | Luis Lopez-alejandre | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Village Way, Modesto, CA 95350-4308 | 2017-09-02 |
| 1508307521 | Martha Yesenia Juarez | Case Manager/Care Coordinator | 1700 Mchenry Village Way, Modesto, CA 95350 | 2017-03-09 |
| 1255799136 | Laura Denise Johnson | Dietitian, Registered | 1700 Mchenry Village Way, Modesto, CA 95350-4308 | 2016-02-05 |
| 1962880708 | Angela Farrell | Counselor | 1700 Mchenry Village Way, 16, Modesto, CA 95350-4308 | 2015-05-13 |
| 1780085738 | Juliet Dasar | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Village Way, Suite 14, Modesto, CA 95350-4308 | 2014-09-09 |
| 1396169900 | Claudia Alcala-linares | Case Manager/Care Coordinator | 1700 Mchenry Village Way, Suite 11, Modesto, CA 95350-4308 | 2014-02-18 |
| 1316382278 | Jessica Lora | Case Manager/Care Coordinator | 1700 Mchenry Village Way, Suite 11, Modesto, CA 95350-4308 | 2013-05-06 |
| 1295084259 | Ericka Carmen Carranza-perez | Physician Assistant | 1700 Mchenry Village Way, Suite 2, Modesto, CA 95350-4308 | 2012-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043845357 | Anthony Rodriguez Contreras | Counselor | 2360 Scenic Dr, Modesto, CA 95355-4505 | 2020-03-06 |
| 1821567645 | Aricka Ream | Counselor | 1704 Groveton Way, Modesto, CA 95355-1904 | 2018-11-21 |
| 1831668466 | Palepa Iulio | Counselor | 3005 Cannon Way Apt A, Modesto, CA 95354-2155 | 2018-11-13 |
| 1104364801 | Catherine Mae Linville | Counselor | 1030 15th St, Modesto, CA 95354-1102 | 2017-02-02 |
| 1417492182 | Chaqulia Anita Ramirez | Counselor | 2020 Standiford Ave # Suitef3, Modesto, CA 95350-6529 | 2017-01-04 |
| 1588061337 | Ashley Boyd | Counselor | 1336 Stonum Rd, Modesto, CA 95351-5121 | 2014-11-21 |
| 1720482136 | Shari Johnson | Counselor | 1517 Panthers Ln, Modesto, CA 95355-9303 | 2014-10-14 |
| 1407126469 | Tommy Phoukhaothong Panyanouvong | Counselor | 1300 Payne Ave, Modesto, CA 95351-4821 | 2012-01-09 |
| 1740579424 | Milissa Ann Catherine-plett | Counselor | 108 Bonita Cir, Modesto, CA 95354-1410 | 2011-04-01 |
| 1205144318 | Brianna Decoteau | Counselor | 916 Mchenry, Modesto, CA 95350 | 2010-09-23 |
| 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.