DIANE CLARK (NPI# 1164832887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164832887 |
| Entity Type | Individual |
| Full Name | DIANE CLARK |
| Practice Address |
233 S Quintana Dr Anaheim CA 92807 |
| Mailing Address |
233 S Quintana Dr Anaheim CA 92807-4029 |
| Practice Telephone | 7149889822 |
| Mailing Telephone | 7149889822 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2018-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841767449 | Diane Clark | Registered Nurse | 8219 Golden Hbr, Missouri City, TX 77459-6905 | 2018-11-01 |
| 1669612644 | Diane M Clark | Counselor | 1557 Brandon Sq, Lawrenceville, GA 30044-3016 | 2009-03-03 |
| 1922563139 | Diane Faith Clark | Psychologist | 25631 Peter A Hartman Way, Mission Viejo, CA 92691-3142 | 2019-02-01 |
| 1952763377 | Diane Clark | Registered Nurse | 1118 F St, Lewiston, ID 83501-1930 | 2016-03-24 |
| 1225419096 | Diane Clark | Social Worker | 1115 Westport Dr Ste D2, Manhattan, KS 66502-2871 | 2015-06-17 |
| 1558634980 | Diane Clark | Pharmacist | 3639 Crater Lake Hwy, Medford, OR 97504-9259 | 2012-02-15 |
| 1881863488 | Diane K Clark | Nurse Practitioner | 9427 Sw Barnes Rd, Ste 595, Portland, OR 97225-6640 | 2008-02-27 |
| 1841406261 | Diane E. Clark | Counselor | 200 Washington St, Suite 205, Watertown, NY 13601-3335 | 2007-05-15 |
| 1306994637 | Diane Marie Clark | Chiropractor | 4705 S Clyde Morris Blvd, Port Orange, FL 32129-4103 | 2007-01-05 |
| 1306941166 | Diane Maxine Clark | Physical Therapist | 13560 Wayzata Blvd, Minnetonka, MN 55305-1850 | 2006-09-14 |
| Street Address |
233 S QUINTANA DR |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063507457 | Erika Michelle Beltran | Social Worker | 233 S Quintana Dr, Anaheim, CA 92807-4029 | 2006-10-03 |
| 1710585070 | Brianna Marie Manns | Technician, Health Information | 233 S Quintana Dr, Anaheim, CA 92807-4029 | 2020-10-09 |
| 1417564311 | Jessica Leon | Counselor | 233 S Quintana Dr, Anaheim, CA 92807-4029 | 2020-09-25 |
| 1659986107 | Paloma Isabel Barragan Zepeda | Counselor | 233 S Quintana Dr, Anaheim, CA 92807-4029 | 2020-09-11 |
| 1396359220 | Johanna Lisseth Mora | Social Worker | 233 S Quintana Dr, Anaheim, CA 92807-4029 | 2020-09-08 |
| 1750996682 | Yesenia Tlilayatzi Castillo | Counselor | 233 S Quintana Dr, Anaheim, CA 92807-4029 | 2020-09-08 |
| 1194336396 | Tania Jazmin Perez | Counselor | 233 S Quintana Dr, Anaheim, CA 92807-4029 | 2020-08-11 |
| 1649881152 | Amy Elizabeth Gorman | Counselor | 233 S Quintana Dr, Anaheim, CA 92807-4029 | 2020-08-10 |
| 1831707363 | Julie Kembel | Social Worker | 233 S Quintana Dr, Anaheim, CA 92807-4029 | 2020-07-21 |
| 1659989010 | Maya Hamblin | Counselor | 233 S Quintana Dr, Anaheim, CA 92807-4029 | 2020-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400759 | Katie Greasby | Marriage & Family Therapist | 509 S. Villa Real Dr. #117, Anaheim Hills, CA 92807 | 2020-09-08 |
| 1386201481 | Joseph Hasrouni | Counselor | Cvs 9753, 5735 E. La Palma Ave, Anaheim, CA 92807 | 2019-05-23 |
| 1144739277 | Luis Antonio Perez | Social Worker | 2112 E 4th St. #107, Santa Ana, CA 92807 | 2017-09-20 |
| 1548781883 | F.foroutan Dds Inc. | Dentist | 5031 E. Orangethorpe Ave., Suite # B-2, Anaheim Hills, CA 92807 | 2017-06-27 |
| 1487101515 | Eloy Ramirez | Counselor | 233 S. Quintana Drive, Anaheim, CA 92807 | 2016-09-07 |
| 1255786448 | K's Loving Care | Custodial Care Facility | 1211 N Amelia St, Anaheim, CA 92807 | 2016-04-26 |
| 1265806673 | Jessica Vickers | Marriage & Family Therapist | 5500 E Santa Ana Canyon Rd Ste 216, Anaheim, CA 92807 | 2015-11-23 |
| 1033596796 | Donovan Garcia Teves | Specialist | 1261 Lakeview Ave., Suite 'a', Anaheim Hills, CA 92807 | 2015-05-01 |
| 1235544354 | Nicole Reaves | Occupational Therapist | 5630 E Santa Ana Canyon Rd Ste 105, Anaheim, CA 92807 | 2014-06-26 |
| 1093143471 | Behrang E Toubak | Counselor | 6381 E Via Arboles, Anaheim, CA 92807 | 2013-10-23 |
| Find all providers in zip 92807 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740721877 | Paul Capone | Counselor | 1661 N. Raymond Ave, Anaheim, CA 92801-1120 | 2017-03-08 |
| 1487101515 | Eloy Ramirez | Counselor | 233 S. Quintana Drive, Anaheim, CA 92807 | 2016-09-07 |
| 1982159448 | Briana Marie Carrera | Counselor | 340 W La Verne St, Anaheim, CA 92805 | 2016-08-24 |
| 1295187235 | Gregory Sagehorn | Counselor | 1506 W Flippen Ct, Anaheim, CA 92802-3909 | 2016-07-01 |
| 1659752533 | Shannon K Ortiz | Counselor | 1661 N Raymond Ave. Ste. 200, Anaheim, CA 92801 | 2015-06-16 |
| 1164810644 | Tania Mercado | Counselor | 1661 N Raymond, Suite 200, Anaheim, CA 92801 | 2015-01-06 |
| 1811321946 | Sokhim Salazar | Counselor | 2531 West Woodland Dr, Anaheim, CA 92801-6713 | 2013-08-26 |
| 1336589373 | Alfredo Isaias Garcia | Counselor | 1661 N Raymond Ave., Suite 200, Anaheim, CA 92801 | 2013-07-03 |
| 1619223690 | Jennifer Leigh Taylor | Counselor | 1900 E La Palma Aveune, Suite 101, Anaheim, CA 92805 | 2012-07-27 |
| 1316021611 | Paula Rene Sullivan | Counselor | 9662 Ball Rd Apt 7, Anaheim, CA 92804-5352 | 2006-10-24 |
| Find all providers in ANAHEIM | ||||
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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.