MR. JERRY WILLIAM NEUFELD JR. (NPI# 1225572175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225572175 |
| Entity Type | Individual |
| Full Name | MR. JERRY WILLIAM NEUFELD JR. |
| Credential | RADT II |
| Practice Address |
3533 Mount Vernon Ave Bakersfield CA 93306-1545 |
| Practice Telephone | 6618713353 |
| Practice Fax Number | 6618719549 |
| Mailing Telephone | 6618713353 |
| Mailing Fax Number | 6618719549 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2017-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RII06010217 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | 95-3111169 | 01 |
| Street Address |
3533 MOUNT VERNON AVE |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93306-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992024376 | Gina Marie Maseda | Case Manager/Care Coordinator | 3533 Mount Vernon Ave, Bakersfield, CA 93306-1545 | 2010-05-24 |
| 1265039630 | Shanna Dee Maldonado | Counselor | 3533 Mount Vernon Ave, Bakersfield, CA 93306-1545 | 2020-10-07 |
| 1760033781 | Sharon J Ramos | Social Worker | 3533 Mount Vernon Ave, Bakersfield, CA 93306-1545 | 2019-09-20 |
| 1528615473 | Danielle Wilkerson | Counselor | 3533 Mount Vernon Ave, Bakersfield, CA 93306-1545 | 2019-08-23 |
| 1255833125 | Elizabeth L. Wise | Social Worker | 3533 Mount Vernon Ave, Bakersfield, CA 93306-1545 | 2018-03-06 |
| 1770959629 | Hector Vela | Counselor | 3533 Mount Vernon Ave, Bakersfield, CA 93306-1545 | 2015-08-14 |
| 1467854505 | Special Treatment Education and Prevention Services | Community/Behavioral Health | 3533 Mount Vernon Ave, Bakersfield, CA 93306-1545 | 2014-09-19 |
| 1144650292 | Lynnette Marie Jones | Counselor | 3533 Mount Vernon Ave, Bakersfield, CA 93306-1545 | 2013-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962069559 | Anaheed Ayoobzadehshirazi | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave Bakersfield, Ca 93306, Bakersfield, CA 93306 | 2019-05-20 |
| 1770007049 | Caryn Gover | Speech-Language Pathologist | 3939 Bernard Street, Suite 6, Bakersfield, CA 93306 | 2017-07-28 |
| 1124549829 | Kern Congregate Facility, Inc | Skilled Nursing Facility | 4803 Christmas Tree Ln, Bakersfield, CA 93306 | 2017-07-03 |
| 1497294474 | Pedro Fajardo | Occupational Therapy Assistant | 3796 Dana Street, Bakersfield, CA 93306 | 2017-02-23 |
| 1053864546 | Marisol Rios | Social Worker | 2621 Oswell Street, Ste #119, Bakersfield, CA 93306 | 2016-08-01 |
| 1205295698 | Manjinder Singh | Physical Therapy Assistant | 2701 Bernard St, Apt 71, Bakersfield, CA 93306 | 2016-02-15 |
| 1285007864 | Jessica Sierra | Licensed Vocational Nurse | 1800 Mt. Vernon Ave, Bakersfield, CA 93306 | 2015-11-04 |
| 1801277769 | Special Treatment, Education and Prevention Services | Preferred Provider Organization | 3533 Mt Vernon Ave, Bakersfield, CA 93306 | 2015-06-16 |
| 1538549852 | Bakersfield Specialists Surgical Center, LLC | Clinic/Center | 4500 Morning Drive, Ste. 102, Bakersfield, CA 93306 | 2015-06-02 |
| 1629475538 | Shiva Farvon | Nurse Practitioner | 1700 Mt. Vernon, Bakersfield, CA 93306 | 2014-11-21 |
| Find all providers in zip 93306 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316554157 | Wecare Psychology Group Inc | Counselor | 1430 Truxtun Ave Ste 500, Bakersfield, CA 93301-5243 | 2020-09-25 |
| 1356807796 | Nicole Marie Whisenant | Counselor | 610 Grace St, Bakersfield, CA 93305-3703 | 2019-02-11 |
| 1932664984 | Diane Flores | Counselor | 2716 Eric Ct, Bakersfield, CA 93306-2621 | 2019-02-04 |
| 1740751619 | Jimmy Garcia | Counselor | Aegis Treatment Center, 1018 21st St, Bakersfield, CA 93301 | 2018-12-17 |
| 1619457355 | Deon L Duffey | Counselor | 300 E Truxtun Ave Ste A, Bakersfield, CA 93305-5659 | 2018-08-21 |
| 1114430543 | Pauline Castellon-swinehart | Counselor | 2920 H St, Bakersfield, CA 93301-1943 | 2017-11-07 |
| 1013436021 | Benjamin Gromer Page | Counselor | Po Box 3218, Bakersfield, CA 93385-3218 | 2017-09-12 |
| 1205350386 | Raeisha Lynn Hunter | Counselor | 5121 Stockdale Hwy # 150a, Bakersfield, CA 93309-2656 | 2017-07-31 |
| 1790209153 | Maraam Haddad | Counselor | 5121 Stockdale Hwy Ste 150a, Bakersfield, CA 93309-2656 | 2017-07-27 |
| 1134679434 | Talesha Dashawn Bailey | Counselor | 1018 21st Street, Bakersfield, CA 93301 | 2016-10-11 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93306 |
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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.