MARY GALLEGO (NPI# 1306230552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306230552 |
| Entity Type | Individual |
| Full Name | MARY GALLEGO |
| Practice Address |
2844 Coloma St Placerville CA 95667-4406 |
| Mailing Address |
Po Box 1666 Placerville CA 95667-1666 |
| Practice Telephone | 5306268992 |
| Practice Fax Number | 5306268992 |
| Mailing Telephone | 5306268992 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | CA | Residential Treatment Facilities |
| Street Address |
2844 COLOMA ST |
| City | PLACERVILLE |
| State | CA |
| Zip Code | 95667-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366553612 | Linda Ann Marx | Counselor | 2844 Coloma St, Placerville, CA 95667-4406 | 2006-08-31 |
| 1053929810 | Stephanie J Schmidt | Counselor | 2844 Coloma St, Placerville, CA 95667-4406 | 2020-07-17 |
| 1831716331 | Kyle William Case | Counselor | 2844 Coloma St, Placerville, CA 95667-4406 | 2020-06-30 |
| 1346875465 | Autumn Schmidt | Counselor | 2844 Coloma St, Placerville, CA 95667-4406 | 2020-03-09 |
| 1346887122 | Robert Francis Pease Jr. | Counselor | 2844 Coloma St, Placerville, CA 95667-4406 | 2019-11-29 |
| 1912553702 | Kimberlee Ilise Mattingley | Counselor | 2844 Coloma St, Placerville, CA 95667-4406 | 2019-08-16 |
| 1003475062 | Yvonne Martinez Thomas | Counselor | 2844 Coloma St, Placerville, CA 95667-4406 | 2019-06-12 |
| 1902370604 | Cameron James Davis | Counselor | 2844 Coloma St, Placerville, CA 95667-4406 | 2019-01-15 |
| 1285119503 | Sheila M Veith | Counselor | 2844 Coloma St, Placerville, CA 95667-4406 | 2018-10-02 |
| 1598240988 | April Kerwin | Counselor | 2844 Coloma St, Placerville, CA 95667-4406 | 2018-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1497390041 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3025 Glee Ln, Placerville, CA 95667 | 2019-11-07 |
| 1225694474 | Camille Borba | Doula | 1212 Lotus Rd, Placerville, CA 95667 | 2019-05-14 |
| 1033610399 | Julie Marie Halsall | Counselor | 2844 Coloma Street, Placerville, CA 95667 | 2018-02-22 |
| 1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
| 1982129508 | Brent Charles Ulrici | Counselor | 2986 Colma St, Placerville, CA 95667 | 2017-08-04 |
| 1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
| 1396141750 | Brown and Ghazal Dental Corporation | Dentist | 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 | 2014-11-13 |
| 1962808402 | Laura Ann Curry | Counselor | 6765 Green Valley Road, Placerville, CA 95667 | 2014-11-11 |
| 1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
| Find all providers in zip 95667 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295241198 | El Dorado Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 1364 Ruthhaven Rd, Placerville, CA 95667-5915 | 2017-12-15 |
| 1700270501 | West Slope Recovery | Substance Abuse Rehabilitation Facility | 2986 Coloma St, Placerville, CA 95667-4427 | 2015-03-19 |
| 1700067931 | The Gates Recovery Foundation | Substance Abuse Rehabilitation Facility | 1864 Broadway, Placerville, CA 95667-6018 | 2007-11-15 |
| 1649326182 | The Gates Recovery Foundation | Substance Abuse Rehabilitation Facility | 2810 Coloma St, Placerville, CA 95667-4406 | 2007-01-26 |
| 1427507755 | Belinda Carpenter | Substance Abuse Rehabilitation Facility | 2844 Coloma St, Placerville, CA 95667-4406 | 2016-09-28 |
| 1336506302 | Progress House Inc Detox Center | Substance Abuse Rehabilitation Facility | 2986 Coloma St, Placerville, CA 95667-4441 | 2016-01-21 |
| 1649641762 | Rachel Brooke Rodriguez | Substance Abuse Rehabilitation Facility | 2844 Coloma St, Placerville, CA 95667-4406 | 2015-10-15 |
| 1043542707 | Progress House | Substance Abuse Rehabilitation Facility | 2844 Coloma St, Placerville, CA 95667-4406 | 2010-02-05 |
| 1346493830 | Progress House | Substance Abuse Rehabilitation Facility | 2914 Cold Springs Rd, Suite B, Placerville, CA 95667-4220 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | PLACERVILLE |
| Zip Code | 95667 |
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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.