MS. STACEY PRATT (NPI# 1326419938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326419938 |
| Entity Type | Individual |
| Full Name | MS. STACEY PRATT |
| Practice Address |
360 Whiskey Hill Rd Watsonville CA 95076-8521 |
| Practice Telephone | 8317249333 |
| Mailing Telephone | 8317249333 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2016-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# | ZZZ92069Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619200128 | Stacey Pratt | Physician Assistant | 2241 Wankel Way Ste C, Oxnard, CA 93030 | 2009-09-15 |
| Street Address |
360 WHISKEY HILL RD |
| City | WATSONVILLE |
| State | CA |
| Zip Code | 95076-8521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831647445 | Chloe Clarke | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2016-09-13 |
| 1972958957 | Samuel Salazar-cadena | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2016-04-27 |
| 1992159487 | Wendy Hernandez Beall | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2016-04-20 |
| 1952762049 | Juan Garcia | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2016-03-16 |
| 1730548553 | River Young | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2016-02-22 |
| 1457719080 | Ronda Wiley | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2016-02-10 |
| 1861865214 | Julie Ruiz | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2015-11-06 |
| 1720468747 | Stephanie Elaine Vasquez | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2015-06-04 |
| 1720404809 | Elizabeth Anne Ungerecht | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2014-03-12 |
| 1457781387 | Adriana Caballero | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2013-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757515 | Vicky E Gonzalez | Case Manager/Care Coordinator | 2714 Freedom Blvrd, Watsonville, CA 95076 | 2019-02-28 |
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1134617798 | Haven of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Pauline Dr, Watsonville, CA 95076 | 2018-04-28 |
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1811403603 | Hieu Thi Thanh Nguyen Boulom | Pharmacist | 2810 Freedom Blvd, Watsonview, CA 95076 | 2017-12-16 |
| 1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
| 1841653318 | Cristina Guzman | Registered Nurse | 195 Aviation Way, Ste 200, Watsonville, CA 95076 | 2016-04-01 |
| 1013388974 | Salud Para La Gente | Clinic/Center | 195 Aviation Way, Suite 200, Watsonville, CA 95076 | 2015-10-16 |
| 1386025757 | Yaseer Yousuf Parupia | Podiatrist | 47 Penny Lane, Suite 1, Watsonville, CA 95076 | 2015-06-11 |
| 1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
| Find all providers in zip 95076 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649745928 | Stephanie Walpole | Marriage & Family Therapist | 255a E Lake Ave, Watsonville, CA 95076-4717 | 2018-10-12 |
| 1083006597 | Raffaella Bianchi-allen | Marriage & Family Therapist | 113 E Lake Ave, Watsonville, CA 95076 | 2015-02-21 |
| 1285877449 | Christine Falcone | Marriage & Family Therapist | 56 Firethorne Way, Watsonville, CA 95076-6037 | 2009-04-16 |
| 1205052008 | Bosiljka Nadia Tokic-polak | Marriage & Family Therapist | 240 Westgate Dr # S-125, Watsonville, CA 95076-2461 | 2007-04-18 |
| 1558484329 | Family Service Agency of The Central Coast | Marriage & Family Therapist | 11 Alexander St Ste D, Watsonville, CA 95076-4626 | 2007-04-09 |
| 1770613150 | Lupe Macias | Marriage & Family Therapist | 77 Aspen Way Ste 102, Watsonville, CA 95076-6040 | 2007-03-06 |
| 1861543241 | Barbara Christine Lutz | Marriage & Family Therapist | 240 Westgate Dr Ste 125, Watsonville, CA 95076-2453 | 2007-01-14 |
| 1518020114 | Ann Marie Cavanaugh | Marriage & Family Therapist | 240 Westgate Dr Ste 121, Watsonville, CA 95076-2453 | 2006-12-18 |
| 1619078284 | Alice Marie Mestemacher | Marriage & Family Therapist | 256 A Green Meadow Dr, Watsonville, CA 95076-5922 | 2006-09-26 |
| 1851906549 | Eric Ochoa | Marriage & Family Therapist | 335 E Lake Ave, Watsonville, CA 95076-4826 | 2020-09-10 |
| Find all providers in WATSONVILLE | ||||
| City | WATSONVILLE |
| Zip Code | 95076 |
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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.