MR. ROBERT LEE CHURCH (NPI# 1346545100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346545100 |
| Entity Type | Individual |
| Full Name | MR. ROBERT LEE CHURCH |
| Credential | CADC |
| Practice Address |
200 E Wshgton Ave Ste 100 Escondido CA 92025-1806 |
| Mailing Address |
200 E Washington Ave Escondido CA 92025-1806 |
| Practice Telephone | 7607417708 |
| Practice Fax Number | 7607415421 |
| Mailing Telephone | 7607417708 |
| Mailing Fax Number | 7607415421 |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2012-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770032708 | Robert Church | Family Medicine | 2402 S State St, Saint Joseph, MI 49085-1914 | 2016-10-03 |
| 1447880141 | Robert Church | Nurse Anesthetist, Certified Registered | 777 Bannock St, Denver, CO 80204-4507 | 2020-01-22 |
| 1255743514 | Robert Church | Pharmacist | 2325 Myers St, Oroville, CA 95966-5476 | 2014-05-21 |
| 1023390531 | Robert A Church | Podiatrist | 185 S 400 E, Ste 100, Bountiful, UT 84010-4801 | 2011-09-12 |
| 1861706277 | Robert Church | Pharmacist | 62 W Gray Rd, Gray, ME 04039-9772 | 2010-07-28 |
| 1306048673 | Robert Joe Church Jr. | Family Medicine | 5012 S Us Highway 75, Suite 300, Denison, TX 75020-4587 | 2007-05-31 |
| 1336246396 | Robert Dean Church | Family Medicine | 4300 B St, Suite 200, Anchorage, AK 99503-5925 | 2006-09-20 |
| Street Address |
200 E WSHGTON AVE STE 100 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184286361 | Rene S Geronimo | Counselor | 2530 Bear Valley Pkwy Unit 102, Escondido, CA 92027-3596 | 2019-07-08 |
| 1942711908 | Ana Ysabel Davies | Counselor | 200 E Washington Ave Ste 101, Escondido, CA 92025-1806 | 2017-10-18 |
| 1730554940 | April Ortiz | Counselor | 529 S Citrus Ave, Escondido, CA 92027-4201 | 2015-12-14 |
| 1265817613 | Colleen Siegel | Counselor | 200 East Washington St Mhs, Suite # 100, Escondido, CA 92025 | 2015-07-28 |
| 1982085999 | Robert James Williams | Counselor | 910 E. Ohio Ave. #104, Escondido, CA 92025 | 2015-06-16 |
| 1912240318 | Margaret Anello | Counselor | 625 Citracado Pkwy Ste 102, Escondido, CA 92025-6428 | 2013-04-03 |
| 1306118534 | Laura Makey | Counselor | 340 Cypress Crest Ter, Escondido, CA 92025-6646 | 2012-02-03 |
| 1841585635 | Danielle Marie Rubino | Counselor | 200 East Washington Ave, Suite 100, Escondido, CA 92025 | 2011-06-09 |
| 1063725976 | Loren Goldstein | Counselor | 117 N Elm St, Escondido, CA 92025-3410 | 2010-07-20 |
| 1023244902 | Cynthia Tucker | Counselor | 2447 La Ramada Ln, Escondido, CA 92027-4503 | 2009-06-04 |
| Find all providers in ESCONDIDO | ||||
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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.