JULIE RAE WILSON (NPI# 1366008799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366008799 |
| Entity Type | Individual |
| Full Name | JULIE RAE WILSON |
| Credential | CAODC |
| Practice Address |
5900 Brockton Ave Riverside CA 92506-1862 |
| Practice Telephone | 9512758400 |
| Mailing Telephone | 9512758400 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6371 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639533912 | Julie Wilson | Nurse Practitioner | 2377 Fairview Blvd, Fairview, TN 37062-6003 | 2016-04-12 |
| 1992069702 | Julie Anne Wilson | Massage Therapist | 119 S 2nd St, Selah, WA 98942-1307 | 2012-06-26 |
| 1346547775 | Julie Fitzgerald Wilson | Speech-Language Pathologist | 1925 Pauline Blvd, Suite B, Ann Arbor, MI 48103-5046 | 2011-02-21 |
| 1649421744 | Julie Ann Wilson | Licensed Practical Nurse | 202 Rand St, Rochester, NY 14615-3320 | 2008-10-07 |
| 1083894661 | Julie Wilson | Registered Nurse | 95 Clear Spring Ln, Oxford, GA 30054-4632 | 2007-11-12 |
| 1124227301 | Julie Keebler Wilson | Counselor | 600 301 Blvd W, Suite 144, Bradenton, FL 34205-7957 | 2007-07-17 |
| 1144384272 | Julie Ann Wilson | Speech-Language Pathologist | 6109 Maple, Houston, TX 77074 | 2006-12-21 |
| 1942818729 | Julie Ann Wilson | Registered Nurse | 1101 W Gannon Dr, Festus, MO 63028-2602 | 2020-07-17 |
| 1578122834 | Julie Ann Wilson | Physician Assistant | 112 N 5th St, Barnsdall, OK 74002-6616 | 2019-06-11 |
| 1497240691 | Julie Wilson | Occupational Therapy Assistant | 615 Spring Forest Rd, Raleigh, NC 27609-9150 | 2018-06-29 |
| Street Address |
5900 BROCKTON AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-1862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386617421 | Gaurav Gandotra | Specialist | 5900 Brockton Ave, Riverside, CA 92506 | 2006-02-09 |
| 1215566989 | Jeannie H Jung | Psychiatric Hospital | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2020-04-05 |
| 1043856263 | Gaurav Gandotra Inc | Psychiatry & Neurology | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2019-11-22 |
| 1700437084 | Yucui Chen Inc | Psychiatric Hospital | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2019-09-27 |
| 1861058299 | Timothy Alan Weesner | Counselor | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2019-05-10 |
| 1508422932 | Carrie Hookfin | Registered Nurse | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2019-05-10 |
| 1053822262 | Maher Roman Md Inc | Clinic/Center | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2017-10-14 |
| 1891212296 | Heba Boshra Md, Inc. | Family Medicine | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2017-08-25 |
| 1407397672 | Adekemi Adedipe | Psychiatric Hospital | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2017-03-20 |
| 1881132504 | Robert Renay Jones | Counselor | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2017-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884248 | Jose G. Cruz Rodriguez | Counselor | 66 Planet Ave, Riverside, RI 02915-2172 | 2020-09-02 |
| 1124585500 | Cesar Quintana | Counselor | 7177 Brockton Ave Ste 444, Riverside, CA 92506-2635 | 2019-02-21 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750895298 | Tanisha Jordan Balogun | Counselor | 17270 Roosevelt St # 304, Riverside, CA 92508-9523 | 2017-11-20 |
| 1790207058 | Albert Anthony Silva | Counselor | 80 Cove St, Riverside, RI 02915-3637 | 2017-07-07 |
| 1972040061 | Tim O'connell | Counselor | 2085 Rustin Ave Bldg 1, Riverside, CA 92507-2498 | 2017-01-26 |
| 1215397757 | Renee Machado | Counselor | 5484 Cedar St, Riverside, CA 92509-3746 | 2016-02-25 |
| 1831561299 | Alysia Webb | Counselor | 11359 Dole Ct, Riverside, CA 92505-2353 | 2015-10-26 |
| 1053796110 | Jessica Anne Pellegrin | Counselor | 3576 Arlington Ave Suite 102 & 104, Riverside, CA 92506-3907 | 2015-07-29 |
| 1346632379 | Jessica Molina | Counselor | 6860 Brockton Ave # 9, Riverside, CA 92506-3821 | 2015-02-27 |
| Find all providers in RIVERSIDE | ||||
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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.