HUMAN SERVICES PROJECT, INC (NPI# 1366750226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366750226 |
| Entity Type | Organization |
| Organization Name | HUMAN SERVICES PROJECT, INC |
| Practice Address |
5361 N Pershing Ave Ste H Stockton CA 95207-5450 |
| Practice Telephone | 2094779177 |
| Practice Fax Number | 2094774667 |
| Mailing Telephone | 2094779177 |
| Mailing Fax Number | 2094774667 |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |
| Authorized Official Name | MRS. MARTI FREDERICKS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2094779177 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 803794908 | CA | Residential Treatment Facilities |
| Street Address |
5361 N PERSHING AVE STE H |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-5450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548384597 | Jose C Favela | Counselor | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2007-03-16 |
| 1215280250 | Rena Monique Jetton | Behavioral Analyst | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2012-10-15 |
| 1669721791 | Crispin Gonzalez | Behavioral Analyst | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2012-09-05 |
| 1578844759 | Richard Sanguinetti | Behavioral Analyst | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2011-09-01 |
| 1114208675 | Deborah Sue Flanary | Behavioral Analyst | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2011-08-29 |
| 1083924062 | Laura C Torres | Counselor | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2010-10-08 |
| 1982832341 | Linda Griffin | Behavioral Analyst | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2009-06-24 |
| 1659541290 | William Freitas | Counselor | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2008-03-11 |
| 1649440280 | Raksmey Roeum - Castleman | Counselor | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2008-03-11 |
| 1578733127 | Wilbur Hightower | Counselor | 5361 N Pershing Ave Ste H, Stockton, CA 95207-5450 | 2008-03-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396285979 | Ever Well Health Systems, LLC | Community Based Residential Treatment Facility, Mental Illness | 1215 West Swain Road, Delta At The Sherwoods, Stockton, CA 95207 | 2017-03-02 |
| 1851831465 | Ever Well Health Systems, LLC | Community Based Residential Treatment Facility, Mental Illness | 1950 E Sonora St, Stockton, CA 95205-6364 | 2017-03-01 |
| 1104106129 | Stephen Solari | Community Based Residential Treatment Facility, Mental Illness | 9230 N Alpine Rd, Stockton, CA 95212-9409 | 2011-08-22 |
| 1871155309 | Gods Love Outreach Ministries | Community Based Residential Treatment Facility, Mental Illness | 1117 S Grant St, Stockton, CA 95206-1626 | 2019-07-04 |
| 1962871848 | Ever Well Health Systems, LLC | Community Based Residential Treatment Facility, Mental Illness | 4951 E Eight Mile Rd, Stockton, CA 95212-9449 | 2015-09-21 |
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| 1003417684 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 1155 Hoover St, Carlsbad, CA 92008-4230 | 2020-11-02 |
| 1497356075 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 405 N Tremont St, Oceanside, CA 92054-2535 | 2020-11-02 |
| 1467053041 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 | 2020-11-02 |
| 1366043937 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 | 2020-11-02 |
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
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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.