MR. ISIAH DANIELS (NPI# 1386156560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386156560 |
| Entity Type | Individual |
| Full Name | MR. ISIAH DANIELS |
| Credential | CADC-II |
| Practice Address |
710 C St Ste 8 San Rafael CA 94901-3853 |
| Mailing Address |
710 N 6th St San Jose CA 95112-3277 |
| Practice Telephone | 4514856736 |
| Mailing Telephone | 8311240527 |
| Enumeration Date | 2017-10-28 |
| Last Update Date | 2017-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | A018660515 | CA | Residential Treatment Facilities |
| Street Address |
710 C ST STE 8 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-3853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194263228 | Daron Austin | Counselor | 710 C St Ste 8, San Rafael, CA 94901-3853 | 2017-02-09 |
| 1952951824 | Michelle Marie Sweetser | Counselor | 710 C St Ste 8, San Rafael, CA 94901-3853 | 2019-09-12 |
| 1700366846 | Erin K Moore | Counselor | 710 C St Ste 8, San Rafael, CA 94901-3853 | 2018-08-17 |
| 1992212575 | John Lawrence Alioto | Counselor | 710 C St Ste 8, San Rafael, CA 94901-3853 | 2018-01-04 |
| 1821508417 | Prudence Wesson | Counselor | 710 C St Ste 8, San Rafael, CA 94901-3853 | 2017-10-09 |
| 1487175931 | Librado Garcia | Counselor | 710 C St Ste 8, San Rafael, CA 94901-3853 | 2017-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| 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 |
|---|---|---|---|---|
| 1982246815 | Ca Ya Services LLC | Substance Abuse Rehabilitation Facility | 285 Margarita Dr, San Rafael, CA 94901-2329 | 2019-10-11 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1295104420 | Robert Bostonian | Substance Abuse Rehabilitation Facility | 67 Grande Paseo, San Rafael, CA 94903-1555 | 2015-09-17 |
| 1982071833 | Brian Finley | Substance Abuse Rehabilitation Facility | 195 Nova Albion Way Apt 21, San Rafael, CA 94903-4528 | 2015-08-26 |
| 1003206228 | Helen Vine Recovery Center | Substance Abuse Rehabilitation Facility | 291 Smith Ranch Rd, San Rafael, CA 94903-5551 | 2015-01-26 |
| 1669716361 | North Bay Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 55 Shaver St, San Rafael, CA 94901-2787 | 2012-11-19 |
| 1801041074 | Bayside Marin, LLC | Substance Abuse Rehabilitation Facility | 718 4th St, San Rafael, CA 94901-3213 | 2008-12-01 |
| 1316169576 | Center Point, Inc. | Substance Abuse Rehabilitation Facility | 39 Mary St, San Rafael, CA 94901-3451 | 2007-05-03 |
| 1235351487 | Center Point, Inc. | Substance Abuse Rehabilitation Facility | 519 Belle Ave, San Rafael, CA 94901-3414 | 2007-05-03 |
| 1760601355 | Center Point, Inc. | Substance Abuse Rehabilitation Facility | 812 D St, San Rafael, CA 94901-2814 | 2007-04-24 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on MR. ISIAH DANIELS.
| 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.