SILLECT 360, LLC (NPI# 1417483991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417483991 |
| Entity Type | Organization |
| Organization Name | SILLECT 360, LLC |
| Practice Address |
3534 San Dimas St Bakersfield CA 93301 |
| Mailing Address |
2901 Sillect Ave Ste 201 Bakersfield CA 93308-6373 |
| Practice Telephone | 6613272101 |
| Practice Fax Number | 6613474476 |
| Mailing Telephone | 6613272101 |
| Mailing Fax Number | 6613272554 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |
| Authorized Official Name | VIPUL DEV (CEO) |
| Authorized Official Telephone | 6613272101 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
A63639 | CA | Ambulatory Health Care Facilities |
| Street Address |
3534 SAN DIMAS ST |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389528 | Tsoguik Broutian | Case Manager/Care Coordinator | Kern County Superintendent of Schools, 1300 17th St., Bakersfield, CA 93301 | 2020-09-08 |
| 1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
| 1063066231 | Alexandra Moo | Case Manager/Care Coordinator | 1415 Trutun Ave, Bakersfield, CA 93301 | 2019-07-26 |
| 1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
| 1740751619 | Jimmy Garcia | Counselor | Aegis Treatment Center, 1018 21st St, Bakersfield, CA 93301 | 2018-12-17 |
| 1689140741 | Prism Pain and Spine, Inc | Physical Medicine & Rehabilitation | 3838 San Dimas, Ste., 3838 San Dimas,ste. B-231, Bakersfield, CA 93301 | 2018-10-16 |
| 1215437678 | Andria Sousa | Behavior Technician | 2535 16th St Ste 215&210, Bakersfield, CA 93301 | 2018-02-12 |
| 1003329889 | County of Kern | Clinic/Center | 820 34th Street, Suite 100,201,202, 203, Bakersfield, CA 93301 | 2017-11-15 |
| 1306358577 | Ashley Marie Pereida | Case Manager/Care Coordinator | 3300 Truxtun Ave. Suite 200, Bakersfield, CA 93301 | 2017-10-28 |
| 1982123113 | Amber Freer Hayes | Licensed Vocational Nurse | 2001, 28th Street, Bakersfield, CA 93301 | 2017-09-19 |
| Find all providers in zip 93301 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
| 1457985897 | Groups - Recover Together California, Inc., A Professional Medical Cor | Clinic/Center | 3550 Q St Ste 101, Bakersfield, CA 93301-1645 | 2020-02-25 |
| 1679058358 | Henrietta Weill Memorial Child Guidance Clinic | Clinic/Center | 3509 Union Ave, Bakersfield, CA 93305-2937 | 2018-09-28 |
| 1992938047 | Art of Serenity Nc | Clinic/Center | 3218 Laurel Dr, Bakersfield, CA 93304-6029 | 2009-08-24 |
| 1568658821 | County of Kern | Clinic/Center | 2001 28th St South Tower, 2nd Floor, Bakersfield, CA 93301-1924 | 2007-09-20 |
| 1982088142 | Aspire Counseling Services | Clinic/Center | 9830 Brimhall Rd Unit 100, Bakersfield, CA 93312-2790 | 2015-07-16 |
| 1306247689 | Genesis Behavioral Health, Inc | Clinic/Center | 5201 White Ln, Bakersfield, CA 93309-6200 | 2014-09-05 |
| 1235554056 | Advanced Psychological Prescriptives | Clinic/Center | 4900 California Ave, Tower B, Suite 210, Bakersfield, CA 93309-7024 | 2014-03-03 |
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| 1679172290 | Cyti Psychology PC | Clinic/Center | 3025 Calico St, Santee, CA 92071-5678 | 2020-10-23 |
| 1427655810 | An Elegant Sufficiency, A Psychological Corporation | Clinic/Center | 672 W 11th St Ste 354, Tracy, CA 95376-3821 | 2020-10-08 |
| 1184231508 | Rh Community Builders Lp. | Clinic/Center | 1040 N Pleasant Ave, Fresno, CA 93728-2434 | 2020-09-29 |
| 1730795337 | Full Circle Psychotherapy | Clinic/Center | 6741 Sebastopol Ave Ste 110, Sebastopol, CA 95472-3838 | 2020-09-18 |
| 1871108928 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln Ste 200, Palm Desert, CA 92211-0468 | 2020-09-14 |
| 1619581337 | Family Tree Psychology Group Inc. | Clinic/Center | 3655 Grand Ave, Oakland, CA 94610-2009 | 2020-09-01 |
| 1306459029 | Lisa Eaton Therapy and Coaching, A Licensed Clinical Social Worker Cor | Clinic/Center | 3014 Lupine, Lake Forest, CA 92630-8439 | 2020-08-24 |
| 1417566605 | Freedom Family Counseling Group Corp. | Clinic/Center | 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 | 2020-07-23 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | BAKERSFIELD |
| Zip Code | 93301 |
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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.