MR. BRIAN NEAL GREENLEAF (NPI# 1457812885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457812885 |
| Entity Type | Individual |
| Full Name | MR. BRIAN NEAL GREENLEAF |
| Credential | RADT1 |
| Practice Address |
44359 Palm St Indio CA 92201-3116 |
| Practice Telephone | 7603426616 |
| Practice Fax Number | 7603428073 |
| Mailing Telephone | 7603426616 |
| Mailing Fax Number | 7603428073 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 1881788503 | 01 |
| Street Address |
44359 PALM ST |
| City | INDIO |
| State | CA |
| Zip Code | 92201-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891930517 | Heather Leigh Oster | Counselor | 44359 Palm St, Indio, CA 92201-3116 | 2008-12-09 |
| 1982249322 | Joseph Leray Lashley | Counselor | 44359 Palm St, Indio, CA 92201-3116 | 2019-11-08 |
| 1679120299 | Thomas Deschaine | Counselor | 44359 Palm St, Indio, CA 92201-3116 | 2019-08-19 |
| 1245791300 | Walter Lee Betters Jr. | Counselor | 44359 Palm St, Indio, CA 92201-3116 | 2019-03-29 |
| 1417418526 | Gregory Taylor Stuart | Counselor | 44359 Palm St, Indio, CA 92201-3116 | 2019-03-29 |
| 1710448063 | Shelby A Lawrence | Counselor | 44359 Palm St, Indio, CA 92201-3116 | 2019-03-28 |
| 1639630171 | Michelle Renea Nance | Counselor | 44359 Palm St, Indio, CA 92201-3116 | 2019-03-27 |
| 1184185621 | Devin Jon Mcdonald | Counselor | 44359 Palm St, Indio, CA 92201-3116 | 2019-03-27 |
| 1790245652 | Nichole Darby Foster | Counselor | 44359 Palm St, Indio, CA 92201-3116 | 2019-03-25 |
| 1386109262 | Joel Mejia | Counselor | 44359 Palm St, Indio, CA 92201-3116 | 2019-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174151534 | Kayla Marie Berry | Licensed Vocational Nurse | Telecare Riverside County Psychiatric Health Facility, Indio, CA 92201 | 2020-03-31 |
| 1699327353 | Nawar Hadid | Dentist | 81735 Ca-111, Indio, CA 92201 | 2019-07-12 |
| 1427521889 | Thanh Trang Thi Nguyen Md Inc | Internal Medicine | 44100 Jefferson St., #e507, Indio, CA 92201 | 2019-01-09 |
| 1306328315 | Grant Nishimura | Dentist | 81-637, Suite 1, Ca-111, Indio, CA 92201 | 2018-09-06 |
| 1700363645 | Desert Physical Medicine | General Practice | 81765 Highway 111, Ste #3, Indio, CA 92201 | 2018-07-24 |
| 1336668151 | U & I Care Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 44105 Jackson St Ste 204, Indio, CA 92201 | 2017-09-13 |
| 1154847234 | Myung Kee Park | Dentist | 81106 Ca-111, #c, Indio, CA 92201 | 2017-08-21 |
| 1912434937 | Mirage Home Health | Home Health | 82691 Miles Ave, Indio, CA 92201 | 2017-05-22 |
| 1497294821 | Orthopedic and Physical Medicine Associates Inc | Chiropractor | 81765 Hwy 111, #3, Indio, CA 92201 | 2017-02-17 |
| 1497103758 | Timothy Smith | Contractor | 81337 Avenida Romero, Indio, CA 92201 | 2016-05-27 |
| Find all providers in zip 92201 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811417025 | Johnny Joseph Courreges | Counselor | 44-359 Palm St, Indio, CA 92201-9220 | 2017-06-20 |
| 1164829586 | Fernando Quiroz | Counselor | 23912 Avenue 45, Suite 9, Indio, CA 92201-3338 | 2014-12-01 |
| 1811173792 | The Awareness Program | Counselor | 45550 Grace St, Indio, CA 92201-4610 | 2008-01-10 |
| 1679759567 | Guillermo Simo | Counselor | 45926 Oasis Street, Indio, CA 92201-4610 | 2008-01-10 |
| 1194916221 | Rachelle Lynn Wiedeman | Counselor | 83912 Avenue 45 Ste B, Indio, CA 92201-3338 | 2007-08-05 |
| 1134343742 | Fritz M Solis | Counselor | 44199 Monroe St, Indio, CA 92201-3094 | 2007-04-13 |
| 1265572630 | Pio B Dingle Jr. | Counselor | 83921 Avenue 45, Suite 9, Indio, CA 92201 | 2007-02-07 |
| 1356480040 | Socorro Sanchez | Counselor | 83912 Avenue 45 Ste 9, Indio, CA 92201-3338 | 2007-02-06 |
| 1376158238 | Teresa Torres Bastidas | Counselor | 43485 Hollyhock St, Indio, CA 92201-1976 | 2020-09-08 |
| 1023622198 | Dominick Cardillo | Counselor | 83844 Hopi Ave, Indio, CA 92203-2638 | 2020-09-04 |
| Find all providers in INDIO | ||||
Please comment or provide details below to improve the information on MR. BRIAN NEAL GREENLEAF.
| 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.