RAUL ROY STEPHENS JR. (NPI# 1487076139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487076139 |
| Entity Type | Individual |
| Full Name | RAUL ROY STEPHENS JR. |
| Credential | CAADAC II |
| Practice Address |
4645 Pacheco Blvd Martinez CA 94553-3625 |
| Mailing Address |
1155 Arnold Dr # 439c Martinez CA 94553-6536 |
| Practice Telephone | 9256469270 |
| Practice Fax Number | 9256469276 |
| Mailing Telephone | 8603949037 |
| Mailing Fax Number | 9256469276 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |
| 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) |
CAADAC II 085065 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4645 PACHECO BLVD |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821168618 | Contra Costa County | Clinic/Center | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2006-11-08 |
| 1437768132 | Quincy Eileen Slatten | Counselor | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2020-07-28 |
| 1336766799 | Leslie James Thurston | Counselor | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2020-07-01 |
| 1144737362 | Michael B Connolly | Counselor | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2018-01-09 |
| 1215488234 | Harrison Stewart | Counselor | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2016-10-14 |
| 1023562535 | Neal Troiano | Counselor | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2016-08-12 |
| 1578923223 | Toni Legree | Substance Abuse Rehabilitation Facility | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2016-02-23 |
| 1487036364 | Daniel S Petersen | Counselor | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2015-06-26 |
| 1982807665 | Dominique Suzanne Crawford | Substance Abuse Rehabilitation Facility | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2007-06-08 |
| 1467666594 | Discovery House | Substance Abuse Rehabilitation Facility | 4645 Pacheco Blvd, Martinez, CA 94553 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700431665 | Michaela Lewis | Counselor | 909 Mellus St, Martinez, CA 94553-1744 | 2019-08-07 |
| 1790252112 | Alhambra Valley Retreat LLC | Counselor | 77 Quail Ln, Martinez, CA 94553-9762 | 2018-10-24 |
| 1871087981 | Westlond Recovery and Holistic Counseling Center | Counselor | 1226 Marks Church Road, Suite F, Martinez, GA 30909-1862 | 2018-06-21 |
| 1932406485 | Natalie Ann Pierre | Counselor | 2009 Radcliffe Ct, Martinez, CA 94553-5337 | 2011-02-18 |
| 1588989776 | David G. C. Turner | Counselor | 1611 Willow St, Martinez, CA 94553-1916 | 2010-03-31 |
| 1194860759 | Delton Wade De Vose | Counselor | 4210 Columbia Rd Ste 11b, Martinez, GA 30907-0443 | 2007-02-21 |
| 1790841682 | Mark Allen Messerer | Counselor | 1220 Morello Ave, Martinez, CA 94553-4707 | 2006-12-28 |
| 1437768132 | Quincy Eileen Slatten | Counselor | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2020-07-28 |
| 1336766799 | Leslie James Thurston | Counselor | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2020-07-01 |
| 1578198586 | Ayla Ohanlon | Counselor | 904 Mellus St, Martinez, CA 94553-1745 | 2020-03-10 |
| Find all providers in MARTINEZ | ||||
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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.