KATY POLONY (NPI# 1497206098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497206098 |
Entity Type | Individual |
Full Name | KATY POLONY |
Practice Address |
3607 Main St Ste A Fremont CA 94538-4390 |
Practice Telephone | 5107069528 |
Mailing Telephone | 5107069528 |
Enumeration Date | 2016-10-18 |
Last Update Date | 2016-10-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
3607 MAIN ST STE A |
City | FREMONT |
State | CA |
Zip Code | 94538-4390 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003168220 | Tina Howerton | Social Worker | 3607 Main St Ste A, Fremont, CA 94538-4390 | 2012-10-11 |
1851892343 | Christopher Miranda | Social Worker | 3607 Main St Ste A, Fremont, CA 94538-4390 | 2018-02-21 |
1487072831 | Barbara Bell | Social Worker | 3607 Main St Ste A, Fremont, CA 94538-4390 | 2014-04-02 |
1568895308 | Heidi Beck | Community Health Worker | 3607 Main St Ste A, Fremont, CA 94538-4390 | 2013-08-15 |
1336588714 | Cassandra Elizabeth Kovalkevich | Case Manager/Care Coordinator | 3607 Main St Ste A, Fremont, CA 94538-4390 | 2013-06-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
Find all providers in zip 94538 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053958462 | Alyssa J Deneal | Peer Specialist | 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 | 2019-12-04 |
1285295469 | Patrisha Gutierrez | Peer Specialist | 40963 Grimmer Blvd, Fremont, CA 94538-2846 | 2019-06-27 |
1417400292 | Tammy Schlag | Peer Specialist | 3607 Main St, Suite A, Fremont, CA 94538-4390 | 2016-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
Find all providers with the same taxonomy |
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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.