CAC TANGLEWOOD CENTER (NPI# 1497270052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497270052 |
| Entity Type | Organization |
| Organization Name | CAC TANGLEWOOD CENTER |
| Practice Address |
1890 Sandalwood Dr Santa Maria CA 93455-2846 |
| Practice Telephone | (805) 614-0786 |
| Practice Fax Number | 8056144539 |
| Mailing Telephone | 8056140786 |
| Mailing Fax Number | 8056144539 |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. DAVID LAUREL SCOTT (CLINICAL SERVICES DIRECTOR) |
| Authorized Official Telephone | 8052604676 |
| Authorized Official Credential | PSY.D., LMFT |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY ACTION COMMSSION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
28718 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1306048905 | 05 |
| Street Address |
1890 SANDALWOOD DR |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93455-2846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724507 | Cottage Clinical Network, LLC | Clinic/Center | 1606 E Clark Ave, Building C, Suite 2, Orcutt, CA 93455 | 2020-06-10 |
| 1750905907 | Cottage Clinical Network, LLC | Clinic/Center | 3569 Skyway Drive, Santa Maria, CA 93455 | 2020-06-03 |
| 1891256194 | Derin Deniz Allard | Student in an Organized Health Care Education/Training Program | Marian Family Medicine Center, 1400 E. Church Street, Santa Maria, CA 93455 | 2019-03-28 |
| 1942781729 | Shannon Leigh Stamey | Marriage & Family Therapist | 235 E Clark Ave, Orcutt, CA 93455 | 2018-08-28 |
| 1710471362 | Amit Rawal | Behavioral Analyst | 2342 Professional Pkwy., Ste. 300, Santa Maria, CA 93455 | 2018-06-18 |
| 1548799075 | Karina Valdez | Marriage & Family Therapist | 2370 Skyway Drive Suite #104, Santa Maria, CA 93455 | 2017-06-08 |
| 1801337464 | Brenee English | Counselor | 144 George Lane, Orcutt, CA 93455 | 2017-03-15 |
| 1043762883 | Changing Faces Inc. I/ii | Community/Behavioral Health | 4160 Odie Lane, Santa Maria, CA 93455 | 2016-10-27 |
| 1194177964 | Lindsay E Soto | Counselor | 3653 Corta Bella Way, Santa Maria, CA 93455 | 2016-07-06 |
| 1003239427 | Wellness Solutions, Inc | Chiropractor | 210. E Clark Avenue, Suite A, Santa Maria, CA 93455 | 2014-01-22 |
| Find all providers in zip 93455 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1235644014 | Robert Joesph Cook | Counselor | 624 W Foster Rd, Santa Maria, CA 93455-3623 | 2017-12-03 |
| 1164934246 | Vanessa Maya Madrigal | Counselor | 212 Carmen Ln Ste 2012nd, Santa Maria, CA 93458-7769 | 2017-10-30 |
| 1366960957 | Rodriguez Fcc | Counselor | 307 Jala Ct, Santa Maria, CA 93454-7904 | 2017-09-02 |
| 1154849743 | Saucedo Fcc | Counselor | 1510 Lark St, Santa Maria, CA 93454-7264 | 2017-09-02 |
| 1891213484 | Garcia Fcc | Counselor | 1036 Gaylene Dr, Santa Maria, CA 93458-1221 | 2017-09-02 |
| 1780102376 | Paz Fcc | Counselor | 1640 Capitola St, Santa Maria, CA 93458-7318 | 2017-09-02 |
| 1770008336 | Cac Sierra Madre | Counselor | 1002 Sierra Madre Ave, Santa Maria, CA 93454-6337 | 2017-08-04 |
| 1679098230 | Cac Westgate Center | Counselor | 1240 Bethel Ln Ste 1a, Santa Maria, CA 93458-8387 | 2017-08-04 |
| 1053835025 | Cac Los Padres Center | Counselor | 530 E Enos Dr, Santa Maria, CA 93454-7287 | 2017-08-01 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93455 |
Please comment or provide details below to improve the information on CAC TANGLEWOOD CENTER.
| 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.