MR. TREVOR B. WALLACE (NPI# 1538295142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538295142 |
| Entity Type | Individual |
| Full Name | MR. TREVOR B. WALLACE |
| Credential | MFTI/IMF |
| Practice Address |
6833 Stockton Blvd Ste 485 Sacramento CA 95823-2372 |
| Practice Telephone | 9163940800 |
| Mailing Telephone | 9163940800 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2012-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 70088 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003339094 | Trevor Dewitt Wallace | Contractor | 571 Eva Kennedy Rd Apt 8, Suwanee, GA 30024-3008 | 2017-07-20 |
| 1609343870 | Trevor Robert Wallace | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2018-10-25 |
| 1568965044 | Trevor Wallace | Case Manager/Care Coordinator | 1201 Champlain St, Toledo, OH 43604-1907 | 2018-03-12 |
| 1396281200 | Trevor J Wallace | Physician Assistant | 61 Whitcher St Ne, Suite 1100, Marietta, GA 30060-1176 | 2017-01-17 |
| 1417386350 | Trevor Wallace | Case Manager/Care Coordinator | 315 Record St Ste 103, Reno, NV 89512-3327 | 2013-11-01 |
| Street Address |
6833 STOCKTON BLVD STE 485 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-2372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073626107 | Roleda Dawnia Bates | Social Worker | 6833 Stockton Blvd, Sacramento, CA 95823-2372 | 2006-08-15 |
| 1497315089 | Nancy Navarro | Case Manager/Care Coordinator | 6833 Stockton Blvd, Sacramento, CA 95823-2372 | 2019-06-17 |
| 1073099347 | Patricia Brown | Counselor | 6833 Stockton Blvd, Sacramento, CA 95823-2372 | 2018-07-19 |
| 1952804601 | Tlaltzin A Muro Gomez | Case Manager/Care Coordinator | 6833 Stockton Blvd, Sacramento, CA 95823-2372 | 2018-03-08 |
| 1750828497 | Mary Delnero | Licensed Vocational Nurse | 6833 Stockton Blvd, Suite 485, Sacramento, CA 95823-2372 | 2017-01-19 |
| 1871049304 | Jaimee Leanne Boman | Marriage & Family Therapist | 6833 Stockton Blvd, Suite 485, Sacramento, CA 95823-2372 | 2016-08-25 |
| 1366998809 | Aquino Chhong | Marriage & Family Therapist | 6833 Stockton Blvd, Suite 485, Sacramento, CA 95823-2372 | 2016-08-25 |
| 1578912184 | Nancy Ault | Marriage & Family Therapist | 6833 Stockton Blvd, Suite 485, Sacramento, CA 95823-2372 | 2016-06-06 |
| 1467806349 | Lonna Haralson | Case Manager/Care Coordinator | 6833 Stockton Blvd, Suite 485, Sacramento, CA 95823-2372 | 2016-04-18 |
| 1952755837 | Michael Reid | Case Manager/Care Coordinator | 6833 Stockton Blvd, Suite 485, Sacramento, CA 95823-2372 | 2016-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982229 | Kira Schetter | Marriage & Family Therapist | 2 Lido Cir, Sacramento, CA 95826-1613 | 2020-11-02 |
| 1730788829 | Amanda Lee Morgan | Marriage & Family Therapist | 3650 Auburn Blvd Ste 208c, Sacramento, CA 95821-2069 | 2020-10-20 |
| 1548878853 | John Wunderley | Marriage & Family Therapist | 5311 D St, Sacramento, CA 95819-3011 | 2020-07-22 |
| 1871115881 | Stacia Ponce | Marriage & Family Therapist | 5332 Calistoga Way, Sacramento, CA 95841-2104 | 2020-05-12 |
| 1376164566 | Kirsten Leitner, Licensed Marriage & Family Therapist, A Prof. Corp. | Marriage & Family Therapist | 2830 I St Ste 306, Sacramento, CA 95816-4311 | 2020-04-29 |
| 1558990317 | Dr. J. Marriage & Family Therapy Inc. | Marriage & Family Therapist | 9845 Horn Rd Ste 190, Sacramento, CA 95827-1948 | 2020-04-03 |
| 1578197257 | Christopher Quiery | Marriage & Family Therapist | 3741 Bridgehaven Way, Sacramento, CA 95834-1677 | 2020-03-03 |
| 1881239333 | Deborah Kjeldsen | Marriage & Family Therapist | 1731 I St Ste 202, Sacramento, CA 95811-3001 | 2019-11-08 |
| 1457993172 | Melissa Alvarez Fernandez | Marriage & Family Therapist | 4438 62nd St, Sacramento, CA 95820-4242 | 2019-10-15 |
| 1942850359 | Paul Hyppolite | Marriage & Family Therapist | 10 Tanfield Ct, Sacramento, CA 95833-2602 | 2019-09-17 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
Please comment or provide details below to improve the information on MR. TREVOR B. WALLACE.
| 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.