FAMILY SERVICE AGENCY OF THE CENTRAL COAST (NPI# 1558484329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558484329 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE AGENCY OF THE CENTRAL COAST |
| Practice Address |
11 Alexander St Ste D Watsonville CA 95076-4626 |
| Mailing Address |
104 Walnut Ave Ste 208 Santa Cruz CA 95060-3900 |
| Practice Telephone | 8317289970 |
| Practice Fax Number | 8317289971 |
| Mailing Telephone | 8314239444 |
| Mailing Fax Number | 8314231532 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2008-04-07 |
| Authorized Official Name | MR. DAVID A BIANCHI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8314239444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | 44CA | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891240131 | Family Service Agency of The Central Coast | Community/Behavioral Health | 2901 Park Ave, Suite A3, Soquel, CA 95073-2831 | 2016-08-16 |
| 1992115091 | Family Service Agency of The Central Coast | Counselor | 104 Walnut Ave, Suite 204, Santa Cruz, CA 95060-3929 | 2014-04-29 |
| 1013039320 | Family Service Agency of The Central Coast | Marriage & Family Therapist | 104 Walnut Ave, Ste 208, Santa Cruz, CA 95060-3900 | 2007-04-06 |
| 1790843167 | Family Service Agency of The Central Coast | Counselor | 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 | 2006-12-05 |
| 1104994136 | Family Service Agency of The Central Coast | Social Worker | 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 | 2006-11-30 |
| Street Address |
11 ALEXANDER ST STE D |
| City | WATSONVILLE |
| State | CA |
| Zip Code | 95076-4626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962627638 | Nancy L Pringle | Marriage & Family Therapist | 11 Alexander St Ste D, Watsonville, CA 95076-4626 | 2007-04-16 |
| 1114142890 | Margarita Rivera-swank | Marriage & Family Therapist | 11 Alexander St Ste D, Watsonville, CA 95076-4626 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757515 | Vicky E Gonzalez | Case Manager/Care Coordinator | 2714 Freedom Blvrd, Watsonville, CA 95076 | 2019-02-28 |
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1134617798 | Haven of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Pauline Dr, Watsonville, CA 95076 | 2018-04-28 |
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1811403603 | Hieu Thi Thanh Nguyen Boulom | Pharmacist | 2810 Freedom Blvd, Watsonview, CA 95076 | 2017-12-16 |
| 1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
| 1841653318 | Cristina Guzman | Registered Nurse | 195 Aviation Way, Ste 200, Watsonville, CA 95076 | 2016-04-01 |
| 1013388974 | Salud Para La Gente | Clinic/Center | 195 Aviation Way, Suite 200, Watsonville, CA 95076 | 2015-10-16 |
| 1386025757 | Yaseer Yousuf Parupia | Podiatrist | 47 Penny Lane, Suite 1, Watsonville, CA 95076 | 2015-06-11 |
| 1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
| Find all providers in zip 95076 | ||||
| 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 |
|---|---|---|---|---|
| 1649745928 | Stephanie Walpole | Marriage & Family Therapist | 255a E Lake Ave, Watsonville, CA 95076-4717 | 2018-10-12 |
| 1083006597 | Raffaella Bianchi-allen | Marriage & Family Therapist | 113 E Lake Ave, Watsonville, CA 95076 | 2015-02-21 |
| 1285877449 | Christine Falcone | Marriage & Family Therapist | 56 Firethorne Way, Watsonville, CA 95076-6037 | 2009-04-16 |
| 1205052008 | Bosiljka Nadia Tokic-polak | Marriage & Family Therapist | 240 Westgate Dr # S-125, Watsonville, CA 95076-2461 | 2007-04-18 |
| 1770613150 | Lupe Macias | Marriage & Family Therapist | 77 Aspen Way Ste 102, Watsonville, CA 95076-6040 | 2007-03-06 |
| 1861543241 | Barbara Christine Lutz | Marriage & Family Therapist | 240 Westgate Dr Ste 125, Watsonville, CA 95076-2453 | 2007-01-14 |
| 1518020114 | Ann Marie Cavanaugh | Marriage & Family Therapist | 240 Westgate Dr Ste 121, Watsonville, CA 95076-2453 | 2006-12-18 |
| 1619078284 | Alice Marie Mestemacher | Marriage & Family Therapist | 256 A Green Meadow Dr, Watsonville, CA 95076-5922 | 2006-09-26 |
| 1851906549 | Eric Ochoa | Marriage & Family Therapist | 335 E Lake Ave, Watsonville, CA 95076-4826 | 2020-09-10 |
| 1033680632 | Nicolas Sandoval Jr. | Marriage & Family Therapist | 45 Neilson St, Watsonville, CA 95076-2468 | 2018-12-09 |
| Find all providers in WATSONVILLE | ||||
| City | WATSONVILLE |
| Zip Code | 95076 |
Please comment or provide details below to improve the information on FAMILY SERVICE AGENCY OF THE CENTRAL COAST.
| 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.