SUHA KAVAK (NPI# 1558995233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558995233 |
Entity Type | Individual |
Full Name | SUHA KAVAK |
Practice Address |
9890 County Farm Rd Ste 3 Riverside CA 92503-3678 |
Practice Telephone | 9515098320 |
Mailing Telephone | 9515098320 |
Enumeration Date | 2020-03-03 |
Last Update Date | 2020-03-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
Street Address |
9890 COUNTY FARM RD STE 3 |
City | RIVERSIDE |
State | CA |
Zip Code | 92503-3678 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295927648 | Stephan Rochelle | Counselor | 9890 County Farm Rd Ste 3, Riverside, CA 92503-3678 | 2007-08-09 |
1598390718 | Lizbeth Gomez Haro | Peer Specialist | 9890 County Farm Rd Ste 3, Riverside, CA 92503-3678 | 2020-03-09 |
1407481773 | Lauren Mccormick | Licensed Vocational Nurse | 9890 County Farm Rd Ste 3, Riverside, CA 92503-3678 | 2020-03-07 |
1730714122 | Sarah Adarkwa | Peer Specialist | 9890 County Farm Rd Ste 3, Riverside, CA 92503-3678 | 2020-03-06 |
1548895972 | Grecia Carolina Garcia | Peer Specialist | 9890 County Farm Rd Ste 3, Riverside, CA 92503-3678 | 2020-03-05 |
1003448622 | Erica Wilson | Peer Specialist | 9890 County Farm Rd Ste 3, Riverside, CA 92503-3678 | 2020-02-11 |
1487294773 | Tabitha Lynne Johnson | Counselor | 9890 County Farm Rd Ste 3, Riverside, CA 92503-3678 | 2020-01-14 |
1396385696 | Adolfo Vinicio Giron | Licensed Vocational Nurse | 9890 County Farm Rd Ste 3, Riverside, CA 92503-3678 | 2020-01-14 |
1821569229 | Rosalinda Nunez | Behavior Technician | 9890 County Farm Rd Ste 3, Riverside, CA 92503-3678 | 2018-12-10 |
1396214243 | Heidi Vercaigne | Peer Specialist | 9890 County Farm Rd Ste 3, Riverside, CA 92503-3678 | 2018-11-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
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Taxonomy Code | 323P00000X |
Grouping | Residential Treatment Facilities |
Classification | Psychiatric Residential Treatment Facility |
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922531839 | Telecare Corporation | Psychiatric Residential Treatment Facility | 9890 Country Farm Road, Building C, Riverside, CA 92503-3505 | 2017-04-07 |
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1275132326 | Beach House | Psychiatric Residential Treatment Facility | 29245 Cliffside Dr, Malibu, CA 90265-4268 | 2020-10-20 |
1376159566 | 3855 Brunston LLC | Psychiatric Residential Treatment Facility | 3855 Brunston Ct, Westlake Village, CA 91362-5130 | 2020-09-22 |
1649884909 | Montage Recovery Ca LLC | Psychiatric Residential Treatment Facility | 2890 Kana Dume, Malibu, CA 90265 | 2020-09-03 |
1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
1063024644 | Crownview Psychiatric Institute | Psychiatric Residential Treatment Facility | 1110 Camino Del Sol Cir, Carlsbad, CA 92008-3509 | 2020-08-17 |
1215545652 | Elevation Behavioral Health | Psychiatric Residential Treatment Facility | 3836 Kanan Rd, Agoura Hills, CA 91301-3237 | 2020-07-22 |
1053929273 | Montage Recovery Solutions | Psychiatric Residential Treatment Facility | 17801 Twilight Ln, Encino, CA 91316-4330 | 2020-07-14 |
1225646441 | Montage Recovery Solutions | Psychiatric Residential Treatment Facility | 2900 S Kanan Dume Rd, Malibu, CA 90265-2792 | 2020-07-14 |
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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.