MARIE GREEN PSYCHIATRIC HOSPITAL (NPI# 1568749307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568749307 |
| Entity Type | Organization |
| Organization Name | MARIE GREEN PSYCHIATRIC HOSPITAL |
| Practice Address |
300 E 15th St Merced CA 95341-6217 |
| Practice Telephone | 2093816819 |
| Mailing Telephone | 2093816819 |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |
| Authorized Official Name | MARIA YZABEL ZULLA (REGISTERED NURSE) |
| Authorized Official Telephone | 2093816819 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 779869 | CA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043592363 | Marie Green Psychiatric Hospital | Psychiatric Unit | 300 E 15th St, Merced, CA 95341-6217 | 2011-09-13 |
| Street Address |
300 E 15TH ST |
| City | MERCED |
| State | CA |
| Zip Code | 95341-6217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831247287 | Elizabeth Ann Freitas | Social Worker | 300 E 15th St, Merced, CA 95340-6217 | 2007-01-08 |
| 1659984805 | Gisselle Alexandria Aguilar | Licensed Vocational Nurse | 300 E 15th St, Merced, CA 95341-6217 | 2020-08-27 |
| 1861005480 | Debora Yvonne Franklin | Licensed Vocational Nurse | 300 E 15th St, Merced, CA 95341-6217 | 2020-08-24 |
| 1770102238 | James L Blaylock | Licensed Psychiatric Technician | 300 E 15th St, Merced, CA 95341-6217 | 2020-04-14 |
| 1558996504 | Lacey Nicole Recinos | Technician | 300 E 15th St, Merced, CA 95341-6217 | 2020-03-10 |
| 1679133557 | Eli Sachse | Registered Nurse | 300 E 15th St, Merced, CA 95341-6217 | 2019-06-13 |
| 1770040131 | Leticia Davis | Licensed Vocational Nurse | 300 E 15th St, Merced, CA 95341-6217 | 2019-02-21 |
| 1750876777 | Kimberly Sheree Sanchez | Social Worker | 300 E 15th St, Merced, CA 95341-6217 | 2018-06-22 |
| 1992295679 | Jenna Vanderbeek | Counselor | 300 E 15th St, Merced, CA 95341-6217 | 2018-05-17 |
| 1568968550 | Amanda Mello | Licensed Vocational Nurse | 300 E 15th St, Merced, CA 95341-6217 | 2018-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942520 | Samantha Canal | Counselor | 300 E 13th St Suite C, Merced, CA 95341 | 2020-08-11 |
| 1043874100 | Phyllis A Patterson | Peer Specialist | 490 E 13th Street, Merced, CA 95341 | 2019-04-24 |
| 1093209488 | Cierra Nicole Sweet | Case Manager/Care Coordinator | 490 E 13th St, Merced, CA 95341 | 2018-06-19 |
| 1528444148 | Mirian Cardenas | Counselor | 301 E 13th St Ste D, Merced, CA 95341 | 2015-08-05 |
| 1962839290 | Jessica Perez | Counselor | 480 East 13th Street, Building, Merced, CA 95341 | 2013-10-01 |
| 1235417171 | Mayla T Carlos | Physician Assistant | 847 W. Childs Ave., Merced, CA 95341 | 2011-07-26 |
| 1588951883 | Altia N Johnson | Registered Nurse | 260 E 15th Street, Merced, CA 95341 | 2011-07-07 |
| 1598061657 | County of Merced | Clinic/Center | 490 E. 13th Street, Merced, CA 95341 | 2011-02-07 |
| 1275710741 | Kathryn Renee Rodriguez | Social Worker | 2777 N Highway 59, Merced County Adult Services, Merced, CA 95341 | 2008-01-28 |
| 1700060324 | Irene Miranda-henson | Registered Nurse | 797 West Childs Avenue, Merced, CA 95341 | 2007-12-18 |
| Find all providers in zip 95341 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013030808 | County of Merced | Psychiatric Hospital | 300 E 15th St Ste B, Merced, CA 95341-6217 | 2007-04-09 |
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| 1740892017 | Avamed Inc. | Psychiatric Hospital | 12955 Riverside Dr Apt 204, Sherman Oaks, CA 91423-2202 | 2020-08-18 |
| 1437769957 | North Valley Behavioral Health, LLC | Psychiatric Hospital | 1253 Stabler Lane, Yuba City, CA 95993 | 2020-08-10 |
| 1811549504 | Sacramento Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 1400 Expo Pkwy, Sacramento, CA 95815-4230 | 2019-07-12 |
| 1932603990 | Central Star Behavioral Health, Inc. | Psychiatric Hospital | 496 South Barton Ave, Fresno, CA 93750-0001 | 2018-03-22 |
| 1639601933 | Restpadd Health Corp | Psychiatric Hospital | 925 Walnut St, Red Bluff, CA 96080-3707 | 2017-03-28 |
| 1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
| 1558812404 | Sonnia A. Ahinasi | Psychiatric Hospital | 4192 Via Napoli, Montclair, CA 91763-4750 | 2016-10-16 |
| 1316399660 | Itzel Lopez | Psychiatric Hospital | 1869 Lombard St, San Francisco, CA 94123-2909 | 2016-07-11 |
| 1770931032 | Ruby Lorraine Summus | Psychiatric Hospital | 4111 Jonathon St, Oceanside, CA 92056-4217 | 2016-05-27 |
| 1760841126 | County of Los Angeles | Psychiatric Hospital | 5800 South St Apt 163, Lakewood, CA 90713-1331 | 2016-02-15 |
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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.