STANISLAUS COUNTY BHRS (NPI# 1629279823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629279823 |
| Entity Type | Organization |
| Organization Name | STANISLAUS COUNTY BHRS |
| Other Organization Name | CERES REGIONAL SERVICES |
| Practice Address |
1917 Memorial Dr Ste B Ceres CA 95307-1861 |
| Mailing Address |
800 Scenic Dr Modesto CA 95350-6131 |
| Practice Telephone | 2095584752 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-11-15 |
| Authorized Official Name | DENISE C HUNT (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Telephone | 2095256225 |
| Authorized Official Credential | RN, MFT |
| Is Organization Subpart | Y |
| Parent Organization Name | STANISLAUS COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE ID | ZZZ15529Z | 01 | |
| CA | 5010 | 05 |
| Other Name | Type Code |
|---|---|
| CERES REGIONAL SERVICES | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467654483 | Stanislaus County Bhrs | Community/Behavioral Health | 1321 I St, Suite 3, Modesto, CA 95354-0902 | 2007-06-01 |
| 1720111545 | Stanislaus County Bhrs | Community/Behavioral Health | 920 16th St, Suite B & C, Modesto, CA 95354-1119 | 2007-03-13 |
| 1457480642 | Stanislaus County Bhrs | Community/Behavioral Health | 1301 G St, Modesto, CA 95354-2421 | 2007-03-05 |
| 1275735292 | Stanislaus County Bhrs | Community/Behavioral Health | 251 E Hackett Rd, Modesto, CA 95358-9415 | 2007-06-01 |
| 1134320856 | Stanislaus County Bhrs | Community/Behavioral Health | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2007-05-30 |
| 1750592184 | Stanislaus County Bhrs | Psychiatry & Neurology | 800 Scenic Dr, Modesto, CA 95350-6131 | 2007-05-25 |
| 1063545473 | Stanislaus County Bhrs | Community/Behavioral Health | 500 N 9th St, Modesto, CA 95350-5814 | 2007-03-14 |
| 1295868305 | Stanislaus County Bhrs | Substance Abuse Rehabilitation Facility | 1904 Richland Ave, Ceres, CA 95307-4562 | 2007-03-14 |
| 1649303546 | Stanislaus County Bhrs | Community/Behavioral Health | 1920 Memorial Dr, Ceres, CA 95307-1827 | 2007-03-13 |
| 1053444877 | Stanislaus County Bhrs | Community/Behavioral Health | 800 Scenic Dr, Modesto, CA 95350-6131 | 2007-03-13 |
| Street Address |
1917 MEMORIAL DR STE B |
| City | CERES |
| State | CA |
| Zip Code | 95307-1861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144762022 | Roxanne Mata | Technician | 1904 Richland Ave., Ceres, CA 95307 | 2016-11-09 |
| 1023496379 | Steven Leonard II | Technician, Other | 1904 Richalnd Ave, Ceres, CA 95307 | 2015-05-07 |
| 1942619820 | Thevi Phanthalangsy | Pharmacist | 1421 Coffee Road, Modesto, CA 95307 | 2014-08-05 |
| 1588973937 | Gloria June Coats | Nurse Practitioner | 3641 Mitchell Road, Suite H, Ceres, CA 95307 | 2010-10-04 |
| 1992953236 | John H Meekay | Dentist | 1788 Mitchell Road Suite 105, Ceres, CA 95307 | 2008-08-28 |
| 1316073778 | Donna J Payne | Case Manager/Care Coordinator | 1904 Richland Avenue, Ceres, CA 95307 | 2007-02-27 |
| 1104994656 | Katherine Anne Kucera | Dentist | 3507 Morgan Rd, Ceres, CA 95307 | 2006-12-01 |
| 1073615084 | Tracy S Park | Dentist | 2760 3rd Street, Suite A, Ceres, CA 95307 | 2006-09-01 |
| 1902855588 | Kerry B Evnin Md Inc A Professional Medical Corporation | Family Medicine | 3641 Mitchell Rd, H, Ceres, CA 95307 | 2006-05-09 |
| 1376012559 | David Andrew Kirkpatrick | Technician | 1904 Richland Ave Bldg D, Ceres, CA 95307 | 2018-11-17 |
| Find all providers in zip 95307 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104079300 | Center for Human Services | Community/Behavioral Health | 1317 Grandview Ave, Ceres, CA 95307-4405 | 2008-10-31 |
| 1205969904 | County of Stanislaus | Community/Behavioral Health | 1904 Richland Ave, Cert - C2 Bldg, Ceres, CA 95307-4562 | 2007-03-13 |
| 1336502715 | County of Stanislaus | Community/Behavioral Health | 1904 Richland Ave Bldg F, Ceres, CA 95307-4562 | 2016-04-01 |
| 1649303546 | Stanislaus County Bhrs | Community/Behavioral Health | 1920 Memorial Dr, Ceres, CA 95307-1827 | 2007-03-13 |
| 1487787206 | Stanislaus County | Community/Behavioral Health | 1917 Memorial Dr, Suite A-4, Ceres, CA 95307-1826 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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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.