STANISLAUS COUNTY (NPI# 1639202450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639202450 |
| Entity Type | Organization |
| Organization Name | STANISLAUS COUNTY |
| Other Organization Name | TEEN CENTER SRC |
| Practice Address |
330 Mchenry Ave Modesto CA 95354-0561 |
| Mailing Address |
800 Scenic Dr Modesto CA 95350-6131 |
| Practice Telephone | 2095257423 |
| Mailing Telephone | 2095257423 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2010-03-17 |
| Authorized Official Name | DENISE C HUNT (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Telephone | 2095256225 |
| Authorized Official Credential | RN, MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 5087 | 05 |
| Other Name | Type Code |
|---|---|
| TEEN CENTER SRC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952502676 | Stanislaus County | Community/Behavioral Health | 1501 F St, Modesto, CA 95354-2522 | 2007-05-30 |
| 1194926246 | Stanislaus County | Community/Behavioral Health | 2028 W Orangeburg Ave, Modesto, CA 95350-3742 | 2007-05-29 |
| 1861525081 | Stanislaus County | Community/Behavioral Health | 12555 B Street, Merced, CA 95340 | 2007-03-14 |
| 1790818821 | Stanislaus County | Community/Behavioral Health | 823 E Orangeburg Ave, Modesto, CA 95350-4619 | 2007-03-14 |
| 1770616674 | Stanislaus County | Community/Behavioral Health | 101 Lander Ave, Turlock, CA 95380-5201 | 2007-03-13 |
| 1417080300 | Stanislaus County | Community/Behavioral Health | 1803 Enslen Ave, Modesto, CA 95350-3112 | 2007-03-13 |
| 1851423834 | Stanislaus County | Community/Behavioral Health | 1024 J St, Suite 225, Modesto, CA 95354-0828 | 2007-03-12 |
| 1942332077 | Stanislaus County | Community/Behavioral Health | 5725 Paradise Dr, Corte Madera, CA 94925-1212 | 2007-03-12 |
| 1962534099 | Stanislaus County | Community/Behavioral Health | 755 S Yosemite Ave, Oakdale, CA 95361-4094 | 2007-03-12 |
| 1467584599 | Stanislaus County | Community/Behavioral Health | 22791 Foothill Blvd, Hayward, CA 94541-4207 | 2007-03-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STANISLAUS COUNTY POLICE ACTIVITIES LEAGUE | 1325 Beverly Dr, Modesto, CA 95351-2313 |
| System for Award Management (SAM) Entities | STANISLAUS COUNTY PROBATION DEPARTMENT | 2215 Blue Gum Avez, Modesto, CA 95358 |
| Street Address |
330 MCHENRY AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-0561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952441966 | Roger Dale Peters | Counselor | 330 Mchenry Ave, Modesto, CA 95354-0561 | 2007-02-07 |
| 1841460953 | Jennifer L Sabo | Counselor | 330 Mchenry Ave, Suite C, Modesto, CA 95354-0561 | 2008-03-04 |
| 1740473503 | Mark Fleming | Counselor | 330 Mchenry Ave, Modesto, CA 95354-0561 | 2007-08-23 |
| 1871793323 | Jorge Manuel Castillo | Counselor | 330 Mchenry Ave, Modesto, CA 95354-0561 | 2007-07-23 |
| 1811021785 | Stanislaus County | Community/Behavioral Health | 330 Mchenry Ave, Modesto, CA 95354-0561 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| 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 |
|---|---|---|---|---|
| 1053882035 | Stanislaus County Behavioral Health and Recovery Services | Community/Behavioral Health | 190 E. Hackett Road, Modesto, CA 95358-9450 | 2018-12-17 |
| 1730650524 | County of Stanislaus | Community/Behavioral Health | 4640 Spyres Way Ste B7, Modesto, CA 95356-9800 | 2018-12-06 |
| 1780199711 | Resilience and Wellness Counseling | Community/Behavioral Health | 1012 11th St Ste Ll4, Modesto, CA 95354-0827 | 2017-12-13 |
| 1194260133 | Koinonia Foster Homes Inc | Community/Behavioral Health | 406 Motor City Ct, Ste. F, Modesto, CA 95356-9200 | 2016-12-29 |
| 1841732302 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 1539 Mchenry Ave., Modesto, CA 95350-4528 | 2016-11-14 |
| 1356798383 | Childrens Crisis Intervention Program | Community/Behavioral Health | 1540 Florida Ave Ste 212, Modesto, CA 95350-4430 | 2016-05-19 |
| 1245637230 | Sierra Vista Drop In Center | Community/Behavioral Health | 908 Sierra Dr, Modesto, CA 95351-3254 | 2014-11-19 |
| 1700126158 | Living Well Bcs Inc | Community/Behavioral Health | 510 Chabot Ave, Modesto, CA 95354-0233 | 2013-02-21 |
| 1740513266 | Sierra Vista Child & Family Services | Community/Behavioral Health | 1700 Mchenry Village Way Ste B, Modesto, CA 95350-4308 | 2009-09-16 |
| 1992909378 | County of Stanislaus | Community/Behavioral Health | 500 N 9th St, Bldg B, Modesto, CA 95350 | 2007-06-12 |
| Find all providers in MODESTO | ||||
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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.