MR. JAVIER MANUEL REYNOSO (NPI# 1649476797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649476797 |
| Entity Type | Individual |
| Full Name | MR. JAVIER MANUEL REYNOSO |
| Credential | RASI |
| Practice Address |
535 Marina Blvd Pittsburg CA 94565-2102 |
| Mailing Address |
134 Hastings Ave Vallejo CA 94589-1729 |
| Practice Telephone | 9254397111 |
| Mailing Telephone | 7075531376 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | RI-R0704121445 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871925180 | Javier Enrique Reynoso | Physician Assistant | 200 S Cage Blvd, Pharr, TX 78577-4844 | 2013-08-08 |
| Street Address |
535 MARINA BLVD |
| City | PITTSBURG |
| State | CA |
| Zip Code | 94565-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750509386 | Neil Miller | Counselor | 535 Marina Blvd, Pittsburg, CA 94565-2102 | 2007-04-20 |
| 1104129907 | Esperanza Cruz | Behavioral Analyst | 535 Marina Blvd, Pittsburg, CA 94565-2102 | 2010-12-16 |
| 1821317306 | William Benjamin Wagner | Counselor | 535 Marina Blvd, Pittsburg, CA 94565-2102 | 2010-05-24 |
| 1083876494 | Vonda Rae Beecher | Counselor | 535 Marina Blvd, Pittsburg, CA 94565-2102 | 2008-06-26 |
| 1336342989 | Sonya N Blunt | Counselor | 535 Marina Blvd, Pittsburg, CA 94565-2102 | 2007-06-08 |
| 1811101595 | New Connections | Community/Behavioral Health | 535 Marina Blvd, Pittsburg, CA 94565-2102 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164068011 | Gina Marie Whittenburg | Counselor | 161 Sequoia Drive, Pittsburg, CA 94565 | 2019-11-25 |
| 1386287902 | Diamond Redus | Behavior Technician | 2328 Loveridge Rd Apt 209, Pittsburg, CA 94565 | 2019-10-27 |
| 1851952469 | Renee Slocum | Behavior Technician | 7567 Amador, Dublin, CA 94565 | 2019-06-25 |
| 1881258606 | Mabel Paz Zavala | Student in an Organized Health Care Education/Training Program | 3750 Roundhill Dr, Pittsburg, CA 94565 | 2019-04-26 |
| 1457810939 | Richard L Anilao | Nurse's Aide | 142 San Tomas Dr, Pittsburg, CA 94565 | 2019-03-14 |
| 1568931079 | Nashira Hudson | Behavioral Analyst | 3401 Delta Fair Blvd., Antioch, CA 94565 | 2018-11-14 |
| 1497230726 | Rosa Maria Gonzalez | Behavioral Analyst | 198 Alberts Ave, Bay Point, CA 94565 | 2018-10-02 |
| 1831670090 | Rael Bernstein Dds Apc | Dentist | 1600 N Park Blvd, Pittsburg, CA 94565 | 2018-08-27 |
| 1285120592 | Vanessa Fregoso | Behavioral Analyst | 2275 Southwood Dr., Pittsburg, CA 94565 | 2018-07-10 |
| 1457847014 | Monica Monarque | Behavioral Analyst | 2113 Cerrito Ct, Pittsburg, CA 94565 | 2018-07-06 |
| Find all providers in zip 94565 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144778226 | Maria Aziz | Counselor | 120 Pelican Loop, Pittsburg, CA 94565-2002 | 2016-09-16 |
| 1609324318 | Kareem Bennett | Counselor | 241 Jupiter Ct, Pittsburg, CA 94565-7917 | 2016-09-12 |
| 1487060133 | Antonio Jerome Flaggs | Counselor | 2226 Montevideo Dr, Pittsburg, CA 94565-4507 | 2014-07-02 |
| 1851596084 | Cherie J Mcgahee | Counselor | 218 Lafayette St, Pittsburg, TX 75686-1630 | 2007-06-18 |
| 1992802201 | Virginia R. Thurman | Counselor | 424 Henderson St., Pittsburg, TX 75686-0596 | 2006-09-20 |
| 1700319225 | Cheyenne Carson-craft | Counselor | 2311 Loveridge Rd, Pittsburg, CA 94565-5117 | 2017-04-11 |
| 1376900134 | Emily Cobbey | Counselor | 51 Marina Blvd Ste D, Pittsburg, CA 94565 | 2016-01-25 |
| 1285008615 | Elizabeth Himsl-elliott | Counselor | 351 Marina Rd, Pittsburg, CA 94565-1320 | 2015-11-23 |
| 1639585623 | Ruth Cohn | Counselor | 555 School St, Pittsburg, CA 94565-3937 | 2014-07-10 |
| 1689090375 | Lucille Anderson | Counselor | 51 Marina Blvd, Pittsburg, CA 94565-2068 | 2014-03-05 |
| Find all providers in PITTSBURG | ||||
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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.