STEPHANY D WILSON (NPI# 1689197386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689197386 |
| Entity Type | Individual |
| Full Name | STEPHANY D WILSON |
| Practice Address |
1400 N. Johnson Ave. Ste. 101 El Cajon CA 92020 |
| Mailing Address |
1400 N Johnson Ave Ste 101 El Cajon CA 92020-1651 |
| Practice Telephone | (619) 715-4116 |
| Mailing Telephone | 6197154116 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1400 N. JOHNSON AVE. STE. 101 |
| City | EL CAJON |
| State | CA |
| Zip Code | 92020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877840 | Margarito Alejandro Torres | Behavior Technician | 1005 S. Sunshine Ave, El Cajon, CA 92020 | 2020-07-01 |
| 1619503166 | Stella Zeicu Varagic | Dentist | 2526 Fletcher Pkwy, El Cajon, CA 92020 | 2020-03-17 |
| 1548827819 | Unexpected Possibilities, Inc | Non-emergency Medical Transport (VAN) | 1015 El Cajon Blvd # A, El Cajon, CA 92020 | 2019-05-22 |
| 1083175707 | Maricela Uriarte D.d.s | Dentist | 164 W Park Ave, El Cajon, CA 92020 | 2019-03-26 |
| 1881153963 | Rubeleta Medina | Nurse Practitioner | 1908 Friendship Drive, El Cajon, CA 92020 | 2019-03-18 |
| 1235619800 | Melissa Gomez | Counselor | 1600 Cuyamaca St, El Cajo, CA 92020 | 2018-08-14 |
| 1013407790 | Erin Metcalf | Family Medicine | 133 W Main St., 240, El Cajon, CA 92020 | 2018-05-17 |
| 1326535220 | Diana Orozco | Counselor | 1870cordell Court, Suite 101, El Cajon, CA 92020 | 2018-04-16 |
| 1104330646 | Mercy Air Service, Inc. | Ambulance | 545 Kenney St Ste G1a, El Cajon, CA 92020 | 2017-11-20 |
| 1790296184 | Way Cool Homecare, Inc | In Home Supportive Care | 900 N. Cuyamaca Street, Ste 201, El Cajon, CA 92020 | 2017-10-12 |
| Find all providers in zip 92020 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233155 | Alaric Fairchild | Counselor | 1400 N Johnson Ave Ste 1011400n, El Cajon, CA 92020-1650 | 2020-10-21 |
| 1184241101 | Diane Mae Johnson | Counselor | 1345 E Madison Ave Spc 24, El Cajon, CA 92021-8535 | 2020-06-26 |
| 1437719978 | Charleaner Nichole Mondane | Counselor | 1365 N Johnson Ave Ste 101, El Cajon, CA 92020-1648 | 2019-06-17 |
| 1073006425 | Deshea Jones | Counselor | 550 Fesler St Ste G, El Cajon, CA 92020-1901 | 2018-06-11 |
| 1649786203 | Cheryl M Duriano I | Counselor | 1571 E Washington Ave Apt H, El Cajon, CA 92019-2561 | 2017-12-19 |
| 1477087625 | Bradley Nelson Russell | Counselor | 1364 Johnson Ave. Suite 111, El Cajon, CA 92020 | 2017-04-14 |
| 1033652003 | Jo-el Tapia | Counselor | 1400 N. Johnson Avenue, Suite 101, El Cajon, CA 92020 | 2016-11-23 |
| 1932552999 | Theresa Schlemmer | Counselor | 1835 E Main St # D15, El Cajon, CA 92021-5221 | 2016-07-14 |
| 1902255052 | Norma Cordova | Counselor | 275 Ballantyne St Apt 33, El Cajon, CA 92020-4081 | 2016-06-09 |
| 1699139816 | Mayra Aranda | Counselor | 1679 East Main Street, Suite 102, El Cajon, CA 92021 | 2016-04-13 |
| Find all providers in EL CAJON | ||||
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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.