MICHAEL P DENNIS (NPI# 1689884835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689884835 |
| Entity Type | Individual |
| Full Name | MICHAEL P DENNIS |
| Practice Address |
236 E Fredricks St Barstow CA 92311-2821 |
| Mailing Address |
Po Box 7369 Redlands CA 92375-0369 |
| Practice Telephone | 7602567313 |
| Practice Fax Number | 7602563101 |
| Mailing Telephone | 9093357067 |
| Mailing Fax Number | 9097922045 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RW1088 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SIMON STAFF NUMBER | 5576 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386186252 | Michael Hubert Dennis | Counselor | 108 E Garfield Ave, Charlevoix, MI 49720-1721 | 2016-11-09 |
| 1356655476 | Michael Thomas Bryan Dennis | Plastic Surgery | 2030 E Valley Rd, Santa Barbara, CA 93108-1430 | 2010-07-30 |
| 1629519855 | Michael James Dennis | Internal Medicine | 725 Albany St, Shapiro 5 & 6, Boston, MA 02118-2526 | 2017-03-20 |
| 1619382769 | Michael Dennis | Community/Behavioral Health | 1100 Walnut St, Owensboro, KY 42301-2956 | 2014-06-27 |
| 1548603764 | Michael Conrad Dennis | Psychiatry & Neurology | 1520 E Dave Ward Dr, Conway, AR 72032-9649 | 2013-04-08 |
| 1780972687 | Michael Warren Dennis | Counselor | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2011-07-13 |
| 1750676599 | Michael D Dennis | Counselor | 4761 State Route 29, Celina, OH 45822-8216 | 2011-06-09 |
| 1356505820 | Michael D Dennis | Physician Assistant | 1650 Creekside Dr, Folsom, CA 95630-3400 | 2008-07-15 |
| 1639360886 | Michael Adam Dennis | Psychologist | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2007-08-05 |
| 1881738201 | Michael B. Dennis | Massage Therapist | 4010 Stone Way N, Suite 300, Seattle, WA 98103-8099 | 2007-02-18 |
| Street Address |
236 E FREDRICKS ST |
| City | BARSTOW |
| State | CA |
| Zip Code | 92311-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437288131 | Vista Guidance Centers, Inc. | Substance Abuse Rehabilitation Facility | 236 E Fredricks St, Barstow, CA 92311-2821 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552437 | Sheri Lorena Brady | Counselor | 309 E. Mt. View Suite 100, Barstow, CA 92311 | 2018-06-15 |
| 1205352556 | Julie Ann Pellman | Dietitian, Registered | 100 Veterans Parkway, Barstow, CA 92311 | 2017-08-18 |
| 1821511106 | Ambria Nicole Flippo | Counselor | 309 E Mountain View, Suite 100, Barstow, CA 92311 | 2017-07-19 |
| 1124485289 | Wellness Acupuncture Clinic | Case Management | 1866 E Main St, Barstow, CA 92311 | 2016-01-20 |
| 1346606407 | Kirsten Cheong | Counselor | 306 E. Mountain View St., Suite 100, Barstow, CA 92311 | 2016-01-05 |
| 1205222536 | American Health Services LLC | Substance Abuse Rehabilitation Facility | 234/236, 300, 304 and 308e Fredricks Street, Barstow, CA 92311 | 2015-04-14 |
| 1043629512 | Jon Pellerin | Pharmacist | 621 Montara, Barstow, CA 92311 | 2014-08-08 |
| 1255777421 | Ramendeep K Singh | Family Medicine | 1890 W. Main St., Suite 110, Barstow, CA 92311 | 2013-05-15 |
| 1760731061 | Jenifer Kristine Cordova | Physical Therapist | 1815 E. Main St., Barstow, CA 92311 | 2012-08-31 |
| 1053697250 | Lisa Herrmann | Counselor | 222 E Main St. Suite 117, Barstow, CA 92311 | 2011-11-01 |
| Find all providers in zip 92311 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346606407 | Kirsten Cheong | Counselor | 306 E. Mountain View St., Suite 100, Barstow, CA 92311 | 2016-01-05 |
| 1225306657 | Karen L. Manildi | Counselor | 225 Barstow Rd, Barstow, CA 92311-2903 | 2011-12-13 |
| 1497050298 | Patricia C. Johnson | Counselor | 225 Barstow Rd., Barstow, CA 92311 | 2011-01-26 |
| 1760501837 | Angela Kristine Skjerve | Counselor | 200 E Williams St, Barstow, CA 92311-2842 | 2007-03-28 |
| 1255461414 | Vista Guidance Centers, Inc. | Counselor | 309 E Mountain View St Ste 100, Barstow, CA 92311-2814 | 2007-03-06 |
| 1891349148 | Jayda Keyerra Blount | Counselor | 280 Stafford Rd, Barstow, MD 20610 | 2019-07-25 |
| 1215449210 | Jlanamae Kaleipoipe Maldonado | Counselor | 225 Barstow Rd, Barstow, CA 92311-2903 | 2017-10-30 |
| 1497187603 | Jason Timothy Glaza | Counselor | 225 Barstow Rd, Barstow, CA 92311-2903 | 2013-07-30 |
| 1790026292 | Lauren E. Talavera | Counselor | 225 Barstow Rd, Barstow, CA 92311-2903 | 2013-03-07 |
| 1346581980 | Ariel T. Burgess | Counselor | 225 Barstow Rd, Barstow, CA 92311-2903 | 2013-03-06 |
| Find all providers in BARSTOW | ||||
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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.