SHIRLEY MENDOZA MALDONADO (NPI# 1699122556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699122556 |
Entity Type | Individual |
Full Name | SHIRLEY MENDOZA MALDONADO |
Credential | AII3531214 |
Practice Address |
212 N Stevenson St Visalia CA 93291-6024 |
Practice Telephone | 5596250440 |
Mailing Telephone | 5596250440 |
Enumeration Date | 2016-05-20 |
Last Update Date | 2016-05-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
AII3531214 | CA | Behavioral Health & Social Service Providers |
Street Address |
212 N STEVENSON ST |
City | VISALIA |
State | CA |
Zip Code | 93291-6024 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891155065 | Central Valley Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 212 N Stevenson St, Visalia, CA 93291-6024 | 2016-03-02 |
1487277539 | Roxanne Nicole Williams | Counselor | 212 N Stevenson St, Visalia, CA 93291-6024 | 2020-05-24 |
1689225575 | Alison Anne Rose | Counselor | 212 N Stevenson St, Visalia, CA 93291-6024 | 2019-09-23 |
1184286247 | Jennifer Michele Doyel | Counselor | 212 N Stevenson St, Visalia, CA 93291-6024 | 2019-06-28 |
1063993194 | Krystal Gail Beayrd | Counselor | 212 N Stevenson St, Visalia, CA 93291-6024 | 2018-08-27 |
1891285094 | Nancy K Bivens | Counselor | 212 N Stevenson St, Visalia, CA 93291-6024 | 2018-05-14 |
1629574041 | Christine Whiston Olson | Counselor | 212 N Stevenson St, Visalia, CA 93291-6024 | 2018-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
1689223067 | Patricia Mari Marquez | Technician | 32481 Road 127, Visalia, CA 93291 | 2019-09-09 |
1942767710 | Jeremy Clifton Mccallister | Counselor | 120 W. School Ave., Visalia, CA 93291 | 2019-02-27 |
1568975290 | Kaweah Delta Health Care District | Clinic/Center | 3600 Flagstaff Avenue, Visalia, CA 93291 | 2017-11-16 |
1932625308 | Christina Gonzalez | Counselor | New Hope, 212 N. Stevenson, Visalia, CA 93291 | 2017-08-17 |
1629598545 | Estherose Molina | Assistant Behavior Analyst | 5445 W. Sweet Drive, Visalia, CA 93291 | 2017-06-21 |
1487195988 | Brenda Rodriguez | Case Manager/Care Coordinator | 546 East Tulare Ave, Visalia, CA 93291 | 2017-03-16 |
1295181857 | David James Tsuneji Fujihara | Emergency Medicine | 400 W. Mineral King Ave, Visalia, CA 93291 | 2016-05-12 |
1326409343 | Bay Area Surgical Specialists, Inc A Medical Corporation | Pain Medicine | 5127 W Noble Ave, Visalia, CA 93291 | 2016-03-18 |
1932585700 | Charles Dominick Trentacosti | Occupational Therapy Assistant | 514 N Bridge St, Visalia, CA 93291 | 2015-08-04 |
Find all providers in zip 93291 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942767710 | Jeremy Clifton Mccallister | Counselor | 120 W. School Ave., Visalia, CA 93291 | 2019-02-27 |
1356839773 | Jay Gabriel Diaz | Counselor | 1646 South Court Street, Visalia, CA 93277 | 2018-05-01 |
1194212696 | Turning Point of Central California Inc. | Counselor | 1845 1/2 South Court Street, Visalia, CA 93277 | 2018-04-19 |
1679076509 | Courtney Anne Penebaker | Counselor | 1425 East Walnut, Visalia, CA 93292 | 2018-03-16 |
1932625308 | Christina Gonzalez | Counselor | New Hope, 212 N. Stevenson, Visalia, CA 93291 | 2017-08-17 |
1316308471 | Jeffery White | Counselor | 3107 E Kaweah Ave, Visalia, CA 93292-3309 | 2016-03-16 |
1275951931 | Francisco Tomas Ruiz | Counselor | 1845 S Court St, Visalia, CA 93277-5423 | 2014-03-31 |
1619306289 | Mark Gonzales | Counselor | 4023 W Douglas Ave, Visalia, CA 93291-4185 | 2013-11-04 |
1326390972 | Steve L Cummings | Counselor | 120 W School Ave, Visalia, CA 93291-4925 | 2012-10-05 |
1669771739 | Michaele Diane Mckinney | Counselor | Tulare County Hhsa Alcohol & Drug Div., 942 South Santa Fe, Visalia, CA 93292 | 2011-03-15 |
Find all providers in VISALIA |
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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.