COREY BLACKMAN (NPI# 1720534373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720534373 |
| Entity Type | Individual |
| Full Name | COREY BLACKMAN |
| Practice Address |
2100 Napa Vallejo Hwy Napa CA 94558 |
| Practice Telephone | 7072535000 |
| Mailing Telephone | 7072535000 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT37569 | CA | Nursing Service Providers |
| Street Address |
2100 NAPA VALLEJO HWY |
| City | NAPA |
| State | CA |
| Zip Code | 94558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192103 | Amardeep Singh Sahota | Internal Medicine | 2100 Napa Vallejo Hwy, Napa, CA 94558-6293 | 2005-05-31 |
| 1578163903 | Mallori Choy Rahimnejad | Dietitian, Registered | 2100 Napa Vallejo Hwy, Napa, CA 94558-6293 | 2020-10-26 |
| 1477152551 | Esther Galletta | Psychologist | 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 | 2020-10-20 |
| 1780201020 | Susan Kay Foreman | Counselor | 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 | 2020-07-02 |
| 1467091397 | Casaundra K. Ortiz | Social Worker | 2100 Napa Vallejo Hwy, Napa, CA 94558-6293 | 2019-12-23 |
| 1487292587 | Darryl Poole | Counselor | 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 | 2019-12-19 |
| 1053967406 | David Norman Marcus | Social Worker | 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 | 2019-08-12 |
| 1689229502 | Victor Castro | Social Worker | 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 | 2019-08-07 |
| 1386299550 | Laurieal Nutt | Student in an Organized Health Care Education/Training Program | 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 | 2019-08-05 |
| 1780143396 | Elizabeth Amy Burris | Psychologist | 2100 Napa Vallejo Hwy, Napa, CA 94558 | 2019-03-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811542319 | Napa Solano Plastic Surgery. Inc. | Plastic Surgery | 1175 Trancas Street, Napa, CA 94558 | 2019-08-02 |
| 1891357851 | Guadalupe Barboza | Student in an Organized Health Care Education/Training Program | 2751 Napa Valley Corporate Drive, Building A, Mental Health Division, Napa, CA 94558 | 2019-06-30 |
| 1285154591 | Jacey J Castillo | Rehabilitation Practitioner | 2751 Napa Valley Corporate Dr. Bldg B, Napa, CA 94558 | 2017-06-27 |
| 1811447766 | Caitlin Ford | Massage Therapist | 2441 W Imola Ave, Napa, CA 94558 | 2016-10-04 |
| 1700252384 | Azucena Cortez | Student in an Organized Health Care Education/Training Program | 3450 Villa Ln. #3, Napa, CA 94558 | 2015-08-18 |
| 1982089603 | Vnessa Rotolo | Counselor | 2100 Napa Valley Hwy, Bldg 253 M1 & M2, Napa, CA 94558 | 2015-07-23 |
| 1346657772 | Catherine Gordon | Marriage & Family Therapist | 1001 Second Street, Suite 355, Napa, CA 94558 | 2014-07-17 |
| 1811308968 | Jordan A. Lamberton D.d.s., Inc. | Durable Medical Equipment & Medical Supplies | 3270 Beard Rd., Napa, CA 94558 | 2014-05-12 |
| 1801223797 | Ole Health | Clinic/Center | 780 Lincoln Ave, Napa, CA 94558 | 2013-10-09 |
| 1255766614 | Eldonna May Christie | Obstetrics & Gynecology | 3160 Mt. Veeder Rd., Napa, CA 94558 | 2013-09-04 |
| Find all providers in zip 94558 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841716362 | Jose Villanueva | Licensed Psychiatric Technician | 2751 Napa Valley Corporate Dr Bldg B, Napa, CA 94558-6216 | 2017-08-16 |
| 1740344878 | David S Jeffries | Licensed Psychiatric Technician | 2261 Elm St, Napa, CA 94559-3721 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
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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.