RIVER YOUNG (NPI# 1730548553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730548553 |
| Entity Type | Individual |
| Full Name | RIVER YOUNG |
| Practice Address |
360 Whiskey Hill Rd Watsonville CA 95076-8521 |
| Mailing Address |
360 Whiskey Hill Rd. Watsonville CA 95076 |
| Practice Telephone | 8317249333 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SANTA COUNTY MEDICARE GROUP PTAN# | ZZZ91892Z | 01 |
| Street Address |
360 WHISKEY HILL RD |
| City | WATSONVILLE |
| State | CA |
| Zip Code | 95076-8521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831647445 | Chloe Clarke | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2016-09-13 |
| 1972958957 | Samuel Salazar-cadena | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2016-04-27 |
| 1992159487 | Wendy Hernandez Beall | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2016-04-20 |
| 1952762049 | Juan Garcia | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2016-03-16 |
| 1457719080 | Ronda Wiley | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2016-02-10 |
| 1861865214 | Julie Ruiz | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2015-11-06 |
| 1326419938 | Stacey Pratt | Marriage & Family Therapist | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2015-10-08 |
| 1720468747 | Stephanie Elaine Vasquez | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2015-06-04 |
| 1720404809 | Elizabeth Anne Ungerecht | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2014-03-12 |
| 1457781387 | Adriana Caballero | Counselor | 360 Whiskey Hill Rd, Watsonville, CA 95076-8521 | 2013-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757515 | Vicky E Gonzalez | Case Manager/Care Coordinator | 2714 Freedom Blvrd, Watsonville, CA 95076 | 2019-02-28 |
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1134617798 | Haven of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Pauline Dr, Watsonville, CA 95076 | 2018-04-28 |
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1811403603 | Hieu Thi Thanh Nguyen Boulom | Pharmacist | 2810 Freedom Blvd, Watsonview, CA 95076 | 2017-12-16 |
| 1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
| 1841653318 | Cristina Guzman | Registered Nurse | 195 Aviation Way, Ste 200, Watsonville, CA 95076 | 2016-04-01 |
| 1013388974 | Salud Para La Gente | Clinic/Center | 195 Aviation Way, Suite 200, Watsonville, CA 95076 | 2015-10-16 |
| 1386025757 | Yaseer Yousuf Parupia | Podiatrist | 47 Penny Lane, Suite 1, Watsonville, CA 95076 | 2015-06-11 |
| 1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
| Find all providers in zip 95076 | ||||
| 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 |
|---|---|---|---|---|
| 1427439314 | Phillip Gene Ashadina Jr. | Counselor | 12 Carr St, Watsonville, CA 95076-4710 | 2015-06-16 |
| 1467710509 | Shaun Chesnut | Counselor | 365 Whiskeyhill Rd., Watsonville, CA 95076 | 2012-04-26 |
| 1205084415 | Rosie Martin | Counselor | 365 Whiskey Hill Rd., Watsonville, CA 95076 | 2008-08-29 |
| 1053515817 | Fernando De Anda | Counselor | 12 W Beach St Ste 219, Watsonville, CA 95076-4504 | 2007-06-13 |
| 1952516148 | Analicia H Ruiz | Counselor | 225 Apt. A Clifford Ave., Watsonville, CA 95076 | 2007-05-11 |
| 1821202326 | Valentin Rodriguez | Counselor | 15 Cowles Rd, Watsonville, CA 95076-1119 | 2007-05-10 |
| 1649499542 | Tanya Herrera | Counselor | 18 W Lake Ave, Suite G, Watsonville, CA 95076-4537 | 2007-04-25 |
| 1154546422 | Lorenza Garcia | Counselor | 245 E Lake Ave, Watsonville, CA 95076-4717 | 2007-04-13 |
| 1801354378 | Sandra Magdaleno | Counselor | 335 E Lake Ave, Watsonville, CA 95076-4826 | 2019-03-04 |
| 1104330745 | Lizandra Alonso | Counselor | 102 Wheelock Rd, Watsonville, CA 95076-9719 | 2017-11-17 |
| Find all providers in WATSONVILLE | ||||
| City | WATSONVILLE |
| Zip Code | 95076 |
Please comment or provide details below to improve the information on RIVER YOUNG.
| 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.