BETSY A PERALTA (NPI# 1750994380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750994380 |
| Entity Type | Individual |
| Full Name | BETSY A PERALTA |
| Practice Address |
300 E 15th St Ste C Merced CA 95341-6217 |
| Practice Telephone | 1092386209 |
| Mailing Telephone | 2093861092 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 712112 | CA | Nursing Service Providers |
| Street Address |
300 E 15TH ST STE C |
| City | MERCED |
| State | CA |
| Zip Code | 95341-6217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518098664 | Diana Arredondo | Counselor | 300 E 15th St Ste C, Merced, CA 95341-6217 | 2007-03-08 |
| 1073126413 | John Cardenas | Counselor | 300 E 15th St Ste C, Merced, CA 95341-6217 | 2020-08-26 |
| 1306459730 | Kao Cho Saeteurn | Counselor | 300 E 15th St Ste C, Merced, CA 95341-6217 | 2020-08-25 |
| 1669084745 | Amanda Marie Gardia | Counselor | 300 E 15th St Ste C, Merced, CA 95341-6217 | 2020-08-19 |
| 1356953442 | Rosio Ruiz | Counselor | 300 E 15th St Ste C, Merced, CA 95341-6217 | 2020-08-19 |
| 1487264156 | Jocelyn Marla Kilbride | Counselor | 300 E 15th St Ste C, Merced, CA 95341-6217 | 2020-08-06 |
| 1760092514 | B Rene Flowers | Counselor | 300 E 15th St Ste C, Merced, CA 95341-6217 | 2020-08-06 |
| 1295345189 | Adriana Fregoso | Counselor | 300 E 15th St Ste C, Merced, CA 95341-6217 | 2020-08-05 |
| 1598375842 | Lawrence Eric Arredondo Jr. | Counselor | 300 E 15th St Ste C, Merced, CA 95341-6217 | 2020-08-02 |
| 1689283251 | Kristy Verma | Counselor | 300 E 15th St Ste C, Merced, CA 95341-6217 | 2020-07-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942520 | Samantha Canal | Counselor | 300 E 13th St Suite C, Merced, CA 95341 | 2020-08-11 |
| 1043874100 | Phyllis A Patterson | Peer Specialist | 490 E 13th Street, Merced, CA 95341 | 2019-04-24 |
| 1093209488 | Cierra Nicole Sweet | Case Manager/Care Coordinator | 490 E 13th St, Merced, CA 95341 | 2018-06-19 |
| 1528444148 | Mirian Cardenas | Counselor | 301 E 13th St Ste D, Merced, CA 95341 | 2015-08-05 |
| 1962839290 | Jessica Perez | Counselor | 480 East 13th Street, Building, Merced, CA 95341 | 2013-10-01 |
| 1235417171 | Mayla T Carlos | Physician Assistant | 847 W. Childs Ave., Merced, CA 95341 | 2011-07-26 |
| 1588951883 | Altia N Johnson | Registered Nurse | 260 E 15th Street, Merced, CA 95341 | 2011-07-07 |
| 1598061657 | County of Merced | Clinic/Center | 490 E. 13th Street, Merced, CA 95341 | 2011-02-07 |
| 1275710741 | Kathryn Renee Rodriguez | Social Worker | 2777 N Highway 59, Merced County Adult Services, Merced, CA 95341 | 2008-01-28 |
| 1700060324 | Irene Miranda-henson | Registered Nurse | 797 West Childs Avenue, Merced, CA 95341 | 2007-12-18 |
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| 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 |
|---|---|---|---|---|
| 1770102238 | James L Blaylock | Licensed Psychiatric Technician | 300 E 15th St, Merced, CA 95341-6217 | 2020-04-14 |
| 1073168951 | Tanya Pavela Eliapo | Licensed Psychiatric Technician | 301 E 13th St, Merced, CA 95341-6211 | 2019-08-07 |
| 1831663046 | Delaney P Delgado | Licensed Psychiatric Technician | 300 E 15th St Ste B, Merced, CA 95341-6217 | 2019-01-22 |
| 1700300050 | Jess Reyes Valenzuela | Licensed Psychiatric Technician | 300 E 15th St Ste B, Merced, CA 95341-6217 | 2017-07-28 |
| 1225424211 | Tony Jackson | Licensed Psychiatric Technician | 300 E 15th St, Merced, CA 95341-6217 | 2015-04-07 |
| 1659763142 | Joshua Mcwealth | Licensed Psychiatric Technician | 300 E 15th St, Merced, CA 95341-6217 | 2015-02-20 |
| 1871936310 | Claudia Victoria Garcia Flores | Licensed Psychiatric Technician | 300 E 15th St, Merced, CA 95341-6217 | 2013-04-15 |
| 1346586328 | Jay S Ybanez | Licensed Psychiatric Technician | 300 E 15th St, Merced, CA 95341-6217 | 2012-12-20 |
| 1114274461 | Andrea Preciado | Licensed Psychiatric Technician | 300 E 15th St, Merced, CA 95341-6217 | 2012-08-06 |
| 1578698064 | Martin N Miller | Licensed Psychiatric Technician | 300 E 15th St, Merced, CA 95340-6217 | 2007-02-23 |
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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.