SUMMITVIEW CHILD & FAMILY SERVICES (NPI# 1760927776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760927776 |
Entity Type | Organization |
Organization Name | SUMMITVIEW CHILD & FAMILY SERVICES |
Practice Address |
4300 Forni Rd Placerville CA 95667-7013 |
Mailing Address |
670 Placerville Dr # 2 Placerville CA 95667-4200 |
Practice Telephone | 5306442412 |
Practice Fax Number | 5306448563 |
Mailing Telephone | 5306442412 |
Mailing Fax Number | 5306448563 |
Enumeration Date | 2016-12-29 |
Last Update Date | 2019-06-21 |
Authorized Official Name | MS. CORINNE MORRISON (CFO) |
Authorized Official Telephone | 5306442412 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 9431886 | CA | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 0938 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SUMMITVIEW CHILD & FAMILY SERVICES INC | 670 Placerville Dr Ste 2, Placerville, CA 95667-4200 |
Street Address |
4300 FORNI RD |
City | PLACERVILLE |
State | CA |
Zip Code | 95667-7013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528364114 | Crystal Cochran | Counselor | 4300 Forni Rd, Placerville, CA 95667-7013 | 2011-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
1497390041 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3025 Glee Ln, Placerville, CA 95667 | 2019-11-07 |
1225694474 | Camille Borba | Doula | 1212 Lotus Rd, Placerville, CA 95667 | 2019-05-14 |
1033610399 | Julie Marie Halsall | Counselor | 2844 Coloma Street, Placerville, CA 95667 | 2018-02-22 |
1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
1982129508 | Brent Charles Ulrici | Counselor | 2986 Colma St, Placerville, CA 95667 | 2017-08-04 |
1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
1396141750 | Brown and Ghazal Dental Corporation | Dentist | 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 | 2014-11-13 |
1962808402 | Laura Ann Curry | Counselor | 6765 Green Valley Road, Placerville, CA 95667 | 2014-11-11 |
1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
Find all providers in zip 95667 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366003782 | Summitview Child & Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3600 Magpie Ct, Placerville, CA 95667-9384 | 2019-06-26 |
1487215802 | Summitview Child & Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4126 California Mine Road, Placerville, CA 95667-0000 | 2019-06-26 |
1306407945 | Summitview Child & Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 200 Arroyo Vista Way, Placerville, CA 95667-6253 | 2019-06-25 |
1013578525 | Summitview Child & Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2114 Shadow Run Road, Placerville, CA 95667-0000 | 2019-06-25 |
1184285686 | Summitview Child & Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3601 Sluice Box Road, Placerville, CA 95667-0000 | 2019-06-25 |
1326229600 | Summitview Child and Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 5036 Sunrey Rd, Placerville, CA 95667-9529 | 2007-11-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144820499 | Catholic Charities of The Diocese of Oakland | Residential Treatment Facility, Emotionally Disturbed Children | 3700 Dorisa Ave, Oakland, CA 94605-4941 | 2020-10-27 |
1922607944 | Inspire A Youth, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7556 Avenida Baja, Riverside, CA 92509-3449 | 2020-10-21 |
1235736554 | Yvonne Dionne Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1223 E Helmick St, Carson, CA 90746-3163 | 2020-10-09 |
1740897784 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 602 Woodlark Dr, Suisun City, CA 94585-2244 | 2020-09-24 |
1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
1902412182 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 136 Valdivia Cir, San Ramon, CA 94583-2228 | 2020-09-22 |
1073128492 | Samuel Campbell Jr. | Residential Treatment Facility, Emotionally Disturbed Children | 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 | 2020-09-11 |
1336753433 | Aaron's Boys Home | Residential Treatment Facility, Emotionally Disturbed Children | 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 | 2020-09-04 |
1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
1538779871 | Hidden Treasures Foundation, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1240 W 13th Ave, Escondido, CA 92025-5560 | 2020-08-02 |
Find all providers with the same taxonomy |
City | PLACERVILLE |
Zip Code | 95667 |
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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.