MARLON REYES (NPI# 1770829855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770829855 |
| Entity Type | Individual |
| Full Name | MARLON REYES |
| Practice Address |
40 Garden Dr Lodi CA 95242-2863 |
| Practice Telephone | 2093711147 |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2017-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821621228 | Marlon Reyes | Private Vehicle | 2500 Pump Rd, Richmond, VA 23233 | 2020-02-13 |
| Street Address |
40 GARDEN DR |
| City | LODI |
| State | CA |
| Zip Code | 95242-2863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572423 | Michelle Leanne Palacios | Counselor | 601 Palm Ave, Lodi, CA 95240-0919 | 2020-03-09 |
| 1639306061 | Jennifer Lynne Blume | Counselor | 220 S Church St Ste E, Lodi, CA 95240 | 2009-06-11 |
| 1114943859 | Judy Diane Lewis | Counselor | 1806 W Kettleman Ln Ste D1, Lodi, CA 95242-4316 | 2006-07-14 |
| 1477015840 | A New Day Lodi, LLC | Counselor | 737 Bank St, Lodi, OH 44254-1025 | 2019-04-03 |
| 1396228151 | Kristen Jensen | Counselor | 13451 N Extension Rd, Lodi, CA 95242-9249 | 2018-09-07 |
| 1962984575 | Lauren Geib | Counselor | 13451 N Extension Rd, Lodi, CA 95242-9249 | 2018-08-30 |
| 1477066520 | Jacqualine Tia Johnson | Counselor | 1209 W Tokay St Ste 5, Lodi, CA 95240-3845 | 2017-11-13 |
| 1285158329 | Tryphena P Adams | Counselor | 12755 N Highway 88, Lodi, CA 95240-9323 | 2017-07-31 |
| 1679013213 | George Moody | Counselor | 12755 N Highway 88, Lodi, CA 95240-9323 | 2017-03-01 |
| 1982144713 | Atasca Chiles-holmes | Counselor | 12755 N Highway 88, Suite 125, Lodi, CA 95240-9323 | 2017-02-27 |
| Find all providers in LODI | ||||
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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.