MR. VIRGIL DEAN MOOREHEAD JR. (NPI# 1790093912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790093912 |
| Entity Type | Individual |
| Full Name | MR. VIRGIL DEAN MOOREHEAD JR. |
| Credential | M.A. |
| Practice Address |
1560 Betty Ct Ste A Mckinleyville CA 95519-4178 |
| Practice Telephone | 7078391933 |
| Mailing Telephone | 7078391933 |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2020-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
1245393503 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
28973 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1560 BETTY CT STE A |
| City | MCKINLEYVILLE |
| State | CA |
| Zip Code | 95519-4178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720694383 | Zachary Michael Roberts | Counselor | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2020-09-18 |
| 1811535297 | Molly Rose Hilgenberg | Counselor | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2019-12-16 |
| 1811452352 | Teresina Whiterose Obie | Counselor | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2019-02-08 |
| 1912462409 | Lewis Carl Scott | Case Manager/Care Coordinator | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2019-02-08 |
| 1285107573 | Blair Kreuzer | Counselor | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2019-01-09 |
| 1477025682 | Shaylynne Laree Masten | Counselor | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2018-12-28 |
| 1376015545 | Melitta Jackson | Case Manager/Care Coordinator | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2018-12-27 |
| 1366914533 | Kimberly Irene Brown | Case Manager/Care Coordinator | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2018-12-27 |
| 1124590393 | Karen Jean Santos | Social Worker | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2018-12-27 |
| 1881166049 | Two Feathers Native American Family Services | Community/Behavioral Health | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2018-12-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174555 | Humboldt County Behavioral Health | Community/Behavioral Health | 1615 Heartwood Drive, Mckinleyville, CA 95519 | 2020-04-30 |
| 1417518291 | Erika Adams | Dental Hygienist | 2050 Silkwood St, Mckinleyville, CA 95519 | 2019-06-24 |
| 1275808354 | Laurie Goldberg Sanders | Behavioral Analyst | 1116 Hayes Rd, Mckinleyville, CA 95519 | 2012-03-21 |
| 1295956381 | Ralph Leroy Davis | Dentist | 1661 Picket Ave, Mckinleyville, CA 95519 | 2007-05-02 |
| 1598858169 | Open Door Community Health Centers | Clinic/Center | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-02 |
| 1508887001 | Cindy Siemens | Counselor | 1660 Central Av, Ste I, Mckinleyville, CA 95519 | 2006-07-21 |
| 1043307853 | Nathan Ransom Copple | Family Medicine | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-05 |
| 1083700710 | Reilley Mullin | Nurse Practitioner | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-04 |
| 1457444192 | Glorie Lorrie Williamson | Registered Nurse | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-02 |
| 1558437608 | Carol Bryan | Registered Nurse | 1672 Church Ave, Mckinleyville, CA 95519-2504 | 2006-11-28 |
| Find all providers in zip 95519 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528357555 | Lori Lyn Brown | Psychologist | 3135 Boeing Ave Ste A2, Mckinleyville, CA 95519-9373 | 2011-03-30 |
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|---|---|---|---|---|
| 1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | MCKINLEYVILLE |
| Zip Code | 95519 |
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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.