MRS. DOROTHY HAYNES (NPI# 1801095625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801095625 |
| Entity Type | Individual |
| Full Name | MRS. DOROTHY HAYNES |
| Credential | MA,CCS,NCAC2,SAP,RAS |
| Practice Address |
2523 El Portal Dr Suite #206 San Pablo CA 94806-3305 |
| Practice Telephone | 5103747011 |
| Mailing Telephone | 5103747011 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | H0501041743 | CA | Other Service Providers |
| Street Address |
2523 EL PORTAL DR SUITE #206 |
| City | SAN PABLO |
| State | CA |
| Zip Code | 94806-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295805083 | Contra Costa County | Clinic/Center | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2006-11-08 |
| 1992356844 | Karamjeet Kaur | Registered Nurse | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2019-09-23 |
| 1609353119 | Mabel Osamor | Registered Nurse | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2018-07-26 |
| 1336642560 | Anntheia Yvonne Farr | Counselor | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2018-03-14 |
| 1710403662 | Kathy T Insixiengmay | Counselor | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2017-08-22 |
| 1386181402 | Tramaine Alan Jackson | Counselor | 2523 El Portal Dr, Suite 201, San Pablo, CA 94806-3305 | 2017-01-26 |
| 1467997486 | Gloria Esperanza Menjivar | Counselor | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2016-12-29 |
| 1538601349 | Elizabeth Gonzalez | Social Worker | 2523 El Portal Dr, San Pablo, CA 94806 | 2016-11-10 |
| 1023563483 | Serena Marie Smith | Marriage & Family Therapist | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2016-08-15 |
| 1376994251 | Renee Yvonne Owens | Counselor | 2523 El Portal Dr, San Pablo, CA 94806-3305 | 2016-06-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574375 | Alejandra Valle | Behavior Technician | 2970 Hilltop Mall Rd Suite 104, Richmond, CA 94806 | 2019-05-22 |
| 1629535042 | Kaitlin Sue Oshiro | Specialist/Technologist | 16401 San Pablo Ave. Spc 153, San Pablo, CA 94806 | 2019-02-21 |
| 1114400561 | Alan Gonzalez | Pharmacist | 13691 San Pablo Ave., San Pablo, CA 94806 | 2018-09-12 |
| 1265918783 | Laurel Dunn | Student in an Organized Health Care Education/Training Program | 15501 San Pablo Ave # G317, Richmond, CA 94806 | 2018-07-17 |
| 1720503592 | Monika Tippie | Marriage & Family Therapist | West County Adult Mental Health, 13585 San Pablo Ave, 2nd Floor, San Pablo, CA 94806 | 2017-08-14 |
| 1225553902 | Charles Marco Aquilina | Student in an Organized Health Care Education/Training Program | Y Team, 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-08-03 |
| 1922538545 | Hui-teh Hsu | Pharmacist | 2714 Holly St, San Pablo, CA 94806 | 2017-06-15 |
| 1063942878 | Meng-ju Yang | Student in an Organized Health Care Education/Training Program | 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-06-14 |
| 1346780020 | Mae Mayfield | Social Worker | 3600 Sierra Ridge Drive Apt # 7304, Richmond, CA 94806 | 2017-03-01 |
| 1487000790 | Pasha Jackson | Family Medicine | 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 | 2016-05-05 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932384369 | Ericka C Funes | Case Manager/Care Coordinator | 13201 San Pablo Ave Ste 105, San Pablo, CA 94806-3956 | 2008-01-03 |
| 1750688792 | Brittany Brooke Hatfield | Case Manager/Care Coordinator | 13201 San Pablo Ave, Suite 105, San Pablo, CA 94806-3952 | 2011-02-25 |
| 1457656670 | Angelica Nuno | Case Manager/Care Coordinator | 13201 San Pablo Ave Ste 105, San Pablo, CA 94806-3956 | 2011-01-19 |
| 1073823134 | Janik Ferreira - Ward | Case Manager/Care Coordinator | 13201 San Pablo Ave Ste 105, San Pablo, CA 94806-3956 | 2010-10-07 |
| 1861666752 | Yvonne Stacy Adams Shepard | Case Manager/Care Coordinator | 13201 San Pablo Ave Ste 105, San Pablo, CA 94806-3956 | 2008-04-22 |
| 1306021829 | Angela Drake | Case Manager/Care Coordinator | 13201 San Pablo Ave, Suite 105, San Pablo, CA 94806-3952 | 2008-01-03 |
| 1053595249 | Jesus Rosario Contreras | Case Manager/Care Coordinator | 13201 San Pablo Ave, San Pablo, CA 94806-3952 | 2007-12-24 |
| 1396929501 | Rosa M. Acosta | Case Manager/Care Coordinator | 13201 San Pablo Ave, San Pablo, CA 94806-3952 | 2007-12-24 |
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|---|---|---|---|---|
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| 1932709359 | Vue Moua | Case Manager/Care Coordinator | 4812 Conzelman Way, Elk Grove, CA 95757-2508 | 2020-10-26 |
| 1932709458 | Andre Howard | Case Manager/Care Coordinator | 2281 Hurley Way Apt 10, Sacramento, CA 95825-2337 | 2020-10-26 |
| 1194324020 | Project Raised | Case Manager/Care Coordinator | 3839 Amanda St, Unit 133, West Covina, CA 91792-2759 | 2020-10-21 |
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1750989240 | David John Schmidt-cook | Case Manager/Care Coordinator | 5580 Foothill Rd, Rocklin, CA 95677-3316 | 2020-10-15 |
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
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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.