MR. JAMISON BROGAN MEDCALF (NPI# 1801437322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801437322 |
Entity Type | Individual |
Full Name | MR. JAMISON BROGAN MEDCALF |
Credential | AMFT |
Practice Address |
2901 S H St Bakersfield CA 93304-5602 |
Mailing Address |
3426 Alder Canyon Way Antelope CA 95843-4989 |
Practice Telephone | 6613984303 |
Mailing Telephone | 9162725665 |
Enumeration Date | 2019-10-06 |
Last Update Date | 2020-10-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
SUDRC10234 | CA | Behavioral Health & Social Service Providers |
Y | 106H00000X | Marriage & Family Therapist | AMFT114404 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | BOARD OF BEHAVIORAL SCIENCES | AMFT114404 | 01 |
CA | CADTP | SUDRC10234 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
3707 E Shields Ave, Fresno, CA 937267029 | 5592299040 |
Street Address |
2901 S H ST |
City | BAKERSFIELD |
State | CA |
Zip Code | 93304-5602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104951318 | James Owen Glass | Counselor | 2901 S H St, Bakersfield, CA 93304-5602 | 2007-02-21 |
1861092876 | Juan Antonio Vasquez | Counselor | 2901 S H St, Bakersfield, CA 93304-5602 | 2020-10-28 |
1558969683 | Tonya Rochelle Grier | Case Manager/Care Coordinator | 2901 S H St, Bakersfield, CA 93304-5602 | 2020-10-12 |
1538771654 | Humphrey Brown | Counselor | 2901 S H St, Bakersfield, CA 93304-5602 | 2020-08-19 |
1023629953 | Lisa Marie Chavez | Counselor | 2901 S H St, Bakersfield, CA 93304-5602 | 2020-08-13 |
1730799065 | Kim M Luminarias | Counselor | 2901 S H St, Bakersfield, CA 93304-5602 | 2020-08-02 |
1609486927 | Jannine Ann Berry | Counselor | 2901 S H St, Bakersfield, CA 93304-5602 | 2020-08-01 |
1538778055 | Manuel Yepez Jr. | Counselor | 2901 S H St, Bakersfield, CA 93304-5602 | 2020-07-30 |
1063886836 | Samuel Alonzo | Counselor | 2901 S H St, Bakersfield, CA 93304-5602 | 2015-11-17 |
1073932620 | Stewart Daniel Soto | Counselor | 2901 S H St, Bakersfield, CA 93304-5602 | 2014-04-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063041333 | Luisa Maria Jimenez | Case Manager/Care Coordinator | 3501 Wilson Road, Bakersfield, CA 93304 | 2020-04-07 |
1215444955 | New Start Youth Facility Inc | Clinic/Center | 2409 Belvedere Ave, Bakersfield, CA 93304 | 2018-01-03 |
1962924092 | Paula Rebecca Gonsalez | Case Manager/Care Coordinator | 5121 Stockdale Highway Ste. 250, Bakersfield, CA 93304 | 2017-07-11 |
1528400033 | Ruby Cruz | Social Worker | 609 4th Street, Bakersfield, CA 93304 | 2013-07-25 |
1548545502 | Deidre Rochelle Lee-mcneill | Pharmacist | 3315 South H Street, Bakresfield, CA 93304 | 2011-10-20 |
1770863144 | Robyn D Garcia | Marriage & Family Therapist | 3105 Wilson Road, Bakersfield, CA 93304 | 2011-08-17 |
1043502784 | Arthur G Kaiser | Dentist | 2023 Brundage Lane, Bakersfield, CA 93304 | 2011-05-13 |
1063703361 | Elite Women's Health | Obstetrics & Gynecology | 901 34th St., Bakerfield, CA 93304 | 2011-04-21 |
1730409020 | Kabari Jamil Thompson | Counselor | 1902 South H St., Bakersfield, CA 93304 | 2010-06-09 |
1932439486 | Fata Inc | Acupuncturist | 2004 Brundage Lane, Bakersfield, CA 93304 | 2010-01-06 |
Find all providers in zip 93304 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881293611 | Kenneth Toran Wiley Jr. | Marriage & Family Therapist | 7615 Indian Gulch St, Bakersfield, CA 93313-4337 | 2020-10-22 |
1740896257 | Artisa Mae Moten | Marriage & Family Therapist | 1429 Libra Ct, Bakersfield, CA 93309-3808 | 2020-09-20 |
1700496247 | Thomas Carter Crocker | Marriage & Family Therapist | 6420 Easter Lily Ct, Bakersfield, CA 93313-6008 | 2020-08-07 |
1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
1720623184 | Yessica Avancena, Lmft Corp | Marriage & Family Therapist | 1701 Westwind Dr Ste 111, Bakersfield, CA 93301-3045 | 2019-11-08 |
1811556749 | Nancy Lee Keller | Marriage & Family Therapist | 2025 Westwind Dr Ste A, Bakersfield, CA 93301-3036 | 2019-06-13 |
1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
1689132904 | Nadia Perez | Marriage & Family Therapist | 1430 Truxtun Ave Ste 200, Bakersfield, CA 93301-5248 | 2019-03-05 |
1831671726 | Katherine Anne Graves | Marriage & Family Therapist | 2200 Quincy Dr, Bakersfield, CA 93306-4036 | 2018-09-06 |
1598243883 | Fernando Garcia IIi | Marriage & Family Therapist | 2535 16th St Ste 205, Bakersfield, CA 93301-3417 | 2018-07-30 |
Find all providers in BAKERSFIELD |
City | BAKERSFIELD |
Zip Code | 93304 |
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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.