CYNTHIA MACHELLE GONZALEZ (NPI# 1821615832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821615832 |
Entity Type | Individual |
Full Name | CYNTHIA MACHELLE GONZALEZ |
Other Name | CYNTHIA MACHELLE DAVIS |
Credential | CADC II, QMHA-C |
Practice Address |
925 Avenue S Unit 1 Seaside OR 97138-7780 |
Mailing Address |
Po Box 503 Warrenton OR 97146-0503 |
Practice Telephone | 5034408687 |
Mailing Telephone | 5034408687 |
Enumeration Date | 2020-06-25 |
Last Update Date | 2020-06-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
17-P-11 | Behavioral Health & Social Service Providers | |
N | 101YM0800X |
Counselor Specialization: Mental Health |
1-QMHA-1-00261 | OR | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720619851 | Cynthia Gonzalez | Technician | 1464 Mountain Rose Dr, Fernley, NV 89408-4517 | 2020-01-28 |
1902310287 | Cynthia Estela Gonzalez | Nurse Practitioner | 2717 Grayson Ave, Mcallen, TX 78504-6442 | 2017-11-25 |
1285159863 | Cynthia Dolores Gonzalez | Social Worker | 8925 Coachman Avenue, Whittier, CA 90605 | 2017-08-04 |
1164669982 | Cynthia Karena Gonzalez | Dental Assistant | 540 Foxworth Ave, La Puente, CA 91744-3741 | 2009-01-15 |
1457960619 | Cynthia Gonzalez | Technician, Other | 1820 W Orangewood Ave Ste 110, Orange, CA 92868-5056 | 2020-07-23 |
1215576301 | Cynthia Gonzalez | Registered Nurse | 6200 Sw 73rd St, South Miami, FL 33143-4679 | 2020-01-06 |
1366087397 | Cynthia Evelyn Gonzalez | Marriage & Family Therapist | 2200 Outlet Center Dr Ste 430, Oxnard, CA 93036-0611 | 2019-11-13 |
1275180010 | Cynthia Gonzalez | Counselor | 43520 Division St, Lancaster, CA 93535-4089 | 2019-08-26 |
1356996763 | Cynthia Rose Gonzalez | Counselor | 2445 W Whites Bridge Ave, Fresno, CA 93706-1225 | 2019-08-03 |
1952869331 | Cynthia Gonzalez | Counselor | 1175 E Main St Ste C1, Medford, OR 97504-7457 | 2019-03-05 |
Street Address |
925 AVENUE S UNIT 1 |
City | SEASIDE |
State | OR |
Zip Code | 97138-7780 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881238376 | Abigail Mcneil | Social Worker | 1150 N Roosevelt Dr., Suite 104, Seaside, OR 97138 | 2019-10-29 |
1124564455 | Shelby James | Massage Therapist | 620 S Holladay Dr Ste 3, Seaside, OR 97138 | 2017-01-10 |
1699151902 | Joseph Alphonse Sutton | Pharmacist | 79380 Highway 202, Seaside, OR 97138 | 2015-08-10 |
1487047197 | Seaside Dental Clinic | Dentist | 729 S Holladay Drive, Seaside, OR 97138 | 2015-03-05 |
1215331020 | Jessica Jones | Massage Therapist | 1601 S. Roosevelt, Seaside, OR 97138 | 2014-10-22 |
1952735987 | Derk Penrod | Pharmacist | 401 S Roosevelt, Seaside, OR 97138 | 2013-08-27 |
1194166025 | Scott Allen Kafader | Pharmacist | 1150 N. Roosevelt Dr., Suite 104, Seaside, OR 97138 | 2013-07-08 |
1326391459 | Addiction Medicine Consulting | Substance Abuse Rehabilitation Facility | 1325 North Holladay Dr., Seaside, OR 97138 | 2012-10-26 |
1548552938 | Robert W Olson | Pharmacist | 313 S Rosevelt Drive, Seaside, OR 97138 | 2011-05-04 |
1831395144 | Delores Swigert Sullivan | Social Worker | 564 Pacific Way, Gearhart, OR 97138 | 2007-06-23 |
Find all providers in zip 97138 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073084737 | Charlisha Sumler | Counselor | 1760 Fremont Blvd Ste E1, Seaside, CA 93955-3615 | 2018-12-06 |
1619289576 | Mary Ellen Langston | Counselor | 2245 N Wahanna Rd, Seaside, OR 97138-7833 | 2010-07-08 |
1669657300 | Kim Devone James | Counselor | 2172 S Edgewood St, Seaside, OR 97138-5128 | 2007-12-31 |
1316548134 | Cynthia Fleshman | Counselor | 1152 Sonoma Ave, Seaside, CA 93955-5218 | 2020-11-06 |
1508471327 | John Edward Daly | Counselor | 1152 Sonoma Ave, Seaside, CA 93955-5218 | 2020-09-09 |
1528679339 | Lisa Marie Kalilnowski | Counselor | 2367 S Roosevelt Dr, Seaside, OR 97138-6550 | 2020-08-14 |
1124659545 | Lisa Marie Senkel | Counselor | 1152 Sonoma Ave, Seaside, CA 93955-5218 | 2020-02-04 |
1881248144 | Oscar Sandoval | Counselor | 1152 Sonoma Ave, Seaside, CA 93955-5218 | 2019-07-25 |
1073170882 | Leona May Battle | Counselor | 1152 Sonoma Ave, Seaside, CA 93955-5218 | 2019-05-28 |
1609346113 | Tatum Suzzanne Bernabe | Counselor | 1152 Sonoma Ave, Seaside, CA 93955-5218 | 2018-11-27 |
Find all providers in SEASIDE |
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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.