MARISSA JANEL TAYLOR (NPI# 1831441435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831441435 |
| Entity Type | Individual |
| Full Name | MARISSA JANEL TAYLOR |
| Practice Address |
1212 N California St Stockton CA 95202 |
| Practice Telephone | 2094688718 |
| Mailing Telephone | 2094688718 |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |
| Gender Code | F |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346809191 | Marissa Lorraine Taylor | Audiologist | 1126 N Church St Ste 201, Greensboro, NC 27401-1036 | 2019-06-06 |
| 1073134847 | Marissa Taylor | Counselor | 1680 N Fair Oaks Ave, Pasadena, CA 91103-1642 | 2020-05-02 |
| 1598099806 | Marissa P Taylor | Physician Assistant | 3619 Richardson Square Dr, Arnold, MO 63010-6022 | 2009-09-21 |
| 1083869127 | Marissa Taylor | Social Worker | 2100 Comer Ave, Columbus, GA 31904-8725 | 2008-11-17 |
| 1144437583 | Marissa Naomi Taylor | Occupational Therapist | 43 Grove St, Portland, CT 06480-1956 | 2007-05-16 |
| Street Address |
1212 N CALIFORNIA ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972592939 | Jin R. Soofi | Psychiatry & Neurology | 1212 N California St, Stockton, CA 95202-1552 | 2005-10-20 |
| 1750981437 | Matthew Robin Devera | Licensed Psychiatric Technician | 1212 N California St, Stockton, CA 95202-1552 | 2020-10-30 |
| 1609475581 | Bailey T Manego | Recreational Therapist Assistant | 1212 N California St, Stockton, CA 95202-1552 | 2020-10-21 |
| 1265039226 | Zachary Hensley | Marriage & Family Therapist | 1212 N California St, Stockton, CA 95202-1552 | 2020-10-02 |
| 1508477662 | Danielle Wiseman | Counselor | 1212 N California St, Stockton, CA 95202-1552 | 2020-08-12 |
| 1073121414 | Criselle Jane Carillo Sumampong | Licensed Psychiatric Technician | 1212 N California St, Stockton, CA 95202-1552 | 2020-07-22 |
| 1477161396 | Meliza Ann Agpaoa Ruiz | Licensed Psychiatric Technician | 1212 N California St, Stockton, CA 95202-1552 | 2020-07-16 |
| 1124646815 | Maria Truong | Counselor | 1212 N California St, Stockton, CA 95202-1552 | 2020-07-08 |
| 1871110437 | Victoria Lynn Phillips | Social Worker | 1212 N California St, Stockton, CA 95202-1552 | 2020-06-30 |
| 1730702119 | Jennifer J Salon | Licensed Psychiatric Technician | 1212 N California St, Stockton, CA 95202-1552 | 2020-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
| 1861035586 | Andrea Mn Perkins | Social Worker | Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 | 2019-10-25 |
| 1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
| 1730655895 | Jenaiah La'neise Sauceda | Social Worker | 343 E Main St Ste 918, Stockton, CA 95202 | 2018-10-16 |
| 1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
| 1912406976 | Janet Mendoza | Social Worker | 6 South Eldorado Street, Stockton, CA 95202 | 2018-02-06 |
| 1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
| 1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
| 1821513946 | Savoeun Phal | Counselor | 1212 N California St Ste A214, Stockton, CA 95202 | 2017-08-09 |
| 1861921272 | Mandeep K Minhas | Registered Nurse | 1212 California St, Stockton, CA 95202 | 2017-06-08 |
| Find all providers in zip 95202 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968453 | Therapeutic Renovations | Counselor | 3445 Timberlane Dr, Stockton, CA 95209-5123 | 2020-10-04 |
| 1598383648 | Charalette Raychell Alston | Counselor | 4531 Borgia Ct, Stockton, CA 95207-6540 | 2020-07-06 |
| 1053932665 | Dionne Jimenez | Counselor | 2423 W March Ln, Stockton, CA 95207-8250 | 2020-05-05 |
| 1902446438 | Alen Navarro | Counselor | 300 N Gertrude Ave, Stockton, CA 95215-4820 | 2020-01-13 |
| 1366003444 | Louise Francoise Braden | Counselor | 2423 W March Ln Ste 200, Stockton, CA 95207-8250 | 2019-06-27 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1144721416 | Panhia Lo | Counselor | 4545 Georgetown Pl Ste A3, Stockton, CA 95207-6228 | 2018-02-22 |
| 1346759719 | Latisha Patrice Thompson | Counselor | 3324 Anne St, Stockton, CA 95206-3835 | 2017-09-28 |
| 1215446992 | Kristi J Gavello | Counselor | 2495 W March Lane #125, Stockton, CA 95207 | 2017-09-25 |
| 1659890457 | Deadra Denise Woolbright | Counselor | 2254 E Church St, Stockton, CA 95205-6407 | 2017-09-12 |
| Find all providers in STOCKTON | ||||
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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.