MIECZYSLAW J. HETNAL (NPI# 1841226149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841226149 |
| Entity Type | Individual |
| Full Name | MIECZYSLAW J. HETNAL |
| Credential | M.D. |
| Practice Address |
3425 Coffee Rd Suite 2a Modesto CA 95355-1582 |
| Mailing Address |
600 Coffee Rd Modesto CA 95355-4201 |
| Practice Telephone | 2095249401 |
| Mailing Telephone | 2095216097 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2013-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A46601 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3425 COFFEE RD SUITE 2A |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-1582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982201786 | Estephanie Lua De La Torre | Behavior Technician | 3425 Coffee Rd, Suit C2, Modesto, CA 95355-1582 | 2020-10-05 |
| 1912514530 | Jamie Matasci | Behavior Technician | 3425 Coffee Rd, Modesto, CA 95355-1582 | 2020-09-28 |
| 1871106427 | Sylvia Gonzalez | Behavior Technician | 3425 Coffee Rd, Modesto, CA 95355-1582 | 2020-08-24 |
| 1801427554 | Maya Pearce | Behavior Technician | 3425 Coffee Rd, Modesto, CA 95355-1582 | 2020-01-31 |
| 1376914697 | Gretchen Wenaas Arian | Psychologist | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2015-10-13 |
| 1881083194 | Loren Lay | Counselor | 3425 Coffee Rd, Modesto, CA 95355-1582 | 2015-01-10 |
| 1700289816 | Lori Marie Nice | Behavioral Analyst | 3425 Coffee Rd, Modesto, CA 95355 | 2014-10-02 |
| 1831453794 | Ayesha Siddiqua | Psychiatry & Neurology | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2012-06-26 |
| 1306044342 | Lindsay Marie Cunha | Psychologist | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2007-07-10 |
| 1669551255 | Psychiatric Medical Group of Modesto, Inc. | Psychiatry & Neurology | 3425 Coffee Rd, Suite 2a, Modesto, CA 95355-1582 | 2006-11-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538405865 | David Michael Hirchak Jr. | Psychiatry & Neurology | 1505 Claus Road, Modesto, CA 95355-4701 | 2012-12-13 |
| 1104071885 | Jaaneali Mehdi | Psychiatry & Neurology | 1501 Claus Rd Ste F, Modesto, CA 95355-9711 | 2008-11-23 |
| 1164673455 | Juan Antonio Galvez-buccollini Abanto | Psychiatry & Neurology | 3501 Coffee Rd Ste 201, Modesto, CA 95355-1343 | 2008-10-05 |
| 1194974295 | Omer Liran | Psychiatry & Neurology | 1551 Claus Road, Modesto, CA 95355 | 2008-09-12 |
| 1689897365 | Mark Hamilton Henigan | Psychiatry & Neurology | 1729 Tully Rd, Suite Eight, Modesto, CA 95350-4082 | 2007-04-11 |
| 1104986165 | Vinita Wadhwani | Psychiatry & Neurology | 1400 Celeste Drive, Crestwood Mannor, Modesto, CA 95355 | 2006-12-11 |
| 1710050158 | Dao Xuanthi Tran | Psychiatry & Neurology | 1100 Kansas Ave, Suite A, Modesto, CA 95351-1596 | 2006-11-15 |
| 1588742498 | Gilbert Eggen | Psychiatry & Neurology | 3509 Coffee Rd, Ste D18, Modesto, CA 95355-1358 | 2006-11-01 |
| 1790868834 | Bernardo Joven Mora | Psychiatry & Neurology | 421 E Morris Ave, Modesto, CA 95354-0437 | 2006-10-23 |
| 1306931522 | Sukhnandan Sidhu | Psychiatry & Neurology | 2937 Veneman Ave, Suite A110, Modesto, CA 95356 | 2006-10-04 |
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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.