PROVIDENCE SERVICE CORPORATION


Address: 2215 N Broadway, Santa Ana, CA 92706-2663
Phone: 7142216400

PROVIDENCE SERVICE CORPORATION (NPI# 1851728042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851728042
Entity Type Organization
Organization Name PROVIDENCE SERVICE CORPORATION
Practice Address 2215 N Broadway
Santa Ana
CA 92706-2663
Practice Telephone 7142216400
Enumeration Date 2013-10-02
Last Update Date 2013-10-02
Authorized Official Name ALICE KOH-KIM (PROGRAM DIRECTOR)
Authorized Official Telephone 7142216400
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1447404082 Providence Service Corporation Exclusive Provider Organization 2211 E Missouri Ave, E243, El Paso, TX 79903-3807 2008-11-10
1982949699 Providence Service Corporation Community/Behavioral Health 469 Main St, Springvale, ME 04083-1870 2012-12-06
1710222534 Providence Service Corporation Community/Behavioral Health 2 Davenport Cir, Suite 4; Achieve Program, Bath, ME 04530-2880 2012-12-05
1235271222 Providence Service Corporation Case Management 301 N High St, Antlers, OK 74523-2238 2007-02-13
1821003658 Providence Service Corporation Public Health or Welfare 4645 W Gore Blvd, Suite 5, Lawton, OK 73505-6041 2006-07-30

Office Location

Street Address 2215 N BROADWAY
City SANTA ANA
State CA
Zip Code 92706-2663

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033266754 Angel-lee Starr Woolsey Counselor 2215 N Broadway, Suite 200, Santa Ana, CA 92706-2663 2007-01-04
1831625540 Shawlee Sudduth Counselor 2215 N Broadway, Suite 200, Santa Ana, CA 92706-2663 2017-05-02
1295287621 Ker Yang Counselor 2215 N Broadway, Santa Ana, CA 92706-2663 2016-11-02
1700336179 Jabari Sims Counselor 2215 N Broadway, Suite 200, Santa Ana, CA 92706-2663 2016-10-10
1386099919 Brittani Jefferson Counselor 2215 N Broadway, Santa Ana, CA 92706-2663 2016-05-02
1396106449 Zaira Martinez Mendoza Counselor 2215 N Broadway, Suite 200, Santa Ana, CA 92706-2663 2016-03-17
1023482866 Amanda Guerrero Counselor 2215 N Broadway, Suite 200, Santa Ana, CA 92706-2663 2015-11-17
1265806012 Stephanie Garcia Counselor 2215 N Broadway, Suite 200, Santa Ana, CA 92706-2663 2015-11-17
1427436815 Ava Nguyen Counselor 2215 N Broadway, Suite 200, Santa Ana, CA 92706-2663 2015-05-18
1255720611 Al Waller Jr. Counselor 2215 N Broadway, Suite 200, Santa Ana, CA 92706-2663 2015-01-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962972448 Naijwa Lewis Counselor 2100 N. Broadway Suite 101, Santa Ana, CA 92706 2018-11-28
1215428230 Chances Counseling Centers LLC Psychologist 2727 N Bristol St, Santa Ana, CA 92706 2018-05-24
1366962854 Jankee Pandya Counselor 2215 N. Broadway, Ste 200, Santa Ana, CA 92706 2017-06-26
1740719178 Miriam Alejandro Moreno-ortiz Counselor 1910 N. Bush St, Santa Ana, CA 92706 2017-06-08
1942617790 Janice Botzbach Behavioral Analyst 1912 N. Broadway Suite 108, Santa Ana, CA 92706 2014-07-14
1841620689 Orange County Health Care Agency Clinic/Center 550 N. Flower Street, Santa Ana, CA 92706 2013-11-14
1740527274 Jeremy Nishimoto Counselor 2100 N. Broadway Ste 101, Santa Ana, CA 92706 2013-01-03
1326392390 Rosemary Sara Chesters Marriage & Family Therapist 921 West Seventeenth Street, Santa Ana, CA 92706 2012-10-30
1790032019 Jee Hoon Ha Dentist 1313 W 17th St Ste B, Santa Ana, CA 92706 2012-08-06
1437404225 Lisa Steele Counselor 1910 N. Bush, Santa Ana, CA 92706 2012-07-17
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609343078 Behavioral Health Services, Inc. Community/Behavioral Health 2015 W 1st St Ste J, Santa Ana, CA 92703-3516 2018-10-24
1376021345 Taylyn Rage Sevilla Community/Behavioral Health 3509 Ramona Dr, Santa Ana, CA 92707-3955 2018-08-01
1013421643 Latino Center for Prevention & Action In Health & Welfare Community/Behavioral Health 450 W 4th St, Santa Ana, CA 92701-4562 2017-11-17
1326591538 Path of Light, Inc Community/Behavioral Health 3417 S Plaza Dr Apt I, Santa Ana, CA 92704-7259 2016-07-25
1144681503 Lutheran Social Services of Souterh California Community/Behavioral Health 2101 E. 4th Street, Santa Ana, CA 92705 2016-03-14
1922464940 Orangewood Foundation Community/Behavioral Health 1615 E 17th St 2nd Floor, Santa Ana, CA 92705-8529 2016-01-06
1659748218 Gay &lesbian Community Services Center of Orange County Community/Behavioral Health 1605 N Spurgeon St, Santa Ana, CA 92701-2355 2015-08-28
1548640311 Norooz Clinic Foundation Community/Behavioral Health 1560 Brookhollow Dr Ste 212, Santa Ana, CA 92705-5411 2015-06-05
1518392133 Orange County Health Care Agency Community/Behavioral Health 1540 E. First St., Ste. 114, Santa Ana, CA 92702 2013-09-13
1255779989 Creative Family Support Community/Behavioral Health 1851 E 1st St, Suite 900, Santa Ana, CA 92705-4017 2013-06-04
Find all providers in SANTA ANA

Competitor

Search similar providers

City SANTA ANA
Zip Code 92706

Improve Information

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Dataset Information

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.

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