PA IA THOR


Address: 2100 Capitol Ave, Sacramento, CA 95816-5721
Phone: 9164424985

PA IA THOR (NPI# 1912360520) 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) 1912360520
Entity Type Individual
Full Name PA IA THOR
Practice Address 2100 Capitol Ave
Sacramento
CA 95816-5721
Mailing Address 545 Cape Breton Ln
Tracy
CA 95377-6641
Practice Telephone 9164424985
Mailing Telephone 9202774959
Enumeration Date 2016-03-31
Last Update Date 2016-03-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 2100 CAPITOL AVE
City SACRAMENTO
State CA
Zip Code 95816-5721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932190022 Jennifer Pontz Slocum Nurse Practitioner 2100 Capitol Ave, Sacramento, CA 95816-5721 2005-10-29
1760019103 Chanel Ligsay Blanco Licensed Vocational Nurse 2100 Capitol Ave, Sacramento, CA 95816-5721 2020-03-25
1528699857 Haylee Smith Licensed Vocational Nurse 2100 Capitol Ave, Sacramento, CA 95816-5721 2020-01-27
1326600875 Bennett Smith Licensed Vocational Nurse 2100 Capitol Ave, Sacramento, CA 95816-5721 2019-07-05
1194208405 Vidya Balakrishnan Physician Assistant 2100 Capitol Ave, Sacramento, CA 95816-5721 2018-09-12
1528566700 Renee Yvonne Hudson Counselor 2100 Capitol Ave, Sacramento, CA 95816-5721 2018-01-23
1336677715 Neng H Vang Counselor 2100 Capitol Ave, Sacramento, CA 95816-5721 2017-05-30
1316497365 Miriam Banuelos Counselor 2100 Capitol Ave, Sacramento, CA 95816-5721 2016-10-13
1952775868 Nichole Le Ann Martin Counselor 2100 Capitol Ave, Sacramento, CA 95816-5721 2015-11-17
1336516343 Shardon Smith Counselor 2100 Capitol Ave, Sacramento, CA 95816-5721 2015-08-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922618917 Alyssa Weakley Clinical Neuropsychologist Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 2020-08-04
1417418955 Soraya Foutouhi Student in an Organized Health Care Education/Training Program 301 C Street, Suite 1400, Sacramento, CA 95816 2019-03-27
1265902704 Daljit Girn Behavior Technician 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 2018-11-27
1609385178 Jared James Harold-husted Behavior Technician 3031 C St, Sacramento, Sacramento, CA 95816 2017-09-27
1124537170 Phuong Huynh Behavior Technician 3009 C Street, Sacramento, CA 95816 2017-09-21
1427570811 Manpreet Kaur Chehal Counselor 500 22nd Street, Sacramento, CA 95816 2017-07-07
1295264646 Veronica Lynn Just Behavior Technician 3031 C St., Sacramento, CA 95816 2017-06-08
1285163907 Marquise Jones Behavior Technician 3031 C Street, Sacramento, CA 95816 2017-06-06
1578007159 Kate Hanel Student in an Organized Health Care Education/Training Program 2500 I St, Sacramento, CA 95816 2016-12-15
1184174534 Jennifer M Stegner Nurse Practitioner 1625 Stockton Blvd #104, Sacramento, CA 95816 2016-10-10
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1508472440 Jamie Lee Byrnes Counselor 777 12th St Ste 250, Sacramento, CA 95814-1929 2020-09-16
1104431519 Sally Kathleen Montazer Counselor 1134 Clinton Rd, Sacramento, CA 95825-7304 2020-09-11
1255958187 Douglas Benjamin Gudeman Counselor Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 2020-06-26
1972127611 Brianna Hope Barron Counselor 8950 Cal Center Dr Ste 160&165, Sacramento, CA 95826-3259 2020-05-28
1699398420 Selena Marie Brown Counselor 8084 Weeping Willow Ln, Sacramento, CA 95828-5395 2020-05-27
1346863222 Erin Harris Counselor 2819 Norcade Cir Apt 1, Sacramento, CA 95826-3427 2020-05-26
1023638566 Marta Yomara Rodriguez Counselor 5311 College Oak Dr Apt 16, Sacramento, CA 95841-2575 2020-04-24
1033739321 Yancey Outreach International Inc. Counselor 1457 Dreamy Way, Sacramento, CA 95835-1761 2020-04-16
1114554136 Cassandra Arlene Del Toro Ruiz Counselor 2403 Yreka Ave # 15, Sacramento, CA 95822-4466 2020-03-27
1952931487 Anisa Sims Counselor 2688 Stonecreek Dr Apt 137, Sacramento, CA 95833 2020-01-23
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Competitor

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City SACRAMENTO
Zip Code 95816

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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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