QUENISHA MADDOX (NPI# 1912421884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912421884 |
| Entity Type | Individual |
| Full Name | QUENISHA MADDOX |
| Practice Address |
844 Pico Blvd Santa Monica CA 90405-1325 |
| Practice Telephone | 3103146200 |
| Mailing Telephone | 3103146200 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
S1404231415 | CA | Behavioral Health & Social Service Providers |
| Street Address |
844 PICO BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90405-1325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619238920 | Lucille I Sipert | Counselor | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2012-06-04 |
| 1558976399 | Jessica Marie Harding | Social Worker | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2020-09-09 |
| 1043824576 | Judy Lauzon | Licensed Vocational Nurse | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2020-09-02 |
| 1326650805 | Angella Carter | Licensed Vocational Nurse | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2020-08-17 |
| 1578171062 | Shereen Sutphen | Licensed Vocational Nurse | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2020-07-21 |
| 1518580299 | Lacinda Ford | Licensed Vocational Nurse | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2020-05-28 |
| 1336777473 | James W Williams | Licensed Vocational Nurse | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2020-04-01 |
| 1336799501 | Motique Angette Alston | Counselor | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2019-09-18 |
| 1841857901 | Darreasha Angelica Dukes | Counselor | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2019-05-23 |
| 1710543186 | Ashley Botty | Counselor | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2019-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699328476 | Nicole Ryan Harbeck | Marriage & Family Therapist | 2716 Ocean Park Blvd Ste 2007, Santa Monica, CA 90405 | 2019-07-19 |
| 1922664440 | Betty Ann Wise | Counselor | 1865 W. 9th Street, Santa Monica, CA 90405 | 2019-05-10 |
| 1790203776 | Ernest Jones Jr. | Counselor | 909 Pico Blvd., Santa Monica, CA 90405 | 2017-08-30 |
| 1285171371 | Jori Adler Marriage & Family Therapy Prof. Corp. | Marriage & Family Therapist | 3400 Airport Ave Ste 30, Santa Monica, CA 90405 | 2017-01-26 |
| 1376993147 | Damoan Corp. | Speech-Language Pathologist | 2801 Ocean Park Blvd Ste 393, Santa Monica, CA 90405 | 2016-06-13 |
| 1427410034 | Adam Rubio | Clinical Neuropsychologist | 1916 4th Street, Santa Monica, CA 90405 | 2016-03-23 |
| 1760852842 | Yramnna Smith | Behavioral Analyst | 2716 Ocean Park Blvd Ste 1025, Santa Monica, CA 90405 | 2015-10-01 |
| 1689086076 | Cheryl K. Baker | Community Health Worker | 1750 Ocean Park Blvd., Suite 206, Santa Monica, CA 90405 | 2014-05-20 |
| 1629409891 | Dominique M. Delvecchio | Nurse Practitioner | 2716 Ocean Park Blvd. Suite 3082, Institute for Nerve Medicine, Santa Monica, CA 90405 | 2013-12-12 |
| 1639512692 | Nancy Elizabeth Hyland | Marriage & Family Therapist | 1720 Ocean Park Blvd, Suite 200a, Santa Monica, CA 90405 | 2013-04-09 |
| Find all providers in zip 90405 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036620 | Rachelle Tratt | Counselor | 2424 3rd St, Santa Monica, CA 90405-3603 | 2020-09-02 |
| 1972138238 | Sud Specialty Group - Ca | Counselor | 520 Broadway Ste 200, Santa Monica, CA 90401-2470 | 2020-03-06 |
| 1063052215 | Julia Leah Kayton | Counselor | 624 22nd St, Santa Monica, CA 90402-3122 | 2020-01-15 |
| 1013473784 | Ariana Gravanis | Counselor | 3101 Ocean Park Blvd Ste 309, Santa Monica, CA 90405-3022 | 2019-02-18 |
| 1790203776 | Ernest Jones Jr. | Counselor | 909 Pico Blvd., Santa Monica, CA 90405 | 2017-08-30 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1891135992 | Ronald Yos | Counselor | 2444 Chelsea Pl Apt A, Santa Monica, CA 90404-2072 | 2013-07-03 |
| 1619238920 | Lucille I Sipert | Counselor | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2012-06-04 |
| 1861518227 | Iris Leary | Counselor | 1334 Lincoln Blvd, Santa Monica, CA 90401-1706 | 2007-03-21 |
| 1205441219 | Shannon Yvvette Wright | Counselor | 1002 Pico Blvd, Santa Monica, CA 90405-1416 | 2020-09-15 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90405 |
Please comment or provide details below to improve the information on QUENISHA MADDOX.
| 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.