ERIC KENDALL BRYANT JR. (NPI# 1912548918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912548918 |
| Entity Type | Individual |
| Full Name | ERIC KENDALL BRYANT JR. |
| Practice Address |
1722 S Lewis Rd Camarillo CA 93012-8520 |
| Practice Telephone | 8053664040 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164799011 | Eric Louis Bryant | Physical Therapy Assistant | 7208 Rockledge Dr, Charlotte, NC 28210-6515 | 2011-11-21 |
| 1346429669 | Eric Gregory Bryant | Chiropractor | 4219 Indian River Rd Ste A, Chesapeake, VA 23325-3041 | 2007-11-02 |
| 1710170808 | Eric David Bryant | Chiropractor | 8041 Corporate Center Drive, Suite 100, Charlotte, NC 28226-4553 | 2007-08-22 |
| 1861697765 | Eric David Bryant | Dentist | 142 N Center St, Perry, NY 14530-9701 | 2007-06-19 |
| 1629036835 | Eric Christopher Bryant | Optometrist | 1031 Grandiflora Dr, Leland, NC 28451-7453 | 2006-05-04 |
| 1427534700 | Eric William Bryant | Social Worker | 2250 Thunderstick Dr Ste 1104, Lexington, KY 40505-9009 | 2018-07-19 |
| 1467716522 | Eric Thomas Bryant | Pediatrics | 4520 Beckley Rd, Battle Creek, MI 49015-7941 | 2012-07-03 |
| 1982960050 | Eric Bryant | Occupational Therapy Assistant | 5356 Holly Springs Ct, Indianapolis, IN 46254-4284 | 2012-04-03 |
| 1487975173 | Eric Mcgill Bryant | Dentist | 169 Ashley Ave, Room 202 Main Hospital Msc 333, Charleston, SC 29425-8905 | 2010-06-16 |
| 1033354568 | Eric L Bryant | Nurse Anesthetist, Certified Registered | 721 Madison St Se, Huntsville, AL 35801-4408 | 2008-12-12 |
| Street Address |
1722 S LEWIS RD |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93012-8520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093705915 | Danielle Shaw | Pediatrics | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2005-10-22 |
| 1588262455 | Tiai Kelvin Salanoa | Case Manager/Care Coordinator | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-10-13 |
| 1891300018 | Michelle Marie Vrkljan | Counselor | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-09-14 |
| 1255946471 | Tatiana Pinkley | Counselor | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-09-14 |
| 1346855897 | Jose Jesus Martinez | Case Manager/Care Coordinator | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-09-11 |
| 1215540406 | Amanda Swezey | Counselor | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-08-26 |
| 1689285553 | Adrian Rodriguez-cruz | Counselor | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-08-13 |
| 1043820921 | Jaclyn Wolf | Counselor | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-08-05 |
| 1144830068 | Greta Hilbrands | Counselor | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-08-05 |
| 1609486638 | Sherry Paden | Counselor | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322895 | Natasha Nichole Johnson | Licensed Vocational Nurse | 1750 A S Lewis Rs, Camarillo, CA 93012 | 2020-06-26 |
| 1609392604 | Dain Emmanuel Acevedo | Counselor | 5284 Adolfo Road Suite 100, Camarillo, CA 93012 | 2017-08-21 |
| 1679093751 | Emily Sophia Rodriguez | Counselor | 5284 Adolfo Rd. Suite 100, Camarillo, CA 93012 | 2017-06-21 |
| 1164952750 | Valerie Marie Inez Rivera | Counselor | 5284 Adolfo Rd #100, Camarillo, CA 93012 | 2017-06-15 |
| 1457890709 | Constance Walsh | Prosthetic/Orthotic Supplier | 795 Camarillo Springs Rd, Suite C, Carmarillo, CA 93012 | 2017-02-20 |
| 1902349020 | Ferdinand Fortune Cuico | Registered Nurse | 421 Brister Park Ct, Camarillo, CA 93012 | 2016-11-21 |
| 1699226795 | Lauren Streiter | Counselor | 1750b S Lewis Rd, Camarillo, CA 93012 | 2016-10-24 |
| 1972955649 | Evolve Growth Initiatives, LLC | Community Based Residential Treatment Facility, Mental Illness | 799 Camarillo Springs Road, Ventura, CA 93012 | 2016-07-06 |
| 1083075089 | Justin Rodriguez Urbano | Dental Hygienist | 4422 Corte Arbusto, Camarillo, CA 93012 | 2016-03-18 |
| 1578924619 | Leslie Winn | Counselor | 291 Camino Leon, Camarillo, CA 93012 | 2016-03-17 |
| Find all providers in zip 93012 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184239394 | Desiree Butler | Counselor | 975 Flynn Rd # 8704, Camarillo, CA 93012-8704 | 2020-09-14 |
| 1023573284 | Anthony Omar Thompson | Counselor | 954 Gracia St, Camarillo, CA 93010-3940 | 2019-02-01 |
| 1073081741 | Tyler Briann Aliano-kirksey | Counselor | 2009 Las Estrellas Ct, Camarillo, CA 93012-4070 | 2018-11-11 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1750860730 | Gina P. Martinez | Counselor | 5284 Adolfo Rd # Sweet100, Camarillo, CA 93012-6787 | 2018-08-09 |
| 1942794326 | Raymundo Cervantes | Counselor | 153 Ripley St, Camarillo, CA 93010-2617 | 2018-06-19 |
| 1609392604 | Dain Emmanuel Acevedo | Counselor | 5284 Adolfo Road Suite 100, Camarillo, CA 93012 | 2017-08-21 |
| 1679093751 | Emily Sophia Rodriguez | Counselor | 5284 Adolfo Rd. Suite 100, Camarillo, CA 93012 | 2017-06-21 |
| 1164952750 | Valerie Marie Inez Rivera | Counselor | 5284 Adolfo Rd #100, Camarillo, CA 93012 | 2017-06-15 |
| 1326574211 | Sintya Liseth Herrera Rodriguez | Counselor | 5284 Adolfo Rd Ste 200, Camarillo, CA 93012-6788 | 2017-05-11 |
| Find all providers in CAMARILLO | ||||
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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.