MAO OUM (NPI# 1922268366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922268366 |
Entity Type | Individual |
Full Name | MAO OUM |
Practice Address |
8958 Terracorvo Cir Stockton CA 95212-3831 |
Practice Telephone | 2094779177 |
Enumeration Date | 2008-06-10 |
Last Update Date | 2008-06-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
8958 TERRACORVO CIR |
City | STOCKTON |
State | CA |
Zip Code | 95212-3831 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962046524 | Randy Sarnillo Morelos | Residential Treatment Facility, Physical Disabilities | 9152 Chianti Circle, Stockton, CA 95212 | 2019-11-06 |
1316494339 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 9555 Priscilla Ln, Stockton, CA 95212 | 2016-09-07 |
1487058848 | Faith Isiderio | Physical Therapy Assistant | 5650 Patti Lynn Way, Stockton, CA 95212 | 2014-10-14 |
1124173448 | George T Lin | Dentist | 3459 Matterhorn Drive, Stockton, CA 95212 | 2007-01-25 |
1851395131 | Eric Chapa | Family Medicine | 5040 E Morada Ln, Stockton, CA 95212 | 2005-06-02 |
1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
1396281507 | Kaitlend Tatiana Smith | Behavioral Analyst | 4899 Hildreth Ln, Stockton, CA 95212-1408 | 2017-01-11 |
1629489315 | Charles Vansicklen | Student in an Organized Health Care Education/Training Program | 8619 Emanuel Way, Stockton, CA 95212-1423 | 2014-05-15 |
1891853826 | Raleys | Pharmacy | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2006-12-04 |
1881006351 | Phillip H Shin | Pharmacist | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2014-06-02 |
Find all providers in zip 95212 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841805074 | Michael Leslie Lau | Counselor | 1176 Rosemarie Ln Apt 133, Stockton, CA 95207-6726 | 2020-09-14 |
1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
1003477837 | Mohit Kumar Gosai | Counselor | 2419 Ophir Street, Stockton, CA 95206 | 2019-06-24 |
1417414608 | Dondre White | Counselor | 2433 Country Club Blvd Apt 106, Stockton, CA 95204-4733 | 2019-02-25 |
1073020731 | Sharlett Barnett Rose | Counselor | 430 N Pilgrim St, Stockton, CA 95205-4428 | 2018-01-03 |
1609387117 | Sunhouse | Counselor | 1781 Willow Park Way, Stockton, CA 95206-5832 | 2017-10-24 |
1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
1356870018 | Ana Sanchez | Counselor | 445 N. San Joaquin Street, Stockton, CA 95202 | 2017-06-07 |
1033647060 | Lisa Breshinsky | Counselor | 2200 Daniel Bray Hwy, Stockton, NJ 08559-1819 | 2017-06-04 |
1104353515 | Amy Elida Aitken | Counselor | 1803 W March Ln Ste C, Stockton, CA 95207-6414 | 2017-05-16 |
Find all providers in STOCKTON |
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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.