DEBORAH PAULUS


Address: 4777 Grouse Run Dr Apt 218, Stockton, CA 95207-5384
Phone: 4157577514

DEBORAH PAULUS (NPI# 1922634625) 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) 1922634625
Entity Type Individual
Full Name DEBORAH PAULUS
Credential CTRS, CDP
Practice Address 4777 Grouse Run Dr Apt 218
Stockton
CA 95207-5384
Practice Telephone 4157577514
Mailing Telephone 4157577514
Enumeration Date 2020-03-14
Last Update Date 2020-03-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225800000X Recreation Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 4777 GROUSE RUN DR APT 218
City STOCKTON
State CA
Zip Code 95207-5384

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NPI Name Taxonomy Address Enumeration
1669004438 Dr. Jeffrey A Saladin, Dental Corporation Dentist 1002 Robinhood Drive, Stockton, CA 95207 2020-02-10
1811533110 Tanya V Jones Dental Hygienist Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 2019-11-21
1053966358 Ingrid Marcela Saavedra Behavioral Analyst 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 2019-08-05
1497218861 Turning Point Community Programs Community/Behavioral Health 1803 W March Ln Ste C-d, Stockton, CA 95207 2019-04-11
1427510627 Stockton Sleep Center Inc Physiological Laboratory 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 2019-04-05
1518436229 Nicolas Anthony Overby Occupational Therapist Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 2018-11-26
1912475724 Ashley Johnson Behavior Technician 87 W. March Ln. Suite 6, Stockton, CA 95207 2018-11-09
1124596085 Korie Cottrell Behavior Technician 87 W. March Ln., Suite 6, Stockton, CA 95207 2018-11-08
1760979645 Maria Esther Rodriguez Counselor 2425 W March Ln., Stockton, CA 95207 2018-04-17
1902301161 Lashray Elliott Behavior Technician 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 2018-03-28
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Taxonomy Information

Taxonomy Code 225800000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Recreation Therapist

Taxonomy Definition

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548366586 Susan Feighery Recreation Therapist 3347 Dayton Herzog Ln, Stockton, CA 95206-5729 2006-09-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033733233 Kevin Mccann Recreation Therapist 201 9th St # 11-k, Marina, CA 93933-6039 2020-06-03
1962024950 Jacqueline K Volz Recreation Therapist 21732 S Vermont Ave, Torrance, CA 90502-2179 2020-05-12
1578190104 Carolyn Neufeld Recreation Therapist 2915 Buthmann Ave, Tracy, CA 95376-1806 2020-03-24
1518433259 Jenality Thurman Recreation Therapist 1766 Kenneth St, Seaside, CA 93955-3842 2018-10-20
1962986042 Long Pham Recreation Therapist 7175 Enclave Dr, Eastvale, CA 92880-3828 2018-09-24
1699293910 Amy Caryn Bolenbaugh Recreation Therapist 1720 E 120th Street, Los Angeles, CA 90059 2017-09-07
1417475757 Scott Lee Jones Recreation Therapist Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 2017-09-07
1669995742 Christina Randle Recreation Therapist 2221 Lily Ave, Upland, CA 91784-7997 2017-07-20
1982127288 Tiffany Chiyeko Yonemoto Recreation Therapist 7601 E. Imperial Hwy., Downey, CA 90242 2017-07-19
1265955504 Julie Helgren Recreation Therapist 7601 E. Imperial Highway, Jpi Building Rm 1124, Downey, CA 90242 2017-07-19
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Competitor

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City STOCKTON
Zip Code 95207

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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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