ELVIE GODDARD (NPI# 1952854937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952854937 |
| Entity Type | Individual |
| Full Name | ELVIE GODDARD |
| Credential | LPT |
| Practice Address |
2250 Soquel Ave Suite 100 Santa Cruz CA 95062-1402 |
| Practice Telephone | 8316002800 |
| Mailing Telephone | 8316002800 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 38128 | CA | Nursing Service Providers |
| Street Address |
2250 SOQUEL AVE SUITE 100 |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95062-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417085366 | Jo Elizabeth Morel | Marriage & Family Therapist | 2250 Soquel Ave, Ste 100, Santa Cruz, CA 95062-1402 | 2007-03-01 |
| 1437759958 | Charmaine Lugartos | Psychiatric Residential Treatment Facility | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2020-10-26 |
| 1609480730 | Amalia Lucas | Licensed Vocational Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2020-09-05 |
| 1336767102 | Yesi Serrato | Licensed Vocational Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2020-07-08 |
| 1669094058 | Natalia N Vikhliantseva | Registered Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2020-05-08 |
| 1073132304 | Lilia Ha'ena Williams | Registered Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2020-04-16 |
| 1982236832 | Elizabeth R Salter | Registered Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2020-02-09 |
| 1093347163 | Maria Molina | Licensed Vocational Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2020-02-06 |
| 1740823764 | Ethel Lucille Newton-bascomb | Social Worker | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2019-10-22 |
| 1285277699 | Kyle James O'hagan | Registered Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2019-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
| 1043792740 | New Life Community Services, Inc | Substance Abuse Rehabilitation Facility | 521 Capitola Rd Ext, Santa Cruz, CA 95062 | 2018-08-30 |
| 1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
| 1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
| 1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
| 1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
| 1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
| 1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
| 1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
| 1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
| Find all providers in zip 95062 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730318114 | Cevin Jordan White O'hagan | Licensed Psychiatric Technician | 303 Potrero St Ste 304, Santa Cruz, CA 95060-2741 | 2009-07-07 |
| 1265096333 | Brenda Patricia Gonzales | Licensed Psychiatric Technician | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2019-04-24 |
| 1134581978 | Matt Craven | Licensed Psychiatric Technician | 2250 Soquel Ave, Ste 100, Santa Cruz, CA 95062-1402 | 2016-03-22 |
| 1528499704 | Laura Milosevich | Licensed Psychiatric Technician | 2250 Soquel Ave Ste 150, Santa Cruz, CA 95062-1402 | 2013-12-12 |
| 1366789646 | Kyle Thomas Anderson | Licensed Psychiatric Technician | 2115 7th Ave, Santa Cruz, CA 95062-1663 | 2013-01-07 |
| 1740487990 | William Tamoshaitis | Licensed Psychiatric Technician | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CRUZ |
| Zip Code | 95062 |
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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.