MARIAH MICHELLE DAVILA (NPI# 1972094597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972094597 |
Entity Type | Individual |
Full Name | MARIAH MICHELLE DAVILA |
Credential | PT |
Practice Address |
1529 W Sidonia St Hanford CA 93230 |
Mailing Address |
4411 E Kings Canyon Rd # 319 Fresno CA 93702-3604 |
Practice Telephone | 5596704748 |
Mailing Telephone | 5598921128 |
Enumeration Date | 2018-05-21 |
Last Update Date | 2018-05-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | 38198 | CA | Nursing Service Providers |
Street Address |
1529 W SIDONIA ST |
City | HANFORD |
State | CA |
Zip Code | 93230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740889518 | Jeremy Dane Baker | Hearing Instrument Specialist | 1413-b Bailey Dr., Hanford, CA 93230 | 2020-10-22 |
1891392643 | Matthew Thomas Williams | Physician Assistant | Adventist Health Hanford, 115 Mall Dr., Hanford, CA 93230 | 2020-10-05 |
1730795667 | Mercedes Zaragoza | Behavior Technician | 520 1ab, W. Lacey Blvd., Hanford, CA 93230 | 2020-09-16 |
1659989077 | Anmarie Torres | Behavior Technician | 520 1a&b W Lacey Blvd, Hanford, CA 93230 | 2020-07-22 |
1326506965 | Natalie Rodriguez Mejia | Marriage & Family Therapist | 1393 Bailey Drive St, Hanford, CA 93230 | 2019-03-02 |
1871011072 | Amanda Leann Perez | Counselor | 629 N. Irwin Street, Hanford, CA 93230 | 2017-09-07 |
1336667906 | Nicole Reyne Mcgowan | Case Manager/Care Coordinator | 700 N. Irwin Street, Hanford, CA 93230 | 2017-09-05 |
1932643251 | Diana Tran Nguyen | Midwife | 1122 N Harris St Ste 104, Hanford, CA 93230 | 2016-12-05 |
1770032997 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2395 E. Lacey Blvd, Hanford, CA 93230 | 2016-09-29 |
1366998916 | Amanda Torres | Counselor | 222 W. Keith St, Hanford, CA 93230 | 2016-09-01 |
Find all providers in zip 93230 |
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 |
---|---|---|---|---|
1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
1710391370 | Angela Myers | Licensed Psychiatric Technician | 817 W 7th St, Hanford, CA 93230-4925 | 2014-06-11 |
1700119930 | Abul Qasim | Licensed Psychiatric Technician | 441 Pepper Dr, Apt # B, Hanford, CA 93230-3329 | 2009-09-04 |
1619593498 | Marie Janelle Rodriguez | Licensed Psychiatric Technician | 1393 Bailey St, Hanford, CA 93230-5922 | 2020-06-17 |
1629699533 | Minerva Garcia Acosta | Licensed Psychiatric Technician | 460 Kings County Dr Ste 101, Hanford, CA 93230-5953 | 2020-05-01 |
1861054066 | Danielle Ranee Bishop | Licensed Psychiatric Technician | 1393 Bailey St, Hanford, CA 93230-5922 | 2019-07-08 |
1518431501 | Jeanette Solorio | Licensed Psychiatric Technician | 1393 Bailey St, Hanford, CA 93230-5922 | 2019-01-14 |
1548751753 | Stefani Leora Hall | Licensed Psychiatric Technician | 1393 Bailey St, Hanford, CA 93230-5922 | 2018-05-23 |
1669915385 | Sarah Katherine Powers | Licensed Psychiatric Technician | 1393 Bailey St, Hanford, CA 93230-5922 | 2016-11-29 |
1164887857 | Tyler Dustin Diaz | Licensed Psychiatric Technician | 1393 Bailey St, Hanford, CA 93230-5922 | 2015-12-22 |
Find all providers in HANFORD |
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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.