CASSANDRA RENE'E SMULLEN


Address: 1803 W March Ln, Stockton, CA 95207-6414
Phone: 2096365353

CASSANDRA RENE'E SMULLEN (NPI# 1972150274) 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) 1972150274
Entity Type Individual
Full Name CASSANDRA RENE'E SMULLEN
Practice Address 1803 W March Ln
Stockton
CA 95207-6414
Practice Telephone 2096365353
Mailing Telephone 2096365353
Enumeration Date 2019-08-21
Last Update Date 2019-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 167G00000X Licensed Psychiatric Technician 37323 CA Nursing Service Providers

Office Location

Street Address 1803 W MARCH LN
City STOCKTON
State CA
Zip Code 95207-6414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841844982 Imroz Sandhu Case Manager/Care Coordinator 1803 W March Ln, Stockton, CA 95207-6414 2019-07-26
1558977900 Kathy Camvan Tran Licensed Psychiatric Technician 1803 W March Ln, Stockton, CA 95207-6414 2020-09-21
1619527769 Gabriela Pinedo Casas Counselor 1803 W March Ln, Stockton, CA 95207-6414 2019-09-19
1053961219 Ernesto Angel Gonzalez Counselor 1803 W March Ln, Stockton, CA 95207-6414 2019-09-18
1669028601 Magdalena Solis Counselor 1803 W March Ln, Stockton, CA 95207-6414 2019-08-15
1497309520 Stephanie Charbonneau Case Manager/Care Coordinator 1803 W March Ln, Stockton, CA 95207-6414 2019-07-26

Providers in the same zip code

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
Find all providers in zip 95207

Taxonomy Information

Taxonomy Code 167G00000X
Grouping Nursing Service Providers
Classification Licensed Psychiatric Technician

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114530250 Heather Elizabeth Phillips Licensed Psychiatric Technician 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 2020-08-28
1093337511 Christine Ann Scheuermann Licensed Psychiatric Technician 1447 Report Ave, Stockton, CA 95205-3030 2020-05-07
1609336882 Monica Fuentes-rodriguez Licensed Psychiatric Technician 7000 N Michael Canlis Blv, Stockton, CA 95206 2019-03-22
1497167530 Elizabeth Anne Degravio Licensed Psychiatric Technician 10904 Lands End Dr, Stockton, CA 95209-4289 2014-05-23
1801215082 Ashlee Nicole Torres Licensed Psychiatric Technician 231 E Bianchi Rd, Stockton, CA 95207-7430 2014-04-15
1366884058 Jill Siador Licensed Psychiatric Technician 3731 Carly Dr, Stockton, CA 95205-2589 2013-07-23
1477809929 Milagros Moreno Mcarthur Licensed Psychiatric Technician 10834 Copperopolis Rd, Stockton, CA 95215-1741 2012-08-01
1033485495 Thuy Huynh Licensed Psychiatric Technician 4545 Georgetown Place Suite A3, Stockton, CA 95207 2012-03-29
1124232665 Lyndsey Marie Socha Licensed Psychiatric Technician 1947 N California St Ste C, Stockton, CA 95204-6029 2007-05-10
1851515092 Barbara Franklin Licensed Psychiatric Technician 4514 Mcgaw St Apt 2, Stockton, CA 95207-8119 2007-04-12
Find all providers in STOCKTON

Competitor

Search similar providers

City STOCKTON
Zip Code 95207

Improve Information

Please comment or provide details below to improve the information on CASSANDRA RENE'E SMULLEN.

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.

Trending Searches