STANISLAUS COUNTY (NPI# 1972714301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972714301 |
| Entity Type | Organization |
| Organization Name | STANISLAUS COUNTY |
| Other Organization Name | FEE FOR SERVICE - MIXED SPECIALTY GROUP |
| Practice Address |
800 Scenic Dr Modesto CA 95350-6131 |
| Practice Telephone | 2095584752 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DENISE C HUNT (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Telephone | 2095256225 |
| Authorized Official Credential | RN,MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 5059 | 05 |
| Other Name | Type Code |
|---|---|
| FEE FOR SERVICE - MIXED SPECIALTY GROUP | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952502676 | Stanislaus County | Community/Behavioral Health | 1501 F St, Modesto, CA 95354-2522 | 2007-05-30 |
| 1194926246 | Stanislaus County | Community/Behavioral Health | 2028 W Orangeburg Ave, Modesto, CA 95350-3742 | 2007-05-29 |
| 1861525081 | Stanislaus County | Community/Behavioral Health | 12555 B Street, Merced, CA 95340 | 2007-03-14 |
| 1790818821 | Stanislaus County | Community/Behavioral Health | 823 E Orangeburg Ave, Modesto, CA 95350-4619 | 2007-03-14 |
| 1770616674 | Stanislaus County | Community/Behavioral Health | 101 Lander Ave, Turlock, CA 95380-5201 | 2007-03-13 |
| 1417080300 | Stanislaus County | Community/Behavioral Health | 1803 Enslen Ave, Modesto, CA 95350-3112 | 2007-03-13 |
| 1851423834 | Stanislaus County | Community/Behavioral Health | 1024 J St, Suite 225, Modesto, CA 95354-0828 | 2007-03-12 |
| 1942332077 | Stanislaus County | Community/Behavioral Health | 5725 Paradise Dr, Corte Madera, CA 94925-1212 | 2007-03-12 |
| 1962534099 | Stanislaus County | Community/Behavioral Health | 755 S Yosemite Ave, Oakdale, CA 95361-4094 | 2007-03-12 |
| 1467584599 | Stanislaus County | Community/Behavioral Health | 22791 Foothill Blvd, Hayward, CA 94541-4207 | 2007-03-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STANISLAUS COUNTY POLICE ACTIVITIES LEAGUE | 1325 Beverly Dr, Modesto, CA 95351-2313 |
| System for Award Management (SAM) Entities | STANISLAUS COUNTY PROBATION DEPARTMENT | 2215 Blue Gum Avez, Modesto, CA 95358 |
| Street Address |
800 SCENIC DR |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-6131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669582557 | Kathleen Leatherbarrow | Nurse Practitioner | 800 Scenic Dr, Bldg 4, Modesto, CA 95350-6131 | 2006-08-30 |
| 1477112282 | Christopher Hastay | Nutritionist | 800 Scenic Dr, Modesto, CA 95350-6131 | 2019-06-06 |
| 1548829369 | Jamie Lee Spadoni | Nutritionist | 800 Scenic Dr, Modesto, CA 95350-6131 | 2019-06-06 |
| 1972169167 | Lucy Soto | Technician | 800 Scenic Dr, Modesto, CA 95350-6131 | 2019-05-14 |
| 1124682224 | Carlos Cervantes | Technician | 800 Scenic Dr, Modesto, CA 95350-6131 | 2019-04-24 |
| 1285297614 | Kirsten Lynn Jasek-rysdahl | Social Worker | 800 Scenic Dr, Modesto, CA 95350-6131 | 2019-04-22 |
| 1902469299 | Erica Pierce | Technician | 800 Scenic Dr, Modesto, CA 95350-6131 | 2019-04-22 |
| 1558924050 | Francine Jew | Case Manager/Care Coordinator | 800 Scenic Dr, Modesto, CA 95350-6131 | 2019-04-19 |
| 1659934149 | Ann Louise Salvi | Prevention Professional | 800 Scenic Dr, Modesto, CA 95350-6131 | 2019-04-19 |
| 1710540703 | Nanette Hovasine | Technician | 800 Scenic Dr, Modesto, CA 95350-6131 | 2019-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538405865 | David Michael Hirchak Jr. | Psychiatry & Neurology | 1505 Claus Road, Modesto, CA 95355-4701 | 2012-12-13 |
| 1104071885 | Jaaneali Mehdi | Psychiatry & Neurology | 1501 Claus Rd Ste F, Modesto, CA 95355-9711 | 2008-11-23 |
| 1164673455 | Juan Antonio Galvez-buccollini Abanto | Psychiatry & Neurology | 3501 Coffee Rd Ste 201, Modesto, CA 95355-1343 | 2008-10-05 |
| 1194974295 | Omer Liran | Psychiatry & Neurology | 1551 Claus Road, Modesto, CA 95355 | 2008-09-12 |
| 1689897365 | Mark Hamilton Henigan | Psychiatry & Neurology | 1729 Tully Rd, Suite Eight, Modesto, CA 95350-4082 | 2007-04-11 |
| 1104986165 | Vinita Wadhwani | Psychiatry & Neurology | 1400 Celeste Drive, Crestwood Mannor, Modesto, CA 95355 | 2006-12-11 |
| 1710050158 | Dao Xuanthi Tran | Psychiatry & Neurology | 1100 Kansas Ave, Suite A, Modesto, CA 95351-1596 | 2006-11-15 |
| 1588742498 | Gilbert Eggen | Psychiatry & Neurology | 3509 Coffee Rd, Ste D18, Modesto, CA 95355-1358 | 2006-11-01 |
| 1790868834 | Bernardo Joven Mora | Psychiatry & Neurology | 421 E Morris Ave, Modesto, CA 95354-0437 | 2006-10-23 |
| 1306931522 | Sukhnandan Sidhu | Psychiatry & Neurology | 2937 Veneman Ave, Suite A110, Modesto, CA 95356 | 2006-10-04 |
| Find all providers in MODESTO | ||||
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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.