SANDRA REYNOSO (NPI# 1982266102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982266102 |
| Entity Type | Individual |
| Full Name | SANDRA REYNOSO |
| Practice Address |
9015 Murray Ave Ste 100 Gilroy CA 95020-3617 |
| Practice Telephone | 4088427138 |
| Practice Fax Number | 4088420383 |
| Mailing Telephone | 4088427138 |
| Mailing Fax Number | 4088420383 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962066290 | Sandra Reynoso | Behavior Technician | 6363 Beadnell Way Apt 119, San Diego, CA 92117-4110 | 2019-04-22 |
| Street Address |
9015 MURRAY AVE STE 100 |
| City | GILROY |
| State | CA |
| Zip Code | 95020-3617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881788248 | Bernadette Elisa Ackerman | Nurse Practitioner | 9015 Murray Ave Ste 100, Gilroy, CA 95020-3675 | 2006-10-02 |
| 1669073185 | Jessica Karina Singh | Case Manager/Care Coordinator | 9015 Murray Ave Ste 100, Gilroy, CA 95020-3675 | 2020-11-02 |
| 1972102515 | Monica Guzman | Case Manager/Care Coordinator | 9015 Murray Ave Ste 100, Gilroy, CA 95020-3675 | 2020-10-24 |
| 1619576220 | Genevieve Logsdon | Case Manager/Care Coordinator | 9015 Murray Ave Ste 100, Gilroy, CA 95020-3675 | 2020-10-23 |
| 1952900219 | Gabriela Andrino | Case Manager/Care Coordinator | 9015 Murray Ave Ste 100, Gilroy, CA 95020-3675 | 2020-10-19 |
| 1942808852 | Robert Thomas Kirkendall | Rehabilitation Practitioner | 9015 Murray Ave Ste 100, Gilroy, CA 95020-3675 | 2020-10-13 |
| 1235736968 | Tonameyotzin Gonzalez Karlsson | Social Worker | 9015 Murray Ave Ste 100, Gilroy, CA 95020-3675 | 2020-10-06 |
| 1790382562 | Victor Anthony Garcia | Case Manager/Care Coordinator | 9015 Murray Ave Ste 100, Gilroy, CA 95020-3675 | 2020-10-05 |
| 1699381806 | Roberto Zamora Rocha | Behavioral Analyst | 9015 Murray Ave Ste 100, Gilroy, CA 95020-3675 | 2020-09-22 |
| 1841806346 | Christine Alvarez | Case Manager/Care Coordinator | 9015 Murray Ave Ste 100, Gilroy, CA 95020-3675 | 2020-09-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158105 | Benjamin Liupaogo | Case Manager/Care Coordinator | Rebekah Children's Services, 290 Ioof Ave, Gilroy, CA 95020 | 2020-09-09 |
| 1205457330 | Ethel Rostran | Counselor | 290 I00f Ave., Gilroy, CA 95020 | 2020-04-29 |
| 1407498868 | Mehak Saini | Behavior Technician | 9360 Noname Uno, Gilroy, CA 95020 | 2019-10-16 |
| 1629622899 | Bruce Daniel Pirl | Counselor | 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 | 2019-07-26 |
| 1932752490 | Eamon F. Burke | Counselor | Rebekah Children Services, 290 Ioof Ave., Gilroy, CA 95020 | 2019-07-23 |
| 1578116232 | Jose Enrique Cruz | Behavior Technician | 9360 Noname Uno #130, Gilroy, CA 95020 | 2019-07-22 |
| 1558925560 | Mauricio Hazael Procopio | Behavioral Analyst | 9360 Noname Uno Suite 130, Gilroy, CA 95020 | 2019-04-24 |
| 1689138893 | Gabriela Mendoza | Behavioral Analyst | 9395 Kern Ave, Gilroy, CA 95020 | 2019-01-22 |
| 1972082782 | Andrea Gloria Blanton | Social Worker | Rebekah Children's Services, 290 100f Ave, Gilroy, CA 95020 | 2018-08-13 |
| 1407334626 | Katrina Davina Aguilera | Case Manager/Care Coordinator | 290 Loof Ave., Gilroy, CA 95020 | 2018-07-31 |
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| 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 |
|---|---|---|---|---|
| 1477680395 | Ebere Sylvester Ezeka | Licensed Psychiatric Technician | 6381 Blackberry Ct, Gilroy, CA 95020-3424 | 2007-02-27 |
| 1821463894 | Jessica Paula Morales | Licensed Psychiatric Technician | 9015 Murray Ave, Ste 100, Gilroy, CA 95020-3617 | 2015-12-02 |
| 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 |
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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.