ALYSSA WELLS (NPI# 1013441989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013441989 |
Entity Type | Individual |
Full Name | ALYSSA WELLS |
Practice Address |
1904 Richland Ave Ceres CA 95307-4562 |
Mailing Address |
Po Box 1246 Turlock CA 95381-1246 |
Practice Telephone | 2095584600 |
Mailing Telephone | 2094020390 |
Mailing Fax Number | 2094020390 |
Enumeration Date | 2017-04-17 |
Last Update Date | 2019-12-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
Y | 106H00000X | Marriage & Family Therapist | 116557 | CA | Behavioral Health & Social Service Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1013441989 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2000 W Briggsmore Ave Ste I, Modesto, CA 953503839 | 2095261476 | 2095260908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023676269 | Alyssa Wells | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-06-03 |
1871950220 | Alyssa D Wells | Nurse Practitioner | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2016-01-15 |
Street Address |
1904 RICHLAND AVE |
City | CERES |
State | CA |
Zip Code | 95307-4562 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174605067 | Kenneth Edwin Richter Jr. | Psychiatry & Neurology | 1904 Richland Ave, Ceres, CA 95307-4562 | 2006-10-19 |
1386252807 | Terren Hinojosa | Social Worker | 1904 Richland Ave, Ceres, CA 95307-4562 | 2020-07-21 |
1124654447 | James Verma | Technician | 1904 Richland Ave, Ceres, CA 95307-4562 | 2020-03-18 |
1144856576 | Randy Lee Freitas | Technician | 1904 Richland Ave, Ceres, CA 95307-4562 | 2020-03-17 |
1124651294 | Ash Singh | Registered Nurse | 1904 Richland Ave, Ceres, CA 95307-4562 | 2020-02-18 |
1922639038 | Sarah Marie Norwood | Technician | 1904 Richland Ave, Ceres, CA 95307-4562 | 2020-01-28 |
1215585716 | Praveena Devi Pal | Registered Nurse | 1904 Richland Ave, Ceres, CA 95307-4562 | 2019-08-28 |
1336791052 | Travis Shawn Whitehead | Technician | 1904 Richland Ave, Ceres, CA 95307-4562 | 2019-07-12 |
1487212288 | Sandra Elaine Ainslie | Technician | 1904 Richland Ave, Ceres, CA 95307-4562 | 2019-06-05 |
1699333153 | Cherish Anne Medeiros | Technician | 1904 Richland Ave, Ceres, CA 95307-4562 | 2019-05-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144762022 | Roxanne Mata | Technician | 1904 Richland Ave., Ceres, CA 95307 | 2016-11-09 |
1023496379 | Steven Leonard II | Technician, Other | 1904 Richalnd Ave, Ceres, CA 95307 | 2015-05-07 |
1942619820 | Thevi Phanthalangsy | Pharmacist | 1421 Coffee Road, Modesto, CA 95307 | 2014-08-05 |
1588973937 | Gloria June Coats | Nurse Practitioner | 3641 Mitchell Road, Suite H, Ceres, CA 95307 | 2010-10-04 |
1992953236 | John H Meekay | Dentist | 1788 Mitchell Road Suite 105, Ceres, CA 95307 | 2008-08-28 |
1316073778 | Donna J Payne | Case Manager/Care Coordinator | 1904 Richland Avenue, Ceres, CA 95307 | 2007-02-27 |
1104994656 | Katherine Anne Kucera | Dentist | 3507 Morgan Rd, Ceres, CA 95307 | 2006-12-01 |
1073615084 | Tracy S Park | Dentist | 2760 3rd Street, Suite A, Ceres, CA 95307 | 2006-09-01 |
1902855588 | Kerry B Evnin Md Inc A Professional Medical Corporation | Family Medicine | 3641 Mitchell Rd, H, Ceres, CA 95307 | 2006-05-09 |
1376012559 | David Andrew Kirkpatrick | Technician | 1904 Richland Ave Bldg D, Ceres, CA 95307 | 2018-11-17 |
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Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386286383 | Christy Cupit | Marriage & Family Therapist | 1904 Richland Ave Bldg D, Ceres, CA 95307-4562 | 2019-10-10 |
1871984856 | Robert Gregory Cox | Marriage & Family Therapist | 1904 Richland Ave, Ceres, CA 95307-4562 | 2015-02-11 |
1679961106 | Julio Garcia | Marriage & Family Therapist | 1904 Richland Ave, Ceres, CA 95307-4562 | 2015-01-06 |
1437491875 | Summer Hillas | Marriage & Family Therapist | 1904 Richland Ave, Ceres, CA 95307-4562 | 2013-03-24 |
1295914018 | Robin Carol Johnson | Marriage & Family Therapist | 1904 Richland Ave, Tx 1, Ceres, CA 95307 | 2007-10-29 |
1497874598 | Deborah Whitten | Marriage & Family Therapist | 1904 Richland Ave, Ceres, CA 95307-4562 | 2007-03-28 |
1164554937 | Vasiliki Aja | Marriage & Family Therapist | 1904 Richland Ave, Ceres, CA 95307-4562 | 2007-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508467291 | Jasmine Oganesyan | Marriage & Family Therapist | 29217 Flowerpark Dr, Santa Clarita, CA 91387-1807 | 2020-11-08 |
1760083463 | John Nelson | Marriage & Family Therapist | 4625 Mountain Lakes Blvd, Redding, CA 96003-1450 | 2020-11-08 |
1689275331 | Brenda L Curtis | Marriage & Family Therapist | 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 | 2020-11-07 |
1760083679 | Heidi J Flanagan | Marriage & Family Therapist | 705 Sunrise Ave, D115, Roseville, CA 95661-6411 | 2020-11-06 |
1447851266 | Gloria Alice Lakin | Marriage & Family Therapist | 2720 Neilson Way # 5564, Santa Monica, CA 90405-4060 | 2020-11-06 |
1497356398 | Lourdes Loyola | Marriage & Family Therapist | 15720 Ventura Blvd Ste 603, Encino, CA 91436-4727 | 2020-11-06 |
1639770761 | Renee Lopez-delfino | Marriage & Family Therapist | 1244 Heatherstone Way, Sunnyvale, CA 94087-1537 | 2020-11-04 |
1346841558 | Jennifer Spiegel Aune | Marriage & Family Therapist | 810 College Ave Ste 1a, Kentfield, CA 94904-2565 | 2020-11-04 |
1225639495 | Bringing Medicine Culturally Competent Counseling and Indigenous | Marriage & Family Therapist | 206 Sacramento St Suite 212, Nevada, CA 95959 | 2020-11-04 |
1689275810 | Milestone Marriage and Family Therapy Services Professional Corporati | Marriage & Family Therapist | 10601 Civic Center Dr Ste 100a-d, Rancho Cucamonga, CA 91730-3878 | 2020-11-04 |
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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.