CAC OAK VALLEY CENTER (NPI# 1023533692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023533692 |
| Entity Type | Organization |
| Organization Name | CAC OAK VALLEY CENTER |
| Practice Address |
595 2nd St Rm 109 Buellton CA 93427-6801 |
| Practice Telephone | (805) 688-6992 |
| Mailing Telephone | 8056886992 |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. DAVID LAUREL SCOTT (CLINICAL SERVICES DIRECTOR) |
| Authorized Official Telephone | 8052604676 |
| Authorized Official Credential | PSY.D., LMFT |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY ACTION COMMSSION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
28718 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1457553174 | 05 |
| Street Address |
595 2ND ST RM 109 |
| City | BUELLTON |
| State | CA |
| Zip Code | 93427-6801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154960367 | Sharayza Rachael Jackson | Behavior Technician | 240 E Hwy 246 #210, Buellton, Ca 93427, #210, Buellton, CA 93427 | 2020-01-06 |
| 1245633346 | Ascend Acupuncture | Acupuncturist | 243 Glennora Way, Buellton, CA 93427 | 2014-10-02 |
| 1073816328 | Ana P Tapia | Behavioral Analyst | 301 Second St, Buellton, CA 93427 | 2010-12-08 |
| 1467664532 | Wolfgang C Hallauer | General Practice | 185 W. Hwy 246, Suite 102, Buellton, CA 93427 | 2007-05-03 |
| 1396851630 | James Jinsoo Kim | Dentist | 240 E. Hwy 246, Suite 108, Buellton, CA 93427 | 2006-08-21 |
| 1912934373 | Kathryn Burkley | Dietitian, Registered | 210 S. Palisade Dr., Suite 200, Buellton, CA 93427 | 2006-06-28 |
| 1750387882 | Andrew Zane West | Chiropractor | 90 W. Hwy 246, #1, Buellton, CA 93427 | 2005-06-23 |
| 1346370228 | Lori Allison Craviotto | Chiropractor | 90 W. Hwy 246, Buellton, CA 93427 | 2007-03-07 |
| 1376722603 | Santa Barbara County Schools | Local Education Agency (LEA) | 595 2nd St, Buellton, CA 93427-6801 | 2007-11-02 |
| 1871742379 | Patricia Gail Cox Ladner | Counselor | 267 Valley Dairy Rd, Buellton, CA 93427-9325 | 2008-09-09 |
| Find all providers in zip 93427 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871742379 | Patricia Gail Cox Ladner | Counselor | 267 Valley Dairy Rd, Buellton, CA 93427-9325 | 2008-09-09 |
| 1518506195 | Carlin Sundell | Counselor | 195 W Highway 246, Buellton, CA 93427-9459 | 2019-12-31 |
| 1699806521 | Mike Rhoades | Counselor | 240 E Highway 246 Ste 300, Buellton, CA 93427-9648 | 2007-03-09 |
| 1386774461 | Kenneth C Balch | Counselor | 240 E Highway 246 Ste 300, Buellton, CA 93427-9648 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1801497854 | Amor Serra | Counselor | 1543 Colusa Pl, Salinas, CA 93906-2512 | 2020-11-05 |
| 1003417080 | Mary Williams | Counselor | 8032 Twin Oaks Ave, Citrus Heights, CA 95610-0510 | 2020-11-05 |
| 1487255790 | Sharon Kiesler | Counselor | 3621 Webster St, Oakland, CA 94609-2844 | 2020-11-03 |
| 1235730813 | Debrah Deans Therapy | Counselor | 1023 H St Ste B5, Sacramento, CA 95814-2815 | 2020-11-02 |
| 1417558974 | Diosa Marriage and Family Therapy PC | Counselor | 14420 Civic Dr Ste 6, Victorville, CA 92392-2384 | 2020-11-02 |
| 1669072302 | Imani Rivers | Counselor | 135 Gateway Ct, Vallejo, CA 94589-4339 | 2020-10-30 |
| 1912507021 | Lucid Lane Providers, P.C. | Counselor | 3251 Place Du Jardin, Optional, San Jose, CA 95148-9514 | 2020-10-28 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1093314536 | Ryan Tyler Corbin | Counselor | 9075 Elk Grove Blvd, Elk Grove, CA 95624-2070 | 2020-10-24 |
| Find all providers with the same taxonomy | ||||
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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.