STATE HEALTH CARE DUAL DIAGNOSIS (NPI# 1043265044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043265044 |
| Entity Type | Organization |
| Organization Name | STATE HEALTH CARE DUAL DIAGNOSIS |
| Practice Address |
4042 S Demaree St Visalia CA 93277-9476 |
| Mailing Address |
19300 Rinaldi St Northridge CA 91326-1651 |
| Practice Telephone | 3106289512 |
| Practice Fax Number | 8183925025 |
| Mailing Telephone | 3106289512 |
| Mailing Fax Number | 8183925025 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. EDNA ELIZABETH MILLER (PRESIDENT) |
| Authorized Official Telephone | 3106289512 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689884595 | State Health Care Dual Diagnosis | Clinic/Center | 1145 W Hedges Ave, Fresno, CA 93728-1219 | 2007-05-23 |
| Street Address |
4042 S DEMAREE ST |
| City | VISALIA |
| State | CA |
| Zip Code | 93277-9476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285775270 | Neurology Associates of Tulare, PC | Psychiatry & Neurology | 4042 S Demaree St, Visalia, CA 93277-9476 | 2007-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041345 | Jonathan Edward Urey | Hearing Instrument Specialist | 4006 S Demaree St., Visalia, CA 93277 | 2020-10-21 |
| 1093341307 | Kings Medical Center | Occupational Therapist | 5135 W. Noble Ave, Visalia, CA 93277 | 2020-03-18 |
| 1447728738 | Azucena Alcantar | Behavior Technician | 1730 W. Walnut Avenue, Suite A, Visalia, CA 93277 | 2018-11-05 |
| 1770077620 | Debra Kay Schmitt | Social Worker | 4150 S Demaree St Ste C, Visalia, CA 93277 | 2018-06-14 |
| 1356839773 | Jay Gabriel Diaz | Counselor | 1646 South Court Street, Visalia, CA 93277 | 2018-05-01 |
| 1194212696 | Turning Point of Central California Inc. | Counselor | 1845 1/2 South Court Street, Visalia, CA 93277 | 2018-04-19 |
| 1386141497 | Sara Hoehn | Assistant Behavior Analyst | 11535 Rd. 264, Visalia, CA 93277 | 2018-04-06 |
| 1578074035 | Yan Jiang | Nurse Practitioner | 1633 S Court Stress, Visalia, CA 93277 | 2017-10-23 |
| 1407375702 | Tara Perez | Counselor | 6500 S. Mooney Blvd, Visalia, CA 93277 | 2017-09-18 |
| 1780106948 | Brooke Kiyo Norton | Psychologist | 5215 W Noble Ave, Suite A-19, Visalia, CA 93277 | 2017-07-10 |
| Find all providers in zip 93277 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922583442 | Juliana Ball | Counselor | 1528 S Mooney Blvd, Visalia, CA 93277-4442 | 2018-10-01 |
| 1962990093 | Michelle Terry | Counselor | 547 E Tulare Ave, Visalia, CA 93292-3628 | 2018-04-24 |
| 1194242248 | Onyx Family Counseling Services, Professional Corporation | Counselor | 107 W Main St Ste 9, Visalia, CA 93291-6274 | 2017-08-29 |
| 1548795115 | Jorge Franco | Counselor | 6200 S Mooney Blvd, Visalia, CA 93277-9396 | 2017-04-20 |
| 1790219145 | Mariela Maravilla | Counselor | 6200 S. Mooney Blvd., Visalia, CA 93277 | 2017-04-12 |
| 1447648795 | Kristi Koolhaas | Counselor | 2637 W Prescott Ave, Visalia, CA 93291-8111 | 2015-01-08 |
| 1811312101 | Leslie Xiomara Mendez | Counselor | 246 W Caldwell Ave, Visalia, CA 93277-3771 | 2014-02-24 |
| 1245654755 | Tino Lucero | Counselor | 814 S. Watson St., Suite A, Visalia, CA 93277-5091 | 2014-02-05 |
| 1023431178 | Alice Stidman | Counselor | 2637 W Burrel Avenue, Visalia, CA 93278 | 2014-01-27 |
| 1558782995 | Paul Moore | Counselor | 900 S Giddings St., Visalia, CA 93277 | 2014-01-03 |
| Find all providers in VISALIA | ||||
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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.