MR. LEO ADCOCK (NPI# 1043480890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043480890 |
| Entity Type | Individual |
| Full Name | MR. LEO ADCOCK |
| Practice Address |
1225 M St Jail Medical Services, 2nd Floor Fresno CA 93721-1805 |
| Practice Telephone | 5594422404 |
| Practice Fax Number | 5594425277 |
| Mailing Telephone | 5594422404 |
| Mailing Fax Number | 5594425277 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 31089 | CA | Nursing Service Providers |
| Street Address |
1225 M ST JAIL MEDICAL SERVICES, 2ND FLOOR |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194805580 | Terry Pearce | Marriage & Family Therapist | 1225 M St, Fresno, CA 93721 | 2006-10-17 |
| 1164035762 | Howard Lo | Counselor | 1225 M St, Fresno, CA 93721-1805 | 2020-08-25 |
| 1619593480 | Aveline Estrella | Registered Nurse | 1225 M St, Fresno, CA 93721-1805 | 2020-06-17 |
| 1730728692 | Shehnaz Hussain | Psychiatry & Neurology | 1225 M St, Fresno, CA 93721-1805 | 2019-12-24 |
| 1679123780 | Navneet Kaur Mann | Nurse Practitioner | 1225 M St, Fresno, CA 93721-1805 | 2019-09-19 |
| 1780160796 | Mariko Cynthia Rushing | Nurse Practitioner | 1225 M St, Fresno, CA 93721-1805 | 2018-07-12 |
| 1689168221 | Tatiana Romanenko | Marriage & Family Therapist | 1225 M St, Fresno, CA 93721-1805 | 2018-06-18 |
| 1821454950 | Terry M Ramirez | Marriage & Family Therapist | 1225 M St, Fresno, CA 93721 | 2016-01-05 |
| 1609249606 | Caroline Ahlstrom | Marriage & Family Therapist | 1225 M St, Fresno, CA 93721-1805 | 2015-11-12 |
| 1285007856 | Debora Trow | Registered Nurse | 1225 M St, Fresno, CA 93721-1805 | 2015-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| 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 |
|---|---|---|---|---|
| 1619370004 | Phyllis Rodriguez | Licensed Psychiatric Technician | 496 S Barton Ave, Fresno, CA 93702-2985 | 2014-09-30 |
| 1649570458 | Kimberly Hudspeth | Licensed Psychiatric Technician | 1148 W Gettysburg Ave, Fresno, CA 93705-0933 | 2010-10-26 |
| 1871748657 | Steven Ralph Colwell | Licensed Psychiatric Technician | 637 W Hammond Ave, Fresno, CA 93728-2200 | 2008-11-20 |
| 1356404602 | Joseph Exnicious Jules | Licensed Psychiatric Technician | 1312 E Garland Ave, Fresno, CA 93704-4938 | 2006-12-18 |
| 1871100248 | Tanveer Hans | Licensed Psychiatric Technician | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-09-29 |
| 1366069577 | Ulysses Ruvalcaba | Licensed Psychiatric Technician | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-03 |
| 1750908141 | Brooke Annette Denham | Licensed Psychiatric Technician | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-01 |
| 1376178509 | Michelle Mendez | Licensed Psychiatric Technician | 1235 E St, Fresno, CA 93706-2024 | 2020-03-09 |
| 1801426630 | Shaylee Maxfield | Licensed Psychiatric Technician | 4411 E Kings Canyon Rd # 319, Fresno, CA 93702-3604 | 2020-01-21 |
| 1740828094 | Eric Okafor | Licensed Psychiatric Technician | 496 S Barton Ave, Fresno, CA 93702-2985 | 2019-12-18 |
| Find all providers in FRESNO | ||||
Please comment or provide details below to improve the information on MR. LEO ADCOCK.
| 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.