ANTHONY MCCRORY (NPI# 1053967661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053967661 |
| Entity Type | Individual |
| Full Name | ANTHONY MCCRORY |
| Practice Address |
900 Laurel Ave San Mateo CA 94401-4211 |
| Mailing Address |
307 San Anselmo Ave S San Bruno CA 94066-5518 |
| Practice Telephone | 4153572312 |
| Mailing Telephone | 6502769288 |
| Enumeration Date | 2019-08-11 |
| Last Update Date | 2019-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | CA | Residential Treatment Facilities |
| Street Address |
900 LAUREL AVE |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-4211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407982770 | Christianne Bijasa Kernes | Marriage & Family Therapist | 900 Laurel Ave, San Mateo, CA 94401-4211 | 2007-02-23 |
| 1720633050 | Vircelito A. Domenden I | Counselor | 900 Laurel Ave, San Mateo, CA 94401-4211 | 2019-08-05 |
| 1043879026 | Edgardo Omar Paz Nah | Counselor | 900 Laurel Ave, San Mateo, CA 94401-4211 | 2019-06-12 |
| 1578026829 | Jason Lawrence Jones | Counselor | 900 Laurel Ave, San Mateo, CA 94401-4211 | 2019-04-12 |
| 1518474840 | Sarona T Faatai | Counselor | 900 Laurel Ave, San Mateo, CA 94401-4211 | 2018-01-09 |
| 1568994770 | Darryl Hall | Counselor | 900 Laurel Ave, 900 Laurel Ave, San Mateo, CA 94401-4211 | 2017-03-28 |
| 1861930885 | Paulette Dow | Counselor | 900 Laurel Ave, San Mateo, CA 94401-4211 | 2017-02-09 |
| 1467803635 | Makayla Cowan | Counselor | 900 Laurel Ave, San Mateo, CA 94401-4211 | 2016-06-28 |
| 1144587379 | Healthright 360 | Substance Abuse Rehabilitation Facility | 900 Laurel Ave, San Mateo, CA 94401-4211 | 2012-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164853644 | Caminar | Substance Abuse Rehabilitation Facility | 247 Delaware Avenue, San Mateo, CA 94401 | 2013-12-09 |
| 1154752103 | Caminar | Substance Abuse Rehabilitation Facility | 31 9th Ave, San Mateo, CA 94401-4302 | 2013-12-02 |
| 1659702561 | Caminar | Substance Abuse Rehabilitation Facility | 1451 Young St, San Mateo, CA 94401-3522 | 2013-12-02 |
| 1356772263 | Caminar | Substance Abuse Rehabilitation Facility | 23 N Grant St, 29 N Grant St, San Mateo, CA 94401 | 2013-12-02 |
| 1215368253 | Caminar | Substance Abuse Rehabilitation Facility | 114 Delaware Street, San Mateo, CA 94401 | 2013-12-02 |
| 1689961617 | Horizon Services, Incorporated | Substance Abuse Rehabilitation Facility | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2011-06-28 |
| 1891962692 | Caminar | Substance Abuse Rehabilitation Facility | 15 9th Ave, San Mateo, CA 94401-4302 | 2008-05-12 |
| 1992137798 | Caminar | Substance Abuse Rehabilitation Facility | 720 S B St, San Mateo, CA 94401-4245 | 2013-08-02 |
| 1316209711 | Healthright 360 | Substance Abuse Rehabilitation Facility | 202 E Bellevue Ave, San Mateo, CA 94401-2305 | 2012-06-12 |
| 1144587379 | Healthright 360 | Substance Abuse Rehabilitation Facility | 900 Laurel Ave, San Mateo, CA 94401-4211 | 2012-04-12 |
| Find all providers in SAN MATEO | ||||
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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.