CRISIS INTERVENTION SPECIALIST (NPI# 1063545531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063545531 |
| Entity Type | Organization |
| Organization Name | CRISIS INTERVENTION SPECIALIST |
| Practice Address |
101 Cirby Hills Dr Roseville CA 95678-4360 |
| Mailing Address |
10585 Sierra Estates Dr Auburn CA 95602-9401 |
| Practice Telephone | 5304013894 |
| Mailing Telephone | 5304013894 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JEFFREY GRANT ADORADOR (CRISIS COUNSELOR) |
| Authorized Official Telephone | 5304013894 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
101 CIRBY HILLS DR |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95678-4360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962493460 | Linda W Budd | Nurse Practitioner | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2005-11-02 |
| 1427665686 | James Burke | Community Health Worker | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2020-09-30 |
| 1730703083 | Catreena Ashlee Johnson | Counselor | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2020-06-02 |
| 1528682192 | Chandler Kay Freed | Counselor | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2020-05-29 |
| 1538781398 | Jessica Elizabeth Stump | Community Health Worker | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2020-05-14 |
| 1689206583 | Lauren Elisabeth Evans | Social Worker | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2020-02-07 |
| 1679113609 | Ryan Mary Crawford | Social Worker | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2020-01-07 |
| 1700423753 | Paulina Ratcliffe | Registered Nurse | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2019-12-09 |
| 1922644657 | Ariel Xzandra Pond | Community Health Worker | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2019-11-18 |
| 1508409327 | Harold Joseph Chastain | Community Health Worker | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2019-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1083256051 | Rosemary Ellen Robben | Community Health Worker | Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 | 2019-10-11 |
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1174093793 | Neftali Hernandez | Behavior Technician | 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 | 2018-11-26 |
| 1467951798 | Amarantha Martinez | Behavior Technician | 1900 Quail Ridge Road, #99, Roseville, CA 95678 | 2018-02-01 |
| 1093231276 | Compassionate Home Health, Ltd | Home Health | 1100 Melody Lane, Suite 106, Roseville, CA 95678 | 2017-08-18 |
| 1629598891 | Jimena Andrade Martins | Behavior Technician | 602 Atkinson Street, Roseville, CA 95678 | 2017-06-20 |
| 1891221057 | Zride Inc | Taxi | 106 Church Street, Suite 2, Roseville, CA 95678 | 2017-05-10 |
| 1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
| Find all providers in zip 95678 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659863173 | New Leaf Therapy, Inc. | Clinic/Center | 1935 County Road B2 W Ste 240, Roseville, MN 55113-2722 | 2018-05-31 |
| 1073985610 | Tc Therapy LLC | Clinic/Center | 2233 Hamline Ave N Ste 411, Roseville, MN 55113-5006 | 2015-10-22 |
| 1548816267 | Frederick R Sautter Licensed Clinical Social Worker Inc | Clinic/Center | 915 Highland Pointe Dr Ste 250, Roseville, CA 95678-5421 | 2019-08-18 |
| 1942863378 | Tutapona Inc | Clinic/Center | 1935 County Road B2 W Ste 270, Roseville, MN 55113-2785 | 2019-04-22 |
| 1962988782 | Counseling and Psychology, LLC | Clinic/Center | 2233 Hamline Ave N Ste 611, Roseville, MN 55113-5007 | 2018-07-15 |
| 1770912271 | Mn Couple Therapy Center | Clinic/Center | 1611 County Road B W, Suite 303, Roseville, MN 55113-5021 | 2013-11-05 |
| 1851630222 | Donald E. Horton, LLC | Clinic/Center | 1053 Lovell Ave W, Roseville, MN 55113-4424 | 2013-02-05 |
| 1174776561 | The Center for Christian Psychological Services | Clinic/Center | 2780 Snelling Ave N, Suite 104, Roseville, MN 55113-7115 | 2008-10-29 |
| 1235304981 | Robert E. Johnson, Inc. | Clinic/Center | 2579 Hamline Ave N, Suite D, Roseville, MN 55113-3186 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527041 | M. Attarian A Marriage and Family Therapy Professional Corporation | Clinic/Center | 433 N Camden Dr Ste 400, Beverly Hills, CA 90210-4408 | 2020-10-29 |
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1013523174 | Vitalis Wellness Center Inc. | Clinic/Center | 1519 Constitution Blvd Apt 201, Salinas, CA 93906-3150 | 2020-09-23 |
| 1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
| 1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
| 1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
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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.