SUN STREET CENTERS (NPI# 1063870962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063870962 |
| Entity Type | Organization |
| Organization Name | SUN STREET CENTERS |
| Practice Address |
3043 Macarthur Dr Marina CA 93933-4763 |
| Mailing Address |
11 Peach Dr Salinas CA 93901-3710 |
| Practice Telephone | 8315829461 |
| Mailing Telephone | 8317535135 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | GORDON HORNE (CLINICAL COORDINATOR) |
| Authorized Official Telephone | 8318098176 |
| Authorized Official Credential | LAADC |
| Is Organization Subpart | Y |
| Parent Organization Name | SUN STREET CENTERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 270003BN | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CARF COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES | 3 YRS/2016 | 01 |
| CA | STATE OF CALIFORNIA SUBSTANCE USE DISORDER OUTPATIENT TREATMENT | 270003BN | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904108 | Sun Street Centers | Substance Abuse Rehabilitation Facility | 637 Broadway St, King City, CA 93930-3231 | 2018-09-06 |
| 1770942872 | Sun Street Centers | Community/Behavioral Health | 2167 H Del La Rosa Sr. Street, Soledad, CA 93960-3381 | 2016-02-17 |
| 1861850778 | Sun Street Centers | Community/Behavioral Health | 1760 Fremont Blvd, Seaside, CA 93955-3635 | 2016-02-05 |
| 1104026004 | Sun Street Centers | Clinic/Center | 12 Sun Street, Sun Street Centers Op, Salinas, CA 93901-3714 | 2007-07-19 |
| 1659413151 | Sun Street Centers | Substance Abuse Rehabilitation Facility | 8 Sun St, Salinas, CA 93901 | 2007-02-12 |
| 1073089256 | Sun Street Centers | Prevention Professional | 119 Capitol St, Salinas, CA 93901-2013 | 2018-10-16 |
| 1316438567 | Sun Street Centers | Substance Abuse Rehabilitation Facility | 343 6th St, Hollister, CA 95023-3834 | 2018-05-23 |
| 1265923437 | Sun Street Centers | Substance Abuse Rehabilitation Facility | 641 Broadway St, King City, CA 93930-3231 | 2018-05-23 |
| 1316305220 | Sun Street Centers | Community/Behavioral Health | 128 E Alisal St, Salinas, CA 93901-3519 | 2016-02-05 |
| 1225212426 | Sun Street Centers | Case Management | 11 Peach Dr, Salinas, CA 93901-3710 | 2007-12-24 |
| Street Address |
3043 MACARTHUR DR |
| City | MARINA |
| State | CA |
| Zip Code | 93933-4763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881037141 | Marilyn Anderson | Counselor | 3043 Macarthur Dr, Marina, CA 93933 | 2013-04-16 |
| 1639657315 | Letitia M Peck | Counselor | 3043 Macarthur Dr, Marina, CA 93933-4763 | 2018-08-03 |
| 1134656895 | Dia Beltran | Counselor | 3043 Macarthur Dr, Marina, CA 93933-4763 | 2017-05-12 |
| 1609269067 | Lizbette Santana | Counselor | 3043 Macarthur Dr, Marina, CA 93933-4763 | 2015-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803012 | Caterina Poehner | Social Worker | 617 Bayonet Cirle, Marina, CA 93933 | 2020-08-28 |
| 1972036499 | Stephanie Blalock | Counselor | 617 Bayonet Circle, Marina, CA 93933 | 2017-04-11 |
| 1588110340 | Monique Theaker | Counselor | 299b Twelfth Street, Marina, CA 93933 | 2016-08-31 |
| 1053709220 | Mehry Khazan | Marriage & Family Therapist | 299 Twelfth Street, Marina, CA 93933 | 2014-12-22 |
| 1306241476 | Tiffany Avery | Counselor | 299 12th St Ste B, Marina, CA 93933 | 2014-10-30 |
| 1669744280 | Leslie Penley | Dentist | 3154 Deforest Rd. Suitea, Marina, CA 93933 | 2012-01-27 |
| 1215221510 | Janet Hernandez Barajas | Social Worker | 299a 12th Street, Marina, CA 93933 | 2011-06-03 |
| 1538302740 | Sonia Cortes | Counselor | 613 Bayonet Cir., Marina, CA 93933 | 2009-04-17 |
| 1144476003 | Carolina Cortez | Counselor | 2982 Bayonet Ct, Marina, CA 93933 | 2008-08-12 |
| 1295918563 | Tucci Learning Solutions, Inc. | Community/Behavioral Health | 3180 Imjin Road, Suite 149, Marina, CA 93933 | 2007-12-10 |
| Find all providers in zip 93933 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164830527 | Interim, Incorporated | Community/Behavioral Health | 3012 Lexington Ct, Marina, CA 93933-4737 | 2014-07-30 |
| 1720399009 | Interim, Incorporated | Community/Behavioral Health | 613 Bayonet Cir, Marina, CA 93933-4600 | 2010-07-01 |
| 1275700882 | Monterey County Behavioral Health Division Dba Central Coast Dtx | Community/Behavioral Health | 2995 Rendova Rd, Marina, CA 93933-4451 | 2008-05-13 |
| 1295918563 | Tucci Learning Solutions, Inc. | Community/Behavioral Health | 3180 Imjin Road, Suite 149, Marina, CA 93933 | 2007-12-10 |
| 1558586909 | Interim, Incorporated | Community/Behavioral Health | 299 12th St, Section B, Marina, CA 93933-6003 | 2007-04-13 |
| 1770936478 | Interiminc | Community/Behavioral Health | 617 Bayonet Cir, Marina, CA 93933-4600 | 2016-07-18 |
| 1255704847 | Chs Counseling Center | Community/Behavioral Health | 299 12th St, Suite C, Marina, CA 93933-6003 | 2015-11-04 |
| 1083930788 | Interim, Incorporated | Community/Behavioral Health | 2982 Bayonet Ct, Marina, CA 93933-4604 | 2010-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
| 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.