RANDAL LEE BARTHOLOMEW (NPI# 1093078586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093078586 |
| Entity Type | Individual |
| Full Name | RANDAL LEE BARTHOLOMEW |
| Credential | CAS |
| Practice Address |
1237 California St. Redding CA 96001 |
| Mailing Address |
1237 California St Redding CA 96001-0618 |
| Practice Telephone | 5302437470 |
| Mailing Telephone | 5302437470 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CAS 03-046502 | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CAS 03-046502 | CAS 03-046502 | 01 |
| Street Address |
1237 CALIFORNIA ST. |
| City | REDDING |
| State | CA |
| Zip Code | 96001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| 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 |
|---|---|---|---|---|
| 1861988750 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 1786 Vinson Dr, Redding, CA 96003-7950 | 2018-07-03 |
| 1528554417 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 20374 Pickford Way, Redding, CA 96002-9231 | 2018-07-03 |
| 1215441282 | Kings View Corporation | Community/Behavioral Health | 1670 Market St Ste 256, Redding, CA 96001-1046 | 2017-11-28 |
| 1821510652 | County of Shasta | Community/Behavioral Health | 1420 Yuba St, Redding, CA 96001-1032 | 2017-07-13 |
| 1811419658 | County of Shasta | Community/Behavioral Health | 1580 Market St, Redding, CA 96001-1023 | 2017-07-13 |
| 1013438019 | County of Shasta | Community/Behavioral Health | 1411 Yuba St, Redding, CA 96001-1010 | 2017-06-29 |
| 1912262932 | Parent Infant Programs, Inc | Community/Behavioral Health | 2628 Victor Ave, Redding, CA 96002-1454 | 2012-07-05 |
| 1629379011 | Children & Family Services | Community/Behavioral Health | 1313 Yuba St, Redding, CA 96001-1012 | 2010-11-16 |
| 1578685210 | Shasta Treatment Associates | Community/Behavioral Health | 1175 Hartnell Ave, Suite C, Redding, CA 96002-2135 | 2007-04-04 |
| 1972653343 | Catalyst Shasta County Mental Health | Community/Behavioral Health | 2650 8th St, Redding, CA 96001-0365 | 2007-01-10 |
| Find all providers in REDDING | ||||
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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.