IVAN STEWART (NPI# 1093946592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093946592 |
| Entity Type | Individual |
| Full Name | IVAN STEWART |
| Practice Address |
1432 Oak Haven Ct Antioch CA 94531-8082 |
| Practice Telephone | 9253057917 |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071957 | Ivan Stewart | Community/Behavioral Health | 2525 Tiller Ln Ste 110, Columbus, OH 43231-2267 | 2020-10-19 |
| Street Address |
1432 OAK HAVEN CT |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94531-8082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406051 | Jayden Mendoza | Behavior Technician | 4849 Lone Tree Way Suite C, Antioch, CA 94531 | 2020-10-28 |
| 1093369720 | Lorena N/a Lepezmagana I | Behavior Technician | 4856 Weler Peak Way, 4856 Wexler Peak Way, Antioch, CA 94531 | 2019-07-31 |
| 1063976538 | Donna C Martinez | Respiratory Therapist, Registered | 4509 Sand Creek Rd, Antioch, CA 94531 | 2019-01-29 |
| 1215428107 | Sierra Singharath | Behavioral Analyst | 5344 Catanzaro Way, Antioch, CA 94531 | 2018-05-25 |
| 1972005551 | Meily Samantha Reyna | Behavioral Analyst | 1858 Mount Goethe Way, Antioch, CA 94531 | 2018-02-28 |
| 1225536477 | Constance Eileen Matous | Physical Therapy Assistant | 4041 Lone Tree Way Suite # 106, Antioch, CA 94531 | 2018-01-23 |
| 1851825921 | Alexander Lim Dds Inc | Dentist | 5171 Lone Tree Way, Antioch, CA 94531 | 2017-04-17 |
| 1467831222 | Jaylan Ishac | Behavioral Analyst | 4749 Crestone Peak Ct, Antioch, CA 94531 | 2015-05-27 |
| 1164831830 | Akape Home Care Agency | Home Health | 2487 Stanford Way, Ste 1a, Antioch, CA 94531 | 2014-08-07 |
| 1679992515 | Joseph Vojtko | Ophthalmology | 4501 Sand Creek Rd Dept Of, Antioch, CA 94531 | 2014-04-08 |
| Find all providers in zip 94531 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720699648 | Khamaria Wright | Counselor | 5160 Rice Rd Apt 236, Antioch, TN 37013-2041 | 2020-08-13 |
| 1316562580 | Joseph James Benton | Counselor | 2495 Vallecito Way, Antioch, CA 94531-9066 | 2020-06-12 |
| 1902381593 | New Leaf Counseling LLC | Counselor | 311 W Depot St Ste F, Antioch, IL 60002-1500 | 2018-09-28 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| 1629420013 | Jessica Rivers | Counselor | 1480 Rice Hill Cir, Antioch, TN 37013-2199 | 2016-07-08 |
| 1518313055 | Alisha Lampley | Counselor | 804 Thomas Bay Court, Antioch, TN 37013 | 2016-05-13 |
| 1376909341 | Toy Lisa Mitchell | Counselor | 4804 Trappers Rdg, Antioch, TN 37013-2707 | 2016-01-06 |
| 1386019602 | Abdullah Hassaan | Counselor | 3304 Timber Trl, Antioch, TN 37013-1011 | 2015-12-11 |
| 1114399219 | Glory Kosmatka | Counselor | 800 Main St Ste 5, Antioch, IL 60002-1542 | 2015-10-28 |
| 1528459344 | Jared Prentiss | Counselor | 5320 Hickory Hollow Pkwy, Antioch, TN 37013-3128 | 2015-02-16 |
| Find all providers in ANTIOCH | ||||
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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.