MICHAEL SCOTT MCCRACKEN (NPI# 1114128816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114128816 |
| Entity Type | Individual |
| Full Name | MICHAEL SCOTT MCCRACKEN |
| Practice Address |
524 Low Gap Rd Ukiah CA 95482-3735 |
| Practice Telephone | 7074634943 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CADC II A8493804 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245456748 | Michael John Mccracken | Dentist | 1200 W Causeway Approach, Mandeville, LA 70471-3066 | 2007-04-17 |
| 1316087794 | Michael L Mccracken | Dentist | 891 N Main Ave, Fayetteville, AR 72701-8850 | 2007-02-07 |
| 1033177142 | Michael Brian Mccracken | Chiropractor | 54 Pleasant St, Newburyport, MA 01950-2606 | 2006-05-01 |
| 1801079256 | Michael Park Mccracken | Chiropractor | 6521 Highway 69 S, Suite N, Tuscaloosa, AL 35405-3964 | 2007-12-07 |
| 1184703431 | Michael Mccracken | Dentist | 1919 7th Ave S, Room 107, Birmingham, AL 35233-2005 | 2006-11-06 |
| 1043291701 | Michael Mccracken | Specialist | 11960 Lioness Way, Suite 160, Parker, CO 80134-5640 | 2005-11-09 |
| Street Address |
524 LOW GAP RD |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134320823 | Kathleen Rose James | Counselor | 524 Low Gap Rd, Ukiah, CA 95482-3735 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750659694 | Penny Ann Mcgahey | Counselor | 564 S Dora St Ste D, Ukiah, CA 95482-5465 | 2011-12-07 |
| 1528397221 | Laura Alexander | Counselor | 139 Ford St, Ukiah, CA 95482 | 2009-12-09 |
| 1265611156 | Clover May Martin | Counselor | 201 Brush St, Ukiah, CA 95482-3424 | 2007-10-29 |
| 1366060824 | Louie Vigil | Counselor | 201 Brush St, Ukiah, CA 95482-3424 | 2020-07-10 |
| 1245851617 | Rheannah Andrea Molina | Counselor | 201 Brush St, Ukiah, CA 95482-3424 | 2020-04-27 |
| 1568083921 | Tarran Ashley Eddy | Counselor | 201 Brush St, Ukiah, CA 95482-3424 | 2020-04-27 |
| 1306471230 | Luz Maria Machado Cramer | Counselor | 1120 S Dora St, Ukiah, CA 95482-6340 | 2020-03-11 |
| 1437708450 | Paul Murguia IIi | Counselor | 1120 S Dora St, Ukiah, CA 95482-6340 | 2019-09-11 |
| 1609359090 | Blake Andrew Shupe | Counselor | 201 Brush St, Ukiah, CA 95482-3424 | 2018-09-11 |
| 1053899203 | Chiah Jasmine Cassells | Counselor | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-07-31 |
| Find all providers in UKIAH | ||||
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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.