STANISLAUS COUNTY (NPI# 1134251176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134251176 |
| Entity Type | Organization |
| Organization Name | STANISLAUS COUNTY |
| Other Organization Name | CANYON MANOR RESIDENTIAL TX CENTER |
| Practice Address |
655 Canyon Rd Novato CA 94947-4331 |
| Mailing Address |
800 Scenic Dr Modesto CA 95350-6131 |
| Practice Telephone | 2095257423 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DENISE C HUNT (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Telephone | 2095256225 |
| Authorized Official Credential | RN, MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 50AG | 05 |
| Other Name | Type Code |
|---|---|
| CANYON MANOR RESIDENTIAL TX CENTER | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952502676 | Stanislaus County | Community/Behavioral Health | 1501 F St, Modesto, CA 95354-2522 | 2007-05-30 |
| 1194926246 | Stanislaus County | Community/Behavioral Health | 2028 W Orangeburg Ave, Modesto, CA 95350-3742 | 2007-05-29 |
| 1861525081 | Stanislaus County | Community/Behavioral Health | 12555 B Street, Merced, CA 95340 | 2007-03-14 |
| 1790818821 | Stanislaus County | Community/Behavioral Health | 823 E Orangeburg Ave, Modesto, CA 95350-4619 | 2007-03-14 |
| 1770616674 | Stanislaus County | Community/Behavioral Health | 101 Lander Ave, Turlock, CA 95380-5201 | 2007-03-13 |
| 1417080300 | Stanislaus County | Community/Behavioral Health | 1803 Enslen Ave, Modesto, CA 95350-3112 | 2007-03-13 |
| 1851423834 | Stanislaus County | Community/Behavioral Health | 1024 J St, Suite 225, Modesto, CA 95354-0828 | 2007-03-12 |
| 1942332077 | Stanislaus County | Community/Behavioral Health | 5725 Paradise Dr, Corte Madera, CA 94925-1212 | 2007-03-12 |
| 1962534099 | Stanislaus County | Community/Behavioral Health | 755 S Yosemite Ave, Oakdale, CA 95361-4094 | 2007-03-12 |
| 1467584599 | Stanislaus County | Community/Behavioral Health | 22791 Foothill Blvd, Hayward, CA 94541-4207 | 2007-03-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STANISLAUS COUNTY POLICE ACTIVITIES LEAGUE | 1325 Beverly Dr, Modesto, CA 95351-2313 |
| System for Award Management (SAM) Entities | STANISLAUS COUNTY PROBATION DEPARTMENT | 2215 Blue Gum Avez, Modesto, CA 95358 |
| Street Address |
655 CANYON RD |
| City | NOVATO |
| State | CA |
| Zip Code | 94947-4331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720026495 | Jeffrey L Berlant | Psychiatry & Neurology | 655 Canyon Rd, Novato, CA 94947-4331 | 2006-06-03 |
| 1528682697 | Paul Jospeph Heil | Community Health Worker | 655 Canyon Rd, Novato, CA 94947-4331 | 2020-06-03 |
| 1073099032 | Noelani Lynn Scollon | Community Health Worker | 655 Canyon Rd, Novato, CA 94947-4331 | 2018-07-12 |
| 1437646296 | Conf Psychiatric Services Inc | Psychiatry & Neurology | 655 Canyon Rd, Novato, CA 94947-4331 | 2018-04-17 |
| 1043372840 | Michael Emil Marsili | Psychiatry & Neurology | 655 Canyon Rd, Novato, CA 94947-4331 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407135882 | Rainey Sealey Temkin | Psychologist | 1682 Novato Blvd Ste 105, Novato, CA 94947 | 2011-08-16 |
| 1801192786 | Barbara Jean Gosselin | Marriage & Family Therapist | 1748 Novato Blvd Suite 210, Novato, CA 94947 | 2011-02-10 |
| 1659681377 | Karen Ann Murphy | Occupational Therapist | 27 Stasia Dr., Novato, CA 94947 | 2010-10-15 |
| 1154659415 | Christopher Michael Hackett | Chiropractor | 1559 South Novato Blvd., Suite E, Novato, CA 94947 | 2009-11-25 |
| 1003068305 | Suttinee Saguandeekul | Pharmacist | 910 Diablo Ave, Novato, CA 94947 | 2008-10-17 |
| 1891983581 | Shital Gandhi | Radiology | 500 Redwood Blvd Ste 300, Novato, CA 94947 | 2007-10-09 |
| 1356544126 | Victoria Elizabeth Herzog | Marriage & Family Therapist | 1682 Novato Blvd, Suite 250a, Novato, CA 94947 | 2007-06-07 |
| 1912047655 | Michael Craig Corder | Chiropractor | 1553 S Novato Blvd, A2 Corder Chiropractic Office, Novato, CA 94947 | 2007-02-08 |
| 1427106905 | Jacob Kyle Leone | Naturopath | 1748 Novato Blvd, Suite 100, Novato, CA 94947 | 2007-01-08 |
| 1881756401 | Mental Health Management I, Inc. | Psychiatric Residential Treatment Facility | 655 Canyon Road, Novato, CA 94947 | 2006-12-14 |
| Find all providers in zip 94947 | ||||
| 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 |
|---|---|---|---|---|
| 1326384686 | Bay Area Community Resources, Inc. | Community/Behavioral Health | 15 San Marin Dr, Novato, CA 94945-1117 | 2012-12-13 |
| 1164771879 | Sonnee Weedn, Ph.d., Professional Corporation | Community/Behavioral Health | 3 Hamilton Lndg, Suite 230, Novato, CA 94949-8248 | 2012-09-10 |
| 1073579926 | Buckelew Program | Community/Behavioral Health | 201 Alameda Del Prado, Suite 201, Novato, CA 94949-6698 | 2006-04-20 |
| 1447754957 | Jasmit K Metla | Community/Behavioral Health | 6100 Redwood Blvd, Novato, CA 94945-4501 | 2018-03-20 |
| 1093170060 | Ritter Center | Community/Behavioral Health | 1399 N Hamilton Pkwy, Classroom 2, Novato, CA 94949-8206 | 2015-12-17 |
| 1033504931 | Center Point, Inc. | Community/Behavioral Health | 1399 N Hamilton Pkwy, Novato, CA 94949-8206 | 2015-03-30 |
| 1972993616 | Buckelew Programs | Community/Behavioral Health | 201 Alameda Del Prado Ste 103, Novato, CA 94949-6698 | 2015-02-03 |
| 1447581020 | Novato Wellness Center | Community/Behavioral Health | 1767 Grant Ave, Novato, CA 94945-2229 | 2010-01-21 |
| 1003060674 | Bay Area Community Resources, Inc. | Community/Behavioral Health | 611 Arthur St, Rm 4 and Counseling Ofc., Novato, CA 94947-4499 | 2008-11-10 |
| 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.