MRS. GERROL LEE FERRIS (NPI# 1144410168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144410168 |
| Entity Type | Individual |
| Full Name | MRS. GERROL LEE FERRIS |
| Practice Address |
559 Mendocino Ct Atwater CA 95301-4230 |
| Practice Telephone | 2093575200 |
| Practice Fax Number | 2093575279 |
| Mailing Telephone | 2093575200 |
| Mailing Fax Number | 2093575279 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Street Address |
559 MENDOCINO CT |
| City | ATWATER |
| State | CA |
| Zip Code | 95301-4230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275733214 | Becky Sue Brown | Substance Abuse Rehabilitation Facility | 559 Mendocino Ct, Atwater, CA 95301-4230 | 2007-07-18 |
| 1972134492 | Taylor Heinemann | Counselor | 559 Mendocino Ct, Atwater, CA 95301-4230 | 2020-02-03 |
| 1417594029 | Dawn Thomas | Counselor | 559 Mendocino Ct, Atwater, CA 95301-4230 | 2019-12-02 |
| 1891331047 | Lydia Eden Mullane | Counselor | 559 Mendocino Ct, Atwater, CA 95301-4230 | 2019-11-22 |
| 1477113066 | Bernadette Harty | Counselor | 559 Mendocino Ct, Atwater, CA 95301-4230 | 2019-06-17 |
| 1518438845 | Kristy Lynn Garibay | Counselor | 559 Mendocino Ct, Atwater, CA 95301-4230 | 2018-12-16 |
| 1447738133 | Teri Lee Jones | Counselor | 559 Mendocino Ct, Atwater, CA 95301-4230 | 2018-08-03 |
| 1568952984 | Mary Patricia Fitzgerald Moretti | Counselor | 559 Mendocino Ct, Atwater, CA 95301-4230 | 2018-05-10 |
| 1518460682 | Anita Garnica | Counselor | 559 Mendocino Ct, Atwater, CA 95301-4230 | 2018-03-14 |
| 1104339555 | Sheila Goodteacher | Counselor | 559 Mendocino Ct, Atwater, CA 95301 | 2017-11-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043731052 | Tlc Non-emergency Medical Transportation | Transportation Broker | 6235 Josie Street, Atwater, CA 95301 | 2017-06-29 |
| 1740536168 | Richard Adjetey Sewoatsri | Pharmacist | 2511 Boulder Dr, Atwater, CA 95301 | 2012-08-03 |
| 1396003588 | Muhammad Iqbal Choudhry | Physician Assistant | 1775 Third Street, Atwater, CA 95301 | 2012-04-25 |
| 1003117185 | Barbara Gatlin | Social Worker | 540 E Bellevue Rd, Atwater, CA 95301 | 2010-11-05 |
| 1063722635 | Carlos C Say,m..d.inc | Internal Medicine | 329 East Bellevue Rd, Atwater, CA 95301 | 2010-10-18 |
| 1689851669 | Simplicity of Heart Counseling Service LLC | Family Medicine | 1201 Cedar Avenue, Atwater, CA 95301 | 2008-01-22 |
| 1154507374 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1651 Bellevue Rd, Atwater, CA 95301 | 2008-01-17 |
| 1881893600 | Cheryl Anne Assante | Registered Nurse | 6255 W. Camellia Drive, Atwater, CA 95301 | 2007-07-12 |
| 1669502027 | Atwater Chiropractic, Inc. | Chiropractor | 2601 First Street, Atwater, CA 95301 | 2007-03-06 |
| 1215002902 | Martin Kinsman Vacca | Pharmacist | 571 Bellevue Rd, Atwater, CA 95301 | 2006-11-21 |
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| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578753604 | Paula Melissa Bloyed | Substance Abuse Rehabilitation Facility | 559 Mendocino Ct, Atwater, CA 95301-4230 | 2007-07-25 |
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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.