CASSIDY TAYLOR MANGIO-GONZALES (NPI# 1144821406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144821406 |
| Entity Type | Individual |
| Full Name | CASSIDY TAYLOR MANGIO-GONZALES |
| Practice Address |
1260 E Arrow Hwy Upland CA 91786-4982 |
| Practice Telephone | 9099321069 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1260 E ARROW HWY |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-4982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609067024 | Artinice Walker | Counselor | 1260 E Arrow Hwy, Upland, CA 91786-4982 | 2007-08-09 |
| 1245874429 | Loren Vacko | Marriage & Family Therapist | 1260 E Arrow Hwy, Upland, CA 91786-4982 | 2019-10-31 |
| 1114576824 | Idania Arellano | Marriage & Family Therapist | 1260 E Arrow Hwy, Upland, CA 91786-4982 | 2019-09-05 |
| 1518526755 | Declan Thomas Murphy | Marriage & Family Therapist | 1260 E Arrow Hwy, Upland, CA 91786-4982 | 2019-06-11 |
| 1245893874 | Daniel Jafet Argueta | Counselor | 1260 E Arrow Hwy, Upland, CA 91786-4982 | 2019-04-18 |
| 1427611458 | Kimberly Williams | Marriage & Family Therapist | 1260 E Arrow Hwy, Upland, CA 91786-4982 | 2019-04-16 |
| 1164085361 | Stephanie Enriquez | Counselor | 1260 E Arrow Hwy, Upland, CA 91786-4982 | 2019-04-15 |
| 1841753092 | Kevin L Hudson | Counselor | 1260 E Arrow Hwy, Upland, CA 91786-4982 | 2019-04-12 |
| 1801359104 | Haley Raelene Prizzi-wilson | Counselor | 1260 E Arrow Hwy, Upland, CA 91786-4982 | 2019-04-12 |
| 1780150433 | Kevin Brian Carter | Counselor | 1260 E Arrow Hwy, Upland, CA 91786-4982 | 2018-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437963 | Chelsea Heller | Counselor | 968 Carson St, Upland, CA 91784-1831 | 2020-05-01 |
| 1225669393 | All In Family Counseling | Counselor | 1857 Wilson Ave, Upland, CA 91784-7449 | 2020-01-28 |
| 1063059905 | Courtney Cope | Counselor | 1207 Jacaranda Pl, Upland, CA 91784-7410 | 2019-12-10 |
| 1780231449 | Lupita Rojas | Counselor | 1425 W Foothill Blvd Fl Ave3, Upland, CA 91786-8007 | 2019-08-19 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1023585841 | Andrea L Hollis | Counselor | 1420 Chaffee St Apt 154, Upland, CA 91786-5575 | 2018-10-30 |
| 1336614940 | Karisa Nicole Quick | Counselor | 231 N Euclid Ave, Upland, CA 91786-6038 | 2018-10-10 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1477090413 | Evelyne Banks | Counselor | 1126 W Foothill Blvd Ste 110, Upland, CA 91786-3786 | 2017-01-29 |
| 1558814830 | Sabrina Analise Elias | Counselor | 1425 W Foothill Blvd Ste 300, Upland, CA 91786 | 2016-08-03 |
| Find all providers in UPLAND | ||||
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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.