MINDY GOMEZ DAVIS (NPI# 1154779841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154779841 |
| Entity Type | Individual |
| Full Name | MINDY GOMEZ DAVIS |
| Practice Address |
251 Llewellyn Ave Campbell CA 95008 |
| Mailing Address |
251 Llewellyn Ave Campbell CA 95008-1940 |
| Practice Telephone | 4088917861 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2018-06-11 |
| 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 | ||
| N | 171M00000X | Case Manager/Care Coordinator | D8897632 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508882200 | Mindy Diane Davis | Social Worker | 309 W 12th St, Vancouver, WA 98660-2903 | 2006-07-14 |
| 1164663100 | Mindy L Davis | Counselor | 224 Breckenridge Ln, Suite A, Louisville, KY 40207-3859 | 2009-03-22 |
| 1265632442 | Mindy Ann Davis | Social Worker | 655 7th St Bldg 700700-a, 78th Mdg/sgow, Robins Afb, GA 31098-2227 | 2007-07-25 |
| Street Address |
251 LLEWELLYN AVE |
| City | CAMPBELL |
| State | CA |
| Zip Code | 95008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811093917 | Larry Bryon Hanville Jr. | Marriage & Family Therapist | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2006-09-15 |
| 1093316341 | Justin Johael Arellano Francisco | Licensed Vocational Nurse | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-11-03 |
| 1952909681 | Milton Velez | Case Manager/Care Coordinator | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-10-14 |
| 1114525425 | Kelly Amber Escobedo | Student in an Organized Health Care Education/Training Program | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-10-09 |
| 1104433770 | Nelson Vieira Brasil | Case Manager/Care Coordinator | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-09-28 |
| 1568079184 | Megan Michelle Lavond | Behavior Technician | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-09-28 |
| 1134730120 | Sara Jane Vargus | Behavior Technician | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-08-12 |
| 1992314876 | Samantha Medeiros | Student in an Organized Health Care Education/Training Program | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-07-27 |
| 1932718038 | Nereyda Plancarte | Counselor | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-07-24 |
| 1285242842 | Christine Benetua | Student in an Organized Health Care Education/Training Program | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2020-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
| 1164057550 | Francesca Dalangin | Physical Therapist | 163 E. Hamilton Avenue, Campbell, CA 95008 | 2020-03-06 |
| 1144790767 | Haley Brucato | Behavior Technician | 131 Rose Court Apt. 21, Campbell, CA 95008 | 2018-11-27 |
| 1740765809 | Crystal-xuanthao Nguyen Curammeng | Licensed Vocational Nurse | 251 Llwelyn Ave, Campbell, CA 95008 | 2018-09-25 |
| 1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
| 1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
| 1184132573 | My Hanh Thi Nguyen | Behavioral Analyst | 1440 Theresa Avenue, Campbell, CA 95008 | 2018-01-19 |
| 1346770948 | Stephanie Michele Klahold | Pharmacist | 100 North San Tomas Aquino Road, Campbell, CA 95008 | 2017-06-15 |
| 1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
| 1912448408 | Suzane Mitchualmacauley | Licensed Vocational Nurse | 251 Llewelyn Ave, Uplift Family Services, Campbell, CA 95008 | 2017-03-16 |
| Find all providers in zip 95008 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421504 | Kambria Evans Psychotherapy, PC | Counselor | 2155 S. Bascom Avenue, Suite 212, Campbell, CA 95008-3279 | 2019-01-11 |
| 1770954711 | Karrie Palmer | Counselor | 155 E Campbell Ave Ste 107, Campbell, CA 95008-2049 | 2015-10-16 |
| 1356711972 | Diane Maez | Counselor | 155 E Campbell Ave Ste 109, Campbell, CA 95008-2049 | 2015-09-25 |
| 1467856971 | Erin Kathleen Bogdanski | Counselor | 251 Llewellyn Avenue., Campbell, CA 95008 | 2014-10-13 |
| 1962793992 | Leah May Elvitsky | Counselor | 155 E Campbell Ave Suite 223, Campbell, CA 95008 | 2011-04-25 |
| 1629383625 | Nadia Vulfovich | Counselor | 595 Millich Dr Ste 102, Campbell, CA 95008-0550 | 2010-08-13 |
| 1427378546 | Tina Elaine Engel | Counselor | 1079 Audrey Ave, Campbell, CA 95008-6402 | 2010-06-11 |
| 1811210990 | Natalie Albert-ozga | Counselor | 1552 La Pradera Dr, 1552-1556, Campbell, CA 95008-1547 | 2010-03-03 |
| 1396977310 | James Dana Wilson | Counselor | 2265 S Bascom Ave Apt 20, Campbell, CA 95008-4309 | 2009-08-11 |
| 1376781393 | Joseph Hollis Arena | Counselor | 325 Union Ave Apt 105, Campbell, CA 95008-4254 | 2009-01-29 |
| Find all providers in CAMPBELL | ||||
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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.