PROF. ANDRE FAHAMIVU REDICK (NPI# 1194897280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194897280 |
| Entity Type | Individual |
| Full Name | PROF. ANDRE FAHAMIVU REDICK |
| Practice Address |
4500 Hollister Ave Santa Barbara CA 93110-1710 |
| Practice Telephone | 8056924821 |
| Practice Fax Number | 8056924841 |
| Mailing Telephone | 8056924821 |
| Mailing Fax Number | 8056924841 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
4500 HOLLISTER AVE |
| City | SANTA BARBARA |
| State | CA |
| Zip Code | 93110-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497825418 | Alice Konieczny | Case Manager/Care Coordinator | 4500 Hollister Ave, Santa Barbara, CA 93110-1710 | 2006-11-08 |
| 1225572415 | Santa Barbara County Department of Behavioral Wellness | Clinic/Center | 4500 Hollister Ave, Outside Portable Arrc Room, Santa Barbara, CA 93110-1710 | 2016-12-07 |
| 1538546858 | Charles Hughes | Counselor | 4500 Hollister Ave, Santa Barbara, CA 93110-1710 | 2015-05-06 |
| 1386999258 | Santa Barbara County Department of Behavioral Wellness | Clinic/Center | 4500 Hollister Ave, Santa Barbara, CA 93110-1710 | 2012-07-17 |
| 1316125248 | Todd Reed Malesich | Case Manager/Care Coordinator | 4500 Hollister Ave, Santa Barbara, CA 93110-1710 | 2008-02-01 |
| 1407999402 | Alocohol Drug Mental Health Services of Santa Barbra | Health Maintenance Organization | 4500 Hollister Ave, Santa Barbara, CA 93110-1710 | 2007-02-15 |
| 1306909882 | Ronald Koegler | Psychiatry & Neurology | 4500 Hollister Ave, Santa Barbara, CA 93110-1710 | 2006-12-18 |
| 1134293822 | Andrea Leslie Sallee | Marriage & Family Therapist | 4500 Hollister Ave, Santa Barbara, CA 93110-1710 | 2006-11-17 |
| 1184795999 | Hassni Subira | Case Manager/Care Coordinator | 4500 Hollister Ave, Santa Barbara, CA 93110-1710 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386287431 | Rosanne M. Marquis | Technician | 4131 Creviente Drive, Santa Barbara, CA 93110 | 2019-10-22 |
| 1467961722 | Chris Latham | Nutritionist | 4760 Amarosa Street, Santa Barbara, CA 93110 | 2017-09-29 |
| 1770030330 | Laurence Seguin-brault | Social Worker | 66 South Anttonio Road, Santa Barbara, CA 93110 | 2016-09-01 |
| 1891142626 | Patricia Hurtado | Peer Specialist | 66 S San Antonio Road, Santa Barbara, CA 93110 | 2016-05-23 |
| 1023494945 | Santa Barbara County Alcogol, Drug & Mental Health Services | Social Worker | 66 S. San Antonio Road, Santa Barbara, CA 93110 | 2015-08-03 |
| 1225382088 | Terry Gostow | Speech-Language Pathologist | 333 Old Mill Road, #314, Santa Barbara, CA 93110 | 2012-11-01 |
| 1184914020 | Matt Traube | Marriage & Family Therapist | 3953 Carol Ave, Santa Barbara, CA 93110 | 2011-04-12 |
| 1679715270 | Abundant Care IIi | Assisted Living Facility | 4589 Anhay Dr, Santa Barbara, CA 93110 | 2009-03-27 |
| 1508052333 | Chadler R Burgoyne | Orthopaedic Surgery | Sansum Orthopedic Clinic, 4151 Foothill Rd - Bldg A, Santa Barbara, CA 93110 | 2007-09-14 |
| 1689878894 | Jill Louise Daugherty | Counselor | Admhs, Santa Barbara, CA 93110 | 2007-06-12 |
| Find all providers in zip 93110 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689179541 | Elizabeth Garcia | Case Manager/Care Coordinator | 1725 Chapala St # A, Santa Barbara, CA 93101-2913 | 2018-03-23 |
| 1851890586 | Pathpoint | Case Manager/Care Coordinator | 512 Bath St, Santa Barbara, CA 93101-3437 | 2018-02-08 |
| 1306345038 | Pathpoint | Case Manager/Care Coordinator | 422 E Cota St, Santa Barbara, CA 93101-7604 | 2018-02-08 |
| 1275045023 | Stephanie Bea | Case Manager/Care Coordinator | 315 Camino Del Remedio Rm 257, Santa Barbara, CA 93110-1332 | 2017-11-02 |
| 1497825418 | Alice Konieczny | Case Manager/Care Coordinator | 4500 Hollister Ave, Santa Barbara, CA 93110-1710 | 2006-11-08 |
| 1124198189 | Spencer Ryan Cross | Case Manager/Care Coordinator | 4500 Hollister Avenue, Santa Barbara, CA 93110-1710 | 2006-11-08 |
| 1831277896 | Patricia Collins | Case Manager/Care Coordinator | 2017 Chapala St, Santa Barbara, CA 93105-3902 | 2006-11-01 |
| 1316568009 | Gilbere Coutouzis | Case Manager/Care Coordinator | 2034 De La Vina St, Santa Barbara, CA 93105-3814 | 2020-05-04 |
| 1912537077 | Mari Claire Bautista | Case Manager/Care Coordinator | 315 Camino Del Remedio Bldg 3, Santa Barbara, CA 93110-1332 | 2020-01-17 |
| 1518513266 | Amanda Munoz | Case Manager/Care Coordinator | 2034 De La Vina St, Santa Barbara, CA 93105-3814 | 2019-08-16 |
| Find all providers in SANTA BARBARA | ||||
| City | SANTA BARBARA |
| Zip Code | 93110 |
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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.