MRS. SUSAN KATHLEEN MEDLIN


Address: 1340 Arnold Dr., Suite 200 Contra Costa Mental Health Administration, Martinez, CA 94553
Phone: 9259575104

MRS. SUSAN KATHLEEN MEDLIN (NPI# 1205050564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205050564
Entity Type Individual
Full Name MRS. SUSAN KATHLEEN MEDLIN
Practice Address 1340 Arnold Dr.
Suite 200 Contra Costa Mental Health Administration
Martinez
CA 94553
Mailing Address 1340 Arnold Dr.
Suite 200 Contra Costa Mental Health Adminstration
Martinez
CA 94553
Practice Telephone 9259575104
Practice Fax Number 9259575156
Mailing Telephone 9259575104
Mailing Fax Number 9259575156
Enumeration Date 2007-04-11
Last Update Date 2009-12-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 1340 ARNOLD DR.,
SUITE 200 CONTRA COSTA MENTAL HEALTH ADMINISTRATION
City MARTINEZ
State CA
Zip Code 94553

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043838709 Melissa A Eaton Health Educator 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 2020-07-09
1427671965 Kamri Elizabeth Hunt Behavior Technician 1220 Arnold Dr, Martinez, CA 94553 2020-05-19
1134741671 Alex Rodriguez Social Worker 150 Nuir Road, Martinez, CA 94553 2020-05-07
1316405632 Melissa Janine London Psychologist 150 Muir Road (116b), Martinez, CA 94553 2019-03-05
1942791025 Morganne Elizabeth Lasley Juelich Behavioral Analyst 940 Lemon St, Martinez, CA 94553 2018-05-23
1457882243 Ut Nguyen Pharmacist 400 Muir Rd, Martinez, CA 94553 2017-03-23
1346771144 Irene Kuo Pharmacist 400 Muir Road, Martinez, CA 94553 2017-03-23
1407209802 Gabrielle B De Los Reyes Dentist 1124 Arnold Drive #100, Martinez, CA 94553 2016-07-20
1619334745 Randal Du Pharmacist 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 2016-01-20
1417329947 Suja Samuel Registered Nurse 597 Center Avenue, Suite 200-a, Martinez, CA 94553 2015-10-23
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396183612 Latonya Faye Mcnair Case Manager/Care Coordinator 3957 Cheyenne Trl, Martinez, GA 30907-5138 2013-06-08
1942363213 Kimberly Dawn Booker Case Manager/Care Coordinator 4580 Mallard Ct, Martinez, GA 30907-8873 2006-12-18
1750757324 Correna Kelley Case Manager/Care Coordinator 200 Muir Rd, Tiburon Building, Martinez, CA 94553-4614 2015-08-18
1689903494 Phillip Charles Cooper Case Manager/Care Coordinator 1340 Arnold Dr, Suite 200, Martinez, CA 94553-4189 2009-12-08
1912139494 Lucy Bartel Case Manager/Care Coordinator 835 Castro St, Martinez, CA 94553-1611 2009-08-17
1528238375 Susan Ann Vanlandingham Case Manager/Care Coordinator 597 Center Ave, Suite 150, Martinez, CA 94553-4640 2008-03-07
1699959080 Lawana London Case Manager/Care Coordinator 597 Center Ave Ste 150, Martinez, CA 94553-4674 2007-12-21
1538342639 Aaqilah H Islam Case Manager/Care Coordinator 597 Center Ave Ste 150, Martinez, CA 94553-4674 2007-12-11
1821271099 Ana Silvia Blanco Case Manager/Care Coordinator 597 Center Ave Ste 150, Martinez, CA 94553-4674 2007-12-11
1528240397 Juliette Scott Case Manager/Care Coordinator 597 Center Ave, Suite 150, Martinez, CA 94553-4640 2007-12-03
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City MARTINEZ
Zip Code 94553

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Dataset Information

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.

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