MR. CLIFFORD BRESLOW (NPI# 1205995016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205995016 |
| Entity Type | Individual |
| Full Name | MR. CLIFFORD BRESLOW |
| Credential | LCSW |
| Practice Address |
1285 Baring Blvd Sparks NV 89434-8673 |
| Practice Telephone | 7753558000 |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2015-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
01742-C | NV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639169758 | Clifford Mark Breslow | Anesthesiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2005-10-28 |
| Street Address |
1285 BARING BLVD |
| City | SPARKS |
| State | NV |
| Zip Code | 89434-8673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992210 | Erin Heffelfinger | Rehabilitation Practitioner | 550 Marina Gateway Dr, Apt 1432, Sparks, NV 89434 | 2020-08-10 |
| 1568009892 | Daniel Wesley Jacobson | Home Health Aide | 800 Nichols Bldv #222, Sparks, NV 89434 | 2019-12-05 |
| 1437649688 | Barbara M Robinson | Home Health Aide | 1963 E. Prayer Way, Sparks, NV 89434 | 2018-05-14 |
| 1851788277 | P6 Family Services LLC | Case Management | 2200 North D'andrea Pkwy #2411, Sparks, NV 89434 | 2015-04-23 |
| 1700188430 | Etxea Services | Community/Behavioral Health | 741 Rancho Villa Drive, Sparks, NV 89434 | 2010-12-01 |
| 1194970640 | Steven Joel Madison | Registered Nurse | 1999 Mania Court, Sparks, NV 89434 | 2008-11-25 |
| 1730342155 | Raymond Miranda Duro | Pharmacist | 2375 East Prater Way Sparks, Sparks, NV 89434 | 2008-07-07 |
| 1124293436 | Steve D Smith | Hearing Instrument Specialist | 1450 E Prater Way Ste 111, Sparks, NV 89434 | 2008-04-28 |
| 1437355799 | Kristin Leigh Koetje | Social Worker | 310 Rue De La Lavanda, Sparks, NV 89434 | 2007-06-25 |
| 1063549582 | Urology Institute | Urology | 2385 E Prater Way Suite 112, Sparks, NV 89434 | 2007-02-28 |
| Find all providers in zip 89434 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183560 | Mary Jean Smith | Counselor | 2105 Capurro Way Ste 270, Sparks, NV 89431-8518 | 2020-08-05 |
| 1912482886 | Jennifer Eileen Hernandez | Counselor | 25 Curnow Springs Ct, Sparks, NV 89436-5616 | 2018-09-26 |
| 1861993602 | Daxea Deweese | Counselor | 2105 Capurro Way Ste 105, Sparks, NV 89431-8586 | 2018-02-27 |
| 1912422593 | Megan Taylor Dominguez | Counselor | 480 Galletti Way Bldg 1, Sparks, NV 89431-5564 | 2017-08-04 |
| 1689197444 | Fred Blauth Jr. | Counselor | 2105 Sullivan Ln, Sparks, NV 89431 | 2017-07-24 |
| 1851760177 | Elizabeth Ojeda | Counselor | 490 Galletti Way, Building 8c, Sparks, NV 89431 | 2015-09-16 |
| 1023486438 | Sucelly Melissa Diaz Erazo | Counselor | 501 El Rancho Dr Spc 88, Sparks, NV 89431-4117 | 2015-09-02 |
| 1003292657 | Alicia Aparicio | Counselor | 1795 Trabert Cir, Sparks, NV 89431-2960 | 2015-08-06 |
| 1700265089 | Arcadia Recovery Center | Counselor | 1188 Victorian Plaza Cir, Sparks, NV 89431-4943 | 2015-05-20 |
| 1164814208 | Erick Becerra | Counselor | 1555 Oddie Blvd Suite B, Sparks, NV 89431 | 2015-02-26 |
| Find all providers in SPARKS | ||||
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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.