MS. SUSAN PATRICIA CLAYTON (NPI# 1215288824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215288824 |
Entity Type | Individual |
Full Name | MS. SUSAN PATRICIA CLAYTON |
Practice Address |
500 N 9th St Suite B Modesto CA 95350-5814 |
Practice Telephone | 2093411824 |
Practice Fax Number | 2095231296 |
Mailing Telephone | 2093411824 |
Mailing Fax Number | 2095231296 |
Enumeration Date | 2012-09-21 |
Last Update Date | 2015-06-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | 35321 | CA | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376179994 | Susan Clayton | Marriage & Family Therapist | 3657 Stoner Ave, Los Angeles, CA 90066-2838 | 2020-03-15 |
1962775650 | Susan Clayton | Registered Nurse | 2407 8th Ave, Canyon, TX 79015-4745 | 2012-02-11 |
1003014754 | Susan V. Clayton | Counselor | 1116 Maimone St, Toms River, NJ 08753-8328 | 2007-07-04 |
1144432998 | Susan Elizabeth Clayton | Art Therapist | 231 East 11th St., Ground Fl., New York, NY 10003 | 2007-05-04 |
Street Address |
500 N 9TH ST SUITE B |
City | MODESTO |
State | CA |
Zip Code | 95350-5814 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477610145 | Lori Norwood Jr. | Case Manager/Care Coordinator | 500 N 9th St, Modesto, CA 95350-5814 | 2007-01-02 |
1841807682 | Connie Chavarria | Technician | 500 N 9th St, Modesto, CA 95350-5814 | 2020-09-25 |
1831748565 | Jessica Acevedo | Technician | 500 N 9th St, Modesto, CA 95350-5814 | 2019-09-05 |
1487210605 | Lynnsey La Rae Howardcolossio | Technician | 500 N 9th St, Modesto, CA 95350-5814 | 2019-05-13 |
1316500630 | Lynda Cambra | Technician | 500 N 9th St, Modesto, CA 95350-5814 | 2019-04-22 |
1801459151 | Richard Kevin Lonsinger Jr. | Technician | 500 N 9th St, Modesto, CA 95350-5814 | 2019-04-22 |
1376080382 | Della Garcia | Student in an Organized Health Care Education/Training Program | 500 N 9th St, Modesto, CA 95350-5814 | 2017-01-28 |
1124565403 | Tyrone Thompson | Student in an Organized Health Care Education/Training Program | 500 N 9th St, Suite B, Modesto, CA 95350-5814 | 2017-01-25 |
1114463957 | Joshua Merrill | Case Manager/Care Coordinator | 500 N 9th St, Suite B, Modesto, CA 95350-5814 | 2017-01-18 |
1124576848 | Maria Scola | Case Manager/Care Coordinator | 500 N 9th St, Suite B, Modesto, CA 95350-5814 | 2016-09-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
Find all providers in zip 95350 |
Taxonomy Code | 167G00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Psychiatric Technician |
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598180127 | Susan Reynolds | Licensed Psychiatric Technician | 3904 Jane Way, Modesto, CA 95356-0825 | 2014-02-18 |
1497874648 | Robyn Kerr | Licensed Psychiatric Technician | 621 14th St, Modesto, CA 95354-2530 | 2007-03-28 |
1194297549 | Keenan Jones | Licensed Psychiatric Technician | 800 Scenic Dr, Modesto, CA 95350-6131 | 2018-12-26 |
1588139109 | Marianne Aleatha Magathen | Licensed Psychiatric Technician | 800 Scenic Dr, Modesto, CA 95350-6131 | 2018-10-10 |
1437495108 | Nicole Therese Brazell | Licensed Psychiatric Technician | 800 Scenic Dr, Modesto, CA 95350-6131 | 2012-12-27 |
1679605299 | Michael Patrick Collins | Licensed Psychiatric Technician | 800 Scenic Dr, Modesto, CA 95350-6131 | 2007-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
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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.