ELLIOT GILLIAM (NPI# 1215571989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215571989 |
| Entity Type | Individual |
| Full Name | ELLIOT GILLIAM |
| Practice Address |
3195 M St Merced CA 95348-2406 |
| Practice Telephone | 2097236030 |
| Practice Fax Number | 2097236032 |
| Mailing Telephone | 2097236030 |
| Mailing Fax Number | 2097236032 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| 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 |
| Street Address |
3195 M ST |
| City | MERCED |
| State | CA |
| Zip Code | 95348-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336294552 | Veronica Ramirez | Marriage & Family Therapist | 3195 M St, Suite D, Merced, CA 95348-2406 | 2007-01-25 |
| 1669034229 | Hilda Yeli Ramirez | Counselor | 3195 M St, Merced, CA 95348-2406 | 2019-07-03 |
| 1174189138 | Mark David Knutson | Social Worker | 3195 M St, Merced, CA 95348-2406 | 2019-05-15 |
| 1972071231 | Christopher Joseph Soares | Counselor | 3195 M St, Merced, CA 95348 | 2018-11-05 |
| 1831683325 | Edward P Vidal | Case Manager/Care Coordinator | 3195 M St, Merced, CA 95348-2406 | 2018-06-18 |
| 1588166300 | Christina Michelle Keys Gonzalez | Social Worker | 3195 M St, Merced, CA 95348-2406 | 2018-03-07 |
| 1225537558 | Nadine Jaye Catano | Social Worker | 3195 M St, Merced, CA 95348-2406 | 2018-02-01 |
| 1629576038 | Karina Alejandra Moreno | Social Worker | 3195 M St, Merced, CA 95348-2406 | 2018-01-31 |
| 1447758859 | Veroniki Elena Bohrer-padavos | Social Worker | 3195 M St, Merced, CA 95348-2406 | 2018-01-31 |
| 1467979021 | Vanessa Salazar | Social Worker | 3195 M St, Merced, CA 95348-2406 | 2017-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063031649 | Sydney Towle | Counselor | 3360 N Hwy 59 Suite K, Merced, CA 95348 | 2020-04-13 |
| 1972147544 | Aaliyah Belt | Behavior Technician | 2808 Park Ave, Suite A, Merced, CA 95348 | 2019-11-06 |
| 1922566025 | Michelle Chao Lee | Case Manager/Care Coordinator | 3360 North Hwy 59 Suite K, Merced, CA 95348 | 2019-03-07 |
| 1760952246 | Noemi Diaz | Counselor | 3360 North Hwy.59 Suite K, Merced, CA 95348 | 2018-11-28 |
| 1518451632 | Kenneth Tiea Pay | Pharmacist | 767 Ironstone Dr, Merced, CA 95348 | 2018-06-21 |
| 1295223444 | Andraya Diane Plascencia | Behavior Technician | 335 M St, Merced, CA 95348 | 2018-04-24 |
| 1801398839 | Elisabet Pulido | Case Manager/Care Coordinator | 3360 N State Hwy 59, K, Merced, CA 95348 | 2018-03-06 |
| 1184126674 | Carolina Rosales | Behavior Technician | 3335 M St., Merced, CA 95348 | 2018-03-01 |
| 1659897957 | Melody Vega | Social Worker | 3195 M Street, Merced, CA 95348 | 2017-08-17 |
| 1942739305 | Salvador Tinoco Jaramillo | Marriage & Family Therapist | 3360 N Highway 59 Suite K, Merced, CA 95348 | 2017-06-08 |
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| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194351411 | Andrew Jabson | Counselor | 300 East 15h St., Suite B, Merced, CA 95341-6217 | 2020-03-18 |
| 1730722380 | Tamra Sufuentes | Counselor | 3974 Robin Ct, Merced, CA 95340-8343 | 2019-10-25 |
| 1376005041 | Hopraya Stidom | Counselor | 3195 M St Ste D, Merced, CA 95348-2406 | 2019-04-02 |
| 1073086401 | Linda Marie Longinotti | Counselor | 300 East 15th Street Suite B, C/o Mgpc Npi: 1013030808, Merced, CA 95341-6217 | 2019-01-08 |
| 1538649041 | Jessica Lopez-jimenez | Counselor | 300 E 15th Street, Suite A, Merced, CA 95341-6217 | 2018-08-15 |
| 1417433665 | Richard Forrest Denno | Counselor | 301 E 13th St Fl Streetb1, Merced, CA 95341-6211 | 2018-07-11 |
| 1104371905 | Mayra Lopez | Counselor | 1900 G St, Merced, CA 95340 | 2016-08-22 |
| 1528444148 | Mirian Cardenas | Counselor | 301 E 13th St Ste D, Merced, CA 95341 | 2015-08-05 |
| 1962839290 | Jessica Perez | Counselor | 480 East 13th Street, Building, Merced, CA 95341 | 2013-10-01 |
| 1225386790 | Guerline Lily Desir | Counselor | 301 E 13th St Bldg 1, Merced, CA 95341-6211 | 2012-08-15 |
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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.