MR. JUDY L HALLISEY (NPI# 1255534970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255534970 |
| Entity Type | Individual |
| Full Name | MR. JUDY L HALLISEY |
| Credential | MFT |
| Practice Address |
4545 Georgetown Pl Stockton CA 95207-6215 |
| Practice Telephone | 2099538900 |
| Mailing Telephone | 2099538900 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC38297 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4545 GEORGETOWN PL |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-6215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992715759 | Hao Van Nguyen | Dentist | 4545 Georgetown Pl, Suite B 8, Stockton, CA 95207-6215 | 2006-08-08 |
| 1902458508 | Cassandra K Sysouvanh | Case Manager/Care Coordinator | 4545 Georgetown Pl, Stockton, CA 95207-6215 | 2019-07-12 |
| 1518526359 | Telecare Corporation | Clinic/Center | 4545 Georgetown Pl, Suite D and E-28, Stockton, CA 95207-6229 | 2019-06-06 |
| 1477084671 | Tran Tran | Licensed Vocational Nurse | 4545 Georgetown Pl, A3, Stockton, CA 95207-6215 | 2017-03-21 |
| 1376094581 | Manuel Cruz Dominguez Jr. | Counselor | 4545 Georgetown Pl, Suite A3, Stockton, CA 95207-6215 | 2016-10-24 |
| 1124395710 | Walker Chiropractic, Inc. | Chiropractor | 4545 Georgetown Pl, Suite A7, Stockton, CA 95207-6215 | 2011-11-26 |
| 1679713796 | Angie Jo Nicholas | Marriage & Family Therapist | 4545 Georgetown Pl, B-13, Stockton, CA 95207-6215 | 2009-03-02 |
| 1932383924 | Toanhungtran Md Inc | General Practice | 4545 Georgetown Pl, C 16, Stockton, CA 95207-6215 | 2007-12-26 |
| 1538359682 | Lynell Bennett Youngblood | Counselor | 4545 Georgetown Pl, Ste F-36, Stockton, CA 95207-6215 | 2007-07-25 |
| 1528261708 | Douglas Robert Brewer | Social Worker | 4545 Georgetown Pl, Stockton, CA 95207-6215 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528532991 | Stephen Elias | Marriage & Family Therapist | 1414 N California St Ste 2, Stockton, CA 95202-1515 | 2019-01-18 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1083117188 | Ryan Rix | Marriage & Family Therapist | 510 E Magnolia St Ste 100, Stockton, CA 95202-1850 | 2018-03-14 |
| 1821538273 | Lisa Marie Richardson | Marriage & Family Therapist | 2852 Elmwood Ave Apt 9, Stockton, CA 95204-3949 | 2017-03-05 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1992179352 | Frank Garcia | Marriage & Family Therapist | 5302 Harvest Gold Dr, Stockton, CA 95219-2432 | 2015-11-23 |
| 1144696840 | Wilhelmina Marie Parsons | Marriage & Family Therapist | 1212 California Street, Stockton, CA 95202 | 2015-08-17 |
| 1962887554 | Gurmeet Singh | Marriage & Family Therapist | 4635 Georgetown Pl Ste A, Stockton, CA 95207-6203 | 2015-07-23 |
| 1598148165 | Roberta Ann Novo | Marriage & Family Therapist | 4750 Quail Lakes Drive, Suite C-2, Stockton, CA 95207 | 2015-07-01 |
| 1316328792 | San Juana Melgoza | Marriage & Family Therapist | 306 E Main St Ste 300, Stockton, CA 95202-2908 | 2015-06-11 |
| Find all providers in STOCKTON | ||||
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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.