SYNCHRONY OF VISALIA (NPI# 1255602066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255602066 |
| Entity Type | Organization |
| Organization Name | SYNCHRONY OF VISALIA |
| Practice Address |
1041 N Demaree St Visalia CA 93291-4119 |
| Practice Telephone | 5596354252 |
| Practice Fax Number | 5596354281 |
| Mailing Telephone | 5596354252 |
| Mailing Fax Number | 5596354281 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |
| Authorized Official Name | DR. EDWYN W ORTIZ-NANCE (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5596354252 |
| Authorized Official Credential | PSYD. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
1041 N DEMAREE ST |
| City | VISALIA |
| State | CA |
| Zip Code | 93291-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629238894 | Ian Javier Ortiz-nance | Psychologist | 1041 N Demaree St, Visalia, CA 93291-4119 | 2008-06-11 |
| 1992071344 | Synchrony of Visalia, Inc. | Community/Behavioral Health | 1041 N Demaree St, Visalia, CA 93291-4119 | 2012-03-30 |
| 1336410141 | Synchrony of Visalia, Inc. | Psychologist | 1041 N Demaree St, Visalia, CA 93291-4119 | 2012-01-25 |
| 1609144500 | Maria-magdalena Ortiz-nance | Psychologist | 1041 N Demaree St, Visalia, CA 93291-4119 | 2011-12-06 |
| 1699050989 | Eric Frank Cepeda | Student in an Organized Health Care Education/Training Program | 1041 N Demaree St, Visalia, CA 93291-4119 | 2011-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
| 1689223067 | Patricia Mari Marquez | Technician | 32481 Road 127, Visalia, CA 93291 | 2019-09-09 |
| 1942767710 | Jeremy Clifton Mccallister | Counselor | 120 W. School Ave., Visalia, CA 93291 | 2019-02-27 |
| 1568975290 | Kaweah Delta Health Care District | Clinic/Center | 3600 Flagstaff Avenue, Visalia, CA 93291 | 2017-11-16 |
| 1932625308 | Christina Gonzalez | Counselor | New Hope, 212 N. Stevenson, Visalia, CA 93291 | 2017-08-17 |
| 1629598545 | Estherose Molina | Assistant Behavior Analyst | 5445 W. Sweet Drive, Visalia, CA 93291 | 2017-06-21 |
| 1487195988 | Brenda Rodriguez | Case Manager/Care Coordinator | 546 East Tulare Ave, Visalia, CA 93291 | 2017-03-16 |
| 1295181857 | David James Tsuneji Fujihara | Emergency Medicine | 400 W. Mineral King Ave, Visalia, CA 93291 | 2016-05-12 |
| 1326409343 | Bay Area Surgical Specialists, Inc A Medical Corporation | Pain Medicine | 5127 W Noble Ave, Visalia, CA 93291 | 2016-03-18 |
| 1932585700 | Charles Dominick Trentacosti | Occupational Therapy Assistant | 514 N Bridge St, Visalia, CA 93291 | 2015-08-04 |
| Find all providers in zip 93291 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871731539 | Tulare County Probation Department | Community Based Residential Treatment Facility, Mental Illness | 3303 S. Fairway Ave, Visalia, CA 93277 | 2009-02-03 |
| 1497992895 | Casa Grande Sr. Care Home | Community Based Residential Treatment Facility, Mental Illness | 347 E Walnut Ave, Visalia, CA 93277-5458 | 2009-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1467053041 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 | 2020-11-02 |
| 1366043937 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 | 2020-11-02 |
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
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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.