DOUGLAS BENJAMIN GUDEMAN (NPI# 1255958187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255958187 |
Entity Type | Individual |
Full Name | DOUGLAS BENJAMIN GUDEMAN |
Practice Address |
Alternative House-residential Treatment Center 1550 Juliesse Avenue Sacramento CA 95815 |
Mailing Address |
Po Box 593 Alta CA 95701-0593 |
Practice Telephone | 9167375555 |
Mailing Telephone | 5303681998 |
Enumeration Date | 2020-06-26 |
Last Update Date | 2020-06-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
Street Address |
ALTERNATIVE HOUSE-RESIDENTIAL TREATMENT CENTER 1550 JULIESSE AVENUE |
City | SACRAMENTO |
State | CA |
Zip Code | 95815 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366091894 | Twin Rivers Unified School District | Supports Brokerage | 3051 Fairfield Street, Sacramento, CA 95815 | 2019-09-07 |
1669941159 | Maria Luisa Plasencia | Registered Nurse | Martin Luther King Jr. Technology Academy, 3051 Fairfield St, Sacramento, CA 95815 | 2018-11-14 |
1700386547 | Rww Outpatient Rehab Services, LLC | Clinic/Center | 1610 Arden Way Ste 195, Sacramento, CA 95815 | 2018-02-19 |
1114439262 | Ahc Healthcare of Sacramento Corporation | Skilled Nursing Facility | 1411 Expo Pkwy, Sacramento, CA 95815 | 2017-10-30 |
1588173686 | Rebekah Collette Curtis | Counselor | 1048 Dixieanne Ave. #28, Sacramento, CA 95815 | 2017-09-21 |
1497284145 | Prohealth Home Care Inc | Hospice Care, Community Based | 1375 Exposition Blvd Suite 250b, Sacramento, CA 95815 | 2017-06-07 |
1386982296 | Shailesh M Asaikar Md Inc | Clinic/Center | 1111 Exposition Blvd., Bldg 700, Sacramento, CA 95815 | 2013-01-28 |
1609129618 | Jackey Care's Housing | Clinic/Center | 2447 Boxwood St, Sacramento, CA 95815 | 2012-10-16 |
1144549304 | Rowena Deleon Nolasco | Nurse Practitioner | 577 Las Palmas Ave., Health for All, Sacremento, CA 95815 | 2010-05-26 |
1659409027 | Amy Ann Smith | Social Worker | 1955 Canterbury Rd, Sacramento, CA 95815 | 2007-02-28 |
Find all providers in zip 95815 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508472440 | Jamie Lee Byrnes | Counselor | 777 12th St Ste 250, Sacramento, CA 95814-1929 | 2020-09-16 |
1104431519 | Sally Kathleen Montazer | Counselor | 1134 Clinton Rd, Sacramento, CA 95825-7304 | 2020-09-11 |
1972127611 | Brianna Hope Barron | Counselor | 8950 Cal Center Dr Ste 160&165, Sacramento, CA 95826-3259 | 2020-05-28 |
1699398420 | Selena Marie Brown | Counselor | 8084 Weeping Willow Ln, Sacramento, CA 95828-5395 | 2020-05-27 |
1346863222 | Erin Harris | Counselor | 2819 Norcade Cir Apt 1, Sacramento, CA 95826-3427 | 2020-05-26 |
1023638566 | Marta Yomara Rodriguez | Counselor | 5311 College Oak Dr Apt 16, Sacramento, CA 95841-2575 | 2020-04-24 |
1033739321 | Yancey Outreach International Inc. | Counselor | 1457 Dreamy Way, Sacramento, CA 95835-1761 | 2020-04-16 |
1114554136 | Cassandra Arlene Del Toro Ruiz | Counselor | 2403 Yreka Ave # 15, Sacramento, CA 95822-4466 | 2020-03-27 |
1952931487 | Anisa Sims | Counselor | 2688 Stonecreek Dr Apt 137, Sacramento, CA 95833 | 2020-01-23 |
1386290112 | Gena Ariagno | Counselor | 1100 Howe Ave Apt 399, Sacramento, CA 95825-8513 | 2019-08-16 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95815 |
Please comment or provide details below to improve the information on DOUGLAS BENJAMIN GUDEMAN.
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.