VANESSA M MCCREERY (NPI# 1265698708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265698708 |
| Entity Type | Individual |
| Full Name | VANESSA M MCCREERY |
| Credential | LPT |
| Practice Address |
2130 E 4th St Ste 200 Santa Ana CA 92705-3818 |
| Mailing Address |
1404 N Tustin Ave Unit T1 Santa Ana CA 92705-8660 |
| Practice Telephone | 7145435437 |
| Mailing Telephone | 7145429921 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT 18973 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CALIFORNIA, BOARD OF VOCATIONAL NURSES AND PSYCHIATRIC TECHNICIA | PT 18973 | 01 |
| Street Address |
2130 E 4TH ST STE 200 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417048158 | Joel Bradford Marlowe | Marriage & Family Therapist | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2006-09-27 |
| 1851906564 | Adriana Alatorre | Counselor | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2020-09-10 |
| 1821602095 | Jenny Perez | Counselor | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2020-09-03 |
| 1659982775 | Michelle Luna | Counselor | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2020-08-12 |
| 1154931079 | Brenda Joanne Solano | Social Worker | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2020-08-05 |
| 1851919930 | Anel Parra | Social Worker | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2020-07-06 |
| 1073137956 | Allison Walhof | Counselor | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2020-06-05 |
| 1013540616 | Juan Roberto Valenzuela | Social Worker | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2020-02-21 |
| 1467085068 | Olivia Alicia De La Riva | Social Worker | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2020-02-21 |
| 1699307827 | Danielle Andrea Miranda | Counselor | 2130 E 4th St Ste 200, Santa Ana, CA 92705-3818 | 2020-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| 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 |
|---|---|---|---|---|
| 1962593616 | Alexis Victoria Moulton | Licensed Psychiatric Technician | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4402 | 2006-09-27 |
| 1184722316 | Jason Russel D'amico | Licensed Psychiatric Technician | 1300 S Grand Ave, Santa Ana, CA 92705-4434 | 2006-09-20 |
| 1912504531 | Jorge Alejandro Sanchez Delgado | Licensed Psychiatric Technician | 1207 E Fruit St, Santa Ana, CA 92701-4296 | 2020-10-06 |
| 1730796822 | Beth Anne Gayle Greenberg | Licensed Psychiatric Technician | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2020-09-23 |
| 1710596648 | Manuel Ramone Ferdinand Jr. | Licensed Psychiatric Technician | 1910 N Bush St, Santa Ana, CA 92706-2816 | 2020-07-27 |
| 1780146852 | Angelina Terese Lucero | Licensed Psychiatric Technician | 2100 N Broadway Ste 101, Santa Ana, CA 92706-2624 | 2019-04-05 |
| 1598259632 | Vernon Leslie Castle | Licensed Psychiatric Technician | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2018-06-21 |
| 1003905167 | Maria Del Refugio Rivera Ruiz | Licensed Psychiatric Technician | 1200 N Main St, Suite # 890, Santa Ana, CA 92701-3640 | 2006-10-12 |
| 1518068915 | Laura E. Villegas Perdomo | Licensed Psychiatric Technician | 405 W 5th St, Ste 212, Santa Ana, CA 92701-4519 | 2006-09-26 |
| 1144327842 | Lynette Dee Ewing | Licensed Psychiatric Technician | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2006-09-17 |
| Find all providers in SANTA ANA | ||||
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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.