GRECIA A. HERNANDEZ (NPI# 1275959579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275959579 |
| Entity Type | Individual |
| Full Name | GRECIA A. HERNANDEZ |
| Credential | LPT. |
| Practice Address |
2550 W Clinton Ave Bldg W Fresno CA 93705-4206 |
| Practice Telephone | 5592647521 |
| Mailing Telephone | 5592647521 |
| Mailing Fax Number | 5598600168 |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 167G00000X | Licensed Psychiatric Technician | PT37178 | CA | Nursing Service Providers |
| Street Address |
2550 W CLINTON AVE BLDG W |
| City | FRESNO |
| State | CA |
| Zip Code | 93705-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477736130 | Pao Yang | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2007-12-17 |
| 1003427790 | Stephanie Silva | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2020-08-14 |
| 1972113371 | Jazmine A Rocha | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2020-07-31 |
| 1841813938 | Mental Health Systems, Inc. | Community/Behavioral Health | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2020-05-22 |
| 1982265526 | Daisy Zamora | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2019-06-25 |
| 1861909343 | Yolanda Amezola | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2018-01-05 |
| 1386173409 | Jalisa Jessi Vinson | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2017-06-12 |
| 1942657119 | Erick Magana | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2016-05-18 |
| 1487038832 | Kris Quibal | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2015-07-15 |
| 1932515145 | Alicia Austin-townsend | Marriage & Family Therapist | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2014-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295683 | Deja Marie Velasquez | Counselor | 2772 S. Martin Luther King Jr. Blvd., Fresno, CA 93705 | 2018-11-28 |
| 1952800344 | Maria Del Rosario Marin | Counselor | 2550 W. Clinton Ave., Fresno, CA 93705 | 2018-02-12 |
| 1326293978 | Sueann Vial | Marriage & Family Therapist | 4545 N. West Ave, Fresno, CA 93705 | 2008-11-24 |
| 1396227757 | Raul Prado Jr. | Marriage & Family Therapist | 4545 N West Ave, Fresno, CA 93705 | 2018-09-02 |
| 1538645353 | Amabelle Shayeghi Marquez | Dentist | 1255 W Shields Ave, Fresno, CA 93705 | 2018-07-15 |
| 1114443165 | Melissa De Benedetto | Marriage & Family Therapist | 4545 N. West Ave., Fresno, CA 93705 | 2017-08-21 |
| 1033630421 | Lorena Soledad Dominguez | Marriage & Family Therapist | 4545 N. West Ave., Fresno, CA 93705 | 2017-07-06 |
| 1730634635 | Mental Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 2550 W Clinton Ave, Fresno, CA 93705 | 2016-08-20 |
| 1558747261 | Cameron Hilaire | Counselor | 2550 W Clinton Ave, Fresno, CA 93705 | 2015-08-04 |
| 1568858280 | Robin Lynn Ruby | Counselor | 2550 W Clinton Ave, Fresno, CA 93705 | 2015-04-09 |
| Find all providers in zip 93705 | ||||
| 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 |
|---|---|---|---|---|
| 1619370004 | Phyllis Rodriguez | Licensed Psychiatric Technician | 496 S Barton Ave, Fresno, CA 93702-2985 | 2014-09-30 |
| 1649570458 | Kimberly Hudspeth | Licensed Psychiatric Technician | 1148 W Gettysburg Ave, Fresno, CA 93705-0933 | 2010-10-26 |
| 1871748657 | Steven Ralph Colwell | Licensed Psychiatric Technician | 637 W Hammond Ave, Fresno, CA 93728-2200 | 2008-11-20 |
| 1356404602 | Joseph Exnicious Jules | Licensed Psychiatric Technician | 1312 E Garland Ave, Fresno, CA 93704-4938 | 2006-12-18 |
| 1871100248 | Tanveer Hans | Licensed Psychiatric Technician | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-09-29 |
| 1366069577 | Ulysses Ruvalcaba | Licensed Psychiatric Technician | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-03 |
| 1750908141 | Brooke Annette Denham | Licensed Psychiatric Technician | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-01 |
| 1376178509 | Michelle Mendez | Licensed Psychiatric Technician | 1235 E St, Fresno, CA 93706-2024 | 2020-03-09 |
| 1801426630 | Shaylee Maxfield | Licensed Psychiatric Technician | 4411 E Kings Canyon Rd # 319, Fresno, CA 93702-3604 | 2020-01-21 |
| 1740828094 | Eric Okafor | Licensed Psychiatric Technician | 496 S Barton Ave, Fresno, CA 93702-2985 | 2019-12-18 |
| Find all providers in FRESNO | ||||
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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.