PAJARO VALLEY PREVENTION & STUDENT ASSISTANCE PROGRAM, INC. (NPI# 1306171467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306171467 |
| Entity Type | Organization |
| Organization Name | PAJARO VALLEY PREVENTION & STUDENT ASSISTANCE PROGRAM, INC. |
| Practice Address |
100 Mariner Way Aptos CA 95003-9641 |
| Mailing Address |
335 E Lake Ave Watsonville CA 95076-4826 |
| Practice Telephone | 8317286445 |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2011-02-11 |
| Authorized Official Name | SILVIA DIAZ (CFO) |
| Authorized Official Telephone | 8317286445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174859623 | Pajaro Valley Prevention & Student Assistance Program, Inc. | Counselor | 440 Arthur Rd, Watsonville, CA 95076-3701 | 2009-10-19 |
| 1447586995 | Pajaro Valley Prevention & Student Assistance Program, Inc. | Counselor | 250 E Beach St, Watsonville, CA 95076-4831 | 2009-10-19 |
| 1538495080 | Pajaro Valley Prevention & Student Assistance Program, Inc. | Counselor | 1001 Huntington Dr, Aptos, CA 95003-4104 | 2009-10-19 |
| 1629304175 | Pajaro Valley Prevention & Student Assistance Program, Inc. | Counselor | 500 Harkins Slough Rd, Watsonville, CA 95076-9453 | 2009-10-19 |
| Street Address |
100 MARINER WAY |
| City | APTOS |
| State | CA |
| Zip Code | 95003-9641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528594785 | Hilary Kline Beymer | Specialist/Technologist | 100 Mariner Way, Aptos, CA 95003-9641 | 2017-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730664962 | Karinn Lane Pearson | Occupational Therapist | 240 Ranchitos Del Sol, Aptos, CA 95003 | 2018-10-03 |
| 1104280494 | Mary Alice Charboneau | Pharmacist | 80 Ranch Del Mar, Aptos, CA 95003 | 2016-04-12 |
| 1447643507 | Lorrine Carrara | Marriage & Family Therapist | 3060 Valencia Ave Ste 7, Aptos, CA 95003 | 2015-03-13 |
| 1417372277 | Maribel Madrigal | Counselor | 9057 Soquel Dr. C, Suite A, Aptos, CA 95003 | 2014-03-03 |
| 1740556604 | Teela Williams | Counselor | 105 Post Ofiice Dr, Suite F, Aptos, CA 95003 | 2012-03-26 |
| 1730452228 | Lisa Dopfel | Speech-Language Pathologist | 116 Glen Drive, Aptos, CA 95003 | 2012-02-15 |
| 1417279506 | Kristen Claassen | Counselor | 3060 Valencia Ave Suite 7, Aptos, CA 95003 | 2010-02-17 |
| 1699904003 | Bridgete H Clark | Dentist | 6500 Soquel Drive, Aptos, CA 95003 | 2009-07-07 |
| 1164658316 | Families Together | Community/Behavioral Health | 9057 Soquel Drive C Ste A, Aptos, CA 95003 | 2009-06-02 |
| 1720237647 | Rebecca Ann Golden | Marriage & Family Therapist | 124 Rancho Del Mar, Aptos, CA 95003 | 2008-09-16 |
| Find all providers in zip 95003 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164958492 | David Gabriel Anthony Reggi | Counselor | 3019 Arlington Dr, Aptos, CA 95003-3165 | 2017-05-05 |
| 1740556604 | Teela Williams | Counselor | 105 Post Ofiice Dr, Suite F, Aptos, CA 95003 | 2012-03-26 |
| 1538495080 | Pajaro Valley Prevention & Student Assistance Program, Inc. | Counselor | 1001 Huntington Dr, Aptos, CA 95003-4104 | 2009-10-19 |
| 1700050903 | Sarah Elizabeth Cooper | Counselor | 105 Post Office Dr, Suite F, Aptos, CA 95003-3953 | 2008-04-17 |
| 1629241484 | Daniel Gibson | Counselor | 105 Post Office Dr., F, Aptos, CA 95003 | 2008-04-11 |
| 1073980264 | Ellen Garfield | Counselor | 6233 Soquel Dr Ste C, Aptos, CA 95003 | 2015-08-24 |
| 1659708477 | Alexandria Bernard | Counselor | 105 Post Office Dr, Suite F, Aptos, CA 95003-3953 | 2013-10-11 |
| 1740522747 | Samuel F Heredia | Counselor | 105 Post Office Dr, #f, Aptos, CA 95003-3953 | 2013-03-18 |
| 1891086328 | Reagan Rae Glover | Counselor | 3060 Valencia Ave, Suite 6 & 7, Aptos, CA 95003-4165 | 2011-05-02 |
| 1366616633 | Bonnie Kinley | Counselor | 105 Post Office Dr, Suite F, Aptos, CA 95003-3953 | 2008-04-17 |
| Find all providers in APTOS | ||||
Please comment or provide details below to improve the information on PAJARO VALLEY PREVENTION & STUDENT ASSISTANCE PROGRAM, INC..
| 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.