MR. THADDEAUS WAYNE BUSH SR. (NPI# 1316133705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316133705 |
| Entity Type | Individual |
| Full Name | MR. THADDEAUS WAYNE BUSH SR. |
| Other Name | MR. THADDAEUS WAYNE BUSH |
| Credential | CATC |
| Practice Address |
500 W. Hospital Rd. Recovery House French Camp CA 95231 |
| Mailing Address |
1212 N. California St. San Joaquin County Behavioral Health Stockton CA 95202 |
| Practice Telephone | 2094686857 |
| Practice Fax Number | 2094686739 |
| Mailing Telephone | 2094686857 |
| Mailing Fax Number | 2094686739 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2017-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | B0411260821 | CA | Behavioral Health & Social Service Providers |
| Street Address |
500 W. HOSPITAL RD. RECOVERY HOUSE |
| City | FRENCH CAMP |
| State | CA |
| Zip Code | 95231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801830583 | County of San Joaquin | General Acute Care Hospital | 500 W. Hospital Rd., French Camp, CA 95231 | 2006-06-15 |
| 1932552437 | Anpreet Singh | Student in an Organized Health Care Education/Training Program | 500 W. Hospital Rd., French Camp, CA 95231-9693 | 2016-07-20 |
| 1366895831 | Andrew Turner | Student in an Organized Health Care Education/Training Program | 500 W. Hospital Rd., French Camp, CA 95231-9693 | 2016-07-19 |
| 1689027252 | Jackline Grace | Family Medicine | 500 W. Hospital Rd., French Camp, CA 95231-9693 | 2016-07-19 |
| 1083924351 | Quynh Tu Pham | Pharmacist | 500 W. Hospital Rd., French Camp, CA 95231-9989 | 2010-10-20 |
| 1194035535 | Jered Michael Arquiette | Pharmacist | 500 W. Hospital Rd., French Camp, CA 95231-8898 | 2010-10-19 |
| 1841426947 | Sreelatha Pottala | Obstetrics & Gynecology | 500 W. Hospital Rd., French Camp, CA 95231-9989 | 2009-06-03 |
| 1902020423 | Sonja Genese Gabales | Counselor | 500 W. Hospital Rd., French Camp, CA 95231 | 2007-04-13 |
| 1275686495 | Mary N. Gordon | Nutritionist | 500 W. Hospital Rd., French Camp, CA 95231-9989 | 2007-01-19 |
| 1063565307 | Jeffrey Huey | Nutritionist | 500 W. Hospital Rd., French Camp, CA 95231-9989 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124264510 | San Joaquin General Hospital Dialysis Clinic | General Acute Care Hospital | 7783 S. Freedom Road, French Camp, CA 95231 | 2009-01-06 |
| 1427229731 | Vhee M Agcaoili | Social Worker | 7777 S. Freedom Road, Stockton, CA 95231 | 2008-03-13 |
| 1851576532 | Nikolas Bjorn Adamsson | Counselor | 10350 South Mckinley Avenue, French Camp, CA 95231 | 2007-12-31 |
| 1558557801 | County of San Joaquin | Clinic/Center | 7783 South Freedom Road, French Camp, CA 95231 | 2007-09-20 |
| 1962602847 | Julie Mai Dang | Pharmacist | 7777 South Freedom Drive, French Camp, CA 95231 | 2007-07-19 |
| 1548478142 | San Joaquin County Behavioral Health Services | Clinic/Center | 6861 Mary Graham Lane, French Camp, CA 95231 | 2007-05-18 |
| 1497968184 | San Joaquin County Behavioral Health Services | Substance Abuse Rehabilitation Facility | 500 W. Hospital Road, French Camp, CA 95231 | 2007-05-08 |
| 1891918793 | Randy Raymond Barretto | Counselor | 500 W. Hospitalm Rd, French Camp ., CA 95231 | 2007-04-10 |
| 1245352392 | Dora Florez | Counselor | 500 W Hospital Road, French Camp, CA 95231 | 2007-04-06 |
| 1538281506 | John Campos | Physical Therapy Assistant | 500 West Hospital Rd., French Camp, CA 95231 | 2007-04-03 |
| Find all providers in zip 95231 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891918926 | Alma Alvarez | Counselor | 8210 S Bright Rd, French Camp, CA 95231-9759 | 2007-04-10 |
| 1033624267 | Luz L Lopez-garcia | Counselor | 535 W Mathews Rd, French Camp, CA 95231-9757 | 2017-12-11 |
| 1427576545 | Lavern Cheatham | Counselor | 500 W Hospital Rd, French Camp, CA 95231-9693 | 2017-09-08 |
| 1740405653 | Adrian Welling | Counselor | 8210 S Bright Rd, French Camp, CA 95231-9759 | 2007-04-16 |
| 1295959633 | Jeffrey David Wick | Counselor | 500 West Hospital Rd, French Camp, CA 95231 | 2007-04-13 |
| 1831313881 | Ronayne Thompson | Counselor | 8210 S Bright Rd, French Camp, CA 95231-9759 | 2007-04-12 |
| 1437372463 | Jackie Grami | Counselor | 8210 S Bright Rd, French Camp, CA 95231-9759 | 2007-04-10 |
| 1730302720 | Dorothy Taylor | Counselor | 8210 S Bright Rd, French Camp, CA 95231-9759 | 2007-04-10 |
| 1518180587 | Lawrence Razo | Counselor | 8210 S Bright Rd, French Camp, CA 95231-9759 | 2007-04-10 |
| 1619190444 | Carol Cross | Counselor | 8210 S Bright Rd, French Camp, CA 95231-9759 | 2007-04-10 |
| Find all providers in FRENCH CAMP | ||||
| City | FRENCH CAMP |
| Zip Code | 95231 |
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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.