YWCA SAN GABRIEL VALLEY (NPI# 1326501628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326501628 |
| Entity Type | Organization |
| Organization Name | YWCA SAN GABRIEL VALLEY |
| Practice Address |
943 N Grand Ave Covina CA 91724-2046 |
| Practice Telephone | 6269602995 |
| Practice Fax Number | 6268140447 |
| Mailing Telephone | 6269602995 |
| Mailing Fax Number | 6268140447 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |
| Authorized Official Name | DEBRA M. WARD (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6269602995 |
| Authorized Official Credential | MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
943 N GRAND AVE |
| City | COVINA |
| State | CA |
| Zip Code | 91724-2046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935116 | Jonathan Maurice Wicks | Social Worker | 943 N Grand Ave, Covina, CA 91724-2046 | 2020-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902320922 | Kimberly Suzanne Manzanares-mora | Rehabilitation Practitioner | 1359 North Grand Avenue, Covina, CA 91724 | 2017-08-01 |
| 1689194680 | Cynthia Garcia | Counselor | 1359 N. Grand Ave., Covina, CA 91724 | 2017-06-21 |
| 1386191963 | West Covina Group Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1274 Center Court Dr, #208, Covina, CA 91724 | 2016-09-01 |
| 1184094781 | Veronica May Roberts | Licensed Vocational Nurse | 222 S. Wilson Ave, Covina, CA 91724 | 2015-09-25 |
| 1912216292 | Joan Mendoza | Social Worker | 1338 Center Court Dr Ste 107, Covina, CA 91724 | 2010-10-04 |
| 1548583602 | Lille-anne Nzeribe | Rehabilitation Practitioner | 1126 N. Grand Ave. Suite D, Covina, CA 91724 | 2010-03-03 |
| 1154534212 | Verna L Lewis | Marriage & Family Therapist | 420 South Grand Ave., Covina, CA 91724 | 2007-05-07 |
| 1093937310 | Heather Annn Pedevillano | Specialist/Technologist | 1805 E. Lomira Dr, Covina, CA 91724 | 2007-05-03 |
| 1669503579 | Maritza Mercedes Reyes | Rehabilitation Practitioner | 1411 N. Grand Ave., Covina, CA 91724 | 2007-03-09 |
| 1417014085 | Bernadette Luyun Guaring Bagay | Dentist | 984 E Badillo St, Suite E, Covina, CA 91724 | 2007-01-03 |
| Find all providers in zip 91724 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295388106 | Masonic Homes of California | Community/Behavioral Health | 1650 E Old Badillo St, Covina, CA 91724-3163 | 2019-07-19 |
| 1336639368 | Counseling Solutions for Children and Families, Psychology Corporation | Community/Behavioral Health | 271 E Workman St Ste 101, Covina, CA 91723 | 2018-05-15 |
| 1760803209 | Abaworks LLC. | Community/Behavioral Health | 969 S Village Oaks Dr Ste 204, Covina, CA 91724-0606 | 2013-12-31 |
| 1568711216 | Dr. Bernhardt & Associates, Inc. | Community/Behavioral Health | 750 Terrado Plz Ste 105, Covina, CA 91723-3411 | 2012-09-07 |
| 1780958025 | Behavioral Autism Therapies, LLC | Community/Behavioral Health | 20926 Black Stallion Dr, Covina, CA 91724-3849 | 2012-03-05 |
| 1780873935 | Pacific Clinics | Community/Behavioral Health | 1340 N Enid Ave, Covina, CA 91722-1214 | 2007-10-23 |
| 1346455466 | Social Model Recovery Systems Inc | Community/Behavioral Health | 510 S. Second Ave, Suite 7, Covina, CA 91723-3147 | 2007-05-11 |
| 1982737284 | The Family Center | Community/Behavioral Health | 758 W Armel Drive, Covina, CA 91723 | 2007-03-14 |
| 1477685006 | Bienvenidos Children's Center | Community/Behavioral Health | 258 W Badillo St, Covina, CA 91723-1906 | 2007-03-09 |
| 1427188424 | Center for Integrated Family and Health Services | Community/Behavioral Health | 540 S Eremland Dr Ste A-e, Covina, CA 91723-3186 | 2007-03-07 |
| Find all providers in COVINA | ||||
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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.