TONY TULLOH (NPI# 1336758317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336758317 |
| Entity Type | Individual |
| Full Name | TONY TULLOH |
| Practice Address |
714 W Main St Grass Valley CA 95945-6410 |
| Practice Telephone | 5304779800 |
| Practice Fax Number | 5304779803 |
| Mailing Telephone | 5304779800 |
| Mailing Fax Number | 5304779803 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
714 W MAIN ST |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945-6410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821175258 | Charis Youth Center | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main St, Grass Valley, CA 95945-6410 | 2006-11-01 |
| 1942808027 | Rachel Shearer | Counselor | 714 W Main St, Grass Valley, CA 95945-6410 | 2020-10-12 |
| 1578161659 | Melika Shafiee | Counselor | 714 W Main St, Grass Valley, CA 95945-6410 | 2020-10-12 |
| 1881292886 | Kai Woo | Counselor | 714 W Main St, Grass Valley, CA 95945-6410 | 2020-10-12 |
| 1609489970 | Mae Waldron | Counselor | 714 W Main St, Grass Valley, CA 95945-6410 | 2020-08-26 |
| 1720691090 | Micah Konyha | Counselor | 714 W Main St, Grass Valley, CA 95945-6410 | 2020-08-26 |
| 1699387290 | Elyssia Glassco | Counselor | 714 W Main St, Grass Valley, CA 95945-6410 | 2020-08-17 |
| 1790394773 | Blake Klein | Counselor | 714 W Main St, Grass Valley, CA 95945-6410 | 2020-07-27 |
| 1487263463 | Zong Yang | Counselor | 714 W Main St, Grass Valley, CA 95945-6410 | 2020-07-27 |
| 1548887185 | Rebecca Jean Peters | Counselor | 714 W Main St, Grass Valley, CA 95945-6410 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| 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 |
|---|---|---|---|---|
| 1992338388 | Lindsay Taylor Sharpe | Counselor | 20601 Johnston Dr, Grass Valley, CA 95949-7728 | 2020-02-13 |
| 1154866465 | Shanaz Hatifi | Counselor | 210 Sutton Way Apt 220, Grass Valley, CA 95945-4188 | 2016-12-21 |
| 1144612268 | Misha Rauchwerger | Counselor | 10784 Cedar Way, Grass Valley, CA 95945-4833 | 2015-02-26 |
| 1760645337 | Tina L Churchman | Counselor | 333 Crown Point Cir, #125, Grass Valley, CA 95945-9534 | 2008-07-03 |
| 1942808027 | Rachel Shearer | Counselor | 714 W Main St, Grass Valley, CA 95945-6410 | 2020-10-12 |
| 1578161659 | Melika Shafiee | Counselor | 714 W Main St, Grass Valley, CA 95945-6410 | 2020-10-12 |
| 1881292886 | Kai Woo | Counselor | 714 W Main St, Grass Valley, CA 95945-6410 | 2020-10-12 |
| 1609489970 | Mae Waldron | Counselor | 714 W Main St, Grass Valley, CA 95945-6410 | 2020-08-26 |
| 1720691090 | Micah Konyha | Counselor | 714 W Main St, Grass Valley, CA 95945-6410 | 2020-08-26 |
| 1699387290 | Elyssia Glassco | Counselor | 714 W Main St, Grass Valley, CA 95945-6410 | 2020-08-17 |
| Find all providers in GRASS VALLEY | ||||
| City | GRASS VALLEY |
| Zip Code | 95945 |
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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.