SOUTHERN SOLANO ALCOHOL COUNCIL (NPI# 1366814998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366814998 |
| Entity Type | Organization |
| Organization Name | SOUTHERN SOLANO ALCOHOL COUNCIL |
| Practice Address |
419 Pennsylvania St Vallejo CA 94590-6933 |
| Practice Telephone | 7076432715 |
| Mailing Telephone | 7076432715 |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |
| Authorized Official Name | MISS SUSAN CINELLI (EX. DIRECTOR) |
| Authorized Official Telephone | 9257087250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ALCOHOL AND DRUG COUNSELOR | 5807-R | 01 |
| Street Address |
419 PENNSYLVANIA ST |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-6933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699221945 | Dewight Edwin Wilson | Counselor | 419 Pennsylvania St, Vallejo, CA 94590-6933 | 2016-08-28 |
| 1861865529 | Helder Bartolomeu | Counselor | 419 Pennsylvania St, Vallejo, CA 94590-6933 | 2015-11-03 |
| 1063885994 | Jeffery Barnes | Counselor | 419 Pennsylvania St, Vallejo, CA 94590-6933 | 2015-10-30 |
| 1083888341 | Patricia A Banks | Counselor | 419 Pennsylvania St, Vallejo, CA 94590-6933 | 2008-04-17 |
| 1023282654 | Robert Phillips | Counselor | 419 Pennsylvania St, Vallejo, CA 94590-6933 | 2008-04-15 |
| 1326212051 | Bi-bett | Substance Abuse Rehabilitation Facility | 419 Pennsylvania St, Vallejo, CA 94590-6933 | 2008-04-14 |
| 1205000965 | Joseph Louis Ferdin | Counselor | 419 Pennsylvania St, Vallejo, CA 94590-6933 | 2008-04-14 |
| 1962676684 | Carol Louise Roberts | Counselor | 419 Pennsylvania St, Vallejo, CA 94590-6933 | 2008-04-14 |
| 1659564623 | Gary John Dillahunty | Counselor | 419 Pennsylvania St, Vallejo, CA 94590-6933 | 2007-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| 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 |
|---|---|---|---|---|
| 1861877722 | Catholic Charities of Solano | Community/Behavioral Health | 125 Corporate Pl, Suite A, Vallejo, CA 94590-6968 | 2015-07-21 |
| 1487993101 | Lmb Therapy Associates | Community/Behavioral Health | 1201 Glen Cove Pkwy, Unit 203, Vallejo, CA 94591-7171 | 2013-02-01 |
| 1134422678 | Caminar | Community/Behavioral Health | 915 Tuolumne Street, Vallejo, CA 94590-4641 | 2010-12-06 |
| 1467762617 | Anka Behavioral Health Inc. | Community/Behavioral Health | 3467 Edgewater Place, Vallejo, CA 94591 | 2010-10-20 |
| 1821307455 | Solano County Mental Health | Community/Behavioral Health | 335 Tuolumne St, Vallejo, CA 94590-5700 | 2010-09-30 |
| 1124180385 | Youth and Family Services | Community/Behavioral Health | 1017 Tennessee St, Vallejo, CA 94590-4547 | 2006-12-14 |
| 1750839015 | Child Have,n Inc | Community/Behavioral Health | 236 Georgia St, Ste 202, Vallejo, CA 94590-5991 | 2016-09-15 |
| 1295196426 | Bay Area Community Services Inc | Community/Behavioral Health | 236 Georgia St, Vallejo, CA 94590 | 2016-03-16 |
| 1659770873 | Bay Area Community Services Inc | Community/Behavioral Health | 236 Georgia St, Suite 101, Vallejo, CA 94590-5991 | 2014-08-14 |
| 1295142826 | Roshawn Adams | Community/Behavioral Health | 251 Georgia St, Vallejo, CA 94590-5905 | 2014-07-15 |
| Find all providers in VALLEJO | ||||
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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.