MICHELLE MENDEZ (NPI# 1376178509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376178509 |
| Entity Type | Individual |
| Full Name | MICHELLE MENDEZ |
| Practice Address |
1235 E St Fresno CA 93706-2024 |
| Practice Telephone | 5592686261 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3103 E Cartwright Ave, Fresno, CA 937259385 | 5594987100 | |
| 539 N Van Ness Ave, Fresno, CA 937283419 | 5592669581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427683747 | Michelle Mendez | Physical Therapist | 400 Carr 176 Condominio Paseo Del Rocio, Apt 303, San Juan, PR 00926 | 2020-03-06 |
| 1114439866 | Michelle Lora Mendez | Early Intervention Provider Agency | 4360 Dinner Lake Blvd, Lake Wales, FL 33859-2129 | 2017-11-02 |
| 1508150848 | Michelle Mendez | Speech-Language Pathologist | 3201 Yellowhammer Ave, Mcallen, TX 78504-5544 | 2011-06-03 |
| 1477153393 | Michelle Mendez | Behavior Technician | 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 | 2020-10-29 |
| 1316343171 | Michelle Andrea Mendez | Speech-Language Pathologist | 465 Grand St, New York, NY 10002-4800 | 2014-11-06 |
| 1740516095 | Michelle Susan Mendez | Social Worker | 106 S Perry St, Ste 4, Watkins Glen, NY 14891-1615 | 2009-10-21 |
| 1740202456 | Michelle Renae Mendez | Family Medicine | 1909 Beach Blvd, Suite 102, Jacksonville Beach, FL 32250-8608 | 2006-07-24 |
| 1083647366 | Michelle Yvette Mendez | Physical Medicine & Rehabilitation | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2006-07-09 |
| Street Address |
1235 E ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93706-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194880914 | Sharon Greywolf | Counselor | 1235 E St, Fresno, CA 93706-2024 | 2006-12-22 |
| 1538789292 | Adan Herrera | Counselor | 1235 E St, Fresno, CA 93706-2024 | 2020-04-23 |
| 1346869658 | Gurwinder Kaur | Licensed Vocational Nurse | 1235 E St, Fresno, CA 93706-2024 | 2020-04-16 |
| 1699394817 | James W Grayson | Counselor | 1235 E St, Fresno, CA 93706-2024 | 2020-04-09 |
| 1437786225 | Deborah Lynn Gilleran | Counselor | 1235 E St, Fresno, CA 93706-2024 | 2020-03-24 |
| 1316577356 | Rita Lee | Licensed Vocational Nurse | 1235 E St, Fresno, CA 93706-2024 | 2020-01-17 |
| 1528607447 | Thomanesha R Goins | Counselor | 1235 E St, Fresno, CA 93706-2024 | 2019-12-23 |
| 1174164222 | Michael Cody Russell | Counselor | 1235 E St, Fresno, CA 93706-2024 | 2019-09-30 |
| 1881240331 | Michelleann French | Licensed Vocational Nurse | 1235 E St, Fresno, CA 93706-2024 | 2019-08-12 |
| 1316401318 | Rosie A Jones | Counselor | 1235 E St, Fresno, CA 93706-2024 | 2019-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1821567538 | Misty Dawn Shepherd | Counselor | 2772 Martin L King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1497224125 | Jose Jimenez | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1023587730 | James John Pokorny IIi | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1932574225 | Brandi Leos | Counselor | 2772 Mlk Jr. Blvd, Fresno, CA 93706 | 2015-12-11 |
| 1174998199 | Jeremiah Hinojosa | Counselor | 2772 S M.l.k. Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| 1538534557 | Megan Mahoney | Counselor | 2772 S Martin Luther King Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| Find all providers in zip 93706 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619370004 | Phyllis Rodriguez | Licensed Psychiatric Technician | 496 S Barton Ave, Fresno, CA 93702-2985 | 2014-09-30 |
| 1649570458 | Kimberly Hudspeth | Licensed Psychiatric Technician | 1148 W Gettysburg Ave, Fresno, CA 93705-0933 | 2010-10-26 |
| 1871748657 | Steven Ralph Colwell | Licensed Psychiatric Technician | 637 W Hammond Ave, Fresno, CA 93728-2200 | 2008-11-20 |
| 1356404602 | Joseph Exnicious Jules | Licensed Psychiatric Technician | 1312 E Garland Ave, Fresno, CA 93704-4938 | 2006-12-18 |
| 1871100248 | Tanveer Hans | Licensed Psychiatric Technician | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-09-29 |
| 1366069577 | Ulysses Ruvalcaba | Licensed Psychiatric Technician | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-03 |
| 1750908141 | Brooke Annette Denham | Licensed Psychiatric Technician | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-01 |
| 1801426630 | Shaylee Maxfield | Licensed Psychiatric Technician | 4411 E Kings Canyon Rd # 319, Fresno, CA 93702-3604 | 2020-01-21 |
| 1740828094 | Eric Okafor | Licensed Psychiatric Technician | 496 S Barton Ave, Fresno, CA 93702-2985 | 2019-12-18 |
| 1609411677 | Anthony Jauregui | Licensed Psychiatric Technician | 496 S Barton Ave, Fresno, CA 93702-2985 | 2019-11-13 |
| Find all providers in FRESNO | ||||
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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.