TIFFANI GRAHAM (NPI# 1386193829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386193829 |
| Entity Type | Individual |
| Full Name | TIFFANI GRAHAM |
| Practice Address |
1255 E Highland Ave San Bernardino CA 92404-6804 |
| Mailing Address |
2532 Prospect Ave Riverside CA 92507-5739 |
| Practice Telephone | 9098827978 |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 80744 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1255 E HIGHLAND AVE |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-6804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356304380 | Larry E Southard | Marriage & Family Therapist | 1255 E Highland Ave, Ste 105, San Bernardino, CA 92404 | 2006-04-10 |
| 1003368655 | Starshine Treatment Center Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1255 E Highland Ave, Ste 215, San Bernardino, CA 92404-6804 | 2016-10-31 |
| 1013392901 | Time for Change Foundation | Case Management | 1255 E Highland Ave, Suite #211, San Bernardino, CA 92404-6804 | 2015-07-21 |
| 1366715013 | Ragan & Ferguson Physical Therapy, Inc. | Clinic/Center | 1255 E Highland Ave, Suite 108, San Bernardino, CA 92404-6804 | 2012-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031886 | Sarah Lynne Beaver | Marriage & Family Therapist | 1314 E Date St, San Bernardino, CA 92404-4234 | 2020-07-28 |
| 1437772316 | Irene Dean Reynosa | Marriage & Family Therapist | 5182 Sundance Dr, San Bernardino, CA 92407-2994 | 2020-05-26 |
| 1396384442 | Jeffrey Boyd Inc. | Marriage & Family Therapist | 409 W 17th St, San Bernardino, CA 92405-4413 | 2020-01-06 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1215409727 | Mariela Aguilera Medrano | Marriage & Family Therapist | 766 N Waterman Ave, San Bernardino, CA 92410-4435 | 2018-12-21 |
| 1083196166 | Lobban Marriage and Family Therapy Inc | Marriage & Family Therapist | 473 E. Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2018-09-05 |
| 1932699980 | Christiana Schenck | Marriage & Family Therapist | 720 East Gilbert Street, San Bernardino, CA 92415-0001 | 2018-05-15 |
| 1841714839 | Layla Subhani | Marriage & Family Therapist | 780 E Gilbert Street, Bldg H, San Bernardino, CA 92415 | 2017-08-01 |
| 1023546637 | Angelica Ruiz | Marriage & Family Therapist | 900 E. Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2017-05-25 |
| 1669916193 | Yvonne Castro | Marriage & Family Therapist | 572 N. Arrowhead Ave., Suite 200, San Bernardino, CA 92401 | 2016-12-19 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
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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.