STANISLAUS COUNTY (NPI# 1396956751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396956751 |
| Entity Type | Organization |
| Organization Name | STANISLAUS COUNTY |
| Other Organization Name | WEST MODESTO PSYCH CLINIC |
| Practice Address |
1100 Kansas Ave Modesto CA 95351-1596 |
| Mailing Address |
800 Scenic Dr Modesto CA 95350-6131 |
| Practice Telephone | 2095256225 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DENISE C HUNT (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Telephone | 2095256225 |
| Authorized Official Credential | RN, MFT |
| 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 | 50AY | 05 |
| Other Name | Type Code |
|---|---|
| WEST MODESTO PSYCH CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952502676 | Stanislaus County | Community/Behavioral Health | 1501 F St, Modesto, CA 95354-2522 | 2007-05-30 |
| 1194926246 | Stanislaus County | Community/Behavioral Health | 2028 W Orangeburg Ave, Modesto, CA 95350-3742 | 2007-05-29 |
| 1861525081 | Stanislaus County | Community/Behavioral Health | 12555 B Street, Merced, CA 95340 | 2007-03-14 |
| 1790818821 | Stanislaus County | Community/Behavioral Health | 823 E Orangeburg Ave, Modesto, CA 95350-4619 | 2007-03-14 |
| 1770616674 | Stanislaus County | Community/Behavioral Health | 101 Lander Ave, Turlock, CA 95380-5201 | 2007-03-13 |
| 1417080300 | Stanislaus County | Community/Behavioral Health | 1803 Enslen Ave, Modesto, CA 95350-3112 | 2007-03-13 |
| 1851423834 | Stanislaus County | Community/Behavioral Health | 1024 J St, Suite 225, Modesto, CA 95354-0828 | 2007-03-12 |
| 1942332077 | Stanislaus County | Community/Behavioral Health | 5725 Paradise Dr, Corte Madera, CA 94925-1212 | 2007-03-12 |
| 1962534099 | Stanislaus County | Community/Behavioral Health | 755 S Yosemite Ave, Oakdale, CA 95361-4094 | 2007-03-12 |
| 1467584599 | Stanislaus County | Community/Behavioral Health | 22791 Foothill Blvd, Hayward, CA 94541-4207 | 2007-03-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STANISLAUS COUNTY POLICE ACTIVITIES LEAGUE | 1325 Beverly Dr, Modesto, CA 95351-2313 |
| System for Award Management (SAM) Entities | STANISLAUS COUNTY PROBATION DEPARTMENT | 2215 Blue Gum Avez, Modesto, CA 95358 |
| Street Address |
1100 KANSAS AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95351-1596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710050158 | Dao Xuanthi Tran | Psychiatry & Neurology | 1100 Kansas Ave, Suite A, Modesto, CA 95351-1596 | 2006-11-15 |
| 1083170930 | Alyssa Lenae Baker | Counselor | 1100 Kansas Ave, Modesto, CA 95351-1596 | 2019-02-15 |
| 1619351574 | Specialized Daycare Services, Inc | Non-emergency Medical Transport (VAN) | 1100 Kansas Ave, Modesto, CA 95351-1596 | 2015-07-10 |
| 1407036361 | John Mark Phillips | Registered Nurse | 1100 Kansas Ave, Suite A, Modesto, CA 95351-1596 | 2007-11-08 |
| 1578789061 | Karen Marie Mitchell | Social Worker | 1100 Kansas Ave, Suite B, Modesto, CA 95351-1596 | 2007-04-17 |
| 1720101058 | Behavioral Health and Recovery Services | Community/Behavioral Health | 1100 Kansas Ave, Modesto, CA 95351-1596 | 2007-04-10 |
| 1699890533 | Matthew Presnell Blakeley | Counselor | 1100 Kansas Ave, Modesto, CA 95351-1596 | 2007-03-20 |
| 1336278993 | Bosseba Kong | Social Worker | 1100 Kansas Ave, Suite A, Modesto, CA 95351-1596 | 2007-03-02 |
| 1033247689 | Maria Molie Tupua | Registered Nurse | 1100 Kansas Ave, Modesto, CA 95351-1596 | 2007-03-02 |
| 1801922687 | Mary Elizabeth Oakes | Marriage & Family Therapist | 1100 Kansas Ave, Suite A, Modesto, CA 95351-1596 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392487 | Western Dental Services, Inc. | Dentist | 1524 Richland Ave, Ceres, CA 95351 | 2017-12-18 |
| 1881039873 | Sabrina Arora-thissen | Family Medicine | 401 Paradise Rd. Ste, Modesto, CA 95351 | 2013-05-03 |
| 1407163561 | Maliza Cahee Oliver | Dentist | 1404 Mitchell Rd, Modesto, CA 95351 | 2010-09-09 |
| 1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
| 1841469640 | Edgar Hse-hwa Han | Physical Medicine & Rehabilitation | 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 | 2008-02-26 |
| 1326259326 | Karen Ann Peterson | Nurse Practitioner | 1340 Mitchell Rd, Modesto, CA 95351 | 2007-05-24 |
| 1013139054 | Bounchanh Trysavath | Physician Assistant | 300 I St, Modesto, CA 95351 | 2007-05-02 |
| 1245363464 | Sharon Basaldua1 | Counselor | 813 Moon Lane, Modesto, CA 95351 | 2007-03-14 |
| 1710046834 | Phil Chen | Dentist | 1460 Mitchell Road, Suite B, Modesto, CA 95351 | 2006-12-06 |
| 1649366055 | Victor Y. Chen | Family Medicine | 401 Paradise Road, Suite E, Modesto, CA 95351 | 2006-10-04 |
| Find all providers in zip 95351 | ||||
| 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 |
|---|---|---|---|---|
| 1053882035 | Stanislaus County Behavioral Health and Recovery Services | Community/Behavioral Health | 190 E. Hackett Road, Modesto, CA 95358-9450 | 2018-12-17 |
| 1730650524 | County of Stanislaus | Community/Behavioral Health | 4640 Spyres Way Ste B7, Modesto, CA 95356-9800 | 2018-12-06 |
| 1780199711 | Resilience and Wellness Counseling | Community/Behavioral Health | 1012 11th St Ste Ll4, Modesto, CA 95354-0827 | 2017-12-13 |
| 1194260133 | Koinonia Foster Homes Inc | Community/Behavioral Health | 406 Motor City Ct, Ste. F, Modesto, CA 95356-9200 | 2016-12-29 |
| 1841732302 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 1539 Mchenry Ave., Modesto, CA 95350-4528 | 2016-11-14 |
| 1356798383 | Childrens Crisis Intervention Program | Community/Behavioral Health | 1540 Florida Ave Ste 212, Modesto, CA 95350-4430 | 2016-05-19 |
| 1245637230 | Sierra Vista Drop In Center | Community/Behavioral Health | 908 Sierra Dr, Modesto, CA 95351-3254 | 2014-11-19 |
| 1700126158 | Living Well Bcs Inc | Community/Behavioral Health | 510 Chabot Ave, Modesto, CA 95354-0233 | 2013-02-21 |
| 1740513266 | Sierra Vista Child & Family Services | Community/Behavioral Health | 1700 Mchenry Village Way Ste B, Modesto, CA 95350-4308 | 2009-09-16 |
| 1992909378 | County of Stanislaus | Community/Behavioral Health | 500 N 9th St, Bldg B, Modesto, CA 95350 | 2007-06-12 |
| Find all providers in MODESTO | ||||
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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.