ROBERT GERARD VANDYKE (NPI# 1427103076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427103076 |
| Entity Type | Individual |
| Full Name | ROBERT GERARD VANDYKE |
| Credential | LPT |
| Practice Address |
68615 Perez Rd Ste 6a Cathedral City CA 92234-7200 |
| Practice Telephone | 7607702222 |
| Mailing Telephone | 7607702222 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 025465 | CA | Nursing Service Providers |
| Street Address |
68615 PEREZ RD STE 6A |
| City | CATHEDRAL CITY |
| State | CA |
| Zip Code | 92234-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477656320 | Lois Doi | Social Worker | 68615 Perez Rd Ste 6a, Cathedral City, CA 92234-7200 | 2006-09-06 |
| 1023584737 | Samuel Murillo | Peer Specialist | 68615 Perez Rd Ste 6a, Cathedral City, CA 92234-7200 | 2018-10-19 |
| 1285117671 | Estefanie Perez Loera | Specialist | 68615 Perez Rd Ste 6a, Cathedral City, CA 92234-7200 | 2018-09-11 |
| 1710334982 | Riverside University Health System - Behavioral Health | Community/Behavioral Health | 68615 Perez Rd Ste 6a, Cathedral City, CA 92234-7200 | 2016-05-18 |
| 1114372505 | Ariana Zaragoza | Community/Behavioral Health | 68615 Perez Rd Ste 6a, Cathedral City, CA 92234-7200 | 2016-05-04 |
| 1609221779 | Riverside University Health System - Behavioral Health | Community/Behavioral Health | 68615 Perez Rd Ste 6a, Cathedral City, CA 92234-7200 | 2016-04-26 |
| 1528423167 | County of Riverside | Community/Behavioral Health | 68615 Perez Rd Ste 6a, Cathedral City, CA 92234-7200 | 2015-12-28 |
| 1306991302 | Maria R Iniguez | Counselor | 68615 Perez Rd Ste 6a, Cathedral City, CA 92234-7200 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559661 | Susan Lim | Pharmacist | 68018 Vista Chino, Cathedral City, CA 92234 | 2020-05-08 |
| 1306479936 | Aragon Medical Transport Inc. | Non-emergency Medical Transport (VAN) | 33775 Wishing Well Trl # 92234, Cathedral City, CA 92234 | 2020-02-21 |
| 1770973984 | K C Loo Dds A Dental Corp | Dentist | 68487 E. Palm Canyon Dr Bldg #1, Cathedral City, CA 92234 | 2015-01-26 |
| 1124426614 | Catherine Rodriguez | Counselor | 68100 Ramon Road, Cathedral City, CA 92234 | 2014-12-15 |
| 1760889323 | Serenity Congregate Care | Skilled Nursing Facility | 31730 Avenida Del Padre, Cathedral City, CA 92234 | 2014-11-25 |
| 1043622202 | Ruben Mendez Dds A Professional Corporation | Dentist | 68100 Ramon Rd., A 4, Cathedral City, CA 92234 | 2014-05-22 |
| 1801224670 | Stepping Stones Community Church of The Desert | Voluntary or Charitable | 216 Via Genova, Cathedral City, CA 92234 | 2013-10-14 |
| 1841576337 | Cristina Rene Jester | Case Manager/Care Coordinator | 68425 Perez Road, Suite 11, Cathedral City, CA 92234 | 2011-10-27 |
| 1356649438 | Kimberly Coppage | Case Manager/Care Coordinator | 68-625 Perez Rd, 11-a, Cathedral City, CA 92234 | 2011-03-14 |
| 1376703355 | Michael Day | Chiropractor | 465 Coyote, Cathedral City, CA 92234 | 2008-06-12 |
| Find all providers in zip 92234 | ||||
| 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 |
|---|---|---|---|---|
| 1578636114 | Karin Wukadinovich | Licensed Psychiatric Technician | 68615 Perez Rd, Suite # 6a, Cathedral City, CA 92234 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
| City | CATHEDRAL CITY |
| Zip Code | 92234 |
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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.