PATRICIA A WALLACE (NPI# 1447553300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447553300 |
| Entity Type | Individual |
| Full Name | PATRICIA A WALLACE |
| Credential | CATC |
| Practice Address |
450 Rosewood Ave Suite215 Camarillo CA 93010-5914 |
| Practice Telephone | 8054821265 |
| Practice Fax Number | 8053895295 |
| Mailing Telephone | 8054821265 |
| Mailing Fax Number | 8053895295 |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
040970 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922434091 | Patricia J Wallace | Hearing Instrument Specialist | 1 Chesterfield Mall, Chesterfield, MO 63017-4807 | 2013-09-20 |
| 1043336704 | Patricia Irene Wallace | Counselor | 104 N 4th St, Hugo, OK 74743-4003 | 2007-03-22 |
| 1730683301 | Patricia Sue Wallace | Nurse Practitioner | 106 Market Place Cir, Georgetown, KY 40324-7400 | 2018-03-20 |
| 1548762958 | Patricia E. Wallace | Counselor | 3365 W Craig Rd Ste 25, North Las Vegas, NV 89032-5127 | 2018-03-01 |
| 1538606744 | Patricia Wallace | Occupational Therapist | 1755 Wittington Pl Ste 175, Dallas, TX 75234-1905 | 2017-01-25 |
| 1215398722 | Patricia Wallace | Marriage & Family Therapist | 901 N Pacific Coast Hwy, Suite 200a, Redondo Beach, CA 90277-2162 | 2016-03-10 |
| 1164750741 | Patricia Wallace | Occupational Therapist | 1818 W Worley St, Columbia, MO 65203-1038 | 2009-11-19 |
| 1174771281 | Patricia M Wallace | Acupuncturist | 217 1st St, Neptune Beach, FL 32266-6145 | 2008-09-03 |
| 1033393780 | Patricia Bonner Wallace | Counselor | 823 Evans St, Greenville, NC 27834-3267 | 2007-12-18 |
| 1861605719 | Patricia Wallace | Psychologist | 16000 W 9 Mile Rd, Suite 615, Southfield, MI 48075-4808 | 2007-05-08 |
| Street Address |
450 ROSEWOOD AVE SUITE215 |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010-5914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700983699 | Mark Curtiss Mc Dade | Dentist | 450 Rosewood Ave, Suite 100, Camarillo, CA 93010-5914 | 2006-09-20 |
| 1487255352 | Philip Long | Physical Therapist | 450 Rosewood Ave, Camarillo, CA 93010-5914 | 2020-11-05 |
| 1700125598 | Andrea R Howard | Counselor | 450 Rosewood Ave, Suite 215, Camarillo, CA 93010-5914 | 2013-02-13 |
| 1376882431 | Jean Marie Erickson | Marriage & Family Therapist | 450 Rosewood Ave, 212b, Camarillo, CA 93010-5914 | 2013-02-10 |
| 1548539794 | Melanie M. Sierra | Counselor | 450 Rosewood Ave, Suite 215, Camarillo, CA 93010-5914 | 2011-12-16 |
| 1194018515 | Stephanie Hernandez | Counselor | 450 Rosewood Ave, Camarillo, CA 93010-5914 | 2011-05-18 |
| 1306138094 | Kathleen Noelle Roberts | Counselor | 450 Rosewood Ave, Suite215, Camarillo, CA 93010-5914 | 2011-05-12 |
| 1750699831 | Maricela Higgins | Counselor | 450 Rosewood Ave, Suite215, Camarillo, CA 93010-5914 | 2010-09-22 |
| 1467606335 | Martha T. Castaneda | Counselor | 450 Rosewood Ave, Suite 215, Camarillo, CA 93010-5914 | 2008-11-05 |
| 1609027077 | Gabriel Gregory Teran | Counselor | 450 Rosewood Ave, Suite 215, Camarillo, CA 93010-5914 | 2008-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
| 1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
| 1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
| Find all providers in zip 93010 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467069955 | Charlotte Heather Anne Dipaolo | Counselor | 200 S Glenn Dr Apt 40, Camarillo, CA 93010-7969 | 2020-09-28 |
| 1710448477 | Stephanie Charisse Johnson | Counselor | 802 Eston St, Camarillo, CA 93010-4810 | 2019-03-26 |
| 1386120210 | Marcos Guillen | Counselor | 1317 Del Norte Rd Ste 209, Camarillo, CA 93010-8485 | 2018-07-13 |
| 1548682628 | Karen Lynn Mallory | Counselor | 450 Rosewood Ave Ste 215, Camarillo, CA 93010-5914 | 2014-01-09 |
| 1649558032 | Melida Novoa | Counselor | 1760 S Lewis Rd, Camarillo, CA 93012-8520 | 2011-08-02 |
| 1588718035 | Jennifer Alicia Bailey | Counselor | 1601 Carmen Dr Ste 215-i, Camarillo, CA 93010-3105 | 2007-01-22 |
| 1548867542 | Service To Achieve Growth and Empower, Inc. | Counselor | 1317 Del Norte Rd, Camarillo, CA 93010-8485 | 2020-10-03 |
| 1972904589 | Kelly Blackman | Counselor | 5284 Adolfo Rd, Suite 100, Camarillo, CA 93012-6787 | 2014-09-15 |
| 1568885861 | Ronald A Greenwood | Counselor | 450 Rosewood Ave Ste 215, Camarillo, CA 93010-5914 | 2014-01-23 |
| 1700125598 | Andrea R Howard | Counselor | 450 Rosewood Ave, Suite 215, Camarillo, CA 93010-5914 | 2013-02-13 |
| Find all providers in CAMARILLO | ||||
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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.