ROBERTO AHUMADA REYES JR. (NPI# 1477162352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477162352 |
| Entity Type | Individual |
| Full Name | ROBERTO AHUMADA REYES JR. |
| Credential | BA OF PSYCHOLOGY |
| Practice Address |
380 Encinal St Ste 200 Santa Cruz CA 95060-2178 |
| Practice Telephone | 8314691700 |
| Practice Fax Number | 8314251905 |
| Mailing Telephone | 8314691700 |
| Mailing Fax Number | 8314251905 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
380 ENCINAL ST STE 200 |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-2178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164541538 | Soledad Hess | Social Worker | 380 Encinal St Ste 200, Santa Cruz, CA 95060-2178 | 2007-03-28 |
| 1295336568 | Clarke T Montell | Counselor | 380 Encinal St Ste 200, Santa Cruz, CA 95060-2178 | 2020-11-04 |
| 1669073961 | Brittany Amaya | Counselor | 380 Encinal St Ste 200, Santa Cruz, CA 95060-2178 | 2020-11-03 |
| 1902406614 | Abbey Irodistan | Counselor | 380 Encinal St Ste 200, Santa Cruz, CA 95060-2178 | 2020-10-30 |
| 1871193995 | Janet Sheila Shackleton | Counselor | 380 Encinal St Ste 200, Santa Cruz, CA 95060-2178 | 2020-10-28 |
| 1902406408 | Itzel Arevalo | Counselor | 380 Encinal St Ste 200, Santa Cruz, CA 95060-2178 | 2020-10-26 |
| 1760081632 | Alex Wishard | Counselor | 380 Encinal St Ste 200, Santa Cruz, CA 95060-2178 | 2020-10-22 |
| 1639777055 | Daniel Galvan | Counselor | 380 Encinal St Ste 200, Santa Cruz, CA 95060-2178 | 2020-10-16 |
| 1457959942 | Estevan Cortez | Counselor | 380 Encinal St Ste 200, Santa Cruz, CA 95060-2178 | 2020-10-15 |
| 1568060317 | Pierre Sebastien Michel | Counselor | 380 Encinal St Ste 200, Santa Cruz, CA 95060-2178 | 2020-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
| 1245774959 | Christopher Greer | Counselor | 740 Front St Ste 370, Santa Cruz, CA 95060-4584 | 2016-12-14 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| 1326448663 | Alexandra Grace Kenny | Counselor | 700 El Rancho Dr, Santa Cruz, CA 95060-1511 | 2014-08-22 |
| 1013337237 | Laura Hagen | Counselor | 716 Ocean St Ste 170, Santa Cruz, CA 95060-4033 | 2014-04-28 |
| 1326468117 | Gregory William Goldfield | Counselor | 230 Castillion Ter, Santa Cruz, CA 95060-3262 | 2014-04-21 |
| 1063842607 | Angelica Torres | Counselor | 200 7th Ave Ste 225, Santa Cruz, CA 95062-4669 | 2013-11-18 |
| 1699012690 | Tara Carson | Counselor | 1255 38th Ave Spc 122, Santa Cruz, CA 95062-3203 | 2013-01-10 |
| 1164783734 | Erin Bucci | Counselor | 303 Potrero #45-204, Santa Cruz, CA 95060 | 2012-05-30 |
| 1396015426 | Tina L Sentner | Counselor | 571 Bethany Curv, Santa Cruz, CA 95060-5312 | 2012-01-05 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
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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.