AEGIS TREATMENT CENTERS (NPI# 1487067922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487067922 |
Entity Type | Organization |
Organization Name | AEGIS TREATMENT CENTERS |
Practice Address |
2534 Logan Dr Santa Maria CA 93455-7443 |
Practice Telephone | 8057144163 |
Enumeration Date | 2014-06-03 |
Last Update Date | 2014-06-03 |
Authorized Official Name | AMANDA MELENA (CASELOAD MANAGER) |
Authorized Official Telephone | 8057144163 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215300850 | Aegis Treatment Centers | Case Management | 4129 State St, Santa Barbara, CA 93110-1848 | 2015-11-04 |
1811384498 | Aegis Treatment Centers | Health Maintenance Organization | 4129 State St, Santa Barbara, CA 93110-1848 | 2015-04-21 |
1770998932 | Aegis Treatment Centers | Community/Behavioral Health | 4129 State St, Suite B, Santa Barbara, CA 93110-1848 | 2014-06-26 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | AEGIS TREATMENT CENTERS LLC | 7246 Remmet Ave, Canoga Park, CA 91303-1531 |
Street Address |
2534 LOGAN DR |
City | SANTA MARIA |
State | CA |
Zip Code | 93455-7443 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932724507 | Cottage Clinical Network, LLC | Clinic/Center | 1606 E Clark Ave, Building C, Suite 2, Orcutt, CA 93455 | 2020-06-10 |
1750905907 | Cottage Clinical Network, LLC | Clinic/Center | 3569 Skyway Drive, Santa Maria, CA 93455 | 2020-06-03 |
1891256194 | Derin Deniz Allard | Student in an Organized Health Care Education/Training Program | Marian Family Medicine Center, 1400 E. Church Street, Santa Maria, CA 93455 | 2019-03-28 |
1942781729 | Shannon Leigh Stamey | Marriage & Family Therapist | 235 E Clark Ave, Orcutt, CA 93455 | 2018-08-28 |
1710471362 | Amit Rawal | Behavioral Analyst | 2342 Professional Pkwy., Ste. 300, Santa Maria, CA 93455 | 2018-06-18 |
1548799075 | Karina Valdez | Marriage & Family Therapist | 2370 Skyway Drive Suite #104, Santa Maria, CA 93455 | 2017-06-08 |
1801337464 | Brenee English | Counselor | 144 George Lane, Orcutt, CA 93455 | 2017-03-15 |
1043762883 | Changing Faces Inc. I/ii | Community/Behavioral Health | 4160 Odie Lane, Santa Maria, CA 93455 | 2016-10-27 |
1194177964 | Lindsay E Soto | Counselor | 3653 Corta Bella Way, Santa Maria, CA 93455 | 2016-07-06 |
1003239427 | Wellness Solutions, Inc | Chiropractor | 210. E Clark Avenue, Suite A, Santa Maria, CA 93455 | 2014-01-22 |
Find all providers in zip 93455 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659994523 | Michelle M Knudsen | Counselor | 412 E Tunnel, Santa Maria, CA 93454-9345 | 2020-05-26 |
1891315438 | Jessica Marie Aragonez | Counselor | 521 E Chapel St, Santa Maria, CA 93454-4573 | 2020-04-23 |
1346715091 | Lisa Christine Button | Counselor | 245 Inger Dr Ste 103b, Santa Maria, CA 93454-8669 | 2018-10-09 |
1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
1518416221 | Eliot Davis | Counselor | 115 E. Fesler St, Santa Maria, CA 93454 | 2016-09-23 |
1033564984 | Alexandria Conrad | Counselor | 4229 Fernview St, Santa Maria, CA 93455-3323 | 2016-04-28 |
1023483187 | Chanel Carreira | Counselor | 1414 S Miller St Ste 11, Santa Maria, CA 93454-6916 | 2015-12-01 |
1518353093 | Eileen Ortiz | Counselor | 245 Inger Dr Ste 103-b, Santa Maria, CA 93454-8669 | 2015-04-10 |
1649697913 | John Coates | Counselor | 1723 Adler Ct, Santa Maria, CA 93458-7313 | 2014-03-25 |
1336560119 | Karen Harmon | Counselor | 412 Be. Tunnell, Santa Maria, CA 93454 | 2013-12-23 |
Find all providers in SANTA MARIA |
City | SANTA MARIA |
Zip Code | 93455 |
Please comment or provide details below to improve the information on AEGIS TREATMENT CENTERS.
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.