VICTOR TREATMENT CENTERS, INC. (NPI# 1487218830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487218830 |
| Entity Type | Organization |
| Organization Name | VICTOR TREATMENT CENTERS, INC. |
| Practice Address |
3244 E Green St Pasadena CA 91107-3836 |
| Mailing Address |
1360 E Lassen Ave Chico CA 95973-7823 |
| Practice Telephone | 6267957218 |
| Mailing Telephone | 5308930758 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |
| Authorized Official Name | ANGIE R WIECHERT (DIRECTOR OF FINANCIAL ANALYSIS) |
| Authorized Official Telephone | 5302301210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LEGAL ENTITY # | 00118 | 01 |
| Other Name | Type Code |
|---|---|
| VTC - Green Street | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346739273 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 600 Irwin Ln, Santa Rosa, CA 95401-5607 | 2018-05-07 |
| 1891284725 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 620 Irwin Ln, Santa Rosa, CA 95401-5607 | 2018-05-07 |
| 1346739265 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1136 Clover Dr, Santa Rosa, CA 95401-4512 | 2018-05-07 |
| 1407345317 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 21282 Tia Mia Ln, Redding, CA 96003-9359 | 2018-05-07 |
| 1134618044 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 19767 Paso Robles Ave, Redding, CA 96003-7769 | 2018-05-07 |
| 1285123117 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20846 Clairvaux Drive, Redding, CA 96002 | 2018-05-07 |
| 1417446493 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 520 Oasis Dr, Santa Rosa, CA 95407-7717 | 2018-05-06 |
| 1063901049 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 565 Piezzi Rd, Santa Rosa, CA 95401-5536 | 2018-05-06 |
| 1528557501 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 13403 Kings Way, Redding, CA 96003-7017 | 2018-05-06 |
| 1700375789 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4223 Alta Mesa Dr, Redding, CA 96002-3727 | 2018-05-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VICTOR TREATMENT CENTERS, INC. | 1360 E Lassen Ave, Chico, CA 95973-7823 |
| Street Address |
3244 E GREEN ST |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-3836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760511174 | Juliet Gurrola | Licensed Vocational Nurse | 3244 E Green St, Pasadena, CA 91107-3836 | 2007-03-02 |
| 1215558242 | April Ann Angel | Licensed Vocational Nurse | 3244 E Green St, Pasadena, CA 91107-3836 | 2020-04-30 |
| 1508348624 | Gabrielle Pascual | Marriage & Family Therapist | 3244 E Green St, Pasadena, CA 91107-3836 | 2018-09-05 |
| 1598254575 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3244 E Green St, Pasadena, CA 91107-3836 | 2018-05-06 |
| 1558858977 | Lisa Marie Nevarez | Licensed Vocational Nurse | 3244 E Green St, Pasadena, CA 91107-3836 | 2018-04-20 |
| 1154864163 | Rosemary Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 3244 E Green St, Pasadena, CA 91107-3836 | 2016-11-22 |
| 1902165681 | Connie Hernandez | Case Manager/Care Coordinator | 3244 E Green St, Pasadena, CA 91107-3836 | 2012-05-15 |
| 1669744272 | Janice Garcia | Counselor | 3244 E Green St, Pasadena, CA 91107-3836 | 2012-01-30 |
| 1689972846 | Rosemary Children's Services | Community Based Residential Treatment Facility, Mental Illness | 3244 E Green St, Pasadena, CA 91107-3836 | 2011-03-11 |
| 1043453954 | Eileen Crystal Higgins | Community/Behavioral Health | 3244 E Green St, Pasadena, CA 91107-3836 | 2009-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| 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 |
|---|---|---|---|---|
| 1386253177 | Ascend Behavior Consultants LLC | Community/Behavioral Health | 680 E Colorado Blvd, Pasadena, CA 91101-6143 | 2020-07-28 |
| 1437797024 | Elevate Concierge Health, LLC | Community/Behavioral Health | 1280 Afton St, Pasadena, CA 91103-2303 | 2019-12-15 |
| 1841853645 | Prince Health Care Services Inc | Community/Behavioral Health | 8000 Jumpers Hole Rd Ste 212, Pasadena, MD 21122-1046 | 2019-04-17 |
| 1659839298 | North East Los Angeles Psychology | Community/Behavioral Health | 380 S Lake Ave Ste 205, Pasadena, CA 91101-5063 | 2019-03-02 |
| 1972053726 | Five Acres- The Boys' and Girls' Aid Society of Los Angeles County | Community/Behavioral Health | 1236 Solita Rd, Pasadena, CA 91103-2452 | 2016-10-05 |
| 1326591090 | Lead Way Behavioral Services | Community/Behavioral Health | 177 E Colorado Blvd # 200, Pasadena, CA 91105-1986 | 2016-07-29 |
| 1689090169 | Shiloh Center Music Theraphy Services LLC | Community/Behavioral Health | 819 E Pasadena Rd, Pasadena, MD 21122-4002 | 2014-03-08 |
| 1649694324 | Behavior Frontiers | Community/Behavioral Health | 155 N Lake Ave Ste 800, Pasadena, CA 91101-1857 | 2014-02-14 |
| 1609149459 | Whole Mind Wellness Services | Community/Behavioral Health | 32 S Raymond Ave Ste 3b, Pasadena, CA 91105-1961 | 2012-02-09 |
| 1154649564 | D'veal Family and Youth Services | Community/Behavioral Health | 1905 Lincoln Ave, Pasadena, CA 91103-1315 | 2010-05-10 |
| Find all providers in PASADENA | ||||
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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.