PHOENIX HOUSES OF CALIFORNIA, INC (NPI# 1508248261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508248261 |
| Entity Type | Organization |
| Organization Name | PHOENIX HOUSES OF CALIFORNIA, INC |
| Practice Address |
812 Court St Woodland CA 95695-3517 |
| Mailing Address |
11600 Eldridge Ave Lake View Terrace CA 91342-6506 |
| Practice Telephone | 5306619092 |
| Practice Fax Number | 5306619286 |
| Mailing Telephone | 8186863000 |
| Mailing Fax Number | 8188971293 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |
| Authorized Official Name | DR. DAVID MILTON RICHARDSON III (VICE PRESIDENT) |
| Authorized Official Telephone | 8186863069 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 7356 | CA | Agencies |
| Street Address |
812 COURT ST |
| City | WOODLAND |
| State | CA |
| Zip Code | 95695-3517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700274875 | Lori Thompson | Counselor | 812 Court St, Woodland, CA 95695-3517 | 2014-12-24 |
| 1629418595 | Yolo Wayfarer Center | Substance Abuse Rehabilitation Facility | 812 Court St, Woodland, CA 95695-3517 | 2013-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851144 | Tariro Angela Sawaya | Student in an Organized Health Care Education/Training Program | 445 1st Street, Woodland, CA 95695 | 2020-08-14 |
| 1093277683 | Christie Lynne Vice | Marriage & Family Therapist | 255 W Court St Ste D, Woodland, CA 95695 | 2019-04-02 |
| 1912479437 | Phillips Scoliosis Center | Chiropractor | 375 W Main St., Ste C-1, Woodland, CA 95695 | 2018-12-21 |
| 1568947042 | Nikhil Sibal | Dentist | Woodland Family Dental, 58 W Court Street, Woodland, CA 95695 | 2018-10-01 |
| 1659860849 | Savannah Ellizabeth Lindley | Behavior Technician | 260 West Main St, Woodland, CA 95695 | 2018-05-03 |
| 1982133344 | Brittanie Ann Akey | Behavior Technician | 1102 Gary Way, Woodland, CA 95695 | 2017-06-08 |
| 1083163604 | Arthur Hernandez | Nurse Practitioner | 215 West Beamer Street, Woodland, CA 95695 | 2016-09-23 |
| 1386191856 | Kelly Lee | Registered Nurse | 25 N. Cottonwood St., Adult and Aging Branch, Yolo County Hhsa, Woodland, CA 95695 | 2016-09-01 |
| 1730634486 | Ida Nilanthi Lonnerdal | Marriage & Family Therapist | 455 First Street, Woodland, CA 95695 | 2016-08-23 |
| 1912365974 | Yaretzi Counseling and Consulting LLC | Social Worker | 327 College St Ste 105, Woodland, CA 95695 | 2016-02-05 |
| Find all providers in zip 95695 | ||||
| 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 |
|---|---|---|---|---|
| 1770115065 | Turning Point Community Programs | Community/Behavioral Health | 520 Cottonwood St Ste 16, Woodland, CA 95695-3603 | 2020-02-05 |
| 1366091191 | Communicare Health Centers | Community/Behavioral Health | 453 1st St, Woodland, CA 95695-4023 | 2019-09-04 |
| 1477758217 | Yolo Family Resource Center | Community/Behavioral Health | 828 Court Street, Woodland, CA 95695 | 2007-06-20 |
| 1215159991 | Sexual Assault & Domestic Violence Center | Community/Behavioral Health | 933 Court Street, Woodland, CA 95695 | 2007-05-03 |
| 1790809994 | Yolo Community Care Continuum | Community/Behavioral Health | 168 College Street, Woodland, CA 95695 | 2007-03-16 |
| 1548798242 | Amber Aubertin | Community/Behavioral Health | 215 W Beamer St, Woodland, CA 95695 | 2017-05-25 |
| 1063800753 | Brandy Liebscher, Psyd | Community/Behavioral Health | 163 2nd St, Woodland, CA 95695-3316 | 2015-01-03 |
| 1760749162 | Yolo Community Care Continuum | Community/Behavioral Health | 168 College St, Woodland, CA 95695-3263 | 2012-04-23 |
| 1124310057 | Yccc | Community/Behavioral Health | 584 Kentucky Ave, Woodland, CA 95695-2779 | 2011-05-11 |
| 1346446432 | Yolo County Health and Human Services Agency | Community/Behavioral Health | 137 N. Cottonwood Street, Suite 2500, Woodland, CA 95695 | 2007-06-25 |
| Find all providers in WOODLAND | ||||
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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.