SELENE PEARL BAZARNICK (NPI# 1508321514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508321514 |
| Entity Type | Individual |
| Full Name | SELENE PEARL BAZARNICK |
| Practice Address |
707 Fair Ave Santa Cruz CA 98060 |
| Practice Telephone | 8314271007 |
| Practice Fax Number | 8314540545 |
| Mailing Telephone | 8314271007 |
| Mailing Fax Number | 8314540545 |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |
| 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) |
Behavioral Health & Social Service Providers |
| Street Address |
707 FAIR AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 98060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689863763 | Roubing Hao | Student in an Organized Health Care Education/Training Program | 707 Fair Ave, Santa Cruz, CA 95060-5828 | 2007-10-15 |
| 1801417589 | Jamee Leichtle | Counselor | 707 Fair Ave, Santa Cruz, CA 95060-5828 | 2020-05-04 |
| 1104447150 | Gloria E Myers | Counselor | 707 Fair Ave, Santa Cruz, CA 95060-5828 | 2020-04-30 |
| 1689225484 | Noah Ryan Richert | Counselor | 707 Fair Ave, Santa Cruz, CA 95060-5828 | 2019-09-23 |
| 1154885234 | Marlin Terelle Sain | Counselor | 707 Fair Ave, Santa Cruz, CA 98060 | 2019-01-23 |
| 1033682877 | Kayla Ashley Firenzi | Counselor | 707 Fair Ave, Santa Cruz, CA 95060 | 2019-01-04 |
| 1487127221 | Rene Michelle Sebold | Counselor | 707 Fair Ave, Santa Cruz, CA 95060 | 2019-01-04 |
| 1568935302 | Steven Charles Sills | Counselor | 707 Fair Ave, Santa Cruz, CA 95060 | 2019-01-04 |
| 1326511171 | Colleen Alicia Mclaughlin | Counselor | 707 Fair Ave, Santa Cruz, CA 95060 | 2019-01-04 |
| 1306319165 | Kellie Nava | Counselor | 707 Fair Ave, Santa Cruz, CA 95060 | 2019-01-04 |
| Find all providers in the same location | ||||
| 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 | 98060 |
Please comment or provide details below to improve the information on SELENE PEARL BAZARNICK.
| 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.