JOAN MERRILL (NPI# 1538246277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538246277 |
Entity Type | Organization |
Organization Name | JOAN MERRILL |
Practice Address |
707 N Anaheim Blvd Anaheim CA 92805-2652 |
Practice Telephone | 7147767490 |
Practice Fax Number | 7147768650 |
Mailing Telephone | 7147767490 |
Mailing Fax Number | 7147768650 |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. CATHY STILLS (PROGRAM DIRECTOR) |
Authorized Official Telephone | 7147767490 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | CA | Residential Treatment Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | JOAN MERRILL LLC | P O Box 484, Greenwich, Ct 06836 |
Street Address |
707 N ANAHEIM BLVD |
City | ANAHEIM |
State | CA |
Zip Code | 92805-2652 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972681997 | Laurence Grant Stundtner | Counselor | 707 N Anaheim Blvd, Anaheim, CA 92805-2652 | 2006-11-01 |
1003323676 | Katherine Eizabeth Enright | Counselor | 707 N Anaheim Blvd, Anaheim, CA 92805-2652 | 2018-01-04 |
1154850873 | Lisa Sienkiewicz | Marriage & Family Therapist | 707 N Anaheim Blvd, Anaheim, CA 92805-2652 | 2017-06-06 |
1265974562 | Chad Ngo | Counselor | 707 N Anaheim Blvd, Anaheim, CA 92805-2652 | 2016-11-17 |
1245683523 | Andrew John Armstrong | Counselor | 707 N Anaheim Blvd, Anaheim, CA 92805-2652 | 2016-07-21 |
1487007977 | Jainee Champa | Counselor | 707 N Anaheim Blvd, Anaheim, CA 92805-2652 | 2016-07-19 |
1235504754 | Hope House Corp | Substance Abuse Rehabilitation Facility | 707 N Anaheim Blvd, Anaheim, CA 92805-2652 | 2015-12-09 |
1790071298 | Dave Stadler | Substance Abuse Rehabilitation Facility | 707 N Anaheim Blvd, Anaheim, CA 92805-2652 | 2011-06-22 |
1194989939 | Joan Rice Merrill | Counselor | 707 N Anaheim Blvd, Anaheim, CA 92805-2652 | 2008-07-10 |
1447411285 | Holly Kay Peters | Marriage & Family Therapist | 707 N Anaheim Blvd, Anaheim, CA 92805-2652 | 2008-06-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
Find all providers in zip 92805 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
1639719131 | Rebel New Life Treatment Center, LLC. | Substance Abuse Rehabilitation Facility | 2309 E Sycamore St, Anaheim, CA 92806-3020 | 2020-01-13 |
1245895192 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 320a N Wilshire Ave, Anaheim, CA 92801-5825 | 2019-05-07 |
1134784085 | Windstone Addiction Centers, Inc | Substance Abuse Rehabilitation Facility | 320b N Wilshire Ave, Anaheim, CA 92801-5825 | 2019-05-07 |
1285194167 | It's Time To Recover, Inc. | Substance Abuse Rehabilitation Facility | 1135 W. North St, Anaheim, CA 92801-4393 | 2019-03-25 |
1942766944 | Windstone Addiction Centers, Inc | Substance Abuse Rehabilitation Facility | 1300 W Pearl St, Anaheim, CA 92801-5937 | 2019-02-14 |
1285199778 | Windstone Addiction Centers, Inc | Substance Abuse Rehabilitation Facility | 1243 W Pearl St, Anaheim, CA 92801-5936 | 2019-02-08 |
1275098766 | Windstone Addiction Centers, Inc | Substance Abuse Rehabilitation Facility | 1253 W Pearl St, Anaheim, CA 92801-5936 | 2019-02-08 |
1356806848 | Windstone Addiction Centers, Inc | Substance Abuse Rehabilitation Facility | 1243 1/2 W Pearl St, Anaheim, CA 92801-5936 | 2019-02-08 |
1396211900 | Imagine Recovery Group | Substance Abuse Rehabilitation Facility | 1247 N Lakeview Ave Ste A, Anaheim, CA 92807-1833 | 2018-10-22 |
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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.