INTEGRATED CARE MANAGEMENT SOLUTIONS (NPI# 1558790931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558790931 |
| Entity Type | Organization |
| Organization Name | INTEGRATED CARE MANAGEMENT SOLUTIONS |
| Practice Address |
564 S Dora St Suite D Ukiah CA 95482-5486 |
| Mailing Address |
1547 Plumas Ct Yuba City CA 95991-2960 |
| Practice Telephone | 7074720362 |
| Practice Fax Number | 7074720121 |
| Mailing Telephone | 5307519904 |
| Mailing Fax Number | 5307519915 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2014-10-20 |
| Authorized Official Name | MR. JEFF PAYNE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5307519904 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043622137 | Integrated Care Management Solutions | Clinic/Center | 544 S Main St, Suite B, Fort Bragg, CA 95437-5107 | 2014-05-23 |
| Street Address |
564 S DORA ST SUITE D |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-5486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700919214 | Patricia Ann Douthwaite | Acupuncturist | 564 S Dora St, Suite A, Ukiah, CA 95482-5486 | 2007-03-13 |
| 1972952349 | Preciliana Yanez | Licensed Psychiatric Technician | 564 S Dora St, Ste. D, Ukiah, CA 95482 | 2016-06-07 |
| 1972974087 | Michael Paul Brainerd | Counselor | 564 S Dora St, Suite D, Ukiah, CA 95482-5486 | 2015-10-14 |
| 1497159214 | Sandra P Lopez | Licensed Vocational Nurse | 564 S Dora St, Suite D, Ukiah, CA 95482-5486 | 2014-10-22 |
| 1548662133 | Nathan Wolf | Counselor | 564 S Dora St, Suite B 2, Ukiah, CA 95482 | 2014-09-25 |
| 1497157135 | Michael Shepard | Point of Service | 564 S Dora St, Suite D, Ukiah, CA 95482-5486 | 2014-09-25 |
| 1801217492 | Linda Faye Wootton | Counselor | 564 S Dora St, Suite B, Ukiah, CA 95482-5486 | 2013-12-26 |
| 1508098229 | Denise Mihelle Addison | Counselor | 564 S Dora St, Suite B 2, Ukiah, CA 95482-5486 | 2009-08-13 |
| 1104027382 | Jesse Dugger | Driver | 564 S Dora St, Suite B2, Ukiah, CA 95482-5486 | 2007-05-29 |
| 1760509269 | Chandra Dawn Gonsales | Counselor | 564 S Dora St, Ukiah, CA 95482-5486 | 2007-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527041 | M. Attarian A Marriage and Family Therapy Professional Corporation | Clinic/Center | 433 N Camden Dr Ste 400, Beverly Hills, CA 90210-4408 | 2020-10-29 |
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1013523174 | Vitalis Wellness Center Inc. | Clinic/Center | 1519 Constitution Blvd Apt 201, Salinas, CA 93906-3150 | 2020-09-23 |
| 1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
| 1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
| 1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
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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.