VALLEY PSYCHIATRIC PROFESSIONAL CORPORATION (NPI# 1578648903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578648903 |
| Entity Type | Organization |
| Organization Name | VALLEY PSYCHIATRIC PROFESSIONAL CORPORATION |
| Other Organization Name | VALLEY PSYCHIATRIC ASSOCIATES |
| Practice Address |
1011 Coffee Rd Modesto CA 95355-4203 |
| Practice Telephone | 2095241900 |
| Practice Fax Number | 2095241991 |
| Mailing Telephone | 2095241900 |
| Mailing Fax Number | 2095241991 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEBRA JANE CHEANG (CO-OWNER/CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2095241900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
2737085 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Valley Psychiatric Associates | Doing Business As Name - Organization |
| Street Address |
1011 COFFEE RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013114321 | Debra Jane Cheang | Specialist | 1011 Coffee Rd, Modesto, CA 95355-4203 | 2007-06-29 |
| 1700083011 | Jonathan Teh Cheang | Specialist | 1011 Coffee Rd, Modesto, CA 95355-4203 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1275150203 | Odyssey for Personal Wellness Inc. | Clinic/Center | 706 13th St, Modesto, CA 95354-2414 | 2020-06-25 |
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| 1730795337 | Full Circle Psychotherapy | Clinic/Center | 6741 Sebastopol Ave Ste 110, Sebastopol, CA 95472-3838 | 2020-09-18 |
| 1871108928 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln Ste 200, Palm Desert, CA 92211-0468 | 2020-09-14 |
| 1619581337 | Family Tree Psychology Group Inc. | Clinic/Center | 3655 Grand Ave, Oakland, CA 94610-2009 | 2020-09-01 |
| 1306459029 | Lisa Eaton Therapy and Coaching, A Licensed Clinical Social Worker Cor | Clinic/Center | 3014 Lupine, Lake Forest, CA 92630-8439 | 2020-08-24 |
| 1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
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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.