MR. KEITH DANIEL MCCANN (NPI# 1609985712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609985712 |
| Entity Type | Individual |
| Full Name | MR. KEITH DANIEL MCCANN |
| Credential | MFTI |
| Practice Address |
12755 N Highway 88 Lodi CA 95240-9323 |
| Mailing Address |
Po Box 330 Victor CA 95253-0330 |
| Practice Telephone | 2093405800 |
| Mailing Telephone | 2093405800 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710270566 | Keith Lafayette Mccann II | Counselor | 2325 S Harvard Ave, 400, Tulsa, OK 74114-3300 | 2011-05-25 |
| Street Address |
12755 N HIGHWAY 88 |
| City | LODI |
| State | CA |
| Zip Code | 95240-9323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285158329 | Tryphena P Adams | Counselor | 12755 N Highway 88, Lodi, CA 95240-9323 | 2017-07-31 |
| 1679013213 | George Moody | Counselor | 12755 N Highway 88, Lodi, CA 95240-9323 | 2017-03-01 |
| 1982144713 | Atasca Chiles-holmes | Counselor | 12755 N Highway 88, Suite 125, Lodi, CA 95240-9323 | 2017-02-27 |
| 1821548173 | Christian Guillory | Counselor | 12755 N Highway 88, Lodi, CA 95240-9323 | 2016-10-11 |
| 1417403668 | Lindella Wilson | Student in an Organized Health Care Education/Training Program | 12755 N Highway 88, Lodi, CA 95253 | 2016-08-28 |
| 1043764947 | Evelyn Gonzalez | Counselor | 12755 N Highway 88, Lodi, CA 95240-9323 | 2016-08-09 |
| 1114378072 | Lisa Monk | Counselor | 12755 N Highway 88, Lodi, CA 95240-9323 | 2016-06-22 |
| 1871830620 | James Judah Mcintyre | Registered Nurse | 12755 N Highway 88, Lodi, CA 95240-9323 | 2013-01-14 |
| 1952664112 | Theodore Nwoke | Marriage & Family Therapist | 12755 N Highway 88, Lodi, CA 95240-9323 | 2012-06-21 |
| 1477826089 | Craig Means | Counselor | 12755 N Highway 88, Lodi, CA 95240-9323 | 2012-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034991 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1139 E. Kettleman Lane, Suite 101, Lodi, CA 95240 | 2020-02-07 |
| 1548747082 | Gill and Patel Dental Corporation | Dentist | 2610 Reynolds Ranch Pkwy, Ste 100, Lodi, CA 95240 | 2018-07-27 |
| 1629511308 | Jose Daniel Garcia | Licensed Vocational Nurse | 12755 Ca-88, Lodi, CA 95240 | 2016-11-29 |
| 1104372754 | Jocelyn Janel Shilue | Specialist/Technologist | 705 Brandywine Drive, Lodi, CA 95240 | 2016-09-01 |
| 1750735965 | Natharchia R Peoples | Counselor | 9150 Ca-12, Lodi, CA 95240 | 2016-04-14 |
| 1891189403 | Valley Community Couseling Services | Case Management | 1300 W. Lodi Ste G-2, Stockton, CA 95240 | 2015-03-20 |
| 1114317195 | Carol Kooyman | Speech-Language Pathologist | 831 So. Lee Ave., Lodi, CA 95240 | 2015-01-29 |
| 1730514464 | Richard Barry Sirard | Pharmacist | 520 S Cherokee Lane, Lodi, CA 95240 | 2013-09-12 |
| 1740622570 | Joshlynn Uribe | Marriage & Family Therapist | 13520 E Live Oak Rd, Lodi, CA 95240 | 2013-07-22 |
| 1902172406 | Sital Singh | Internal Medicine | 999 S Fairmont Ave Ste 125, Lodi, CA 95240 | 2012-03-29 |
| Find all providers in zip 95240 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437639713 | Kristen Elaine Holmes | Marriage & Family Therapist | 13451 N Extension Rd, Lodi, CA 95242-9249 | 2018-08-16 |
| 1720461403 | Edward L Krager | Marriage & Family Therapist | 510 S Fairmont Ave Ste 1, Lodi, CA 95240-3800 | 2015-06-30 |
| 1740622570 | Joshlynn Uribe | Marriage & Family Therapist | 13520 E Live Oak Rd, Lodi, CA 95240 | 2013-07-22 |
| 1629418678 | Katelyn Elizabeth Zodikoff | Marriage & Family Therapist | 1120 W Oak St, Lodi, CA 95240-2825 | 2013-07-04 |
| 1760782460 | Malcolm Andrew Berean | Marriage & Family Therapist | 1338 S School St Ste A, Lodi, CA 95240-5700 | 2010-10-27 |
| 1245560648 | Gene Evans Napier | Marriage & Family Therapist | 801 S Lower Sacramento Rd, Lodi, CA 95242-3636 | 2010-01-06 |
| 1437300423 | Lise Helen Bachman-karnes | Marriage & Family Therapist | 330 S Fairmont Ave Ste 7, Lodi, CA 95240-3843 | 2008-10-08 |
| 1376794479 | Sheila Layah Mulvihill | Marriage & Family Therapist | 5 1/2 W Pine St, Suite 8, Lodi, CA 95240-2158 | 2008-10-07 |
| 1790900819 | Becky Jane Dalporto | Marriage & Family Therapist | 12755 North Hwy 88, Lodi, CA 95240 | 2007-04-16 |
| 1336267996 | Tammy Andra Souza | Marriage & Family Therapist | 404 W. Pine Street, Suite 1, Lodi, CA 95240 | 2007-03-26 |
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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.