PDAP OF VENTURA COUNTY, INC. (NPI# 1629374699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629374699 |
| Entity Type | Organization |
| Organization Name | PDAP OF VENTURA COUNTY, INC. |
| Other Organization Name | PALMER DRUG ABUSE PROGRAM |
| Practice Address |
1500 Temple Ave Camarillo CA 93010-3602 |
| Mailing Address |
450 Rosewood Ave Suite215 Camarillo CA 93010-5914 |
| Practice Telephone | 8054821265 |
| Practice Fax Number | 8053895295 |
| Mailing Telephone | 8054821265 |
| Mailing Fax Number | 8053895295 |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |
| Authorized Official Name | VIRGINIA M. CONNELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8054821265 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | Y |
| Parent Organization Name | PDAP OF VENTURA COUNTY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 560015BN | CA | Agencies |
| Other Name | Type Code |
|---|---|
| Palmer Drug Abuse Program | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457657421 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 2304 Antonio Ave, Camarillo, CA 93010-1415 | 2011-02-08 |
| 1790081966 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 12039 Hertz Street, Moorpark, CA 93021 | 2011-02-04 |
| 1952606162 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 126 E 7th St, Oxnard, CA 93030-7119 | 2011-01-19 |
| 1629198684 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 280 Casey Rd, Moorpark, CA 93021-1131 | 2007-03-30 |
| 1376663336 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 1048 W Ventura St, Fillmore, CA 93015-1758 | 2007-03-30 |
| 1003936063 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 196 N Ashwood Ave, Ventura, CA 93003-1810 | 2007-03-30 |
| 1972623007 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 450 Rosewood Avenue, Suite 215, Camarillo, CA 93010-5914 | 2007-03-30 |
| 1669592747 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 940 E Main St, Santa Paula, CA 93060-2714 | 2007-03-30 |
| 1346360930 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 450 Rosewood Ave, Suite 215, Camarillo, CA 93010-5914 | 2007-03-29 |
| Street Address |
1500 TEMPLE AVE |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
| 1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
| 1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
| Find all providers in zip 93010 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083241756 | Ashley Ribeiro | Community/Behavioral Health | 1601 Carmen Dr Ste 201b, Camarillo, CA 93010-3105 | 2020-03-24 |
| 1811358914 | Ventura County Behavioral Health Alcohol & Drug | Community/Behavioral Health | 545 Airport Way, Camarillo, CA 93010-8581 | 2016-03-16 |
| 1457657421 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 2304 Antonio Ave, Camarillo, CA 93010-1415 | 2011-02-08 |
| 1548571441 | Maxim Staffing Solutions | Community/Behavioral Health | 2132 Dunnigan St, Camarillo, CA 93010-3232 | 2010-06-24 |
| 1851539290 | County of Ventura-hca-bh-adp Oxnard Center | Community/Behavioral Health | 200 Horizon Way, Camarillo, CA 93010-8596 | 2009-01-22 |
| 1982814562 | United Parents for Families In Crisis | Community/Behavioral Health | 391 S Dawson Dr, Suite 1a, Camarillo, CA 93012-8091 | 2007-05-23 |
| 1497961684 | Interface Children Family Services | Community/Behavioral Health | 4001 Mission Oaks Blvd., Suite I, Camarillo, CA 93012-5121 | 2007-05-15 |
| 1972623007 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 450 Rosewood Avenue, Suite 215, Camarillo, CA 93010-5914 | 2007-03-30 |
| 1265991897 | Turning Point Psychology Center, Inc. | Community/Behavioral Health | 360 Mobil Ave Ste 102k, Camarillo, CA 93010-6356 | 2019-03-13 |
| 1427531425 | Brian J Mckinney, Md Inc. | Community/Behavioral Health | 333 Skyway Dr, Camarillo, CA 93010-8552 | 2018-09-14 |
| Find all providers in CAMARILLO | ||||
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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.