MR. KENNETH RAY MCPETERS (NPI# 1649552654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649552654 |
| Entity Type | Individual |
| Full Name | MR. KENNETH RAY MCPETERS |
| Practice Address |
8900 Thornton Rd Ste 6 Stockton CA 95209-1820 |
| Mailing Address |
10420 Almanor Cir Stockton CA 95219-7101 |
| Practice Telephone | 2096096770 |
| Mailing Telephone | 2096096770 |
| Mailing Fax Number | 2094768626 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 48999 | CA | Behavioral Health & Social Service Providers |
| Street Address |
8900 THORNTON RD STE 6 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95209-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104272954 | William Luther Bennett | Pharmacist | 1131 Sunnyoak Way, Stockton, CA 95209 | 2016-05-11 |
| 1548686769 | Roland Rillamas Lagpacan | Pharmacist | 3131 West Hammer Lane, Stockton, CA 95209 | 2014-03-12 |
| 1346599677 | Luis Leyva Garcia | Marriage & Family Therapist | 1755 West Hammer Lane, Stockton, CA 95209 | 2012-08-31 |
| 1942506233 | Donna Lynn Peterson | Dentist | 9409 Thornton Rd, Stockton, CA 95209 | 2011-02-03 |
| 1386969798 | Miusotic Zaragoza | Social Worker | 1755 W. Hammer Lane Suite 8, Latino Behavioral Health, Stockton, CA 95209 | 2010-03-30 |
| 1497988844 | Marissa Elizabeth Preciado | Counselor | 10147 River Falls Cir, Stockton, CA 95209 | 2009-09-02 |
| 1316190796 | Sutter Gould Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209 | 2008-10-29 |
| 1881845790 | Gary Earl Fiscus | Dentist | 4565 Quail Lakes Drive, Suite A-2, Stockton, CA 95209 | 2008-10-09 |
| 1326225665 | Shirley's Care Home Inc | Intermediate Care Facility, Mentally Retarded | 2330 Shropshire Dr, Stockton, CA 95209 | 2008-01-29 |
| 1134272727 | Joanie Mc Culloch | Homeopath | 8807 Thornton Rd, Ste. P, Stockton, CA 95209 | 2007-01-19 |
| Find all providers in zip 95209 | ||||
| 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 |
|---|---|---|---|---|
| 1528532991 | Stephen Elias | Marriage & Family Therapist | 1414 N California St Ste 2, Stockton, CA 95202-1515 | 2019-01-18 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1083117188 | Ryan Rix | Marriage & Family Therapist | 510 E Magnolia St Ste 100, Stockton, CA 95202-1850 | 2018-03-14 |
| 1821538273 | Lisa Marie Richardson | Marriage & Family Therapist | 2852 Elmwood Ave Apt 9, Stockton, CA 95204-3949 | 2017-03-05 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1992179352 | Frank Garcia | Marriage & Family Therapist | 5302 Harvest Gold Dr, Stockton, CA 95219-2432 | 2015-11-23 |
| 1144696840 | Wilhelmina Marie Parsons | Marriage & Family Therapist | 1212 California Street, Stockton, CA 95202 | 2015-08-17 |
| 1962887554 | Gurmeet Singh | Marriage & Family Therapist | 4635 Georgetown Pl Ste A, Stockton, CA 95207-6203 | 2015-07-23 |
| 1598148165 | Roberta Ann Novo | Marriage & Family Therapist | 4750 Quail Lakes Drive, Suite C-2, Stockton, CA 95207 | 2015-07-01 |
| 1316328792 | San Juana Melgoza | Marriage & Family Therapist | 306 E Main St Ste 300, Stockton, CA 95202-2908 | 2015-06-11 |
| Find all providers in STOCKTON | ||||
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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.