SIERRA VISTA CHILD & FAMILY SERVICES (NPI# 1669011573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669011573 |
Entity Type | Organization |
Organization Name | SIERRA VISTA CHILD & FAMILY SERVICES |
Practice Address |
2616 Whitmer Ct Modesto CA 95358-1238 |
Mailing Address |
100 Poplar Ave Modesto CA 95354-0510 |
Practice Telephone | 2095234573 |
Mailing Telephone | 2095234573 |
Mailing Fax Number | 2095505866 |
Enumeration Date | 2019-12-26 |
Last Update Date | 2019-12-26 |
Authorized Official Name | MRS. STACEY SILVEIRA (DIRECTOR OF QUALITY ASSURANCE) |
Authorized Official Telephone | 2095234610 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841839651 | Sierra Vista Child & Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 2809 Woodbridge Ct, Modesto, CA 95355-3460 | 2019-12-26 |
1740513266 | Sierra Vista Child & Family Services | Community/Behavioral Health | 1700 Mchenry Village Way Ste B, Modesto, CA 95350-4308 | 2009-09-16 |
1497888218 | Sierra Vista Child & Family Services | Community/Behavioral Health | 611 13th St, Modesto, CA 95354-2435 | 2007-03-13 |
1477686350 | Sierra Vista Child & Family Services | Community/Behavioral Health | 2524 Finney Rd, Modesto, CA 95358-9765 | 2007-03-13 |
1619000429 | Sierra Vista Child & Family Services | Community/Behavioral Health | 2925 Niagra St, Suite 3, Turlock, CA 95382-1056 | 2007-03-13 |
1770616575 | Sierra Vista Child & Family Services | Community/Behavioral Health | 145 N 2nd Ave Ste 10, Oakdale, CA 95361-3064 | 2007-03-13 |
1699807677 | Sierra Vista Child & Family Services | Community/Behavioral Health | 1700 Mchenry Village Way, Modesto, CA 95350-4308 | 2007-03-12 |
1821396276 | Sierra Vista Child & Family Services | Community/Behavioral Health | 1700 Mchenry Village Way Ste 14, Modesto, CA 95350-4339 | 2011-03-09 |
1477886950 | Sierra Vista Child & Family Services | Community/Behavioral Health | 1700 Mchenry Village Way, Modesto, CA 95350-4308 | 2009-09-15 |
1578744975 | Sierra Vista Child & Family Services | Community/Behavioral Health | 642 W Main St, Merced, CA 95340-4718 | 2007-11-14 |
Street Address |
2616 WHITMER CT |
City | MODESTO |
State | CA |
Zip Code | 95358-1238 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902321805 | Cecilia Yolanda Guajardo | Counselor | 2524 Finney Road, Ceres, CA 95358 | 2017-08-11 |
1205203049 | Olga Olivia Castillo | Case Manager/Care Coordinator | 1620 Cummings Rd, Modesto, CA 95358 | 2015-08-27 |
1174942270 | Rajneel Singh | Case Manager/Care Coordinator | 1524 Radcliffe Ave, Modesto, CA 95358 | 2014-04-16 |
1447486139 | Karl David Meabrod | Counselor | 190 E. Hackett Rd., Modesto, CA 95358 | 2009-06-08 |
1265634281 | County of Stanislaus | Community/Behavioral Health | 190 Hackett Road, Modesto, CA 95358 | 2007-06-01 |
1134250400 | Shelley Marie Southern | Marriage & Family Therapist | 1620 Cummins Drive, Modesto, CA 95358 | 2007-03-08 |
1538297973 | County of Stanislaus | Community/Behavioral Health | 251 East Hackett Road, Modesto, CA 95358 | 2007-02-28 |
1407347248 | Jamie Lauren Mcgillis | Counselor | 1620 Cummins Dr, Modesto, CA 95358 | 2018-05-29 |
1508250135 | Michelle Eldridge | Case Manager/Care Coordinator | 1620 Cummins Drive, Modesto, CA 95358 | 2015-03-20 |
1083747604 | Juan Carlos Teran Jr. | Case Manager/Care Coordinator | 1620 Cummins Dr, Modesto, CA 95358 | 2007-03-13 |
Find all providers in zip 95358 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841839651 | Sierra Vista Child & Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 2809 Woodbridge Ct, Modesto, CA 95355-3460 | 2019-12-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144820499 | Catholic Charities of The Diocese of Oakland | Residential Treatment Facility, Emotionally Disturbed Children | 3700 Dorisa Ave, Oakland, CA 94605-4941 | 2020-10-27 |
1922607944 | Inspire A Youth, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7556 Avenida Baja, Riverside, CA 92509-3449 | 2020-10-21 |
1235736554 | Yvonne Dionne Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1223 E Helmick St, Carson, CA 90746-3163 | 2020-10-09 |
1740897784 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 602 Woodlark Dr, Suisun City, CA 94585-2244 | 2020-09-24 |
1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
1902412182 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 136 Valdivia Cir, San Ramon, CA 94583-2228 | 2020-09-22 |
1073128492 | Samuel Campbell Jr. | Residential Treatment Facility, Emotionally Disturbed Children | 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 | 2020-09-11 |
1336753433 | Aaron's Boys Home | Residential Treatment Facility, Emotionally Disturbed Children | 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 | 2020-09-04 |
1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
1538779871 | Hidden Treasures Foundation, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1240 W 13th Ave, Escondido, CA 92025-5560 | 2020-08-02 |
Find all providers with the same taxonomy |
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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.