MR. EDWARD HALOMOAN SIAHAAN (NPI# 1679750947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679750947 |
| Entity Type | Individual |
| Full Name | MR. EDWARD HALOMOAN SIAHAAN |
| Credential | MS, MBA, MFT INTERN |
| Practice Address |
22899 Cattail Ln Moreno Valley CA 92557-6013 |
| Practice Telephone | 9095531481 |
| Practice Fax Number | 9519247226 |
| Mailing Telephone | 9095531481 |
| Mailing Fax Number | 9519247226 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IMF 50143 | CA | Behavioral Health & Social Service Providers |
| Street Address |
22899 CATTAIL LN |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92557-6013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314577 | Knight Rider Transport Inc | Private Vehicle | 21334 Ocasey Ct, Moreno Valley, CA 92557 | 2019-09-11 |
| 1679041495 | Shaping Pathways | Community/Behavioral Health | 11627 Mccully Court, Moreno Valley, CA 92557 | 2018-11-09 |
| 1710485644 | Torie Curiel | Behavior Technician | 12125 Day St E301, Moreno Valley, CA 92557 | 2018-01-25 |
| 1164949921 | Phyllis Yvonne Miller | Behavioral Analyst | 15450 Casa Grande St, Moreno Valley, CA 92557 | 2017-08-23 |
| 1255855912 | Natalie Maria-vega Cortinas | Specialist/Technologist | 12348 Kasota Ct., Moreno Valley, CA 92557 | 2017-08-03 |
| 1942720263 | Shenna Pontier Brown | Licensed Vocational Nurse | 12031 Poutous Ct, Moreno Valley, CA 92557 | 2017-06-27 |
| 1104209733 | Saira Medrano | Counselor | 11966 Villa Hermosa, Moreno Valley, CA 92557 | 2015-07-01 |
| 1295071405 | Maura Sauls | Counselor | 9963 Paseo Corralito, Moreno Valley, CA 92557 | 2012-12-14 |
| 1992919583 | Jody Willetts | Technician, Other | 11480 Tiffany Lane, Moreno Valley, CA 92557 | 2007-05-10 |
| 1457564841 | Derrick Trigenza Smith | Dental Hygienist | 23569 Sunnymead Ranch Parkway, Moreno Valley, CA 92557 | 2007-05-08 |
| Find all providers in zip 92557 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689153819 | James Gonzales | Counselor | 25123 Middlebrook Way, Moreno Valley, CA 92551-9204 | 2018-08-08 |
| 1235677063 | Anita Denise Robinson | Counselor | 25539 Palo Cedro Dr, Moreno Valley, CA 92551-1915 | 2017-01-31 |
| 1831548999 | Randi Elise Gallegos | Counselor | 13306 Lasselle St, #1075, Moreno Valley, CA 92553-0843 | 2016-06-09 |
| 1184065377 | Erika Alonzo | Counselor | 13309 Coffeetree St, Moreno Valley, CA 92553-6950 | 2013-07-16 |
| 1780937953 | Barbara Rodriguez | Counselor | 2319 Cottonwood Ave, Building A, Suite 110, Moreno Valley, CA 92553 | 2012-10-24 |
| 1487962114 | Ashley Renae Williams-queen | Counselor | 13262 Lasselle St Apt 2011, Moreno Valley, CA 92553-0832 | 2010-09-15 |
| 1740412683 | Arthur Natsume | Counselor | 12817 Penske St, Moreno Valley, CA 92553-5213 | 2009-08-11 |
| 1992944664 | Aladdin Tungmeas | Counselor | 14139 San Cristobal Bay Dr, Moreno Valley, CA 92553-2908 | 2009-02-19 |
| 1568656734 | Georgina Muriel Cowie | Counselor | 21250 Box Springs Rd Ste 106, Moreno Valley, CA 92557-8707 | 2007-08-30 |
| 1760536874 | Brenda M. Rees | Counselor | 13800 Heacock St, D117, Moreno Valley, CA 92553-3339 | 2007-01-23 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92557 |
Please comment or provide details below to improve the information on MR. EDWARD HALOMOAN SIAHAAN.
| 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.