MRS. KELLEY LYNN WHITECOTTON (NPI# 1689021453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689021453 |
Entity Type | Individual |
Full Name | MRS. KELLEY LYNN WHITECOTTON |
Practice Address |
500 Crown Point Cir Grass Valley CA 95945 |
Mailing Address |
500 Crown Point Cir Grass Valley CA 95945-9561 |
Practice Telephone | 5302651437 |
Mailing Telephone | 5304702425 |
Enumeration Date | 2016-05-20 |
Last Update Date | 2017-01-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
Y | 167G00000X | Licensed Psychiatric Technician | PT40257 | CA | Nursing Service Providers |
Street Address |
500 CROWN POINT CIR |
City | GRASS VALLEY |
State | CA |
Zip Code | 95945 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114998549 | Karen L Milman | Family Medicine | 500 Crown Point Cir, 110, Grass Valley, CA 95945-9514 | 2006-02-01 |
1255970364 | Richard Lance Johns | Counselor | 500 Crown Point Cir, Grass Valley, CA 95945-9561 | 2020-01-06 |
1447746235 | Kathleen Patricia Coyne-boyles | Student in an Organized Health Care Education/Training Program | 500 Crown Point Cir, Grass Valley, CA 95945-9561 | 2018-07-05 |
1770092629 | Jacob Colongione | Counselor | 500 Crown Point Cir, Grass Valley, CA 95945-9561 | 2017-09-22 |
1285156869 | Joshua David Ellis | Marriage & Family Therapist | 500 Crown Point Cir, Grass Valley, CA 95945-9561 | 2017-07-14 |
1962942193 | Frank Firethunder | Counselor | 500 Crown Point Cir, Suite 100, Grass Valley, CA 95945-9561 | 2017-03-07 |
1598205791 | Jeannine Margaret Mcadams | Counselor | 500 Crown Point Cir, Grass Valley, CA 95945-9561 | 2017-03-07 |
1477099265 | Chad Andrew Cekun | Counselor | 500 Crown Point Cir, Grass Valley, CA 95945-9561 | 2017-01-17 |
1982146023 | Sandra Ryan | Counselor | 500 Crown Point Cir, Suite 100, Grass Valley, CA 95945-9561 | 2016-11-07 |
1063960318 | Adrienne Berg | Licensed Vocational Nurse | 500 Crown Point Cir, Grass Valley, CA 95945-9561 | 2016-09-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
Find all providers in zip 95945 |
Taxonomy Code | 167G00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Psychiatric Technician |
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699257683 | Kristin M Lawrence | Licensed Psychiatric Technician | 500 Crown Point Cir Ste 100, Grass Valley, CA 95945 | 2018-09-05 |
1881187268 | Maryah Renee Trigg | Licensed Psychiatric Technician | 500 Crown Point Cir Ste 100, Grass Valley, CA 95945-9561 | 2018-06-11 |
1053433664 | Catherine Lansdon | Licensed Psychiatric Technician | 500 Crown Point Cir, Suite 120, Grass Valley, CA 95945-9514 | 2007-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
Find all providers with the same taxonomy |
City | GRASS VALLEY |
Zip Code | 95945 |
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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.