MRS. KELLEY LYNN WHITECOTTON


Address: 500 Crown Point Cir, Grass Valley, CA 95945
Phone: 5302651437

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 500 CROWN POINT CIR
City GRASS VALLEY
State CA
Zip Code 95945

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 167G00000X
Grouping Nursing Service Providers
Classification Licensed Psychiatric Technician

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City GRASS VALLEY
Zip Code 95945

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Dataset Information

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.

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