CHAD BEVILACQUA (NPI# 1699950725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699950725 |
Entity Type | Individual |
Full Name | CHAD BEVILACQUA |
Other Name | CHAD BEVILACQUA |
Practice Address |
40329 Stetson Ave Hemet CA 92544-7358 |
Mailing Address |
600 3rd St Lake Elsinore CA 92530-2748 |
Practice Telephone | 9516584466 |
Practice Fax Number | 9516745227 |
Mailing Telephone | 9516745354 |
Mailing Fax Number | 9516745227 |
Enumeration Date | 2008-01-08 |
Last Update Date | 2008-01-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAS | CA | Behavioral Health & Social Service Providers |
Street Address |
40329 STETSON AVE |
City | HEMET |
State | CA |
Zip Code | 92544-7358 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205011251 | David Mayo | Counselor | 40329 Stetson Ave, Hemet, CA 92544-7358 | 2008-01-08 |
1932523610 | Riverside Recovery Resources | Substance Abuse Rehabilitation Facility | 40329 Stetson Ave, Hemet, CA 92544-7358 | 2014-02-14 |
1134479389 | Jeff Campbell | Counselor | 40329 Stetson Ave, Hemet, CA 92544-7358 | 2012-09-14 |
1699024109 | Danny Dowell | Counselor | 40329 Stetson Ave, Hemet, CA 92544-7358 | 2012-08-30 |
1447435573 | Ronald Webb | Counselor | 40329 Stetson Ave, Hemet, CA 92544-7358 | 2008-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881164408 | Felix Pelarada Olarita Jr. | Physical Therapist | 41255 Crest Drive, Hemet, CA 92544 | 2018-11-27 |
1124453055 | Apex Healthcare Medical Center Inc | Internal Medicine | 2390 E. Florida Ave, Suite 105, Hemet, CA 92544 | 2013-09-11 |
1134476062 | Renee Luhrs Macdonald | Counselor | 3990 Faure Rd, Hemet, CA 92544 | 2012-08-09 |
1427223916 | Mark Dwayne Dykes | Military Health Care Provider | 700 Colorado Dr, Hemet, CA 92544 | 2008-04-25 |
1487825691 | Jody A Balboa | Marriage & Family Therapist | 541 N. San Jacinto Ave, Hemet, CA 92544 | 2008-03-14 |
1528246964 | Newport Audiology Centers | Hearing Aid Equipment | 1600 East Florida Ave #312, Hemet, CA 92544 | 2008-02-07 |
1730212036 | Welch's Shoe Repair | Prosthetic/Orthotic Supplier | 41819 E Florida Ave, Hemet, CA 92544 | 2007-03-14 |
1679635221 | Angela Kay Williams | Psychiatry & Neurology | 39990 Faure Rd, Hemet, CA 92544 | 2006-12-13 |
1548238702 | Devonshire Care Center, LLC | Skilled Nursing Facility | 1350 E Devonshire Ave, Hemet, CA 92544 | 2006-03-14 |
1669755153 | Amir Rahnavard | Internal Medicine | 1600 E Florida Ave Ste 103, Hemet, CA 92544 | 2011-09-21 |
Find all providers in zip 92544 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881117547 | Saira Gonzalez | Counselor | 950 N State St Ste E, Hemet, CA 92543-1485 | 2017-07-24 |
1922533561 | Krysta Jean Young | Counselor | 1400 E Menlo Ave Spc 37, Hemet, CA 92544-3138 | 2017-04-20 |
1386069276 | Preston Bryant | Counselor | 640 N San Jacinto St Ste A, Hemet, CA 92543-3188 | 2014-02-28 |
1952651457 | Suzette Ree Reynolds | Counselor | 950 N. State St. Suite D, Hemet, CA 92543-1402 | 2012-09-12 |
1114293396 | Spirit and Truth Counseling Center | Counselor | 640 N San Jacinto St, Suite A, Hemet, CA 92543-3188 | 2012-04-01 |
1770864936 | Lisa Marie Godoy | Counselor | 650 N State St Ste D, Hemet, CA 92543-1485 | 2011-09-01 |
1932331576 | Sun Ray Addictions Counseling & Education, Inc. | Counselor | 950 N State St Ste D, Hemet, CA 92543-1485 | 2009-08-16 |
1861634404 | Lynne M Filippini | Counselor | 960 N State St, Suite #b, Hemet, CA 92543-1400 | 2009-03-27 |
1205011251 | David Mayo | Counselor | 40329 Stetson Ave, Hemet, CA 92544-7358 | 2008-01-08 |
1417140237 | Paula Bester | Counselor | 601 E Florida Ave, Hemet, CA 92543-4335 | 2007-08-24 |
Find all providers in HEMET |
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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.