NICK ROBERT PERRY (NPI# 1699976423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699976423 |
| Entity Type | Individual |
| Full Name | NICK ROBERT PERRY |
| Practice Address |
24321 County Road 96 Davis CA 95616 |
| Mailing Address |
1667 Oak Ave Davis CA 95616-1003 |
| Practice Telephone | 5307581653 |
| Mailing Telephone | 5307582160 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2010-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
24321 COUNTY ROAD 96 |
| City | DAVIS |
| State | CA |
| Zip Code | 95616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235359423 | Yolo Community Care Continuum | Community Based Residential Treatment Facility, Mental Illness | 24321 County Road 96, Davis, CA 95616 | 2007-04-27 |
| 1568883700 | Michelle Yang | Counselor | 24321 County Road 96, Davis, CA 95616 | 2013-12-13 |
| 1568893329 | Tennie Thompson | Counselor | 24321 County Road 96, Davis, CA 95617 | 2013-12-04 |
| 1396173605 | Sonum Saeed I | Counselor | 24321 County Road 96, Davis, CA 95616 | 2013-10-23 |
| 1356783435 | Emily Michelle Smoller | Counselor | 24321 County Road 96, Davis, CA 95616 | 2013-07-18 |
| 1740529106 | Rebecca Ewert | Counselor | 24321 County Road 96, Davis, CA 95616 | 2013-02-05 |
| 1265785901 | Fredrick Eric Rice | Counselor | 24321 County Road 96, Davis, CA 95616 | 2012-10-18 |
| 1033405527 | Ainsley Reyes | Counselor | 24321 County Road 96, Davis, CA 95616 | 2011-06-22 |
| 1093045635 | Nicole Kathryn Sardella | Counselor | 24321 County Road 96, Davis, CA 95616-3153 | 2010-01-04 |
| 1417105230 | Rumneek Sall | Community Based Residential Treatment Facility, Mental Illness | 24321 County Road 96, Davis, CA 95616 | 2008-09-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235359423 | Yolo Community Care Continuum | Community Based Residential Treatment Facility, Mental Illness | 24321 County Road 96, Davis, CA 95616 | 2007-04-27 |
| 1477673119 | Turning Point Community Programs | Community Based Residential Treatment Facility, Mental Illness | 1214 E 8th St, Davis, CA 95616-3902 | 2007-03-29 |
| 1417105230 | Rumneek Sall | Community Based Residential Treatment Facility, Mental Illness | 24321 County Road 96, Davis, CA 95616 | 2008-09-04 |
| 1144421843 | Heather Rachele Covey | Community Based Residential Treatment Facility, Mental Illness | 1667 Oak Ave, Davis, CA 95616-1003 | 2007-05-30 |
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| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
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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.