PROVIDENCE COMMUNITY SERVICES (NPI# 1710306600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710306600 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE COMMUNITY SERVICES |
| Practice Address |
26632 Towne Centre Dr Suite #300 Foothill Ranch CA 92610-2813 |
| Mailing Address |
4281 Katella Ave Suite #201 Los Alamitos CA 90720-3500 |
| Practice Telephone | 5624675577 |
| Practice Fax Number | 5624675553 |
| Mailing Telephone | 5624675577 |
| Mailing Fax Number | 5624675553 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |
| Authorized Official Name | MICHELLE MOLNAR (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 5624675577 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 0000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871973073 | Providence Community Services | Community/Behavioral Health | 41 Crystal St, Apt 4, East Stroudsburg, PA 18301-2874 | 2015-06-02 |
| 1386063055 | Providence Community Services | Counselor | 2425 Olympic Blvd, Suite #4000-w, Santa Monica, CA 90404-4030 | 2014-04-10 |
| 1699194209 | Providence Community Services | Counselor | 2600 Michelson Dr, Suite #1700, Irvine, CA 92612-1550 | 2014-04-10 |
| 1124447750 | Providence Community Services | Counselor | 1140 W. Bernardo Court, Suite #300, San Diego, CA 92127 | 2014-04-10 |
| 1205255825 | Providence Community Services | Counselor | 500 N State College Blvd, Suite #1100, Orange, CA 92868-1604 | 2014-04-10 |
| 1063831931 | Providence Community Services | Counselor | 21550 Oxnard St, 3rd Floor, Woodland Hills, CA 91367-7100 | 2014-04-08 |
| 1245659135 | Providence Community Services | Counselor | 16755 Von Karman Ave, Suite #300, Irvine, CA 92606-4930 | 2014-04-08 |
| 1053730945 | Providence Community Services | Counselor | 18101 Von Karman Ave, 3rd Floor, Irvine, CA 92612-1012 | 2014-04-08 |
| 1255754784 | Providence Community Services | Social Worker | 3890 11th. Street, Suite 118, Riverside, CA 92501 | 2014-02-04 |
| 1902229347 | Providence Community Services | Social Worker | 1355 S. Grand Ave., Suite 2450, Los Angeles, CA 90071-3500 | 2014-01-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | PROVIDENCE COMMUNITY SERVICES OF COLORADO, INC. | 515 Greenwood Ave, Canyon City, CO 81212 |
| Street Address |
26632 TOWNE CENTRE DR SUITE #300 |
| City | FOOTHILL RANCH |
| State | CA |
| Zip Code | 92610-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406945 | Jane Swartz | Technician | 26322 Towne Centre Dr #617, #617, Foothill Ranch, CA 92610 | 2019-09-17 |
| 1982128807 | Arlyn P Sabado | Dietitian, Registered | 26371 Paloma Apt 35, Foothill Ranch, CA 92610 | 2017-08-02 |
| 1710408729 | Alberto Huerta | Specialist/Technologist | 11 Enfilade Ave, Foothill Ranch, CA 92610 | 2017-06-29 |
| 1932411022 | Aimee Katharine Belier Trujillo | Dentist | 45 Auto Center Dr Ste 110, Foothill Ranch, CA 92610 | 2010-07-06 |
| 1346453321 | Leonard Stephen Vaughan | Dentist | 26730 Towne Centre Drive, Suite 105, Foothill Ranch, CA 92610 | 2007-05-07 |
| 1619189586 | Dana M Roberts Dds Inc | Dentist | 26700 Towne Centre Drive, Suite 240, Lake Forest, CA 92610 | 2007-05-04 |
| 1336205376 | Global Wellness Medical Corporation | Family Medicine | 26740 Towne Centre Drive, Foothill Ranch, CA 92610 | 2006-12-27 |
| 1235229253 | Reagan and Pandhoh Dental Corporation | Dentist | 45 Auto Center Dr, Ste. 110, Foothill Ranch, CA 92610 | 2006-10-13 |
| 1306953229 | Sumeet S Pandhoh | Dentist | 45 Auto Center Drive, Ste. 110, Foothill Ranch, CA 92610 | 2006-08-24 |
| 1619987617 | Hootan M Daneshmand | Plastic Surgery | 27462 Portola Parkway, Suite 100, Foothill Ranch, CA 92610 | 2006-08-09 |
| Find all providers in zip 92610 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1801497854 | Amor Serra | Counselor | 1543 Colusa Pl, Salinas, CA 93906-2512 | 2020-11-05 |
| 1003417080 | Mary Williams | Counselor | 8032 Twin Oaks Ave, Citrus Heights, CA 95610-0510 | 2020-11-05 |
| 1487255790 | Sharon Kiesler | Counselor | 3621 Webster St, Oakland, CA 94609-2844 | 2020-11-03 |
| 1235730813 | Debrah Deans Therapy | Counselor | 1023 H St Ste B5, Sacramento, CA 95814-2815 | 2020-11-02 |
| 1417558974 | Diosa Marriage and Family Therapy PC | Counselor | 14420 Civic Dr Ste 6, Victorville, CA 92392-2384 | 2020-11-02 |
| 1669072302 | Imani Rivers | Counselor | 135 Gateway Ct, Vallejo, CA 94589-4339 | 2020-10-30 |
| 1912507021 | Lucid Lane Providers, P.C. | Counselor | 3251 Place Du Jardin, Optional, San Jose, CA 95148-9514 | 2020-10-28 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1093314536 | Ryan Tyler Corbin | Counselor | 9075 Elk Grove Blvd, Elk Grove, CA 95624-2070 | 2020-10-24 |
| Find all providers with the same taxonomy | ||||
| City | FOOTHILL RANCH |
| Zip Code | 92610 |
Please comment or provide details below to improve the information on PROVIDENCE COMMUNITY SERVICES.
| 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.