SIERRA CONSERVATION CENTER (NPI# 1710427778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710427778 |
| Entity Type | Organization |
| Organization Name | SIERRA CONSERVATION CENTER |
| Practice Address |
5100 Obyrnes Ferry Rd Jamestown CA 95327-9102 |
| Practice Telephone | 2099845291 |
| Mailing Telephone | 2099845291 |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |
| Authorized Official Name | DR. RICHARD HALLIBURTON (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 2099845291 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
PSY 20801 | CA | Ambulatory Health Care Facilities |
| Street Address |
5100 OBYRNES FERRY RD |
| City | JAMESTOWN |
| State | CA |
| Zip Code | 95327-9102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255302022 | Blong Roger Ly | Dentist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2006-01-30 |
| 1831625102 | Richard Perry Halliburton | Psychologist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327 | 2017-05-05 |
| 1659628287 | Gary Collinsworth | Pharmacist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2012-08-14 |
| 1881959369 | John M Gonsalves | Pharmacist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2012-07-10 |
| 1770848343 | Greg Pryor | Pharmacist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2012-07-10 |
| 1982919676 | Jarie Mccoy | Counselor | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2010-08-18 |
| 1093999187 | Christine Lynn Mckeehan | Social Worker | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2007-12-26 |
| 1962684597 | David Wormhood | Dentist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2007-12-05 |
| 1023290988 | Young Quoc Ngo | Dentist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2007-12-03 |
| 1780864371 | Nancy Marie Brace | Dentist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2007-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386985794 | Minou Alexander | Psychologist | 5100 O'byrner Ferry Rd., Sierra Conservation Center, Jamestown, CA 95327 | 2013-03-11 |
| 1871898304 | Corrections and Rehabilitation | Pharmacy | 5100 O'byrnes Ferry Road, Attn: Pharmacy, Jamestown, CA 95327 | 2011-01-13 |
| 1760709935 | Nicole R Stevenson | Dental Assistant | 17922 Shell Road, Jamestown Road, CA 95327 | 2010-04-28 |
| 1326020710 | Russell Dean Park | Psychologist | 5100 O'byrnes Ferry Rd., Jamestown, CA 95327 | 2005-11-19 |
| 1770690968 | Margaret L. Smith | Registered Nurse | 18189 Seco St., Jamestown, CA 95327-0950 | 2006-08-24 |
| 1932268646 | Michael A Backlund | Psychologist | 5100 O Brynes Ferry Rd, Jamestown, CA 95327-9102 | 2006-12-08 |
| 1629545447 | Kimberly Veronica Salinas | Non-emergency Medical Transport (VAN) | 18920 Old Bridge Rd, Jamestown, CA 95327-9152 | 2018-10-30 |
| 1881665958 | James E. Sweetland | Family Medicine | 10641 Mountain Oak Ct, Jamestown, CA 95327-9247 | 2006-01-27 |
| 1659646487 | Jeffrey Frank Kocher | Dentist | 18259 Main St, Jamestown, CA 95327-9251 | 2012-03-12 |
| 1235427642 | Debra Leann Townsend | Lactation Consultant, Non-RN | 9909 Pulpit Rock Road, Jamestown, CA 95327-9319 | 2011-07-19 |
| Find all providers in zip 95327 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1538223110 | Chautauqua County Chapter of Nysarc Inc. | Clinic/Center | 880 E 2nd St, Jamestown, NY 14701-3824 | 2006-12-20 |
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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.