MRS. JACLYN MARIE MCCREADY (NPI# 1710541644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710541644 |
| Entity Type | Individual |
| Full Name | MRS. JACLYN MARIE MCCREADY |
| Practice Address |
74923 Hovley Ln E Palm Desert CA 92260 |
| Mailing Address |
74923 Hovley Ln E Palm Desert CA 92260-1927 |
| Practice Telephone | 7602884579 |
| Mailing Telephone | 7602884579 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 942 Post St, Redlands, CA 923743459 | 9096745856 |
| Street Address |
74923 HOVLEY LN E |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215150818 | Rodney Miker | Counselor | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2007-04-11 |
| 1588265714 | Jennifer Rojo-perez | Counselor | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2020-11-04 |
| 1437767589 | Jeronimo Subayar | Licensed Vocational Nurse | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2020-07-15 |
| 1710511746 | Jessica Rojo-perez | Case Manager/Care Coordinator | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2020-02-28 |
| 1063065589 | Michelle Lee Acevedo | Counselor | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2019-07-23 |
| 1487219986 | Jessica Kathleen Nelson | Peer Specialist | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2019-05-09 |
| 1366907305 | James Stephen Brinkman | Counselor | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2019-02-04 |
| 1497272330 | Monique Shydell Paniagua | Marriage & Family Therapist | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2017-08-22 |
| 1710340054 | Angela Martina Munoz | Counselor | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2016-04-04 |
| 1134581002 | Edgar Francisco Rivera | Counselor | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414202 | Arianna D Aguilar | Behavioral Analyst | 7410 Highway 111 Suite 102, Palm Desert, CA 92260 | 2020-10-12 |
| 1063053098 | Sylvia Ann Trapuzzano | Marriage & Family Therapist | 74-040 Highway IIi, Suite L-202, Palm Desert, CA 92260 | 2019-10-01 |
| 1477011153 | Alexis Ivonne Corrales | Behavior Technician | 74-710 Ca-111, Ste #102, Palm Desert, CA 92260 | 2019-03-12 |
| 1992272421 | Sarah Baik | Pharmacist | 72314 Ca-111, Palm Desert, CA 92260 | 2018-11-02 |
| 1104329820 | Oz Med, Inc. | Pharmacy | 44150 Town Center Way, Ste B4, Palm Desert, CA 92260 | 2018-03-09 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1225540180 | Dr Fatemeh Hadjian D.d.s. P.a. | Dentist | 74000 Country Club Ste B1, Palm Desert, CA 92260 | 2017-11-01 |
| 1871032185 | Brianne Lee Stoddard | Behavioral Analyst | 41555 Cook Street, Suite 100, Palm Desert, CA 92260 | 2017-02-20 |
| 1275072720 | Michael Giordano Jerez | Chiropractor | 72840 Ca - 111 Suite 2, Palm Desert, CA 92260 | 2017-02-16 |
| 1982150785 | Joshua W Cartter Dds Inc | Dentist | 72415 Park View, Palm Desert, CA 92260 | 2016-08-31 |
| Find all providers in zip 92260 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073983177 | Hortencia Diaz | Counselor | 73550 Alessandro Dr Ste 200, Palm Desert, CA 92260 | 2015-10-01 |
| 1669668265 | Jessica Lyn Fincher | Counselor | 42580 Caroline Ct Ste A, Palm Desert, CA 92211-9112 | 2007-09-18 |
| 1568652139 | Gail Baker | Counselor | 45445 Portola Ave Ste 1, Palm Desert, CA 92260-4844 | 2007-07-30 |
| 1376678094 | Roberto Perez | Counselor | 74465 Goleta Ave, Palm Desert, CA 92260-3062 | 2007-02-22 |
| 1013057132 | Barbara Terry Kreedman | Counselor | 73725 El Paseo, Suite 23-d, Palm Desert, CA 92260-4311 | 2007-02-07 |
| 1669555124 | Rosalind Maxine Monahan | Counselor | 77564 Country Club Dr # B, Ste. 405-b, Palm Desert, CA 92211-0484 | 2006-10-20 |
| 1588265714 | Jennifer Rojo-perez | Counselor | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2020-11-04 |
| 1023580263 | James W Simmons | Counselor | 73345 Highway 111 Ste 203, Palm Desert, CA 92260-3909 | 2018-12-28 |
| 1982102661 | Kasey Danielle Rissman | Counselor | 43585 Monterey Ave Ste 1, Palm Desert, CA 92260-9398 | 2018-01-26 |
| 1336665967 | Erin Elizabeth Eiland | Counselor | 42580 Caroline Ct Ste A, Palm Desert, CA 92211-9112 | 2017-08-15 |
| Find all providers in PALM DESERT | ||||
| City | PALM DESERT |
| Zip Code | 92260 |
Please comment or provide details below to improve the information on MRS. JACLYN MARIE MCCREADY.
| 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.