MR. MAX WILLIAM HEINEMANN (NPI# 1710998059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710998059 |
| Entity Type | Individual |
| Full Name | MR. MAX WILLIAM HEINEMANN |
| Credential | LCSW |
| Practice Address |
2626 N California St Ste E Stockton CA 95204 |
| Practice Telephone | 2094674444 |
| Practice Fax Number | 2094670122 |
| Mailing Telephone | 2094674444 |
| Mailing Fax Number | 2094670122 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2010-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LCS9795 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2626 N CALIFORNIA ST STE E |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225037054 | Graciela Aberion Barzaga | Physical Medicine & Rehabilitation | 2626 N California St, Suite C, Stockton, CA 95204-5500 | 2005-07-14 |
| 1457974255 | Josephine Appeng | Physician Assistant | 2626 N California St, Stockton, CA 95204-5500 | 2020-05-27 |
| 1831477249 | Chunhui Fang | Internal Medicine | 2626 N California St, Stockton, CA 95204-5500 | 2011-08-02 |
| 1225275233 | Ajithkumar A Puthillath | Specialist | 2626 N California St, Suite B, Stockton, CA 95204-5500 | 2009-01-13 |
| 1255590501 | Candice Melton | Marriage & Family Therapist | 2626 N California St, Suite 23, Stockton, CA 95204-5500 | 2008-06-03 |
| 1811156078 | Rise Danielle Hancock | Marriage & Family Therapist | 2626 N California St, Suite J, Stockton, CA 95204-5500 | 2008-06-03 |
| 1588822001 | Linda Jean Rolufs | Marriage & Family Therapist | 2626 N California St, Suite J, Stockton, CA 95204-5500 | 2008-05-30 |
| 1194856914 | Meherji Oshtory Md & Abha Oshtory Md A Professional Corp | Psychiatry & Neurology | 2626 N California St, Suite I, Stockton, CA 95204-5500 | 2007-03-07 |
| 1861562282 | Ira Schwalb | Anesthesiology | 2626 N California St, Suite G, Stockton, CA 95204-5500 | 2006-11-09 |
| 1043316326 | Carolyn J Pometta | Social Worker | 2626 N California St, Suite E, Stockton, CA 95207 | 2006-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968453 | Therapeutic Renovations | Counselor | 3445 Timberlane Dr, Stockton, CA 95209-5123 | 2020-10-04 |
| 1598383648 | Charalette Raychell Alston | Counselor | 4531 Borgia Ct, Stockton, CA 95207-6540 | 2020-07-06 |
| 1053932665 | Dionne Jimenez | Counselor | 2423 W March Ln, Stockton, CA 95207-8250 | 2020-05-05 |
| 1902446438 | Alen Navarro | Counselor | 300 N Gertrude Ave, Stockton, CA 95215-4820 | 2020-01-13 |
| 1366003444 | Louise Francoise Braden | Counselor | 2423 W March Ln Ste 200, Stockton, CA 95207-8250 | 2019-06-27 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1144721416 | Panhia Lo | Counselor | 4545 Georgetown Pl Ste A3, Stockton, CA 95207-6228 | 2018-02-22 |
| 1346759719 | Latisha Patrice Thompson | Counselor | 3324 Anne St, Stockton, CA 95206-3835 | 2017-09-28 |
| 1215446992 | Kristi J Gavello | Counselor | 2495 W March Lane #125, Stockton, CA 95207 | 2017-09-25 |
| 1659890457 | Deadra Denise Woolbright | Counselor | 2254 E Church St, Stockton, CA 95205-6407 | 2017-09-12 |
| Find all providers in STOCKTON | ||||
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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.