JUSTIN MANUEL AMARAL (NPI# 1720373939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720373939 |
| Entity Type | Individual |
| Full Name | JUSTIN MANUEL AMARAL |
| Practice Address |
4501 Taft Ave Richmond CA 94804-3449 |
| Mailing Address |
180 Riverview Dr Pittsburg CA 94565-5732 |
| Practice Telephone | 5102353172 |
| Mailing Telephone | 9255191371 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 075600636 | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | 101Y00000X | 01 |
| Street Address |
4501 TAFT AVE |
| City | RICHMOND |
| State | CA |
| Zip Code | 94804-3449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760681100 | R & R Educational Homes | Counselor | 4501 Taft Ave, Richmond, CA 94804-3449 | 2007-07-16 |
| 1225326598 | R&r Educational Homes | Residential Treatment Facility, Emotionally Disturbed Children | 4501 Taft Ave, 4244 Wall Ave., Richmond, CA 94804-3449 | 2011-07-20 |
| 1811297773 | Christina Cotton | Social Worker | 4501 Taft Ave, Richmond, CA 94804-3449 | 2010-10-26 |
| 1952599847 | Kasara Ann Ashford | Counselor | 4501 Taft Ave, Richmond, CA 94804-3449 | 2007-10-04 |
| 1114110368 | Jessie Tate | Counselor | 4501 Taft Ave, Richmond, CA 94804-3449 | 2007-08-21 |
| 1386835189 | Jason Newell | Counselor | 4501 Taft Ave, Richmond, CA 94804-3449 | 2007-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
| 1033769104 | Marc Anthony Garcia | Behavioral Analyst | 865 Marina Bay Parkway, Suite 37 & 38, Richmond, CA 94804 | 2019-09-19 |
| 1447818216 | Bay Area Community Services | Community/Behavioral Health | 3215/3221 Nevin Avenue, Richmond, CA 94804 | 2019-06-05 |
| 1558832709 | Eliseo Matthew Beltran Ong | Behavior Technician | 865 Marina Bay Parkway Building C, Suite 37 & 38, Richmond, CA 94804 | 2018-12-16 |
| 1679064943 | Katherine Bacher | Counselor | 200 24th Str., Richmond, CA 94804 | 2018-05-22 |
| 1508353160 | Aveida Home Care LLC | In Home Supportive Care | 302 S 18th Street, Richmond, CA 94804 | 2018-04-19 |
| 1427577980 | Adam Hudson | Counselor | 3215 Nevin Avenue, Richmond, CA 94804 | 2017-09-15 |
| 1205176583 | Anna Fisher | Counselor | 32 Shoreline Ct, Richmond, CA 94804 | 2013-02-22 |
| 1366744328 | Che Hoskins | Counselor | 820 23rd St., Richmond, CA 94804 | 2010-11-24 |
| 1558671297 | Angela May Gaiser | Case Manager/Care Coordinator | 2500 Bissell Avenue, Richmond, CA 94804 | 2010-10-15 |
| Find all providers in zip 94804 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030054 | Life's Purpose | Residential Treatment Facility, Emotionally Disturbed Children | 1211 Lark Ln, Richmond, TX 77469-7803 | 2020-07-07 |
| 1871099721 | Imagination LLC | Residential Treatment Facility, Emotionally Disturbed Children | 318 N Wilkinson Rd, Richmond, VA 23227-1631 | 2018-03-31 |
| 1336454552 | Wernle Youth & Family Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 2000 Wernle Rd, Richmond, IN 47374-7015 | 2010-08-12 |
| 1053641167 | Postive Outlook | Residential Treatment Facility, Emotionally Disturbed Children | 3601 Springtime Ct, Richmond, VA 23223-1692 | 2010-01-12 |
| 1568698165 | Hopes Haven Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3515 Skipping Rock Way, Richmond, VA 23234-2971 | 2009-06-09 |
| 1356593693 | Jackson-feild Homes | Residential Treatment Facility, Emotionally Disturbed Children | 205 North Blvd, Richmond, VA 23220-4006 | 2008-10-17 |
| 1952567182 | Secure Haven Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 1706 Hungary Rd, Richmond, VA 23228-2335 | 2008-08-07 |
| 1134389943 | Gabrielle's House | Residential Treatment Facility, Emotionally Disturbed Children | 725 S Providence Rd, Richmond, VA 23236-3337 | 2008-06-15 |
| 1669649364 | Strong Girls, Smart Women LLC | Residential Treatment Facility, Emotionally Disturbed Children | 5210 Lingle Ln, Richmond, VA 23234-6618 | 2008-05-12 |
| 1225200827 | Back 2 Basics, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3808 Candlegrove Ct, Richmond, VA 23223-1440 | 2008-03-24 |
| Find all providers in RICHMOND | ||||
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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.