VICTOR TREATMENT CENTERS, INC. (NPI# 1730513557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730513557 |
Entity Type | Organization |
Organization Name | VICTOR TREATMENT CENTERS, INC. |
Practice Address |
855 Canyon Rd Redding CA 96001-5544 |
Practice Telephone | 5303781855 |
Mailing Telephone | 5303781855 |
Enumeration Date | 2013-08-28 |
Last Update Date | 2013-08-28 |
Authorized Official Name | MRS. STACY DEMAR (CLINICAL SUPERVISOR) |
Authorized Official Telephone | 5302321431 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | IMF 74466 | CA | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346739273 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 600 Irwin Ln, Santa Rosa, CA 95401-5607 | 2018-05-07 |
1891284725 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 620 Irwin Ln, Santa Rosa, CA 95401-5607 | 2018-05-07 |
1346739265 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1136 Clover Dr, Santa Rosa, CA 95401-4512 | 2018-05-07 |
1407345317 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 21282 Tia Mia Ln, Redding, CA 96003-9359 | 2018-05-07 |
1134618044 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 19767 Paso Robles Ave, Redding, CA 96003-7769 | 2018-05-07 |
1285123117 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20846 Clairvaux Drive, Redding, CA 96002 | 2018-05-07 |
1417446493 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 520 Oasis Dr, Santa Rosa, CA 95407-7717 | 2018-05-06 |
1063901049 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 565 Piezzi Rd, Santa Rosa, CA 95401-5536 | 2018-05-06 |
1528557501 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 13403 Kings Way, Redding, CA 96003-7017 | 2018-05-06 |
1700375789 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4223 Alta Mesa Dr, Redding, CA 96002-3727 | 2018-05-06 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | VICTOR TREATMENT CENTERS, INC. | 1360 E Lassen Ave, Chico, CA 95973-7823 |
Street Address |
855 CANYON RD |
City | REDDING |
State | CA |
Zip Code | 96001-5544 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477576130 | Robin Lynne Bowman | Social Worker | 855 Canyon Rd, Redding, CA 96001-5544 | 2006-07-25 |
1346891843 | Stephanie Hernandez | Spec/Tech, Health Info | 855 Canyon Rd, Redding, CA 96001-5544 | 2019-09-25 |
1780233718 | Fernando Lema | Counselor | 855 Canyon Rd, Redding, CA 96001-5544 | 2019-09-11 |
1598319006 | Amy Claxton | Counselor | 855 Canyon Rd, Redding, CA 96001-5544 | 2019-08-01 |
1831659192 | Michelle Folmer | Counselor | 855 Canyon Rd, Redding, CA 96001-5544 | 2019-03-22 |
1790243228 | Alberta Keene | Licensed Vocational Nurse | 855 Canyon Rd, Redding, CA 96001-5544 | 2019-03-04 |
1215401005 | Johnathan Freeborn | Counselor | 855 Canyon Rd, Redding, CA 96001-5544 | 2019-01-15 |
1962971515 | Sabrina Thurman | Counselor | 855 Canyon Rd, Redding, CA 96001-5544 | 2018-11-13 |
1740765064 | Jacob Erez | Counselor | 855 Canyon Rd, Redding, CA 96001-5544 | 2018-10-02 |
1770068090 | Sophia Saetes | Counselor | 855 Canyon Rd, Redding, CA 96001-5544 | 2018-10-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
Find all providers in zip 96001 |
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 |
---|---|---|---|---|
1407345317 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 21282 Tia Mia Ln, Redding, CA 96003-9359 | 2018-05-07 |
1134618044 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 19767 Paso Robles Ave, Redding, CA 96003-7769 | 2018-05-07 |
1285123117 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20846 Clairvaux Drive, Redding, CA 96002 | 2018-05-07 |
1528557501 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 13403 Kings Way, Redding, CA 96003-7017 | 2018-05-06 |
1700375789 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4223 Alta Mesa Dr, Redding, CA 96002-3727 | 2018-05-06 |
1760972210 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 855 Canyon Rd, Redding, CA 96001 | 2018-05-10 |
1548713027 | Hillcrest Community Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1890 Park Marina Dr, Suite 110, Redding, CA 96001-0961 | 2016-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144820499 | Catholic Charities of The Diocese of Oakland | Residential Treatment Facility, Emotionally Disturbed Children | 3700 Dorisa Ave, Oakland, CA 94605-4941 | 2020-10-27 |
1922607944 | Inspire A Youth, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7556 Avenida Baja, Riverside, CA 92509-3449 | 2020-10-21 |
1235736554 | Yvonne Dionne Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1223 E Helmick St, Carson, CA 90746-3163 | 2020-10-09 |
1740897784 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 602 Woodlark Dr, Suisun City, CA 94585-2244 | 2020-09-24 |
1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
1902412182 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 136 Valdivia Cir, San Ramon, CA 94583-2228 | 2020-09-22 |
1073128492 | Samuel Campbell Jr. | Residential Treatment Facility, Emotionally Disturbed Children | 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 | 2020-09-11 |
1336753433 | Aaron's Boys Home | Residential Treatment Facility, Emotionally Disturbed Children | 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 | 2020-09-04 |
1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
1538779871 | Hidden Treasures Foundation, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1240 W 13th Ave, Escondido, CA 92025-5560 | 2020-08-02 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on VICTOR TREATMENT CENTERS, INC..
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.