MR. JOCK CROOK (NPI# 1730582602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730582602 |
| Entity Type | Individual |
| Full Name | MR. JOCK CROOK |
| Practice Address |
1414 N California St Stockton CA 95202-1515 |
| Mailing Address |
328 Northbank Ct Apt 85 Stockton CA 95207-7623 |
| Practice Telephone | 2094682385 |
| Mailing Telephone | 2094682385 |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1414 N CALIFORNIA ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95202-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376574616 | Susan M Abraham | Pediatrics | 1414 N California St, Stockton, CA 95202-1515 | 2006-07-05 |
| 1346859469 | Adam Wong | Licensed Psychiatric Technician | 1414 N California St, Stockton, CA 95202-1515 | 2020-07-24 |
| 1760018485 | Ashley Nichole Mcmillion | Case Manager/Care Coordinator | 1414 N California St, Stockton, CA 95202-1515 | 2020-03-13 |
| 1619515640 | Maria Samson | Counselor | 1414 N California St, Stockton, CA 95202-1515 | 2019-12-20 |
| 1043857014 | Adrienne Pleasants | Counselor | 1414 N California St, Stockton, CA 95202-1515 | 2019-12-09 |
| 1801445531 | Mary Alice Richardson | Case Manager/Care Coordinator | 1414 N California St, Stockton, CA 95202-1515 | 2019-09-05 |
| 1013566744 | Joseph Michael Jackson Pointon | Case Manager/Care Coordinator | 1414 N California St, Stockton, CA 95202-1515 | 2019-09-05 |
| 1093370397 | Allison Ilene Borsuk-georgandas | Social Worker | 1414 N California St, Stockton, CA 95202 | 2019-05-02 |
| 1801459920 | Angelique Cooper | Counselor | 1414 N California St, Stockton, CA 95202-1515 | 2019-04-15 |
| 1568938124 | Malina Celine Diaz | Counselor | 1414 N California St, Stockton, CA 95202-1515 | 2018-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
| 1861035586 | Andrea Mn Perkins | Social Worker | Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 | 2019-10-25 |
| 1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
| 1730655895 | Jenaiah La'neise Sauceda | Social Worker | 343 E Main St Ste 918, Stockton, CA 95202 | 2018-10-16 |
| 1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
| 1912406976 | Janet Mendoza | Social Worker | 6 South Eldorado Street, Stockton, CA 95202 | 2018-02-06 |
| 1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
| 1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
| 1821513946 | Savoeun Phal | Counselor | 1212 N California St Ste A214, Stockton, CA 95202 | 2017-08-09 |
| 1861921272 | Mandeep K Minhas | Registered Nurse | 1212 California St, Stockton, CA 95202 | 2017-06-08 |
| Find all providers in zip 95202 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
| 1467950345 | Parents By Choice | Community/Behavioral Health | 306 E Main St Ste 300-312, Stockton, CA 95202-2908 | 2018-01-25 |
| 1033648084 | O'connor Woods Housing Corp | Community/Behavioral Health | 3400 Wagner Heights Rd, Stockton, CA 95209-4843 | 2017-06-05 |
| 1851824882 | Elizabeth Thompson | Community/Behavioral Health | 149 W Stadium Dr, Stockton, CA 95204-3117 | 2017-04-06 |
| 1689125163 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2428 Warlow Ln, Stockton, CA 95206 | 2016-10-19 |
| 1740731736 | Ger Vang | Community/Behavioral Health | 822 Prospector Dr, Stockton, CA 95210-1442 | 2016-10-14 |
| 1316494339 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 9555 Priscilla Ln, Stockton, CA 95212 | 2016-09-07 |
| 1255708855 | Buphant Society | Community/Behavioral Health | 1045 N. Eldorado, 11, Stockton, CA 95202 | 2015-08-31 |
| 1710364823 | Central Valley Center for Community Advocacy, Inc. | Community/Behavioral Health | 20 N. Sutter St., Suite 400, Stockton, CA 95202-2911 | 2015-04-28 |
| 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.