MR. DONNIE GREENE JR. (NPI# 1740735836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740735836 |
| Entity Type | Individual |
| Full Name | MR. DONNIE GREENE JR. |
| Practice Address |
412 Rancho Mirage Rd Madera CA 93638-9362 |
| Practice Telephone | 5593679193 |
| Mailing Telephone | 5593679193 |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
412 RANCHO MIRAGE RD |
| City | MADERA |
| State | CA |
| Zip Code | 93638-9362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644628 | Kevin Violette | Physician Assistant | 344 E Sixth Street, Madera, CA 93638 | 2018-10-05 |
| 1265939185 | Kimberly Lenise Bradley | Clinic/Center | 1159 Country Club Drive, Madera, CA 93638 | 2018-04-08 |
| 1255849584 | Cathy Castillo | Technician, Health Information | 2935113 1/2 Ave, Madera, CA 93638 | 2018-01-22 |
| 1164944195 | Xavier Pablo Garcia | Case Manager/Care Coordinator | 14241 Road, Madera, CA 93638 | 2017-07-12 |
| 1568982460 | Cruz Amelia Macias | Case Manager/Care Coordinator | 14241 Rd 28, Madera, CA 93638 | 2017-06-21 |
| 1144699588 | Joanna Arredondo | Counselor | 344 E. 6th St., Madera, CA 93638 | 2015-09-16 |
| 1144625997 | Pushkal Jadaun | Internal Medicine | 124 Sa Street, Madera, CA 93638 | 2014-10-22 |
| 1598022600 | Valarie Ann Shaffer | Counselor | 14227 Road 28, Madera, CA 93638 | 2012-04-13 |
| 1053555904 | Patricia Ann Alexander | Nurse Practitioner | 344 E. 4th St, Madera, CA 93638 | 2009-04-22 |
| 1629246913 | Lynn Doyle Cogdill | Technician, Other | 14427 Road 28, Madra, CA 93638 | 2008-02-20 |
| Find all providers in zip 93638 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598022600 | Valarie Ann Shaffer | Counselor | 14227 Road 28, Madera, CA 93638 | 2012-04-13 |
| 1588845283 | Kelli Jimenez | Counselor | 984 Wolftrap Ct, Madera, CA 93637-2663 | 2007-11-21 |
| 1053528182 | Juan Carrillo | Counselor | 1200 Maple St Ste 108, Madera, CA 93637-6330 | 2007-05-17 |
| 1750507851 | Richard Lee Donati | Counselor | 1200 Maple Street, Suite 108, Madera, CA 93637 | 2007-04-17 |
| 1760608939 | Lynne Ann Meridith | Counselor | 450 S Madera Ave Ste H, Madera, CA 93637-5462 | 2007-04-17 |
| 1104462548 | Tadd York Patrick | Counselor | 209 E 7th St, Madera, CA 93638-3780 | 2019-11-20 |
| 1457869661 | Araseli Calderon Garcia | Counselor | 209 E 7th St, Madera, CA 93638-3780 | 2018-01-22 |
| 1639605959 | Michelle Cherta Lee | Counselor | 117 N R St, Madera, CA 93637-4465 | 2017-05-05 |
| 1780123919 | Domingo M. Valdez Jr. | Counselor | 209 E 7th St, Madera, CA 93638-3780 | 2017-02-21 |
| 1669845905 | Joaquin Edward Gonzales | Counselor | 209 E 7th St, Madera, CA 93638-3780 | 2015-11-09 |
| Find all providers in MADERA | ||||
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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.