MR. BRYAN THOMAS CLARKE


Address: 3125 Mchenry Ave Ste D, Modesto, CA 95350-1451
Phone: 2095236900

MR. BRYAN THOMAS CLARKE (NPI# 1740844240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740844240
Entity Type Individual
Full Name MR. BRYAN THOMAS CLARKE
Credential RADT
Practice Address 3125 Mchenry Ave Ste D
Modesto
CA 95350-1451
Mailing Address 700 N Quincy Rd
Turlock
CA 95380-4334
Practice Telephone 2095236900
Mailing Telephone 2092774386
Enumeration Date 2019-04-30
Last Update Date 2019-04-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
507004599 CA Behavioral Health & Social Service Providers

Other Providers BRYAN CLARKE

NPI Name Taxonomy Address Enumeration
1568759819 Bryan David Clarke Psychologist 2106 Treasure Hills Blvd, C/o Mental Health, Harlingen, TX 78550-8736 2011-07-07
1093945198 Bryan Michael Clarke Military Health Care Provider 6000 W Highway 98, Pensacola, FL 32512 2009-07-23

Office Location

Street Address 3125 MCHENRY AVE STE D
City MODESTO
State CA
Zip Code 95350-1451

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942737507 Gloria Edith Robles Counselor 3125 Mchenry Ave Ste D, Modesto, CA 95350-1451 2017-05-15
1700410420 Doris Short Counselor 3125 Mchenry Ave Ste D, Modesto, CA 95350-1451 2020-03-03
1598319626 Renee Dicker Counselor 3125 Mchenry Ave Ste D, Modesto, CA 95350-1451 2019-07-26
1225520844 Robert Albert Villegas Counselor 3125 Mchenry Ave Ste D, Modesto, CA 95350-1451 2018-05-30
1114430865 Teresa Byrd Mendoza Counselor 3125 Mchenry Ave Ste D, Modesto, CA 95350-1451 2017-11-15
1932612876 Ramona Canady Counselor 3125 Mchenry Ave Ste D, Modesto, CA 95350-1451 2017-11-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164020459 Karina Montes Rodriguez Case Manager/Care Coordinator Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 2020-10-09
1134737315 Dr. Jeffrey A. Saladin, Dental Corporation Dentist 2057 Tully Road, Suite A, Modesto, CA 95350 2020-07-14
1588211254 Karla Junuen Toscano Licensed Vocational Nurse 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 2019-08-19
1831694769 Loretta Myers-weber Nurse Practitioner 1510 Florida Ave Ste A, Modesto, CA 95350 2018-03-23
1720599632 Coral Alejandra Amador Counselor 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 2017-10-18
1053820522 Pannu and Henne Dental Corp. Dentist 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 2017-09-27
1346779709 Kevin Sotelo Behavior Technician 2630 W Rumble Road, Modesto, CA 95350 2017-06-08
1255869566 Hoa Xuan Phan Family Medicine 1441 Florida Ave Ste 200, Modesto, CA 95350 2017-05-31
1356881163 Brady S Marshall Dentist 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 2017-02-27
1750755476 Caremore Health Plan Nurse Practitioner 1234 Mchenry Avenue, Modesto, CA 95350 2015-11-18
Find all providers in zip 95350

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063055812 Diana Harrison Counselor 1235 Mchenry Ave # A&b, Modesto, CA 95350-5370 2019-10-24
1710468095 Dominic Maurice Casaca Counselor 616 Perfidia Ave, Modesto, CA 95351-4135 2018-08-24
1659867513 Amalia Tapia Counselor 1235 Mchenry Ave Unit A&b, Modesto, CA 95350-5370 2018-07-03
1265934301 Ben Hopp Counselor 123 Mchenry Ave, Modesto, CA 95354-0541 2018-03-05
1447772488 Selenee Marie Flores Counselor 1235 Mchenry Ave # Ab, Modesto, CA 95350-5370 2017-07-12
1801325477 Holly Elizabeth Moore Counselor 2000 W Briggsmore Ave Ste 1, Modesto, CA 95350-3839 2017-06-07
1942737507 Gloria Edith Robles Counselor 3125 Mchenry Ave Ste D, Modesto, CA 95350-1451 2017-05-15
1184088668 Michelle Lucas Counselor 1421 Mosswood Ln, Modesto, CA 95355-1555 2016-04-11
1407229248 Roy Douglas Counselor 1235 Mcherney, A and B, Modesto, CA 95350-9411 2015-11-02
1639541394 Dynese Lee Addotta Counselor 1520 Goldenwood Dr, Modesto, CA 95350-3865 2015-10-21
Find all providers in MODESTO

Competitor

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City MODESTO
Zip Code 95350

Improve Information

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Dataset Information

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.

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