PENNY ANN MCGAHEY (NPI# 1750659694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750659694 |
| Entity Type | Individual |
| Full Name | PENNY ANN MCGAHEY |
| Credential | AA AOD |
| Practice Address |
564 S Dora St Ste D Ukiah CA 95482-5465 |
| Practice Telephone | 7074720362 |
| Practice Fax Number | 7074720121 |
| Mailing Telephone | 7074720362 |
| Mailing Fax Number | 7074720121 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2015-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RI-M1107181751 | CA | Behavioral Health & Social Service Providers |
| Street Address |
564 S DORA ST STE D |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-5465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912372921 | Angelina Figueroa | Licensed Vocational Nurse | 564 S Dora St Ste D, Ukiah, CA 95482-5465 | 2015-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528397221 | Laura Alexander | Counselor | 139 Ford St, Ukiah, CA 95482 | 2009-12-09 |
| 1265611156 | Clover May Martin | Counselor | 201 Brush St, Ukiah, CA 95482-3424 | 2007-10-29 |
| 1114128816 | Michael Scott Mccracken | Counselor | 524 Low Gap Rd, Ukiah, CA 95482-3735 | 2007-05-30 |
| 1366060824 | Louie Vigil | Counselor | 201 Brush St, Ukiah, CA 95482-3424 | 2020-07-10 |
| 1245851617 | Rheannah Andrea Molina | Counselor | 201 Brush St, Ukiah, CA 95482-3424 | 2020-04-27 |
| 1568083921 | Tarran Ashley Eddy | Counselor | 201 Brush St, Ukiah, CA 95482-3424 | 2020-04-27 |
| 1306471230 | Luz Maria Machado Cramer | Counselor | 1120 S Dora St, Ukiah, CA 95482-6340 | 2020-03-11 |
| 1437708450 | Paul Murguia IIi | Counselor | 1120 S Dora St, Ukiah, CA 95482-6340 | 2019-09-11 |
| 1609359090 | Blake Andrew Shupe | Counselor | 201 Brush St, Ukiah, CA 95482-3424 | 2018-09-11 |
| 1053899203 | Chiah Jasmine Cassells | Counselor | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-07-31 |
| Find all providers in UKIAH | ||||
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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.