MRS. VALERIE R DAVIS-RUCKER (NPI# 1760631865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760631865 |
Entity Type | Individual |
Full Name | MRS. VALERIE R DAVIS-RUCKER |
Practice Address |
1 Saint Vincents Dr San Rafael CA 94903-1504 |
Practice Telephone | 4155074343 |
Mailing Telephone | 4155074343 |
Enumeration Date | 2008-09-12 |
Last Update Date | 2008-09-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | CA | Agencies |
Street Address |
1 SAINT VINCENTS DR |
City | SAN RAFAEL |
State | CA |
Zip Code | 94903-1504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770688582 | Sonia Raquel Cavazos | Marriage & Family Therapist | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2006-09-14 |
1760039069 | Anyssa N Haberkorn-gomez | Student in an Organized Health Care Education/Training Program | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2019-08-21 |
1205309366 | Nancy Freitas Lambert | Psychologist | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2019-01-10 |
1710450960 | Joseph Anthony Emard | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2019-01-09 |
1902378482 | Catherine Serrano Florendo | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2018-12-21 |
1619452471 | Kathryn Dulay Wisniewski | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2018-09-27 |
1356829287 | Christine Lewis | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903 | 2018-08-02 |
1285126201 | Lauraleigh Carol Hungerford | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903 | 2018-06-05 |
1194217117 | Reanne Elise Remlinger | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903 | 2018-06-05 |
1467942243 | Monique Mercado | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903 | 2018-05-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
Find all providers in zip 94903 |
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 |
---|---|---|---|---|
1396396826 | Family Matters of Marin | Community/Behavioral Health | 1346 4th St Ste 202, San Rafael, CA 94901-2860 | 2019-09-25 |
1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
1144687302 | Ritter Center | Community/Behavioral Health | 190 Mill St, Dining Room, San Rafael, CA 94901-4021 | 2016-01-19 |
1619362662 | Center Point, Inc. | Community/Behavioral Health | 199 Mill St., San Rafael, CA 94901 | 2015-04-06 |
1902204597 | Dba Nancy Freitas Lambert Psyd | Community/Behavioral Health | 1330 Lincoln Ave Ste 102b, San Rafael, CA 94901-2141 | 2014-12-12 |
1669878765 | Seneca Family of Agencies | Community/Behavioral Health | 25 W Castlewood Dr, San Rafael, CA 94901-2538 | 2014-11-17 |
1396141198 | Seneca Family of Agencies | Community/Behavioral Health | 177 N San Pedro Rd, San Rafael, CA 94903-4200 | 2014-11-06 |
1376957373 | Shana Gaviglio Kenney | Community/Behavioral Health | 1665 Grand Ave, San Rafael, CA 94901-2211 | 2014-06-17 |
1104256411 | John Hamel & Associates | Community/Behavioral Health | 28 Upper Oak Dr, San Rafael, CA 94903-1732 | 2013-11-22 |
1093073876 | Bay Area Community Resources, Inc | Community/Behavioral Health | 3240 Kerner Blvd, San Rafael, CA 94901-4840 | 2012-04-30 |
Find all providers in SAN RAFAEL |
City | SAN RAFAEL |
Zip Code | 94903 |
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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.