DEEP WELLNESS CENTER CHILD & FAMILY INC (NPI# 1760865794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760865794 |
| Entity Type | Organization |
| Organization Name | DEEP WELLNESS CENTER CHILD & FAMILY INC |
| Practice Address |
5815 Stoddard Rd Ste 600 Modesto CA 95356-9041 |
| Practice Telephone | 2096656857 |
| Mailing Telephone | 2096656857 |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |
| Authorized Official Name | RAMANDEEP DHALIWAL (MARRIAGE & FAMILY THERAPIST) |
| Authorized Official Telephone | 2096656857 |
| Authorized Official Credential | M.S. LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | CA | Behavioral Health & Social Service Providers | |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers | |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
CA | Behavioral Health & Social Service Providers | |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
CA | Behavioral Health & Social Service Providers | |
| Y | 106H00000X | Marriage & Family Therapist | LMFT 52611 | CA | Behavioral Health & Social Service Providers |
| Street Address |
5815 STODDARD RD STE 600 |
| City | MODESTO |
| State | CA |
| Zip Code | 95356-9041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780796011 | Katharine Ann Cagle | Counselor | 5815 Stoddard Rd Ste 600, Modesto, CA 95356-9041 | 2006-08-31 |
| 1356855779 | Karen Henderson | Marriage & Family Therapist | 5815 Stoddard Rd Ste 600, Modesto, CA 95356-9041 | 2017-11-21 |
| 1902259179 | Allysha Marie Davis | Social Worker | 5815 Stoddard Rd Ste 600, Modesto, CA 95356-9041 | 2016-07-22 |
| 1871957365 | Samantha Dubose | Student in an Organized Health Care Education/Training Program | 5815 Stoddard Rd Ste 600, Modesto, CA 95356-9041 | 2016-04-11 |
| 1346602174 | Amy Mundello | Counselor | 5815 Stoddard Rd Ste 600, Modesto, CA 95356-9041 | 2016-03-22 |
| 1922467182 | Lyzette Navarro | Social Worker | 5815 Stoddard Rd Ste 600, Modesto, CA 95356-9041 | 2016-02-16 |
| 1417240698 | Alissa Cheyenne Berezay | Marriage & Family Therapist | 5815 Stoddard Rd Ste 600, Modesto, CA 95356-9041 | 2011-05-23 |
| 1316071483 | Ramandeep Dhaliwal | Marriage & Family Therapist | 5815 Stoddard Rd Ste 600, Modesto, CA 95356-9041 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
| Find all providers in zip 95356 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303731 | Youth for Christ Central Valley | Marriage & Family Therapist | 1101 M St, Modesto, CA 95354-0755 | 2020-07-16 |
| 1336629229 | Matina Trigo | Marriage & Family Therapist | 420 Downey Ave, Modesto, CA 95354-1301 | 2018-08-20 |
| 1629558903 | Central Valley Therapeutic Alliance, Inc. | Marriage & Family Therapist | 201 E Orangeburg Ave Ste F, Modesto, CA 95350-5355 | 2018-08-16 |
| 1659888543 | Dr. Irit Goldman Psy.d Lmft | Marriage & Family Therapist | 1604 Ford Ave Ste 1, Modesto, CA 95350-4649 | 2018-01-02 |
| 1013461748 | Pamela Christine Remides | Marriage & Family Therapist | 615 14th St, Modesto, CA 95354-2504 | 2016-08-10 |
| 1073964805 | Dwight Simpson Sr. | Marriage & Family Therapist | 1705 Ardmore Ave, Modesto, CA 95350-4100 | 2016-06-22 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1750620902 | Jacquelyn Irene Mitchell | Marriage & Family Therapist | 3049 Darlene Ln, Modesto, CA 95355-4157 | 2013-02-07 |
| 1891046512 | Brittany Elizabeth Rushin | Marriage & Family Therapist | 1015 12th St Ste 11, Modesto, CA 95354-0838 | 2012-09-20 |
| 1467715979 | Angela Jean Kelley | Marriage & Family Therapist | 1809 Lobero Ln, Modesto, CA 95355-2521 | 2012-06-19 |
| Find all providers in MODESTO | ||||
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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.