AEGIS TREATMENT CENTER, LLC. (NPI# 1770967465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770967465 |
| Entity Type | Organization |
| Organization Name | AEGIS TREATMENT CENTER, LLC. |
| Practice Address |
8626 Lower Sacramento Rd Stockton CA 95210-1835 |
| Mailing Address |
8626 Lower Sacramento Rd Stockton CA 95120 |
| Practice Telephone | 2094872487 |
| Mailing Telephone | 2094782487 |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |
| Authorized Official Name | VALERIE KRISTINE SEAGLE (CASE MANAGER) |
| Authorized Official Telephone | 2094782487 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CA | Agencies |
| Street Address |
8626 LOWER SACRAMENTO RD |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275607327 | Richard Vernell Morris | Counselor | 8626 Lower Sacramento Rd, Stockton, CA 95210 | 2006-11-20 |
| 1255965380 | Audree Mendez | Counselor | 8626 Lower Sacramento Rd, Stockton, CA 95210-1835 | 2020-02-27 |
| 1740757780 | Domonique Martin | Counselor | 8626 Lower Sacramento Rd, Stockton, CA 95210-1835 | 2018-10-29 |
| 1407323777 | Dora Raquel Berry | Licensed Vocational Nurse | 8626 Lower Sacramento Rd, Stockton, CA 95210-1835 | 2018-10-25 |
| 1457828865 | Lynda Elizabeth Becerra | Licensed Vocational Nurse | 8626 Lower Sacramento Rd, Stockton, CA 95210-1835 | 2018-10-24 |
| 1649622028 | Sarah Barr | Counselor | 8626 Lower Sacramento Rd, 41, Stockton, CA 95210-1835 | 2016-07-08 |
| 1538529706 | Samantha Malough | Counselor | 8626 Lower Sacramento Rd, Stockton, CA 95210-1835 | 2016-03-02 |
| 1689059388 | Stephanie Alfaro Duenas | Counselor | 8626 Lower Sacramento Rd, Stockton, CA 95210-1835 | 2015-07-23 |
| 1396124194 | Denise Gonzalez | Counselor | 8626 Lower Sacramento Rd, Stockton, CA 95210-1835 | 2015-05-26 |
| 1689068256 | Kenneth Lindberg | Counselor | 8626 Lower Sacramento Rd, Stockton, CA 95210-1835 | 2015-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| 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 |
|---|---|---|---|---|
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
| 1467950345 | Parents By Choice | Community/Behavioral Health | 306 E Main St Ste 300-312, Stockton, CA 95202-2908 | 2018-01-25 |
| 1033648084 | O'connor Woods Housing Corp | Community/Behavioral Health | 3400 Wagner Heights Rd, Stockton, CA 95209-4843 | 2017-06-05 |
| 1851824882 | Elizabeth Thompson | Community/Behavioral Health | 149 W Stadium Dr, Stockton, CA 95204-3117 | 2017-04-06 |
| 1689125163 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2428 Warlow Ln, Stockton, CA 95206 | 2016-10-19 |
| 1740731736 | Ger Vang | Community/Behavioral Health | 822 Prospector Dr, Stockton, CA 95210-1442 | 2016-10-14 |
| 1316494339 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 9555 Priscilla Ln, Stockton, CA 95212 | 2016-09-07 |
| 1255708855 | Buphant Society | Community/Behavioral Health | 1045 N. Eldorado, 11, Stockton, CA 95202 | 2015-08-31 |
| 1710364823 | Central Valley Center for Community Advocacy, Inc. | Community/Behavioral Health | 20 N. Sutter St., Suite 400, Stockton, CA 95202-2911 | 2015-04-28 |
| Find all providers in STOCKTON | ||||
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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.