JUDY LORENA CANALES (NPI# 1790945715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790945715 |
| Entity Type | Individual |
| Full Name | JUDY LORENA CANALES |
| Credential | ASW |
| Practice Address |
26967 Beaumont Ave Redlands CA 92373-4360 |
| Mailing Address |
Po Box 7340 Redlands CA 92375-0340 |
| Practice Telephone | 9097487141 |
| Mailing Telephone | 9097487141 |
| Mailing Fax Number | 9097322064 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2019-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
ASW78462 | CA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
ASW78462 | CA | Behavioral Health & Social Service Providers |
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2008 N Garey Ave, Pomona, CA 917672722 | 9096236131 |
| Street Address |
26967 BEAUMONT AVE |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-4360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700439775 | Hannah Henderson | Counselor | 26967 Beaumont Ave, Redlands, CA 92373-4360 | 2019-07-18 |
| 1609428002 | Hector Adrian Hernandez | Counselor | 26967 Beaumont Ave, Redlands, CA 92373-4360 | 2019-07-15 |
| 1720553886 | Ryan Eck | Counselor | 26967 Beaumont Ave, Redlands, CA 92373-4360 | 2018-10-04 |
| 1295214930 | Jessica Careess Spoelstra | Counselor | 26967 Beaumont Ave, Redlands, CA 92373-4360 | 2018-08-13 |
| 1821513524 | Jocelyn Murillo | Student in an Organized Health Care Education/Training Program | 26967 Beaumont Ave, Redlands, CA 92373-4360 | 2017-08-03 |
| 1528589520 | Gabriela Navarro | Counselor | 26967 Beaumont Ave, Redlands, CA 92373-9237 | 2017-06-29 |
| 1740739341 | Kajung Hong | Case Manager/Care Coordinator | 26967 Beaumont Ave, Redlands, CA 92373-4360 | 2016-09-24 |
| 1053764456 | River Stones Residential Treatment Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 26967 Beaumont Ave, Redlands, CA 92373 | 2016-07-20 |
| 1780036905 | Russell Rice | Marriage & Family Therapist | 26967 Beaumont Ave, Redlands, CA 92373 | 2016-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194381103 | Lennie Lee Garcia | Counselor | 831 Carlotta Ct, Redlands, CA 92374-2906 | 2019-05-15 |
| 1487171831 | Valerie Rose Taber | Counselor | 101 E Redlands Blvd Ste 215&217, Redlands, CA 92373-4775 | 2017-08-26 |
| 1295172187 | Sebastiaan Zuidweg | Counselor | 755 Judson St Apt 126, Redlands, CA 92374-4093 | 2013-05-31 |
| 1669771226 | Alisa Leanne Taylor | Counselor | 256 Cajon St., Suite F, Redlands, CA 92373 | 2011-03-22 |
| 1992990915 | Esther Arredondo | Counselor | 301 9th St Ste 200, Redlands, CA 92374-4497 | 2007-09-12 |
| 1043400609 | Karynn Monique Gutierrez | Counselor | 760 E Stuart Ave, Redlands, CA 92374-3575 | 2007-07-30 |
| 1992305106 | Meaghan Leigh Kinzle | Counselor | 104 E Olive Ave Ste 201, Redlands, CA 92373-5255 | 2020-10-27 |
| 1235755208 | Kaitlyn Bentley | Counselor | 101 E Redlands Blvd Ste 200, Redlands, CA 92373-4724 | 2020-06-24 |
| 1548749450 | Britny Rose Kerwin | Counselor | 101 E Redlands Blvd, Redlands, CA 92373-4775 | 2018-08-10 |
| 1750892063 | Sarah Stromwall | Counselor | 101 E Redlands Blvd, Redlands, CA 92373-4775 | 2017-10-14 |
| Find all providers in REDLANDS | ||||
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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.