MARILYN COVINGTON (NPI# 1821265026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821265026 |
Entity Type | Individual |
Full Name | MARILYN COVINGTON |
Practice Address |
3686 Pacific Ave Riverside CA 92509-1948 |
Practice Telephone | 9516634842 |
Mailing Telephone | 9516634842 |
Enumeration Date | 2008-05-15 |
Last Update Date | 2008-05-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | Nursing Service Providers |
Street Address |
3686 PACIFIC AVE |
City | RIVERSIDE |
State | CA |
Zip Code | 92509-1948 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619142684 | Amy L Tresky | Counselor | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-04-29 |
1639789035 | Pacific Manor Recovery LLC | Substance Abuse Rehabilitation Facility | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2020-07-31 |
1891182002 | Sheterah Burnett-wrenn | Community Based Residential Treatment Facility, Mental Illness | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2015-04-25 |
1801027651 | Destinee Antillon | Counselor | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2009-07-28 |
1992967962 | Evangeline Russell | Licensed Vocational Nurse | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-06-30 |
1558521740 | Mary Windham | Licensed Vocational Nurse | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-06-11 |
1972770394 | Tjhomas M Davis | Counselor | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-05-14 |
1609043728 | Alicia Garcia | Counselor | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-05-08 |
1760659874 | Jacqueline Duarte | Counselor | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-05-08 |
1205003225 | Pamela Miller | Counselor | 3686 Pacific Ave, Riverside, CA 92509-1948 | 2008-05-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720530744 | Leesette De Santiago | Dental Assistant | 6130 Camino Real #12, Riverside, CA 92509 | 2016-10-25 |
1043646383 | Andy R Moreno | Counselor | 7790 Big Rock Dr., Riverside, CA 92509 | 2013-09-18 |
1275845018 | Myra Agnes Harrison | Pharmacist | 8015 Limonete, Rite Aid, Riverside, CA 92509 | 2010-07-09 |
1740424415 | Lin Chew Ota | Obstetrics & Gynecology | 6250 Clay Street, Riverside, CA 92509 | 2009-04-27 |
1164660106 | Ramona Jean Carver | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Riverside, CA 92509 | 2009-01-29 |
1568627925 | Lisa Anne Razo | Marriage & Family Therapist | 6580 45th St, Riverside, CA 92509 | 2008-07-25 |
1215106810 | Xia L. Liu Professional Dentl Corp | Dentist | 8880 Limonite Ave, Pedley, CA 92509 | 2008-02-27 |
1467658385 | Riverside County Rubidoux Pharmacy | Pharmacy | 5256 Mission Ave, Rubidoux, CA 92509 | 2007-06-26 |
1366644429 | Cynthia Stover | Physician Assistant | 5256 Mission Boulevard, Riverside, CA 92509 | 2007-06-01 |
1942327499 | Sober Living By The Sea, Inc | Substance Abuse Rehabilitation Facility | 6690 Limonite Frontage Rd, Riverside, CA 92509 | 2007-03-22 |
Find all providers in zip 92509 |
Taxonomy Code | 167G00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Psychiatric Technician |
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952945453 | Judith Torres | Licensed Psychiatric Technician | 9890 County Farm Rd, Building 2, Riverside, CA 92503 | 2019-10-29 |
1154857092 | Elizabeth R Acevedo | Licensed Psychiatric Technician | 2020 Iowa Ave Ste 101, Riverside, CA 92507-7428 | 2017-05-11 |
1922443548 | Danny Kay Boyd Jr. | Licensed Psychiatric Technician | 1021 W La Cadena Dr, Riverside, CA 92501-1413 | 2013-05-09 |
1508078114 | Lynette Ann Ashby | Licensed Psychiatric Technician | 9890 County Farm Rd, Riverside, CA 92503 | 2007-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
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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.