INTERIM, INC. (NPI# 1841415296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841415296 |
| Entity Type | Organization |
| Organization Name | INTERIM, INC. |
| Other Organization Name | BRIDGE HOUSE |
| Practice Address |
601 Bayonet Cir Marina CA 93933-4600 |
| Mailing Address |
604 Pearl St Monterey CA 93940-3070 |
| Practice Telephone | 8316494522 |
| Practice Fax Number | 8316479136 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2018-04-24 |
| Authorized Official Name | BARBARA MITCHELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8316494522 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 275200576 | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 2763 | 05 |
| Other Name | Type Code |
|---|---|
| Bridge House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740804574 | Interim, Inc. | Community/Behavioral Health | 339 Pajaro St, Salinas, CA 93901-3400 | 2020-06-08 |
| 1841814621 | Interim, Inc. | Community/Behavioral Health | 339 Pajaro St, Salinas, CA 93901-3400 | 2020-06-08 |
| 1972096782 | Interim, Inc. | Community/Behavioral Health | 1441 Constitution Blvd Ste 202, Salinas, CA 93906-3127 | 2018-06-07 |
| 1255823027 | Interim, Inc. | Community/Behavioral Health | 1441 Constitution Blvd Ste 202, Salinas, CA 93906-3127 | 2018-06-06 |
| 1407344641 | Interim, Inc. | Community Based Residential Treatment Facility, Mental Illness | 343 Dela Vina Ave, Monterey, CA 93940-3974 | 2018-04-24 |
| 1447755798 | Interim, Inc. | Community Based Residential Treatment Facility, Mental Illness | 617 Bayonet Cir, Marina, CA 93933-4600 | 2018-03-28 |
| 1982879060 | Interim, Inc. | Community/Behavioral Health | 235 Martella St, Salinas, CA 93901-2875 | 2008-04-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | INTERIM, INC. | 77 Grove Street, Rutland, VT 05701 |
| Street Address |
601 BAYONET CIR |
| City | MARINA |
| State | CA |
| Zip Code | 93933-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906986 | Sarah Shine | Counselor | 601 Bayonet Cir, Marina, CA 93933-4600 | 2020-09-15 |
| 1942820121 | Shawanda Lynette Petty | Counselor | 601 Bayonet Cir, Marina, CA 93933-4600 | 2020-04-17 |
| 1346875457 | Andrew Louis Cole Candreva | Counselor | 601 Bayonet Cir, Marina, CA 93933-4600 | 2020-03-09 |
| 1407481872 | Matthew D Ferry | Counselor | 601 Bayonet Cir, Marina, CA 93933-4600 | 2020-03-06 |
| 1053943449 | Jennifer Elyse Gilmour | Counselor | 601 Bayonet Cir, Marina, CA 93933-4600 | 2020-02-04 |
| 1124676838 | Kenia Leyva | Counselor | 601 Bayonet Cir, Marina, CA 93933-4600 | 2019-08-27 |
| 1609373885 | Joslyn Marie Scofield | Counselor | 601 Bayonet Cir, Marina, CA 93933-4600 | 2018-04-12 |
| 1427569128 | Kendall Claire Snel | Counselor | 601 Bayonet Cir, Marina, CA 93933-4600 | 2017-10-20 |
| 1588115604 | Pablo Alvarez | Counselor | 601 Bayonet Cir, Marina, CA 93933 | 2016-10-24 |
| 1528499027 | David Conow | Counselor | 601 Bayonet Cir, Marina, CA 93933-4600 | 2013-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803012 | Caterina Poehner | Social Worker | 617 Bayonet Cirle, Marina, CA 93933 | 2020-08-28 |
| 1972036499 | Stephanie Blalock | Counselor | 617 Bayonet Circle, Marina, CA 93933 | 2017-04-11 |
| 1588110340 | Monique Theaker | Counselor | 299b Twelfth Street, Marina, CA 93933 | 2016-08-31 |
| 1053709220 | Mehry Khazan | Marriage & Family Therapist | 299 Twelfth Street, Marina, CA 93933 | 2014-12-22 |
| 1306241476 | Tiffany Avery | Counselor | 299 12th St Ste B, Marina, CA 93933 | 2014-10-30 |
| 1881037141 | Marilyn Anderson | Counselor | 3043 Macarthur Dr, Marina, CA 93933 | 2013-04-16 |
| 1669744280 | Leslie Penley | Dentist | 3154 Deforest Rd. Suitea, Marina, CA 93933 | 2012-01-27 |
| 1215221510 | Janet Hernandez Barajas | Social Worker | 299a 12th Street, Marina, CA 93933 | 2011-06-03 |
| 1538302740 | Sonia Cortes | Counselor | 613 Bayonet Cir., Marina, CA 93933 | 2009-04-17 |
| 1144476003 | Carolina Cortez | Counselor | 2982 Bayonet Ct, Marina, CA 93933 | 2008-08-12 |
| Find all providers in zip 93933 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447755798 | Interim, Inc. | Community Based Residential Treatment Facility, Mental Illness | 617 Bayonet Cir, Marina, CA 93933-4600 | 2018-03-28 |
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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.