MS. NILDA SANTIAGO GRIMES


Address: 250 Cherry Lane, Suite 110, Manteca, CA 95337-4397
Phone: 2098329508

MS. NILDA SANTIAGO GRIMES (NPI# 1871655761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871655761
Entity Type Individual
Full Name MS. NILDA SANTIAGO GRIMES
Credential LMFT
Practice Address 250 Cherry Lane
Suite 110
Manteca
CA 95337-4397
Practice Telephone 2098329508
Practice Fax Number 2098329508
Mailing Telephone 2098329508
Mailing Fax Number 2098329508
Enumeration Date 2006-12-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 36368LMFT CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA CAQH 10952635 01

Office Location

Street Address 250 CHERRY LANE
SUITE 110
City MANTECA
State CA
Zip Code 95337-4397

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225640485 Shanitta D Hines Counselor Victor Community Support Services, 302 Cherry Lane, CA 95337 2020-08-19
1548658685 Anka Behavioral Health, Inc. Community/Behavioral Health 401 S Airport Way, Manteca, CA 95337 2014-12-23
1225430655 Elizabeth Julia Ann Tyner Hearing Instrument Specialist 1079 Eucalyptus, Suite B, Manteca, CA 95337 2014-09-17
1134565740 Aegis Treatment Centers, LLC Clinic/Center 955 W. Center Street, Suites 12a, 12b & 14, Manteca, CA 95337 2013-05-22
1053668947 Roger Cabo Inciong Physical Therapist 3652 Rapallo Way, Manteca, CA 95337 2012-08-09
1295997757 Costco Wholesale Corporation Pharmacy 2440 Daniels St, Manteca, CA 95337 2008-06-26
1255474235 Carmen Catherine Nunes Marriage & Family Therapist 1771 Yosemite Ave., Manteca, CA 95337 2007-02-15
1063577062 Kathy Laverne Barron Counselor 1789 W. Yosemite Ave., Sierra Building, 1st Floor, Manteca, CA 95337 2006-12-27
1891853149 R. Ciccarelli, Dds., R. Joseph, Dds., M. El Farra, Dds., D. Saini, Dds Dentist 1507 W. Yosemite, Manteca, CA 95337 2006-12-05
1467528265 Annie Mathew Pharmacist 1777 West Yosemite Ave, Manteca, CA 95337 2006-11-27
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518522424 Seamus Thompson Marriage & Family Therapist 1453 Cavalier Pl, Manteca, CA 95336-6406 2019-05-06
1417312281 Elizabeth Marie Choate Marriage & Family Therapist 1463 Moffat Blvd Ste 4, Manteca, CA 95336-8952 2015-12-22
1598884678 Margaret J Parker Marriage & Family Therapist 129 E Center St, Manteca, CA 95336-4648 2007-03-28
1497887699 Donna Cassettari Marriage & Family Therapist 965 E Yosemite Ave Ste 21, Manteca, CA 95336-5944 2007-03-12
1255474235 Carmen Catherine Nunes Marriage & Family Therapist 1771 Yosemite Ave., Manteca, CA 95337 2007-02-15
1790822294 Carol Lynn Gray Marriage & Family Therapist 2604 Glen Echo Ln, Manteca, CA 95336-8390 2007-01-31
1801940804 Sony Ruth Nathaniel Marriage & Family Therapist 955 W Center St, Ste. 6, Manteca, CA 95337-7300 2007-01-23
1871642025 Jennifer Annette Bordenave Marriage & Family Therapist 129 E Center St Ste 3, Manteca, CA 95336-4648 2007-01-09
1104999275 Tanya Reyes Marriage & Family Therapist 965 E Yosemite Ave Ste 1b, Manteca, CA 95336-5958 2006-11-16
1609966134 Anita Freyman-danielsen Marriage & Family Therapist 336 Northgate Dr, Manteca, CA 95336-3139 2006-10-13
Find all providers in MANTECA

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City MANTECA
Zip Code 95337

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Dataset Information

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.

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