PSYNERGY PROGRAMS, INC. (NPI# 1871804021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871804021 |
Entity Type | Organization |
Organization Name | PSYNERGY PROGRAMS, INC. |
Other Organization Name | CIELO VISTA |
Practice Address |
806 Elm Avenue Greenfield CA 93927 |
Mailing Address |
18225 Hale Avenue Morgan Hill CA 95037 |
Practice Telephone | 4084658280 |
Practice Fax Number | 4084658295 |
Mailing Telephone | 4084658280 |
Mailing Fax Number | 4084658295 |
Enumeration Date | 2010-06-23 |
Last Update Date | 2014-07-30 |
Authorized Official Name | ARTURO MEDRANO URIBE (CHIEF OPERATION OFFI) |
Authorized Official Telephone | 4084658280 |
Authorized Official Credential | LCSW |
Is Organization Subpart | Y |
Parent Organization Name | PSYNERGY PROGRAMS, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 275202056 | CA | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Cielo Vista | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376199232 | Psynergy Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 9847 Folsom Blvd, Sacramento, CA 95827-1328 | 2019-08-15 |
1649826504 | Psynergy Programs, Inc. | Social Worker | 9951 Horn Rd Ste B, Sacramento, CA 95827-1955 | 2019-08-15 |
1235440488 | Psynergy Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 18225 Hale Avenue, Morgan Hill, CA 95037 | 2010-06-23 |
1568619344 | Psynergy Programs, Inc. | Social Worker | 215 Huerta Ave, Greenfield, CA 93927-5762 | 2008-08-22 |
1447806302 | Psynergy Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5240 Jackson St, North Highlands, CA 95660-5003 | 2019-08-15 |
1942618301 | Psynergy Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4604 Roosevelt Ave, Sacramento, CA 95820-4520 | 2014-07-30 |
1194132910 | Psynergy Programs, Inc. | Social Worker | 4612 Roosevelt Ave, Sacramento, CA 95820-4520 | 2014-07-14 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PSYNERGY PROGRAMS, INC. | 18225 Hale Ave, Morgan Hill, CA 95037-3547 |
Street Address |
806 ELM AVENUE |
City | GREENFIELD |
State | CA |
Zip Code | 93927 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174721641 | Rafid Ismael Khamis | Dentist | 329 El Camino Real, Greenfield, CA 93927 | 2007-07-06 |
1427250992 | Ernesto Mireles | Dentist | 696 Walnut Ave, Greenfield, CA 93927 | 2007-06-05 |
1396879524 | Ding Hong Zhang | Dentist | 808 Oak Street, Greenfield, CA 93927 | 2007-03-16 |
1326106840 | Patrick James King | Dentist | 847 Oak Ave, Greenfield, CA 93927 | 2006-12-05 |
1649658360 | Emy Sanchez | Licensed Vocational Nurse | 14 Park Ave, Greenfield, CA 93927 | 2015-05-14 |
1043449010 | Nicole K Gardner | Marriage & Family Therapist | 806 Elm Ave, Greenfield, CA 93927 | 2009-07-10 |
1629227780 | Ronald Robert Mackenzie | Social Worker | 215 Huerta Ave, Greenfield, CA 93927 | 2008-09-13 |
1912915570 | John William Mcelmoyl | Pharmacist | 333 El Camino Real, Greenfield, CA 93927 | 2006-08-03 |
1417282856 | Maria Guadalupe Diana Lopez | Counselor | 14 Park Ave, Greenfield, CA 93927-3681 | 2009-10-02 |
1134286362 | Greenfield Union Elementary School District | Local Education Agency (LEA) | 493 El Camino Real, Greenfield, CA 93927-4915 | 2007-01-03 |
Find all providers in zip 93927 |
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] |
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1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
Find all providers with the same taxonomy |
City | GREENFIELD |
Zip Code | 93927 |
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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.