VICTOR COMMUNITY SUPPORT SERVICES, INC. (NPI# 1932251980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932251980 |
| Entity Type | Organization |
| Organization Name | VICTOR COMMUNITY SUPPORT SERVICES, INC. |
| Other Organization Name | VICTOR COMMUNITY SUPPORT SERVICES, STOCKTON |
| Practice Address |
2495 W March Ln Suite 125 Stockton CA 95207-8251 |
| Mailing Address |
1360 E Lassen Ave Chico CA 95973-7823 |
| Practice Telephone | 2094651080 |
| Mailing Telephone | 5308930758 |
| Mailing Fax Number | 5308930502 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2013-08-29 |
| Authorized Official Name | MS. ANGIE R WIECHERT (MANAGER OF FINANCIAL PLANNING) |
| Authorized Official Telephone | 5302301210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LEGAL ENTITY # | 01042 | 01 |
| Other Name | Type Code |
|---|---|
| Victor Community Support Services, Stockton | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215579628 | Victor Community Support Services, Inc. | Clinic/Center | 302 Cherry Ln Ste 101&201, Manteca, CA 95337-4311 | 2019-10-17 |
| 1780957282 | Victor Community Support Services, Inc. | Clinic/Center | 600 N Arrowhead Ave Ste 300, San Bernardino, CA 92401-1148 | 2012-02-14 |
| 1629240270 | Victor Community Support Services, Inc. | Clinic/Center | 555 N Perris Blvd Bldg A, Perris, CA 92571-2811 | 2008-03-24 |
| 1972689370 | Victor Community Support Services, Inc. | Community/Behavioral Health | 1360 E Lassen Ave, Chico, CA 95973-7823 | 2006-10-27 |
| 1366950784 | Victor Community Support Services, Inc. | Clinic/Center | 1105 E Florida Ave, Hemet, CA 92543-4512 | 2018-01-19 |
| 1851670418 | Victor Community Support Services, Inc. | Clinic/Center | 1053 N D St, San Bernardino, CA 92410-3521 | 2011-08-12 |
| 1922306620 | Victor Community Support Services, Inc. | Community/Behavioral Health | 555 N Perris Blvd, Perris, CA 92571-2811 | 2011-03-03 |
| 1417264185 | Victor Community Support Services, Inc. | Clinic/Center | 3050 Beacon Blvd Ste 103, West Sacramento, CA 95691-3467 | 2010-09-01 |
| 1669703427 | Victor Community Support Services, Inc. | Clinic/Center | 265 San Jacinto River Rd, Suite 106, 107, 201-207, Lake Elsinore, CA 92530 | 2010-01-19 |
| 1831369099 | Victor Community Support Services, Inc. | Clinic/Center | 15400 Cholame Rd, Victorville, CA 92392-2480 | 2008-03-04 |
| Street Address |
2495 W MARCH LN SUITE 125 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-8251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083719553 | Rosanne Marie Christie | Marriage & Family Therapist | 2495 W March Ln, Suite 125, Stockton, CA 95207-8251 | 2006-09-13 |
| 1093337560 | Dynesha Rene Montoya | Counselor | 2495 W March Ln, Stockton, CA 95207-8251 | 2020-05-07 |
| 1013537661 | Karina Huerta | Counselor | 2495 W March Ln, Stockton, CA 95207-8251 | 2020-04-23 |
| 1679108989 | Willie Thompson | Counselor | 2495 W March Ln, Stockton, CA 95207-8251 | 2020-03-06 |
| 1831735497 | Christian Ivan Valerio Solis | Counselor | 2495 W March Ln, Stockton, CA 95207-8251 | 2019-11-19 |
| 1568004422 | Richardyovany Herrera | Social Worker | 2495 W March Ln, Stockton, CA 95207-8251 | 2019-10-11 |
| 1689221244 | Magali Gonzalez-mercado | Counselor | 2495 W March Ln, Stockton, CA 95207-8251 | 2019-08-19 |
| 1962068841 | Fernando Octavio De Alba | Counselor | 2495 W March Ln, Stockton, CA 95207-8251 | 2019-05-15 |
| 1447716758 | Dennis Jerome Johnson | Counselor | 2495 W March Ln, Stockton, CA 95207-8251 | 2019-02-12 |
| 1134698046 | Raymond Acosta | Counselor | 2495 W March Ln, Stockton, CA 95207-8251 | 2018-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003114810 | Victor Community Support Services, Inc | Clinic/Center | 1545 S Holt Rd, Stockton, CA 95206-9618 | 2011-03-02 |
| 1609085984 | San Joaquin County Behavioral Health Services | Clinic/Center | 6776 Alexandria Pl, Stockton, CA 95207-3407 | 2007-05-22 |
| 1477762334 | San Joaquin County Behavioral Health Services | Clinic/Center | 333 E Washington St, Stockton, CA 95202-3200 | 2007-05-21 |
| 1629285903 | San Joaquin County Behavioral Health Services | Clinic/Center | 1414 N California St, Stockton, CA 95202-1515 | 2007-05-17 |
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| 1447857040 | Mary Cox, Lmft | Clinic/Center | 13800 Heacock St Ste 230a, Moreno Valley, CA 92553-8824 | 2020-10-06 |
| 1821607771 | Tonya Octave, Lcsw, Prof Corp | Clinic/Center | 237 S Lakeview Ave Ste A, Placentia, CA 92870-6756 | 2020-07-27 |
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| 1083231781 | Treehouse Child Therapy Professional Corporation | Clinic/Center | 514 N California Ave Ste 13, Beaumont, CA 92223-2120 | 2020-06-29 |
| 1083230262 | Socal Adolescent Wellness, Inc. | Clinic/Center | 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899 | 2020-06-23 |
| 1447876123 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 454 E Cerritos St, Rialto, CA 92376-3658 | 2020-06-18 |
| 1669098505 | Rowi Valencia, Inc. | Clinic/Center | 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 | 2020-06-16 |
| 1386267870 | Bni Treatment Centers | Clinic/Center | 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 | 2020-05-19 |
| 1538781042 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 3872 Carthage St, Riverside, CA 92501-2102 | 2020-05-07 |
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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.