THOMAS GULICK (NPI# 1952917197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952917197 |
Entity Type | Individual |
Full Name | THOMAS GULICK |
Credential | CRM |
Practice Address |
1655 Sw Highland Ave Ste 3 Redmond OR 97756-2558 |
Mailing Address |
2421 Nw Quinn Creek Loop Bend OR 97703-5499 |
Practice Telephone | 5419232654 |
Enumeration Date | 2020-09-22 |
Last Update Date | 2020-09-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | OR | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770511669 | Thomas Andrew Gulick | Psychiatry & Neurology | 312 Grammont Street;, Suite 402, Monroe, LA 71201 | 2006-06-29 |
1679509624 | Thomas Howard Gulick | Urology | 175 E Brown St, Suite 204, East Stroudsburg, PA 18301-3098 | 2006-06-23 |
Street Address |
1655 SW HIGHLAND AVE STE 3 |
City | REDMOND |
State | OR |
Zip Code | 97756-2558 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760674311 | David A Minshew | Counselor | 1655 Sw Highland Ave Ste 3, Redmond, OR 97756-2558 | 2007-08-16 |
1386268381 | Shawn Diez | Counselor | 1655 Sw Highland Ave Ste 3, Redmond, OR 97756-2558 | 2020-06-04 |
1235774043 | Joshua Lee Boyd | Counselor | 1655 Sw Highland Ave Ste 3, Redmond, OR 97756-2558 | 2019-11-15 |
1043868086 | Lisa Suran Dunning | Counselor | 1655 Sw Highland Ave Ste 3, Redmond, OR 97756-2558 | 2019-09-03 |
1629533377 | Elizabeth Chappellet Omlid | Counselor | 1655 Sw Highland Ave Ste 3, Redmond, OR 97756-2558 | 2019-02-06 |
1962976589 | Josh Sage Brown | Counselor | 1655 Sw Highland Ave Ste 3, Redmond, OR 97756-2558 | 2019-01-16 |
1528546512 | Julie Nye | Counselor | 1655 Sw Highland Ave Ste 3, Redmond, OR 97756-2558 | 2018-08-01 |
1578085759 | Allison M Clark | Counselor | 1655 Sw Highland Ave Ste 3, Redmond, OR 97756-2558 | 2017-07-10 |
1821519323 | Pamela Spencer | Counselor | 1655 Sw Highland Ave Ste 3, Redmond, OR 97756-2558 | 2017-07-05 |
1144766940 | Tianna Nieri | Counselor | 1655 Sw Highland Ave Ste 3, Redmond, OR 97756-2558 | 2017-01-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
Find all providers in zip 97756 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477183721 | Lawrence Joseph Perez | Peer Specialist | 676 Ne Maple Ave, Redmond, OR 97756-8527 | 2020-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487255576 | Thomas Roy Hooks | Peer Specialist | 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 | 2020-11-04 |
1578162145 | Kenneth Branson | Peer Specialist | 389 Sw Scalehouse Ct Ste 130, Bend, OR 97702-3241 | 2020-10-23 |
1962000554 | Dawn Marks | Peer Specialist | 21440 Se Stark St, Gresham, OR 97030-2024 | 2020-10-15 |
1679188080 | Michelle Marie Bunkers | Peer Specialist | 20517 Jacklight Ln, Bend, OR 97702-2971 | 2020-09-11 |
1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
1528677820 | Charice Monette | Peer Specialist | 4151 Kacey Cir Ne, Salem, OR 97305-4504 | 2020-07-23 |
1841810322 | Ariana Lee May | Peer Specialist | 1601 Olive St Apt 1008, Eugene, OR 97401-3985 | 2020-04-24 |
1982237236 | Jessica M Montoya | Peer Specialist | 235 Se Knowledge St, Prineville, OR 97754-2362 | 2020-02-14 |
1134752579 | Lisa Kennedy | Peer Specialist | 132 Ne B St # 24, Grants Pass, OR 97526-2114 | 2020-02-13 |
1730711953 | Michael Anthony Duran | Peer Specialist | 1515 Hill St Se, Albany, OR 97322-6715 | 2020-02-05 |
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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.