MS. SANDRA GAYLE MANN (NPI# 1972675916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972675916 |
| Entity Type | Individual |
| Full Name | MS. SANDRA GAYLE MANN |
| Credential | CADDTP |
| Practice Address |
714 N Anaheim Blvd Anaheim CA 92805-2651 |
| Mailing Address |
25761 Le Parc Unit 33 Lake Forest CA 92630-5936 |
| Practice Telephone | 7147766090 |
| Mailing Telephone | 9499510851 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295023158 | Sandra Deborah Mann | Internal Medicine | 3017 Landmark Blvd, #501, Palm Harbor, FL 34684-5006 | 2011-07-13 |
| 1063690188 | Sandra Mann | Community Health Worker | 3309 Southern Hills Dr, Kansas City, MO 64137-2115 | 2008-01-31 |
| 1235237017 | Sandra Mann | Optometrist | 3607 Stoney Oak Dr, Houston, TX 77068 | 2006-09-20 |
| 1992138663 | Sandra Mann | Rehabilitation Practitioner | 7381 Prairie Falcon Rd., Suite 110, Las Vegas, NV 89128 | 2013-08-16 |
| 1508014267 | Sandra Mann | Psychologist | 1355 S Colorado Blvd Ste 100, Denver, CO 80222-3310 | 2008-09-05 |
| Street Address |
714 N ANAHEIM BLVD |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92805-2651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821198300 | Marilyn Maureen Bathen | Counselor | 714 N Anaheim Blvd, Anaheim, CA 92805-2651 | 2006-09-24 |
| 1093287450 | Jessica Dostis | Counselor | 714 N Anaheim Blvd, Anaheim, CA 92805-2692 | 2018-12-26 |
| 1386146959 | Andrew Seargeant | Counselor | 714 N Anaheim Blvd, Anaheim, CA 92805-2651 | 2018-02-28 |
| 1154835635 | Andrew Holler | Counselor | 714 N Anaheim Blvd, Anaheim, CA 92805-2651 | 2017-11-20 |
| 1609388099 | Raymond Michael Rowe | Counselor | 714 N Anaheim Blvd, Anaheim, CA 92805-2651 | 2017-10-25 |
| 1417466756 | Alexander Paz | Counselor | 714 N Anaheim Blvd, Anaheim, CA 92805-2651 | 2017-09-28 |
| 1710431739 | Meghan Garlington | Student in an Organized Health Care Education/Training Program | 714 N Anaheim Blvd, Anaheim, CA 92805-2651 | 2016-08-08 |
| 1770037905 | David Wayne Stadler II | Counselor | 714 N Anaheim Blvd, Anaheim, CA 92805-2651 | 2016-08-04 |
| 1225581036 | Sasha James | Marriage & Family Therapist | 714 N Anaheim Blvd, Anaheim, CA 92805-2651 | 2016-07-27 |
| 1033562988 | Aaron Joseph Hatcher | Marriage & Family Therapist | 714 N Anaheim Blvd, Anaheim, CA 92805-2651 | 2016-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
| 1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
| 1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
| 1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
| 1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
| 1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
| 1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| Find all providers in zip 92805 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1639719131 | Rebel New Life Treatment Center, LLC. | Substance Abuse Rehabilitation Facility | 2309 E Sycamore St, Anaheim, CA 92806-3020 | 2020-01-13 |
| 1245895192 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 320a N Wilshire Ave, Anaheim, CA 92801-5825 | 2019-05-07 |
| 1134784085 | Windstone Addiction Centers, Inc | Substance Abuse Rehabilitation Facility | 320b N Wilshire Ave, Anaheim, CA 92801-5825 | 2019-05-07 |
| 1285194167 | It's Time To Recover, Inc. | Substance Abuse Rehabilitation Facility | 1135 W. North St, Anaheim, CA 92801-4393 | 2019-03-25 |
| 1942766944 | Windstone Addiction Centers, Inc | Substance Abuse Rehabilitation Facility | 1300 W Pearl St, Anaheim, CA 92801-5937 | 2019-02-14 |
| 1285199778 | Windstone Addiction Centers, Inc | Substance Abuse Rehabilitation Facility | 1243 W Pearl St, Anaheim, CA 92801-5936 | 2019-02-08 |
| 1275098766 | Windstone Addiction Centers, Inc | Substance Abuse Rehabilitation Facility | 1253 W Pearl St, Anaheim, CA 92801-5936 | 2019-02-08 |
| 1356806848 | Windstone Addiction Centers, Inc | Substance Abuse Rehabilitation Facility | 1243 1/2 W Pearl St, Anaheim, CA 92801-5936 | 2019-02-08 |
| 1396211900 | Imagine Recovery Group | Substance Abuse Rehabilitation Facility | 1247 N Lakeview Ave Ste A, Anaheim, CA 92807-1833 | 2018-10-22 |
| Find all providers in ANAHEIM | ||||
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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.