RACHAEL FARRYN SHANBROM (NPI# 1982957502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982957502 |
| Entity Type | Individual |
| Full Name | RACHAEL FARRYN SHANBROM |
| Credential | SA COUNSELOR |
| Practice Address |
4900 Serrania Ave Woodland Hills CA 91364 |
| Mailing Address |
28745 Pisces Street Agoura Hills CA 91301 |
| Practice Telephone | 8186573111 |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
4900 SERRANIA AVE |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437224805 | Anthony Madril IIi | Social Worker | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2006-11-21 |
| 1912558685 | Kathya Olmos | Licensed Vocational Nurse | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2019-09-24 |
| 1023662160 | Adriana Navarro Gonzalez | Rehabilitation Practitioner | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2019-07-26 |
| 1861044828 | Tashaka Jack | Licensed Vocational Nurse | 4900 Serrania Ave, Woodland Hills, CA 91364 | 2019-07-10 |
| 1134780414 | Janyss Suarez | Licensed Vocational Nurse | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2019-06-26 |
| 1073074191 | Stephanie Danelia Castillo | Case Manager/Care Coordinator | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2019-03-29 |
| 1578028403 | John Alexander Marquez | Case Manager/Care Coordinator | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2019-02-05 |
| 1992273130 | Evelyn Susana Felix | Rehabilitation Practitioner | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2018-11-06 |
| 1427531417 | Katarina Itzell Vidana | Case Manager/Care Coordinator | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2018-09-14 |
| 1023598711 | Evelyn Rodriguez | Licensed Vocational Nurse | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
| 1952940967 | Creative Care, Inc. | Substance Abuse Rehabilitation Facility | 5311 Topanga Canyon Blvd, Suites 203 & 207, Woodland Hills, CA 91364 | 2019-12-23 |
| 1629544531 | Jessica Sarah Anishban | Marriage & Family Therapist | 22935 Ventura Blvd Ste 212, Woodland Hills, CA 91364 | 2018-10-17 |
| 1194249128 | Katia Siri | Acupuncturist | 4830 Winnetka Avenue, Woodland Hills, CA 91364 | 2017-08-01 |
| 1457881070 | Navid Messian | Marriage & Family Therapist | 5308 Penfield Ave., Woodland Hills, CA 91364 | 2017-06-15 |
| 1801330766 | Samantha Meghann Mathew | Behavioral Analyst | 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364 | 2016-12-12 |
| 1356793947 | Evolve Growth Initiatives, LLC | Clinic/Center | 4810 Azucena Rd, Woodland Hills, CA 91364 | 2016-07-07 |
| 1538516976 | Chris Massman | Marriage & Family Therapist | 5242 Darro Road, Woodland Hills, CA 91364 | 2016-05-16 |
| 1588065874 | Morrice Barkers Apprey | Marriage & Family Therapist | 21031 Ventura Blvd., #704, Woodland Hills, CA 91364 | 2014-09-06 |
| 1144640723 | Kenneth Gustafson | Physical Therapy Assistant | 23888 Mulholland Drive, Ms # 270, Woodland Hills, CA 91364 | 2014-04-22 |
| Find all providers in zip 91364 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285265363 | Jessica Cortes | Counselor | 6000 Variel Ave, Woodland Hills, CA 91371-0001 | 2020-01-28 |
| 1184189706 | Thomas Julius Tophia Jr. | Counselor | 6000 De Soto Ave Apt 147, Woodland Hills, CA 91367-3732 | 2019-02-07 |
| 1427521145 | Levy Middlebrooks | Counselor | 6330 Randi Ave Apt E107, Woodland Hills, CA 91367-1917 | 2019-01-04 |
| 1033685144 | Rhonda Kirkpatrick | Counselor | 5336 Winnetka Ave, Woodland Hills, CA 91364-3551 | 2018-10-16 |
| 1710476221 | Gahl Shavit | Counselor | 5540 Owensmouth Ave, Woodland Hills, CA 91367-7028 | 2018-05-09 |
| 1306204128 | Leslie Allston | Counselor | 4881 Topanga Canyon Blvd # 2, Woodland Hills, CA 91364-4231 | 2016-02-08 |
| 1336551258 | Harp Treatment Center | Counselor | 4883 Calderon Rd, Woodland Hills, CA 91364-2926 | 2014-05-27 |
| 1407104292 | Justin M. Weiss | Counselor | 20969 Ventura Blvd Ste 214, Woodland Hills, CA 91364-6620 | 2012-08-27 |
| 1891043865 | Jenna I Metellus | Counselor | 6320 Canoga Ave, Woodland Hills, CA 91367-2526 | 2012-08-24 |
| 1669738399 | Darlene Leann Zimmer | Counselor | 5711 Owensmouth Ave, Apt. 111, Woodland Hills, CA 91367-4950 | 2012-04-06 |
| Find all providers in WOODLAND HILLS | ||||
| City | WOODLAND HILLS |
| Zip Code | 91364 |
Please comment or provide details below to improve the information on RACHAEL FARRYN SHANBROM.
| 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.