TIFFANY NICOLE MCCLUSKEY (NPI# 1992218820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992218820 |
| Entity Type | Individual |
| Full Name | TIFFANY NICOLE MCCLUSKEY |
| Credential | CATC-R |
| Practice Address |
270 W 14th St San Pedro CA 90731-4315 |
| Practice Telephone | 3105198723 |
| Practice Fax Number | 3105199428 |
| Mailing Telephone | 3105198723 |
| Mailing Fax Number | 3105199428 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |
| 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) |
12702 | CA | Behavioral Health & Social Service Providers |
| Street Address |
270 W 14TH ST |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90731-4315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326231952 | Fred Brown's Recovery Services | Substance Abuse Rehabilitation Facility | 270 W 14th St, San Pedro, CA 90731-4315 | 2007-08-27 |
| 1144838962 | Cory Howard Macy | Counselor | 270 W 14th St, San Pedro, CA 90731-4396 | 2020-07-17 |
| 1346867975 | Amanda Marie Hudgens | Counselor | 270 W 14th St, San Pedro, CA 90731-4396 | 2020-06-30 |
| 1801410881 | Matthew Mcnece | Counselor | 270 W 14th St, San Pedro, CA 90731-4396 | 2020-06-04 |
| 1255955597 | Marissa U Manai | Counselor | 270 W 14th St, San Pedro, CA 90731-4396 | 2020-06-02 |
| 1487299913 | Martha M Solis | Counselor | 270 W 14th St, San Pedro, CA 90731-4396 | 2019-11-07 |
| 1912540360 | Sheralyn Lieberg | Counselor | 270 W 14th St, San Pedro, CA 90731-4396 | 2019-10-17 |
| 1326699059 | Salina Crespin | Counselor | 270 W 14th St, San Pedro, CA 90731-4396 | 2019-09-24 |
| 1508416850 | Casey Flanegin-buffa | Counselor | 270 W 14th St, San Pedro, CA 90731-4396 | 2019-09-18 |
| 1235782467 | Corbin F Gerard | Counselor | 270 W 14th St, San Pedro, CA 90731-4396 | 2019-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1518513183 | Churairat Maffei | Technician | 1305 S Patton Ave, San Pedro, CA 90731 | 2019-08-09 |
| 1326692898 | Lori Marie Kroeker | Counselor | 235 W. 9th St, San Pedro, CA 90731 | 2019-08-01 |
| 1366960783 | Maria Elena Newcomer Dds Inc | Dentist | 847 W. 9th St., San Pedro, CA 90731 | 2017-09-06 |
| 1255875944 | Raymond J Mazuchowski Jr. | Dentist | 697 S Gaffery St, San Pedro, CA 90731 | 2016-12-14 |
| 1700235108 | Redina J Williams | Counselor | 559 W, 9th Street, San Pedro, CA 90731 | 2016-06-07 |
| 1649697764 | Leilani M. Sharpe | Psychiatry & Neurology | 222 W 6th St Ste 400, San Pedro, CA 90731 | 2014-03-26 |
| 1134418882 | Neema Rukiya Hardeman | Pediatrics | 2400 S Pacific Ave Bldg 30, San Pedro, CA 90731 | 2011-04-04 |
| 1477878148 | Karla Vanesa Cehua | Dental Assistant | 423n. Meyler St., San Pedro, CA 90731 | 2010-04-06 |
| 1023258183 | Deborah Anne Allsup | Acupuncturist | 732 W. 9th Street, #202, San Pedro, CA 90731 | 2009-03-03 |
| Find all providers in zip 90731 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140158 | Elizabeth Ortiz Mcghee | Counselor | 505 N Pacific Ave, San Pedro, CA 90731-2021 | 2020-03-26 |
| 1164071650 | Jeffrey Andersen | Counselor | 270 W 14th St # 27, San Pedro, CA 90731-4396 | 2019-09-06 |
| 1326692898 | Lori Marie Kroeker | Counselor | 235 W. 9th St, San Pedro, CA 90731 | 2019-08-01 |
| 1598278517 | Christina Marie Ramirez | Counselor | 936 S Centre St, San Pedro, CA 90731-3737 | 2017-11-13 |
| 1265955942 | Ryan Michael Smith | Counselor | 1003 S Beacon St, San Pedro, CA 90731-4324 | 2017-07-25 |
| 1255782983 | Myrra Alo | Counselor | 235 W 9th St, San Pedro, CA 90731-3711 | 2016-06-23 |
| 1700235108 | Redina J Williams | Counselor | 559 W, 9th Street, San Pedro, CA 90731 | 2016-06-07 |
| 1700281128 | Monica Reynoso | Counselor | 222 S Cabrillo Ave Apt 106, San Pedro, CA 90731-2453 | 2014-10-28 |
| 1811331259 | Shirley Elaine Robinson | Counselor | 972 W 24th St, #5, San Pedro, CA 90731-5759 | 2013-04-27 |
| 1245545441 | Paul Miller | Counselor | 565 W 15th St, San Pedro, CA 90731-4786 | 2010-08-11 |
| Find all providers in SAN PEDRO | ||||
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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.