DEIRDRE HELENE FOGARTY-HARRIS (NPI# 1992289243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992289243 |
Entity Type | Individual |
Full Name | DEIRDRE HELENE FOGARTY-HARRIS |
Credential | AMFT |
Practice Address |
628 Montezuma St Rio Vista CA 94571-1622 |
Mailing Address |
8 Commodore Dr Unit 253 Emeryville CA 94608-1618 |
Practice Telephone | 7073745243 |
Mailing Telephone | 4155771147 |
Enumeration Date | 2018-09-22 |
Last Update Date | 2018-09-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
IMF97375 | CA | Behavioral Health & Social Service Providers |
Street Address |
628 MONTEZUMA ST |
City | RIO VISTA |
State | CA |
Zip Code | 94571-1622 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295880821 | Rio Vista Care, Inc. | Community/Behavioral Health | 628 Montezuma St, Rio Vista, CA 94571-1622 | 2007-01-24 |
1023667540 | Hayley Rae Howard | Counselor | 628 Montezuma St, Rio Vista, CA 94571-1622 | 2019-09-06 |
1992225759 | Amber Danielle Smith | Counselor | 628 Montezuma St, Rio Vista, CA 94571-1622 | 2017-06-22 |
1841729464 | Anissa Renee Sims | Counselor | 628 Montezuma St, Rio Vista, CA 94571-1622 | 2017-06-07 |
1891236345 | Michael Brooks | Counselor | 628 Montezuma St, Rio Vista, CA 94571-1622 | 2017-03-16 |
1407394190 | Mike Husseini | Counselor | 628 Montezuma St, Rio Vista, CA 94571-1622 | 2017-02-02 |
1578007092 | Deborah Small | Counselor | 628 Montezuma St, Rio Vista, CA 94571-1622 | 2016-12-19 |
1669926838 | Rio Vista Care | Counselor | 628 Montezuma St, Rio Vista, CA 94571-1622 | 2016-08-05 |
1568839728 | Hillary Jane Ludwig | Counselor | 628 Montezuma St, Rio Vista, CA 94571-1622 | 2015-08-24 |
1508243437 | Junko Quest | Marriage & Family Therapist | 628 Montezuma St, Rio Vista, CA 94571-1622 | 2015-04-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871060087 | Kenneth Alan Wudel | Pharmacist | 407 Main St. Delta Pharmacy, Rio Vista, CA 94571 | 2018-10-25 |
1366960882 | Amber Huizenga | Student in an Organized Health Care Education/Training Program | 628 Montezuma Street, Rio Vista, CA 94571 | 2017-09-05 |
1598195315 | Paul Willem Bolle | Marriage & Family Therapist | 125 Sacramento Street, Rio Vista, CA 94571 | 2013-11-14 |
1023294410 | Gwen Cotter | Counselor | 393 Del Monte Drive, Rio Vista, CA 94571 | 2008-01-15 |
1891758629 | Raymond Wayne Donovan Jr. | Family Medicine | 417 Eagle Crest Way, Rio Vista, CA 94571 | 2006-04-11 |
1598277923 | Cynthia Ann Keith | Pharmacist | 407 Main St, Rio Vista, CA 94571 | 2017-10-25 |
1740898808 | Maribel Torres | Pharmacist | 310 Chardonnay Way, Rio Vista, CA 94571-1108 | 2020-07-15 |
1730390105 | Healthy Partnerships | Community/Behavioral Health | 1105 Airport Rd Ste A, Rio Vista, CA 94571-1267 | 2007-05-25 |
1033636287 | Briana Soladay | Psychologist | 501 Elm Way, Rio Vista, CA 94571-1303 | 2017-08-28 |
1649312174 | Delta Drug Company Inc | Pharmacy | 407 Main St, Rio Vista, CA 94571-1616 | 2007-02-12 |
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Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043632193 | Leann Walker | Counselor | 210 S 7th St, Rio Vista, CA 94571-1645 | 2014-01-08 |
1023294410 | Gwen Cotter | Counselor | 393 Del Monte Drive, Rio Vista, CA 94571 | 2008-01-15 |
1992225759 | Amber Danielle Smith | Counselor | 628 Montezuma St, Rio Vista, CA 94571-1622 | 2017-06-22 |
1841729464 | Anissa Renee Sims | Counselor | 628 Montezuma St, Rio Vista, CA 94571-1622 | 2017-06-07 |
1891236345 | Michael Brooks | Counselor | 628 Montezuma St, Rio Vista, CA 94571-1622 | 2017-03-16 |
1568839728 | Hillary Jane Ludwig | Counselor | 628 Montezuma St, Rio Vista, CA 94571-1622 | 2015-08-24 |
1093118101 | Devon Layshene Rankin | Counselor | 628 Montezuma St, Rio Vista, CA 94571-1622 | 2014-10-02 |
1578754420 | La Donna Norman | Counselor | 628 Montezuma St, Rio Vista, CA 94571-1622 | 2007-08-06 |
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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.