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1212 N California St Stockton CA 95202-1552 | |
| (209) 468-8778 | |
| (209) 468-2399 |
| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1212 N California St, Stockton, California |
| Authorized Official Name and Position | Genevieve Valentine (BHS DIRECTOR) |
| Authorized Official Contact | 2094688756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1212 N California St Stockton CA 95202-1552 Ph: (209) 468-8778 | 1212 N California St Stockton CA 95202-1552 Ph: (209) 468-8778 |
| NPI Number | 1215028931 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Medicare PECOS PAC ID | 6002703436 |
|---|---|
| Medicare Enrollment ID | O20050915001095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215028931 | NPI | - | NPPES |
| 9069 | Medicaid | CA |
| Provider Name | Mohammad Jahangiri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720266760 PECOS PAC ID: 1759295066 Enrollment ID: I20031119000320 |
| Provider Name | Khurram K Durrani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710094057 PECOS PAC ID: 6507757408 Enrollment ID: I20040322000728 |
| Provider Name | Amarpreet Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235182916 PECOS PAC ID: 4385629088 Enrollment ID: I20040618000430 |
| Provider Name | Ana I Soares |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922191410 PECOS PAC ID: 9931158227 Enrollment ID: I20050113000387 |
| Provider Name | Paramjit K Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073629218 PECOS PAC ID: 7214970698 Enrollment ID: I20050607000348 |
| Provider Name | Cynthia I Resendez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780877845 PECOS PAC ID: 7012950363 Enrollment ID: I20050607001064 |
| Provider Name | Nia T Lozano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851590996 PECOS PAC ID: 3870538002 Enrollment ID: I20050628000219 |
| Provider Name | Nancy K Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376635680 PECOS PAC ID: 9335164623 Enrollment ID: I20051005001063 |
| Provider Name | Robert Hart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477660074 PECOS PAC ID: 3779500988 Enrollment ID: I20051027000500 |
| Provider Name | Hameed Jahangiri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497707731 PECOS PAC ID: 1052331659 Enrollment ID: I20051128000775 |
| Provider Name | Aravind K Pai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629076088 PECOS PAC ID: 8729086640 Enrollment ID: I20061130000517 |
| Provider Name | Mark F Towns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811183643 PECOS PAC ID: 5496836611 Enrollment ID: I20080114000676 |
| Provider Name | Gerardo B Manansala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215195813 PECOS PAC ID: 3971653460 Enrollment ID: I20090603000463 |
| Provider Name | Rajdeep V Ranade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164614400 PECOS PAC ID: 0446342083 Enrollment ID: I20090718000005 |
| Provider Name | Robert Graff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366560112 PECOS PAC ID: 9032262092 Enrollment ID: I20090808000155 |
| Provider Name | Saba F Rizvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619190501 PECOS PAC ID: 6406994185 Enrollment ID: I20091118000121 |
| Provider Name | Joachim D Raese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831286426 PECOS PAC ID: 9830239052 Enrollment ID: I20091221000150 |
| Provider Name | Fahmy Ibrahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255424404 PECOS PAC ID: 0345206223 Enrollment ID: I20100708001080 |
| Provider Name | Jin R Soofi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972592939 PECOS PAC ID: 7416072137 Enrollment ID: I20100917000173 |
| Provider Name | Pamela Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902889694 PECOS PAC ID: 7315046448 Enrollment ID: I20101014001481 |
| Provider Name | David L Scott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932313335 PECOS PAC ID: 6103978812 Enrollment ID: I20101019001583 |
| Provider Name | Suryabanu Javeed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568567105 PECOS PAC ID: 0749474260 Enrollment ID: I20101028001181 |
| Provider Name | Syed A Kazmi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437310273 PECOS PAC ID: 9739373945 Enrollment ID: I20101102000406 |
| Provider Name | Fouad W Saddik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437254117 PECOS PAC ID: 9032303144 Enrollment ID: I20101103000191 |
| Provider Name | Shabneet Hira-brar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851598452 PECOS PAC ID: 3173619087 Enrollment ID: I20101103000891 |
| Provider Name | Christine M Blue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093786683 PECOS PAC ID: 9830384338 Enrollment ID: I20101110000398 |
| Provider Name | Nagamani Padala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659303253 PECOS PAC ID: 0840236154 Enrollment ID: I20110222000331 |
| Provider Name | Hilary Silver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720201221 PECOS PAC ID: 5496927840 Enrollment ID: I20111007000539 |
| Provider Name | Shaukat Ansari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821294455 PECOS PAC ID: 2163587239 Enrollment ID: I20120227000599 |
| Provider Name | Sanjiwan Boparai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376700583 PECOS PAC ID: 7113197013 Enrollment ID: I20120911000160 |
| Provider Name | Christine Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669632451 PECOS PAC ID: 5193976389 Enrollment ID: I20121116000271 |
| Provider Name | Sheela G Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700045424 PECOS PAC ID: 2163672361 Enrollment ID: I20150226000628 |
| Provider Name | Julie K Vaishampayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346401080 PECOS PAC ID: 0345317269 Enrollment ID: I20150511002400 |
| Provider Name | Joselita U Chua |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225175193 PECOS PAC ID: 8820057664 Enrollment ID: I20150716000402 |
| Provider Name | Kathryn A Langham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598925901 PECOS PAC ID: 8527378322 Enrollment ID: I20151106001426 |
| Provider Name | Michelle R King |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285731638 PECOS PAC ID: 2769436864 Enrollment ID: I20161014000229 |
| Provider Name | Christopher Chee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447480173 PECOS PAC ID: 9537325329 Enrollment ID: I20170405002471 |
| Provider Name | Jennifer Nichole Spruill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518232321 PECOS PAC ID: 9638423981 Enrollment ID: I20181126003171 |
| Provider Name | Gaurav Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235513102 PECOS PAC ID: 0446599542 Enrollment ID: I20190606002571 |
| Provider Name | Zachary J Plotz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730341751 PECOS PAC ID: 5890939995 Enrollment ID: I20191104000552 |
| Provider Name | Sapna Purawat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437316668 PECOS PAC ID: 3375793045 Enrollment ID: I20191127002539 |
| Provider Name | Jasjeet Kaur Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538388855 PECOS PAC ID: 9739322132 Enrollment ID: I20200615000431 |
| Provider Name | Thomas Lewis Firnberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164597472 PECOS PAC ID: 4789867565 Enrollment ID: I20200709001052 |
| Provider Name | Muhammad Kamran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811051337 PECOS PAC ID: 2163448481 Enrollment ID: I20200929002994 |
| Provider Name | Karamjit Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083930440 PECOS PAC ID: 5799195673 Enrollment ID: I20201104000884 |
| Provider Name | Earlene Strayhorn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134211246 PECOS PAC ID: 1759381734 Enrollment ID: I20201109002616 |
| Provider Name | Paul Mascovich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215921184 PECOS PAC ID: 5597775791 Enrollment ID: I20201117001787 |
| Provider Name | Ella Bath-sheva Severson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124580816 PECOS PAC ID: 8022420561 Enrollment ID: I20201207002843 |
| Provider Name | Eduardo Radames Morales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346456571 PECOS PAC ID: 4284046467 Enrollment ID: I20201211000673 |
| Provider Name | David Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477167666 PECOS PAC ID: 6608261789 Enrollment ID: I20220328002534 |
| Provider Name | Zershana Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023674835 PECOS PAC ID: 9638548449 Enrollment ID: I20221216001061 |
| Provider Name | Poonam Deshmukh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396165056 PECOS PAC ID: 9335452226 Enrollment ID: I20230321001744 |
| Provider Name | David Serrano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417480336 PECOS PAC ID: 3476802166 Enrollment ID: I20230417001545 |
| Provider Name | Jeffrey G Sabean |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306978473 PECOS PAC ID: 9931547957 Enrollment ID: I20240409004042 |
| Provider Name | Ryan Coram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194285429 PECOS PAC ID: 9032567078 Enrollment ID: I20240523004191 |
| Provider Name | Charles Tupper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700944121 PECOS PAC ID: 6507995495 Enrollment ID: I20240614002945 |
| Provider Name | Amandeep S Saluja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588894778 PECOS PAC ID: 5193940708 Enrollment ID: I20240621003500 |
| Provider Name | Maja Everson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811975139 PECOS PAC ID: 7618961475 Enrollment ID: I20240702000938 |
| Provider Name | Gipanjot Dhillon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013446046 PECOS PAC ID: 0446794325 Enrollment ID: I20240702003509 |
| Provider Name | Courtney Lee Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851437735 PECOS PAC ID: 8022555457 Enrollment ID: I20240802003511 |
| Provider Name | Bena Tak Yee Chan Camello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053581116 PECOS PAC ID: 9739627472 Enrollment ID: I20240813003351 |
| Provider Name | John Lyerly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952965733 PECOS PAC ID: 7517295678 Enrollment ID: I20240814003219 |
| Provider Name | Benjamin Delafuente Alban |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932227295 PECOS PAC ID: 9133668924 Enrollment ID: I20240823003653 |
| Provider Name | Naomi Jimenez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669927828 PECOS PAC ID: 3971042425 Enrollment ID: I20240828001326 |
| Provider Name | Antonio Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073929824 PECOS PAC ID: 3870032394 Enrollment ID: I20240828003970 |
| Provider Name | Juan Leyva Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710008735 PECOS PAC ID: 4082153101 Enrollment ID: I20240903001858 |
| Provider Name | Leora Kristine Pollock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245663426 PECOS PAC ID: 7214476332 Enrollment ID: I20240903002028 |
| Provider Name | Ogiram Wendy Chukwuka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063662781 PECOS PAC ID: 7911447081 Enrollment ID: I20240904004052 |
| Provider Name | Sherri Helsby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669893764 PECOS PAC ID: 6103366984 Enrollment ID: I20240906003703 |
| Provider Name | Emma Catherine Latuno |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013656446 PECOS PAC ID: 0042750713 Enrollment ID: I20240909002374 |
| Provider Name | Sasha Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295181295 PECOS PAC ID: 3274074307 Enrollment ID: I20240917002074 |
| Provider Name | Katelyn Elizabeth Zodikoff |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629418678 PECOS PAC ID: 8022559624 Enrollment ID: I20240923004024 |
| Provider Name | Leonardo Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962822643 PECOS PAC ID: 2769923234 Enrollment ID: I20240924002876 |
| Provider Name | Leslie Sutherland Liberty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427649318 PECOS PAC ID: 0143761445 Enrollment ID: I20240925004295 |
| Provider Name | Jennifer Ibanez Domingo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104097286 PECOS PAC ID: 0446791719 Enrollment ID: I20240926002193 |
| Provider Name | Michelle Martinez Tran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366642068 PECOS PAC ID: 8123559333 Enrollment ID: I20240930000253 |
| Provider Name | Patricia Diane Ballesteros |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790058352 PECOS PAC ID: 6103357348 Enrollment ID: I20240930001107 |
| Provider Name | Henry Plascencia Flores |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992038657 PECOS PAC ID: 8628509791 Enrollment ID: I20240930002624 |
| Provider Name | Monique Rene' Brown |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962641050 PECOS PAC ID: 7416488598 Enrollment ID: I20240930003126 |
| Provider Name | Julio Garcia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679961106 PECOS PAC ID: 3577094655 Enrollment ID: I20240930003285 |
| Provider Name | Luis Leyva Garcia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346599677 PECOS PAC ID: 2163953258 Enrollment ID: I20240930003494 |
| Provider Name | Salena Gomez-boulware |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679098776 PECOS PAC ID: 5799216883 Enrollment ID: I20240930003550 |
| Provider Name | Wendy Elaine Myotte |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265554638 PECOS PAC ID: 2961933056 Enrollment ID: I20240930003571 |
| Provider Name | Juanita Gipaya |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235500042 PECOS PAC ID: 3072044106 Enrollment ID: I20241001000953 |
| Provider Name | Catherine Marie Lee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073729646 PECOS PAC ID: 8729519681 Enrollment ID: I20241002001619 |
| Provider Name | Rico Diego Molina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255454203 PECOS PAC ID: 4981135860 Enrollment ID: I20241002002645 |
| Provider Name | Ashley Lynn Baker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225640535 PECOS PAC ID: 9133650013 Enrollment ID: I20241002002744 |
| Provider Name | Stephanie Elizabeth Limas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053433748 PECOS PAC ID: 8325579212 Enrollment ID: I20241002003130 |
| Provider Name | Carlos Joseph Figueroa |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306193933 PECOS PAC ID: 2365973260 Enrollment ID: I20241002003423 |
| Provider Name | Cindy Saelee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255511614 PECOS PAC ID: 1658802475 Enrollment ID: I20241004000000 |
| Provider Name | Grace Ballesteros Navarro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083737753 PECOS PAC ID: 7315478054 Enrollment ID: I20241004001012 |
| Provider Name | Kathy Lynn Hannah |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518080506 PECOS PAC ID: 1153852835 Enrollment ID: I20241004002873 |
| Provider Name | Tiffany Dewitte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023143245 PECOS PAC ID: 6608307384 Enrollment ID: I20241004002914 |
| Provider Name | Shauna Leigh Ketcham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841798865 PECOS PAC ID: 1951832633 Enrollment ID: I20241004002982 |
| Provider Name | Erica Lucille Baltezore |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053447854 PECOS PAC ID: 1456882075 Enrollment ID: I20241007000812 |
| Provider Name | Kara Michele Herrick |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518191659 PECOS PAC ID: 3476084013 Enrollment ID: I20241007001708 |
| Provider Name | Lilian Carmen Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750059424 PECOS PAC ID: 5294266888 Enrollment ID: I20241007003520 |
| Provider Name | Cynthia Coniglio Arnett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245413186 PECOS PAC ID: 1456577717 Enrollment ID: I20241007003804 |
| Provider Name | Kafia H Abbasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215114897 PECOS PAC ID: 5092986752 Enrollment ID: I20241008002017 |
| Provider Name | April Lucinda Chavez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760959670 PECOS PAC ID: 5991236440 Enrollment ID: I20241008002108 |
| Provider Name | Isabel Christina Amancio |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194868695 PECOS PAC ID: 7719320530 Enrollment ID: I20241009002948 |
| Provider Name | Megan Curtiss |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265836027 PECOS PAC ID: 0345771739 Enrollment ID: I20241009003620 |
| Provider Name | Lea Vallente Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063171676 PECOS PAC ID: 5698207082 Enrollment ID: I20241009004263 |
| Provider Name | Clara Concepcion Blanco-herrada |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679823900 PECOS PAC ID: 7911439377 Enrollment ID: I20241010002298 |
| Provider Name | Keith O'dell Amador |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891127403 PECOS PAC ID: 8820520299 Enrollment ID: I20241010002771 |
| Provider Name | Rekha Lambert |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164647525 PECOS PAC ID: 1456883768 Enrollment ID: I20241011000456 |
| Provider Name | Adrianna Kristine Agans |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851831242 PECOS PAC ID: 8224560560 Enrollment ID: I20241011001832 |
| Provider Name | Amanda R Yocham |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326103516 PECOS PAC ID: 2163954405 Enrollment ID: I20241011002129 |
| Provider Name | Brenda Lewman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821477035 PECOS PAC ID: 5597297861 Enrollment ID: I20241011003255 |
| Provider Name | Bradley Thomas Heidenberg |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255764627 PECOS PAC ID: 8325570484 Enrollment ID: I20241014002844 |
| Provider Name | Michelle Ann Garibaldi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093911224 PECOS PAC ID: 0143752105 Enrollment ID: I20241015002563 |
| Provider Name | Jon Christopher Gutoman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578814042 PECOS PAC ID: 7214469154 Enrollment ID: I20241016001786 |
| Provider Name | Anna M Perez-testo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740309889 PECOS PAC ID: 4284166034 Enrollment ID: I20241017001520 |
| Provider Name | Donna L Bickham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003099177 PECOS PAC ID: 4183156839 Enrollment ID: I20241018001564 |
| Provider Name | Fay Gladys Vieira |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982815684 PECOS PAC ID: 6002349545 Enrollment ID: I20241023000956 |
| Provider Name | Christina Beza Arcega |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609219450 PECOS PAC ID: 5395278840 Enrollment ID: I20241023001283 |
| Provider Name | Lynnetta Hawkins |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437436938 PECOS PAC ID: 4880127364 Enrollment ID: I20241023002467 |
| Provider Name | Melissa Guerrero |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467946301 PECOS PAC ID: 4981137395 Enrollment ID: I20241023004253 |
| Provider Name | Marie Cholula |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275098055 PECOS PAC ID: 7113450552 Enrollment ID: I20241024000401 |
| Provider Name | Sheilena Louise Payne |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336437656 PECOS PAC ID: 8022541481 Enrollment ID: I20241024001432 |
| Provider Name | Jackelin Chavez Rueda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376962308 PECOS PAC ID: 7315470648 Enrollment ID: I20241024004682 |
| Provider Name | Vicki Stokes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164061024 PECOS PAC ID: 3375076516 Enrollment ID: I20241028000980 |
| Provider Name | Maly Xiong |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932218849 PECOS PAC ID: 8820521982 Enrollment ID: I20241028002267 |
| Provider Name | Claudia Diaz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275810442 PECOS PAC ID: 6608309729 Enrollment ID: I20241029000942 |
| Provider Name | Rosemary Cervantes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407299738 PECOS PAC ID: 7416480124 Enrollment ID: I20241101000689 |
| Provider Name | James A Ruggles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245344258 PECOS PAC ID: 8729511449 Enrollment ID: I20241101001003 |
| Provider Name | Rita Herron |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659629285 PECOS PAC ID: 0143753863 Enrollment ID: I20241101001179 |
| Provider Name | Latasha Renee' Whittaker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932467362 PECOS PAC ID: 9638602246 Enrollment ID: I20241104001225 |
| Provider Name | Mark Hudson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528190725 PECOS PAC ID: 3476086018 Enrollment ID: I20241104002604 |
| Provider Name | Dana Lynn Hudson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225172489 PECOS PAC ID: 8628502234 Enrollment ID: I20241105001716 |
| Provider Name | Karen Collette Murray |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346735917 PECOS PAC ID: 8426582065 Enrollment ID: I20241105003263 |
| Provider Name | Thao Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912214065 PECOS PAC ID: 8022542315 Enrollment ID: I20241108002220 |
| Provider Name | Adan Maldonado |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063878825 PECOS PAC ID: 7810421138 Enrollment ID: I20241108003343 |
| Provider Name | Helen Charelle Sprague |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710325642 PECOS PAC ID: 4789118001 Enrollment ID: I20241108003598 |
| Provider Name | Lorna Bland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124079686 PECOS PAC ID: 9335179514 Enrollment ID: I20241112002041 |
| Provider Name | Katie Patricia Leonard |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629499603 PECOS PAC ID: 5597299529 Enrollment ID: I20241113000710 |
| Provider Name | Kathryn L Wright |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245566520 PECOS PAC ID: 1557895208 Enrollment ID: I20241118000970 |
| Provider Name | Alicia Monique Gonzales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679711790 PECOS PAC ID: 0840725545 Enrollment ID: I20241118003575 |
| Provider Name | Carmencita Giselle Bersamin Borillo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821298753 PECOS PAC ID: 2567997802 Enrollment ID: I20241125000626 |
| Provider Name | Tyler Moran |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114346848 PECOS PAC ID: 0547796880 Enrollment ID: I20241210001083 |
| Provider Name | Jorly Thakadiyel Jonney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902155625 PECOS PAC ID: 9032645304 Enrollment ID: I20241210002378 |
Victor Community Support Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 S Holt Rd, Stockton, CA 95206 Phone: 209-969-5258 Fax: 530-230-1265 | |
My Personal Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 Coach St, Stockton, CA 95209 Phone: 209-477-4048 | |
Valley Community Counseling Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6707 Embarcadero Dr, Stockton, CA 95219 Phone: 209-956-4240 Fax: 209-956-4245 | |
O'connor Woods Housing Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Wagner Heights Rd, Stockton, CA 95209 Phone: 209-476-4036 Fax: 209-476-4042 |