Jill Mcculloch, is a
Day Training/habilitation Specialist based in Santa Rosa, California. Jill Mcculloch is licensed to practice in * (Not Available) (license number ) and her current practice location is
1120 Gordon Ln, Santa Rosa, California. She can be reached at her office (for appointments etc.) via phone at
(707) 527-3249.
NPI number for Jill Mcculloch is 1992223192 and her current mailing address is 300 Stony Point Rd Apt 190, Santa Rosa, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992223192.
Healthcare Provider's Profile
| Full Name | Jill Mcculloch |
|---|
| Gender | Female |
|---|
| Speciality | Day Training/habilitation Specialist |
|---|
| Location | 1120 Gordon Ln, Santa Rosa, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1992223192
- Provider Enumeration Date: 09/07/2017
- Last Update Date: 08/07/2025
Medical Identifiers
Medical identifiers for Jill Mcculloch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992223192 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 373H00000X | Day Training/habilitation Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jill Mcculloch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jill Mcculloch,
300 Stony Point Rd Apt 190,
Santa Rosa, CA 95401-5960
Ph: (707) 490-7962 | Jill Mcculloch,
1120 Gordon Ln,
Santa Rosa, CA 95404-5636
Ph: (707) 527-3249 |
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