| County Of Stanislaus | |
|
500 N 9th St Ste B Modesto CA 95350-5814 | |
| (209) 525-6225 | |
| Not Available |
| Full Name | County Of Stanislaus |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 500 N 9th St Ste B, Modesto, California |
| Authorized Official Name and Position | Ruben Imperial (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 2095256225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Stanislaus 800 Scenic Dr Modesto CA 95350-6131 Ph: (209) 525-6225 | County Of Stanislaus 500 N 9th St Ste B Modesto CA 95350-5814 Ph: (209) 525-6225 |
| NPI Number | 1154524445 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 02/03/2022 |
| Certification Date | 02/03/2022 |
| Medicare PECOS PAC ID | 0648183996 |
|---|---|
| Medicare Enrollment ID | O20031111000935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154524445 | NPI | - | NPPES |
| 5083 | Medicaid | CA | |
| 50BL | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Teresa Crisostomo Raras |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962572743 PECOS PAC ID: 8820057151 Enrollment ID: I20041004000512 |
| Provider Name | Purificacion-hency Marquez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457303232 PECOS PAC ID: 0244149730 Enrollment ID: I20041014000687 |
| Provider Name | Jonathan A Kistler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033161740 PECOS PAC ID: 7214980424 Enrollment ID: I20050228001070 |
| Provider Name | Susan L Gold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780837559 PECOS PAC ID: 2163568825 Enrollment ID: I20091009000339 |
| Provider Name | Elmer P Ignacio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578507604 PECOS PAC ID: 9638344351 Enrollment ID: I20111208000251 |
| Provider Name | Christine Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669632451 PECOS PAC ID: 5193976389 Enrollment ID: I20121116000271 |
| Provider Name | Nataliya Giagou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285854216 PECOS PAC ID: 4284888975 Enrollment ID: I20130205000232 |
| Provider Name | Wamaitha Whidby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609084763 PECOS PAC ID: 5991095937 Enrollment ID: I20160603001803 |
| Provider Name | Kristie Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457656258 PECOS PAC ID: 5890052625 Enrollment ID: I20171208000293 |
| Provider Name | Kwame Buabeng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316387673 PECOS PAC ID: 8628486636 Enrollment ID: I20210412001894 |
| Provider Name | Sarah T Vann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942338389 PECOS PAC ID: 2163898263 Enrollment ID: I20221020000915 |
| Provider Name | Teilor Ann Garner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811445901 PECOS PAC ID: 1951776970 Enrollment ID: I20230405001103 |
| Provider Name | Gurpreet S Ahluwalia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164452272 PECOS PAC ID: 0941220941 Enrollment ID: I20230419001562 |
| Provider Name | Arthur Dwain Tolbert |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265035406 PECOS PAC ID: 7113378290 Enrollment ID: I20240112003440 |
| Provider Name | Matthew Troy Bovenkerk |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144354309 PECOS PAC ID: 9638516271 Enrollment ID: I20240319002127 |
| Provider Name | Patricia Mireles |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679605646 PECOS PAC ID: 5890132997 Enrollment ID: I20240326000000 |
| Provider Name | Monica Lynn Salazar |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194854513 PECOS PAC ID: 3678910668 Enrollment ID: I20240326003347 |
| Provider Name | Angela Kristine Cox |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932770146 PECOS PAC ID: 0143667972 Enrollment ID: I20240328000831 |
| Provider Name | Coral Alejandra Amador |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1720599632 PECOS PAC ID: 2466899224 Enrollment ID: I20240328002000 |
| Provider Name | Megan Vylonis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841542065 PECOS PAC ID: 8729426366 Enrollment ID: I20240402002969 |
| Provider Name | Kim Oeun Saing |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982722666 PECOS PAC ID: 9335587898 Enrollment ID: I20240402004263 |
| Provider Name | Vineel Maharaj |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205280575 PECOS PAC ID: 5597103002 Enrollment ID: I20240403001823 |
| Provider Name | Sandra Balderas Perez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164763769 PECOS PAC ID: 3476991886 Enrollment ID: I20240404001641 |
| Provider Name | Alyssa Wells |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013441989 PECOS PAC ID: 4981042256 Enrollment ID: I20240404004168 |
| 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 | Maxine S Sousa-correia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851544928 PECOS PAC ID: 3779922539 Enrollment ID: I20240412004195 |
| Provider Name | Bee Thao |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649510306 PECOS PAC ID: 6800235359 Enrollment ID: I20240417000491 |
| Provider Name | Beverly Maribel Perez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316221641 PECOS PAC ID: 5991145930 Enrollment ID: I20240424003238 |
| Provider Name | Julie Ann Key |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083012579 PECOS PAC ID: 0648610568 Enrollment ID: I20240425002206 |
| Provider Name | Carmela D Arcaina |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417621426 PECOS PAC ID: 9436599222 Enrollment ID: I20240426001182 |
| Provider Name | Travis Edwin Curtiss |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083895858 PECOS PAC ID: 0648610923 Enrollment ID: I20240503000770 |
| Provider Name | Melonie Lila Saleh |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265725279 PECOS PAC ID: 5799125837 Enrollment ID: I20240506004267 |
| Provider Name | Kevin Patrick Padden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972806776 PECOS PAC ID: 6002256252 Enrollment ID: I20240506004468 |
| Provider Name | Maribel Lopez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952433609 PECOS PAC ID: 5193165249 Enrollment ID: I20240506004540 |
| Provider Name | Lorraine Beverly Webb |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295360634 PECOS PAC ID: 4981044070 Enrollment ID: I20240507001295 |
| Provider Name | Ashley Nicole Boyd |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588061337 PECOS PAC ID: 8628419777 Enrollment ID: I20240507004128 |
| Provider Name | Jason Charles Vaughan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528103736 PECOS PAC ID: 4082055074 Enrollment ID: I20240508001020 |
| Provider Name | Tameika L. Easter-griffin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659515054 PECOS PAC ID: 8820439854 Enrollment ID: I20240508002582 |
| Provider Name | Lori Sims |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427459478 PECOS PAC ID: 0345681243 Enrollment ID: I20240509002395 |
| Provider Name | Thomas Mark Werner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447653886 PECOS PAC ID: 3678914512 Enrollment ID: I20240509002803 |
| Provider Name | Rosa A Soto |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336274737 PECOS PAC ID: 4789025503 Enrollment ID: I20240510002562 |
| Provider Name | Kundara Varman Ou |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194853994 PECOS PAC ID: 4981045317 Enrollment ID: I20240515003698 |
| Provider Name | Debbie Louise Cooke |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679909345 PECOS PAC ID: 2567803760 Enrollment ID: I20240517002195 |
| Provider Name | Nasrin Safi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326383266 PECOS PAC ID: 3870935042 Enrollment ID: I20240521000541 |
| Provider Name | Gabriela Marquez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376875526 PECOS PAC ID: 9133661424 Enrollment ID: I20240531003846 |
| Provider Name | Rachel Ann Acosta |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518093343 PECOS PAC ID: 3375085335 Enrollment ID: I20240605001755 |
| Provider Name | Dulce Jeanette Guillen-garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538610639 PECOS PAC ID: 5395288997 Enrollment ID: I20240624004910 |
| Provider Name | Lisa Aguilar-fuentes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417401035 PECOS PAC ID: 1951845049 Enrollment ID: I20240701000651 |
| Provider Name | Melody Pannell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376028605 PECOS PAC ID: 7214477470 Enrollment ID: I20240913003169 |
| Provider Name | Holly Grace Currie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225794993 PECOS PAC ID: 3375067465 Enrollment ID: I20250410001273 |
| Provider Name | Adriana Alicia Reyes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891155479 PECOS PAC ID: 5698294031 Enrollment ID: I20250528003465 |
Stanislaus County Behavioral Health & Recovery Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Kansas Ave Ste B, Modesto, CA 95351 Phone: 209-558-8884 Fax: 209-558-8888 | |
Behavioral & Educational Strategies & Training Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2630 W Rumble Rd, Modesto, CA 95350 Phone: 209-579-9444 Fax: 209-579-9494 | |
Downtown Streets, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 H St Ste 100, Modesto, CA 95354 Phone: 408-899-7350 | |
County Of Stanislaus Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 500 N 9th St Ste A, Modesto, CA 95350 Phone: 209-558-4598 | |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 | |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Las Vegas St, Modesto, CA 95358 Phone: 209-576-4200 Fax: 209-384-3966 | |
County Of Stanislaus Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Poplar Ave, Modesto, CA 95354 Phone: 209-558-7494 |