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GREAT VALLEY ACADEMY
NPI 1619660800
Counselor - School in Modesto, CA

Active since June 01, 2023
3200 TULLY RD, MODESTO, CA 95350(209) 876-9446 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Valley Academy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT VALLEY ACADEMY (NPI 1619660800) is a healthcare organization registered as a school in Modesto, California and active in the NPI registry since June 2023. The organization lists Thomas Anderson, Superintendent/ceo, as its authorized official.

NPPES Registry Identity

NPI1619660800
Entity TypeOrganization
Primary Taxonomy101YS0200X
Legal Business NameGREAT VALLEY ACADEMY
Location Address3200 TULLY RDModesto, CA 95350-0811
Mailing Address3200 Tully RdModesto, CA 95350-0811 · (209) 876-9446
Phone(209) 876-9446
Organization SubpartNo
Authorized OfficialThomas AndersonSuperintendent/ceo · (209) 876-9446
Enumeration DateJune 1, 2023
NPPES CertifiedJune 1, 2023
✔ NPI 1619660800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3200 TULLY RD, Modesto, CA 95350
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL ANTHONY SOMERA
Counselor (Mental Health)
3200 TULLY RD
MODESTO, CA 95350
Stanislaus County (209) 576-2283
MEGAN RENE KUBICEK MFTI
Marriage & Family Therapist
3200 TULLY RD
MODESTO, CA 95350
Stanislaus County (209) 576-2283
DEANDRA LEERINE BUCIO
Health and Wellness Coach
3200 TULLY RD
MODESTO, CA 95350
Stanislaus County (209) 576-2283
TAYLOR HOACH
Counselor (School)
3200 TULLY RD
MODESTO, CA 95350
Stanislaus County (209) 576-2283
YURITZI NAVARRO TREJO
Health and Wellness Coach
3200 TULLY RD
MODESTO, CA 95350
Stanislaus County (209) 576-2283

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Valley Academy's NPI number?

The NPI number for Great Valley Academy is 1619660800. It was assigned to this organization in the NPPES registry on June 1, 2023.

Where is Great Valley Academy located?

Great Valley Academy is located at 3200 Tully Rd, Modesto, CA 95350. The listed phone number is (209) 876-9446.

What is Great Valley Academy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Great Valley Academy was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.