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DORIS SHORT RADT 1
NPI 1700410420
Peer Specialist in Modesto, CA

Active since March 03, 2020
1620 CUMMINS DR, MODESTO, CA 95358(209) 576-1750 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2023, Feb 7, 2023, Jan 23, 2023 and 1 more (4 updates tracked since 2020).

About Doris Short Radt 1 NPPES

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

DORIS SHORT RADT 1 (NPI 1700410420) is an individual peer specialist in Modesto, California, licensed in California (MPSS-LMKCTP) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1700410420
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameDORIS SHORTCredential: RADT 1
Location Address1620 CUMMINS DRModesto, CA 95358-6400
Mailing Address1620 Cummins DrModesto, CA 95358-6400 · (209) 576-1750
Phone(209) 576-1750
Sole ProprietorNo
Enumeration DateMarch 3, 2020
Last NPPES UpdateDecember 11, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
✔ NPI 1700410420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-LMKCTP
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1620 CUMMINS DR, Modesto, CA 95358
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Other Providers at the Same Location NPPES 20

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

MRS. JESSICA NELSON
Counselor (Professional)
1620 CUMMINS DR
MODESTO, CA 95358
Stanislaus County (209) 622-1420
EDELYA SILVA
Counselor
1620 CUMMINS DR
MODESTO, CA 95358
Stanislaus County (209) 576-1750
CYNTHIA MARIE MCCLEARY
Counselor (Professional)
1620 CUMMINS DR
MODESTO, CA 95358
Stanislaus County (209) 622-1420
KATHLEEN SNUFFER
Student in an Organized Health Care Education/Training Program
1620 CUMMINS DR
MODESTO, CA 95358
Stanislaus County (209) 576-1750
ANNALYSSA MIRELES
Student in an Organized Health Care Education/Training Program
1620 CUMMINS DR
MODESTO, CA 95358
Stanislaus County (209) 576-1750
JENNIFER GUTIERREZ
Counselor (Professional)
1620 CUMMINS DR
MODESTO, CA 95358
Stanislaus County (209) 576-1750
MRS. DONNIA SARAH MADRIGAL
Adult Companion
1620 CUMMINS DR
MODESTO, CA 95358
Stanislaus County (209) 576-1750
ANGELICA ROCHA
Adult Companion
1620 CUMMINS DR
MODESTO, CA 95358
Stanislaus County (209) 622-1420

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 Doris Short's NPI number?

The NPI number for Doris Short is 1700410420. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Where is Doris Short located?

Doris Short practices at 1620 Cummins Dr, Modesto, CA 95358. The listed phone number is (209) 576-1750.

What is Doris Short's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Doris Short was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.