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MS. CASSANDRA SYSOUVANH
NPI 1902458508
Day Training/Habilitation Specialist in Stockton, CA

Active since July 12, 2019
4545 GEORGETOWN PL, STOCKTON, CA 95207(209) 639-4685 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2025, Nov 22, 2024, Jan 4, 2024 and 1 more (4 updates tracked since 2019).

About Ms. Cassandra Sysouvanh NPPES

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

MS. CASSANDRA SYSOUVANH (NPI 1902458508) is an individual day training/habilitation specialist in Stockton, California and active in the NPI registry since July 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902458508
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameMS. CASSANDRA SYSOUVANH
Location Address4545 GEORGETOWN PLStockton, CA 95207-6215
Mailing AddressPo Box 135Stockton, CA 95201-0135 · (209) 662-3099
Phone(209) 639-4685
Sole ProprietorYes
Enumeration DateJuly 12, 2019
Last NPPES UpdateApril 8, 20254 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1902458508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
4545 GEORGETOWN PL, Stockton, CA 95207
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Secondary Practice Locations 2

Location 17224 S Recovery RdFrench Camp, CA 95231-8901 · Phone (209) 888-6595
Location 27236 S Recovery RdFrench Camp, CA 95231-8901 · Phone (209) 888-6595

Other Providers at the Same Location NPPES 16

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

DINA LAY
Day Training/Habilitation Specialist
4545 GEORGETOWN PL
STOCKTON, CA 95207
San Joaquin County (209) 200-7076
WALKER CHIROPRACTIC, INC.
Chiropractor
4545 GEORGETOWN PL, SUITE A7
STOCKTON, CA 95207
San Joaquin County (209) 951-3001
DR. TOAN HUNG TRAN M.D.
General Practice
4545 GEORGETOWN PL, C16
STOCKTON, CA 95207
San Joaquin County (209) 957-0641
MR. JUDY L HALLISEY MFT
Marriage & Family Therapist
4545 GEORGETOWN PL
STOCKTON, CA 95207
San Joaquin County (209) 953-8900
MR. MANUEL CRUZ DOMINGUEZ JR.
Counselor (Mental Health)
4545 GEORGETOWN PL, SUITE A3
STOCKTON, CA 95207
San Joaquin County (209) 955-1139
TRAN TRAN
Licensed Vocational Nurse
4545 GEORGETOWN PL, A3
STOCKTON, CA 95207
San Joaquin County (209) 955-1139
TELECARE CORPORATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
4545 GEORGETOWN PL, SUITE D AND E-28
STOCKTON, CA 95207
San Joaquin County (209) 269-5587
LYNELL BENNETT YOUNGBLOOD BA, CADCII, NCACII
Counselor (Addiction (Substance Use Disorder))
4545 GEORGETOWN PL, STE F-36
STOCKTON, CA 95207
San Joaquin County (209) 953-8900

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 Cassandra Sysouvanh's NPI number?

The NPI number for Cassandra Sysouvanh is 1902458508. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Where is Cassandra Sysouvanh located?

Cassandra Sysouvanh practices at 4545 Georgetown Pl, Stockton, CA 95207. The listed phone number is (209) 639-4685.

What is Cassandra Sysouvanh's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Cassandra Sysouvanh was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.