Provider Demographics
NPI:1710864087
Name:MACHADO, ASHLEY NICHOLE (PPS CREDENTIAL)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NICHOLE
Last Name:MACHADO
Suffix:
Gender:F
Credentials:PPS CREDENTIAL
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:NICHOLE
Other - Last Name:EVERETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PPS CREDENTIAL
Mailing Address - Street 1:1320 HENLEY PKWY
Mailing Address - Street 2:
Mailing Address - City:PATTERSON
Mailing Address - State:CA
Mailing Address - Zip Code:95363-8800
Mailing Address - Country:US
Mailing Address - Phone:209-892-4700
Mailing Address - Fax:
Practice Address - Street 1:1320 HENLEY PKWY
Practice Address - Street 2:
Practice Address - City:PATTERSON
Practice Address - State:CA
Practice Address - Zip Code:95363-8800
Practice Address - Country:US
Practice Address - Phone:209-892-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool