COUNTY OF SACRAMENTO (NPI# 1033285655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033285655 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SACRAMENTO |
| Other Organization Name | FULTON MENTAL HEALTH SERVICES |
| Practice Address |
2700 Fulton Ave Sacramento CA 95821-5102 |
| Mailing Address |
7001a East Pkwy Suite 400 Sacramento CA 95823-2501 |
| Practice Telephone | 9168743800 |
| Practice Fax Number | 9168741241 |
| Mailing Telephone | 9168754948 |
| Mailing Fax Number | 9168756970 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2014-09-25 |
| Authorized Official Name | UMA ZYKOFSKY (DEPUTY DIRECTOR) |
| Authorized Official Telephone | 9168759904 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 8481 | 05 |
| Other Name | Type Code |
|---|---|
| Fulton Mental Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435631 | County of Sacramento | Clinic/Center | 651 I Street, Sacramento, CA 95814 | 2019-12-26 |
| 1396114104 | County of Sacramento | Clinic/Center | 1215 Del Paso Blvd, Sacramento, CA 95815-3608 | 2015-09-22 |
| 1285061663 | County of Sacramento | Case Management | 7001 East Pkwy Ste 250a, Sacramento, CA 95823-2501 | 2013-10-01 |
| 1619271129 | County of Sacramento | Clinic/Center | 1321 North C Street, Sacramento, CA 95811 | 2010-12-28 |
| 1225356819 | County of Sacramento | Clinic/Center | 2140 Stockton Blvd, Sacramento, CA 95817-1337 | 2010-05-07 |
| 1548495906 | County of Sacramento | Clinic/Center | 2130 & 2140 Stockton Blvd, Sacramento, CA 95817-1337 | 2009-05-28 |
| 1366613291 | County of Sacramento | Community/Behavioral Health | 4990 Stockton Blvd, Sacramento, CA 95820-5406 | 2008-03-19 |
| 1457427072 | County of Sacramento | Clinic/Center | 1590 A St, Sacramento, CA 95814-0600 | 2006-11-27 |
| 1942376561 | County of Sacramento | Clinic/Center | 1725 28th St, Sacramento, CA 95816-6919 | 2006-11-27 |
| 1366518987 | County of Sacramento | Clinic/Center | 2450 Florin Rd, Sacramento, CA 95822-4405 | 2006-11-27 |
| Street Address |
2700 FULTON AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95821-5102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100717 | Denise Renee Landgraf | Licensed Vocational Nurse | 3615 Marconi Ave, Sacramento, CA 95821 | 2020-10-05 |
| 1770053258 | Oksana A Shutkova | Behavior Technician | 2823 El Camino Avenue, Appt #19, Sacramento, CA 95821 | 2018-11-28 |
| 1871063420 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 3800 Watt Avenue Suite 151, Sacramento, CA 95821 | 2018-11-27 |
| 1386123438 | Rene William Villanueva | Marriage & Family Therapist | 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 | 2018-08-09 |
| 1558853135 | Behavioral Health Solutions of The Pacific | Clinic/Center | 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 | 2018-05-31 |
| 1679064091 | Carrissa Jean Angelique Bishop | Counselor | 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 | 2018-05-21 |
| 1164943049 | Vanessa Selene Tinajero | Social Worker | 3615 Macorni Ave, Sacramento, CA 95821 | 2017-06-30 |
| 1316488562 | Lucas Hansen | Student in an Organized Health Care Education/Training Program | 3007 Clairidge Oak Ct, Sacramento, CA 95821 | 2017-03-20 |
| 1215383054 | Mark Brufladt | Physical Therapy Assistant | 3548 Ardmore Rd, Sacramento, CA 95821 | 2016-05-11 |
| 1053782789 | Marianna Jakucska | Marriage & Family Therapist | 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 | 2015-10-07 |
| Find all providers in zip 95821 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467898106 | Reset Youth Treatment Enterprises | Clinic/Center | 3725 Marysville Boulevard, Suite 337, Sacramento, CA 95838 | 2013-05-21 |
| 1427325240 | Sacramento Children's Home | Clinic/Center | 2751 Wilmington Ave, Sacramento, CA 95820 | 2011-11-22 |
| 1225356819 | County of Sacramento | Clinic/Center | 2140 Stockton Blvd, Sacramento, CA 95817-1337 | 2010-05-07 |
| 1255537536 | River Oak Center for Children | Clinic/Center | 1238 S Street, Sacramento, CA 95814 | 2007-06-25 |
| 1992913883 | Heartland Child & Family Services | Clinic/Center | 477 Las Palmas Ave, Sacramento, CA 95815-1605 | 2007-05-21 |
| 1093921009 | Chw Medical Foundation | Clinic/Center | 3066 Freeport Blvd, Sacramento, CA 95818-4349 | 2007-05-15 |
| 1932314184 | Asian Pacific Community Counseling | Clinic/Center | 7273 14th Ave, Suite 120-b, Sacramento, CA 95820 | 2007-05-11 |
| 1598811952 | River Oak Center for Children | Clinic/Center | 2751 9th Ave, Sacramento, CA 95818-4406 | 2007-01-26 |
| 1780730143 | River Oak Center for Chilren | Clinic/Center | 7322 Florinda Way, Sacramento, CA 95828-4015 | 2007-01-26 |
| 1730234907 | River Oak Center for Children | Clinic/Center | 4322 4th Ave, Sacramento, CA 95817-3023 | 2007-01-25 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95821 |
Please comment or provide details below to improve the information on COUNTY OF SACRAMENTO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.