EL DORADO COUNTY MENTAL HEALTH (NPI# 1063838076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063838076 |
Entity Type | Organization |
Organization Name | EL DORADO COUNTY MENTAL HEALTH |
Practice Address |
768 Pleasant Valley Rd Ste 201 Diamond Springs CA 95619-9260 |
Mailing Address |
768 Pleasant Valley Rd Diamond Springs CA 95619-9260 |
Practice Telephone | 5306226290 |
Enumeration Date | 2014-03-14 |
Last Update Date | 2014-03-14 |
Authorized Official Name | PATRICIA JUDITH CHARLES-HEATHERS (ASSISTANT DIRECTOR OF HEALTH SERVIC) |
Authorized Official Telephone | 5306216270 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305S00000X | Point of Service | Managed Care Organizations |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518178193 | El Dorado County Mental Health | Clinic/Center | 768 Pleasant Valley Road, Suite 201, Diamond Springs, CA 95619 | 2007-05-24 |
1528210598 | El Dorado County Mental Health | Point of Service | 670 Placerville Dr, Placerville, CA 95667-4200 | 2008-10-21 |
1528233996 | El Dorado County Mental Health | Clinic/Center | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2008-04-28 |
1811174329 | El Dorado County Mental Health | Community/Behavioral Health | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2008-01-28 |
1356531230 | El Dorado County Mental Health | Health Maintenance Organization | 344 Placerville Dr, Placerville, CA 95667-3920 | 2007-07-27 |
1346441417 | El Dorado County Mental Health | Clinic/Center | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2007-05-29 |
1316158082 | El Dorado County Mental Health | Clinic/Center | 768 Pleasant Valley Road, Diamond Springs, CA 95619 | 2007-05-24 |
1770706509 | El Dorado County Mental Health | Point of Service | 2808 Mallard Lane, Suite C, Placerville, CA 95667 | 2007-04-10 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | EL DORADO COUNTY MENTAL HEALTH DAY REHAB | 344 Placerville Dr Ste 20, Placerville, CA 95667-3972 |
Street Address |
768 PLEASANT VALLEY RD STE 201 |
City | DIAMOND SPRINGS |
State | CA |
Zip Code | 95619-9260 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851446348 | Nicoleta Vogel | Physician Assistant | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2007-01-24 |
1740806074 | Crystal Martha Castech-tobias | Licensed Psychiatric Technician | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2020-06-23 |
1093334757 | Logan Taylor Hayes | Case Manager/Care Coordinator | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2020-04-13 |
1336772409 | Sheilee Enid Fuss | Counselor | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2020-02-18 |
1861952475 | Laura Frances Volk | Counselor | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2019-03-20 |
1114498441 | Kitty Kelsey Ahrens | Counselor | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2018-12-16 |
1912477373 | Yuliya Kyrylyuk | Counselor | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2018-11-28 |
1457829954 | Danny M Marquez | Counselor | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2018-11-02 |
1730604091 | Nora Mae Mays | Counselor | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2017-08-08 |
1497207153 | Taylor Barnette | Licensed Psychiatric Technician | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2016-10-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265916092 | John Bruce Quantrille | Licensed Vocational Nurse | 555 Arlette Arlette Lane, Diamond Springs, CA 95619 | 2018-09-18 |
1831611763 | Paul Canova Boice | Counselor | 3120 Freeboard Drive, Suite 102, West Sacramento, CA 95619 | 2017-07-12 |
1912397126 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4229 Toyan Dr, Diamond Springs, CA 95619 | 2015-01-26 |
1457699654 | Emma Curtiss | Social Worker | 768 Pleasant Valley Rd., Diamond Springs, CA 95619 | 2013-01-22 |
1568715704 | Cheryl Turnboo | Behavioral Analyst | 337 Griffith Road, Diamond Springs, CA 95619 | 2012-10-25 |
1528341039 | Michaela Renee Johnson | Counselor | 4224 Fowler Ln, Diamond Springs, CA 95619 | 2011-09-21 |
1518178193 | El Dorado County Mental Health | Clinic/Center | 768 Pleasant Valley Road, Suite 201, Diamond Springs, CA 95619 | 2007-05-24 |
1760694707 | John Carberry II | Counselor | 6692-b Merchandise Way, Diamond Springs, CA 95619 | 2007-05-03 |
1144343609 | Sierra Child and Family Services | Community/Behavioral Health | 4250 Fowler Ln. Suite 204, Diamond Springs, CA 95619 | 2007-04-09 |
1689790404 | Celia Sabra Mason-douglas | Marriage & Family Therapist | 6201 Enterprise Dr, Diamond Springs, CA 95619 | 2007-03-22 |
Find all providers in zip 95619 |
Taxonomy Code | 305S00000X |
Grouping | Managed Care Organizations |
Classification | Point of Service |
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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Find all providers with the same taxonomy |
City | DIAMOND SPRINGS |
Zip Code | 95619 |
Please comment or provide details below to improve the information on EL DORADO COUNTY MENTAL HEALTH.
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.