CONTRA COSTA COUNTY (NPI# 1124198700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124198700 |
| Entity Type | Organization |
| Organization Name | CONTRA COSTA COUNTY |
| Other Organization Name | JUVENILE PROBATION MENTAL HEALTH SERVICES |
| Practice Address |
202 Glacier Dr Martinez CA 94553-4826 |
| Mailing Address |
50 Douglas Dr Suite 391 Martinez CA 94553-4098 |
| Practice Telephone | 9259575429 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2010-05-03 |
| Authorized Official Name | PATRICK M. GODLEY (COO CFO) |
| Authorized Official Telephone | 9259575405 |
| Is Organization Subpart | Y |
| Parent Organization Name | CONTRA COSTA COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MENTAL HEALTH | 07DU | 01 |
| Other Name | Type Code |
|---|---|
| Juvenile Probation Mental Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962062745 | Contra Costa County | Clinic/Center | 1160 Brickyard Cove Rd Ste 111, Point Richmond, CA 94801-4112 | 2019-06-14 |
| 1558829820 | Contra Costa County | Clinic/Center | 395 Taylor Blvd Ste 200, Pleasant Hill, CA 94523-2290 | 2019-03-06 |
| 1093229882 | Contra Costa County | Lodging | 845b Brookside Dr, Richmond, CA 94801-1310 | 2017-12-01 |
| 1467966259 | Contra Costa County | Lodging | 847 Brookside Dr Ste C, Richmond, CA 94801-1314 | 2017-12-01 |
| 1659885440 | Contra Costa County | Respite Care | 2047d Arnold Industrial Way, Concord, CA 94520-5342 | 2017-12-01 |
| 1295249399 | Contra Costa County | Counselor | 2047c Arnold Industrial Way, Concord, CA 94520-5342 | 2017-11-28 |
| 1447602693 | Contra Costa County | Early Intervention Provider Agency | 4427 Horseshoe Cir, Antioch, CA 94531-8136 | 2016-07-11 |
| 1316339609 | Contra Costa County | Ambulance | 2010 Geary Rd, Pleasant Hill, CA 94523-4619 | 2015-02-24 |
| 1205152782 | Contra Costa County | Clinic/Center | 2425 Bisso Lane, Suite 100, Concord, CA 94520-4817 | 2010-04-09 |
| 1336214642 | Contra Costa County | Clinic/Center | 1860 Silverwood Dr, Concord, CA 94519-1351 | 2006-11-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CONTRA COSTA COUNTY OF HEALTH SERVICES HAZARDO | 4585 Pacheco Blvd, Martinez, CA 94553-2226 |
| System for Award Management (SAM) Entities | CONTRA COSTA COUNTY OFFICE OF EDUCATION | 77 Santa Barbara Rd, Pleasant Hill, CA 94523-4215 |
| Street Address |
202 GLACIER DR |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-4826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205480019 | Kiira Noelle Poux | Student in an Organized Health Care Education/Training Program | 202 Glacier Dr, Martinez, CA 94553-4826 | 2019-07-30 |
| 1902467301 | Nadine Donaldson | Student in an Organized Health Care Education/Training Program | 202 Glacier Dr, Martinez, CA 94553-4826 | 2019-06-26 |
| 1902333891 | Melissa Harlow | Student in an Organized Health Care Education/Training Program | 202 Glacier Dr, Martinez, CA 94553-4826 | 2017-05-22 |
| 1255715900 | Kathryn Rosenberg | Counselor | 202 Glacier Dr, Martinez, CA 94553-4826 | 2015-07-13 |
| 1871912246 | Michele Dubowick | Marriage & Family Therapist | 202 Glacier Dr, Martinez, CA 94553-4826 | 2014-04-14 |
| 1144656315 | Christine Elizabeth Gerchow | Psychologist | 202 Glacier Dr, Martinez, CA 94553-4826 | 2013-09-19 |
| 1124454731 | Catherine Mary Cahill | Counselor | 202 Glacier Dr, Martinez, CA 94553-4826 | 2013-09-16 |
| 1285912006 | Genevieve Ann Green | Marriage & Family Therapist | 202 Glacier Dr, Martinez, CA 94553-4826 | 2011-07-27 |
| 1811122260 | Jean John Powers | Psychologist | 202 Glacier Dr, Martinez, CA 94553-4826 | 2009-05-28 |
| 1164662136 | Cassandra Nguyen | Counselor | 202 Glacier Dr, Martinez, CA 94553-4826 | 2009-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639572522 | Andrea Nicole Griffin | Clinic/Center | 1210 Alhambra Ave, Martinez, CA 94553-2300 | 2014-10-06 |
| 1184761017 | Ywca of Contra Costa & Sacramento | Clinic/Center | 1320 Arnold Dr, Suite 170, Martinez, CA 94553-6537 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527041 | M. Attarian A Marriage and Family Therapy Professional Corporation | Clinic/Center | 433 N Camden Dr Ste 400, Beverly Hills, CA 90210-4408 | 2020-10-29 |
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1013523174 | Vitalis Wellness Center Inc. | Clinic/Center | 1519 Constitution Blvd Apt 201, Salinas, CA 93906-3150 | 2020-09-23 |
| 1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
| 1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
| 1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
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| 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.