SHASTA COUNTY (NPI# 1194272369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194272369 |
| Entity Type | Organization |
| Organization Name | SHASTA COUNTY |
| Other Organization Name | WOODLANDS |
| Practice Address |
2950 Polk Street Rooms 2, 3, 4 Redding CA 96001 |
| Mailing Address |
2640 Breslauer Way Redding CA 96001-4246 |
| Practice Telephone | 5302255200 |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2017-08-28 |
| Authorized Official Name | MR. DONNELL EWERT (DIRECTOR OF MENTAL HEALTH) |
| Authorized Official Telephone | 5302456750 |
| Authorized Official Credential | MPH |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF SHASTA |
| 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 |
| Other Name | Type Code |
|---|---|
| Woodlands | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023395662 | Shasta County | Clinic/Center | 1620/1624 Market St, Redding, CA 96001-1021 | 2011-11-10 |
| 1679850358 | Shasta County | Clinic/Center | 1544 Magnolia Ave, Redding, CA 96001-1515 | 2011-11-09 |
| 1558410811 | Shasta County | Community/Behavioral Health | 1550 California St, Redding, CA 96001-1003 | 2007-01-09 |
| 1134589260 | Shasta County | Clinic/Center | 1100 Butte St, Redding, CA 96001-0852 | 2016-03-02 |
| 1306206438 | Shasta County | Clinic/Center | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2016-03-02 |
| 1225495310 | Shasta County | Case Management | 2640 Breslauer Way, Redding, CA 96001-4246 | 2016-01-21 |
| 1841568094 | Shasta County | Clinic/Center | 3711 Oasis Rd, Redding, CA 96003-0397 | 2011-12-02 |
| 1639336860 | Shasta County | Community Based Residential Treatment Facility, Mental Illness | 2640 Breslauer Way, Redding, CA 96001-4246 | 2008-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SHASTA COUNTY CHEMICAL PEOPLE INC | 2280 Benton Dr Ste A, Redding, CA 96003-5362 |
| System for Award Management (SAM) Entities | SHASTA COUNTY CHILD ABUSE | 2280 Benton Dr Bldg C Ste B, Redding, CA 96003-5349 |
| System for Award Management (SAM) Entities | SHASTA COUNTY HEAD START CHILD DEVELOPMENT, INC. | 375 Lake Blvd Ste 100, Redding, CA 96003-2504 |
| System for Award Management (SAM) Entities | SHASTA COUNTY OFFICE OF EDUCATION | 1644 Magnolia Ave, Redding, CA 96001-1513 |
| System for Award Management (SAM) Entities | SHASTA COUNTY PROBATION DEPT | 2684 Radio Ln, Redding, CA 96001-4232 |
| System for Award Management (SAM) Entities | SHASTA COUNTY SHERIFF | 300 Park Marina Cir, Redding, CA 96001-0964 |
| Street Address |
2950 POLK STREET ROOMS 2, 3, 4 |
| City | REDDING |
| State | CA |
| Zip Code | 96001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| 1093078586 | Randal Lee Bartholomew | Community/Behavioral Health | 1237 California St., Redding, CA 96001 | 2012-06-19 |
| Find all providers in zip 96001 | ||||
| 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 |
|---|---|---|---|---|
| 1003452905 | Omar Tejada | Clinic/Center | 2640 Breslauer Way, Redding, CA 96001-4246 | 2019-11-26 |
| 1831699396 | Guidepost Marriage Therapy Inc | Clinic/Center | 1650 Oregon St Ste 216, Redding, CA 96001-1757 | 2018-02-20 |
| 1134589260 | Shasta County | Clinic/Center | 1100 Butte St, Redding, CA 96001-0852 | 2016-03-02 |
| 1306206438 | Shasta County | Clinic/Center | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2016-03-02 |
| 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.