COUNTY OF MENDOCINO (NPI# 1477985091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477985091 |
Entity Type | Organization |
Organization Name | COUNTY OF MENDOCINO |
Other Organization Name | HHSA-FAMILY AND CHILDREN'S SERVICES |
Practice Address |
727 S State St Ukiah CA 95482-5815 |
Practice Telephone | 7074637919 |
Mailing Telephone | 7074637919 |
Enumeration Date | 2013-08-06 |
Last Update Date | 2013-08-06 |
Authorized Official Name | MS. VENUS HOAGLEN (STAFF SERVICES ADMINISTRATOR) |
Authorized Official Telephone | 7074722365 |
Is Organization Subpart | Y |
Parent Organization Name | COUNTY OF MENDOCINO |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
HHSA-Family and Children's Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366868671 | County of Mendocino | Community/Behavioral Health | 474 E. Valley Street, Willits, CA 95490-3635 | 2014-03-11 |
1407080898 | County of Mendocino | Clinic/Center | 405 Observatory Ave, Ukiah, CA 95482-5641 | 2009-05-13 |
1710016829 | County of Mendocino | Case Management | 518 Low Gap Rd, Ukiah, CA 95482-3735 | 2007-03-05 |
1063558823 | County of Mendocino | Public Health or Welfare | 221 S Lenore Ave, Willits, CA 95490-3632 | 2007-01-29 |
1528104387 | County of Mendocino | Public Health or Welfare | 790 S Franklin St, Fort Bragg, CA 95437-5456 | 2007-01-29 |
1588730642 | County of Mendocino | Clinic/Center | 860 N Bush St, Ukiah, CA 95482-3919 | 2006-11-28 |
1265858575 | County of Mendocino | Community/Behavioral Health | 727 S. State Street, Ukiah, CA 95482-5815 | 2014-03-11 |
1831478148 | County of Mendocino | Clinic/Center | 790 S Franklin St, Suite #b, Fort Bragg, CA 95437-5456 | 2011-08-04 |
1780818179 | County of Mendocino | Clinic/Center | 2240 Old River Rd, Ukiah, CA 95482-6103 | 2009-05-13 |
1649468968 | County of Mendocino | Public Health or Welfare | 518 Low Gap Rd, Ukiah, CA 95482-3735 | 2007-10-11 |
Street Address |
727 S STATE ST |
City | UKIAH |
State | CA |
Zip Code | 95482-5815 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396952123 | Troyle Tognoli | Case Manager/Care Coordinator | 727 S State St, Ukiah, CA 95482-5815 | 2007-05-17 |
1578925574 | Patrick Spielman | Marriage & Family Therapist | 727 S State St, Ukiah, CA 95482-5815 | 2016-03-28 |
1336511658 | George Hans Froschl | Counselor | 727 S State St, Ukiah, CA 95482-5815 | 2015-10-26 |
1942557012 | Patricia Elizabeth Messner | Counselor | 727 S State St, Ukiah, CA 95482 | 2012-08-08 |
1023269388 | Clifford Ross Landis | Marriage & Family Therapist | 727 S State St, Ukiah, CA 95482-5815 | 2008-10-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
Find all providers in zip 95482 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
1558702795 | Redwood Community Services, Inc | Community/Behavioral Health | 800 N. State Street, (rcs - Mffa / Tfc), Ukiah, CA 95482 | 2013-07-16 |
1972776904 | Tapestry Family Services, Inc. | Community/Behavioral Health | 201a E Gobbi St, Ukiah, CA 95482-5513 | 2008-04-10 |
1770705139 | Couty of Mendocino | Community/Behavioral Health | 1011 Low Gap Road, Ukiah, CA 95482 | 2007-05-03 |
1932242310 | Tapestry Family Services | Community/Behavioral Health | 3800 Low Gap Rd, Ukiah, CA 95482-3740 | 2007-02-15 |
1932241833 | Tapestry Family Services | Community/Behavioral Health | 169 Mason St Ste 300, Ukiah, CA 95482-4483 | 2007-02-14 |
1265858575 | County of Mendocino | Community/Behavioral Health | 727 S. State Street, Ukiah, CA 95482-5815 | 2014-03-11 |
1508296989 | Tapestry Family Services | Community/Behavioral Health | 1011 Low Gap Road, Ukiah, CA 95482 | 2013-11-20 |
1831523091 | Manzanita Services Inc. | Community/Behavioral Health | 410 Jones St Ste C1, Ukiah, CA 95482-5491 | 2013-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
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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.