EL DORADO COUNTY MENTAL HEALTH (NPI# 1518178193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518178193 |
| Entity Type | Organization |
| Organization Name | EL DORADO COUNTY MENTAL HEALTH |
| Practice Address |
768 Pleasant Valley Road, Suite 201 Diamond Springs CA 95619 |
| Practice Telephone | 5306216290 |
| Practice Fax Number | 5306221293 |
| Mailing Telephone | 5306216290 |
| Mailing Fax Number | 5306221293 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-10-07 |
| Authorized Official Name | NICOLE EBRAHIMI-NUYKEN (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Telephone | 5306216545 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063838076 | El Dorado County Mental Health | Point of Service | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2014-03-14 |
| 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 ROAD, SUITE 201 |
| City | DIAMOND SPRINGS |
| State | CA |
| Zip Code | 95619 |
| 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 |
| 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 |
| 1639237076 | Lisa Marie Arnold | Marriage & Family Therapist | 768 Pleasant Valley Rd. Ste. 201, Diamond Springs, CA 95619 | 2006-12-05 |
| Find all providers in zip 95619 | ||||
| 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 |
|---|---|---|---|---|
| 1316158082 | El Dorado County Mental Health | Clinic/Center | 768 Pleasant Valley Road, Diamond Springs, CA 95619 | 2007-05-24 |
| 1730304023 | Robert Edward Price | Clinic/Center | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2007-04-13 |
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| 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 | ||||
| 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.