EL DORADO COUNTY MENTAL HEALTH


Address: 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305
Phone: 5305733251

EL DORADO COUNTY MENTAL HEALTH (NPI# 1528233996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528233996
Entity Type Organization
Organization Name EL DORADO COUNTY MENTAL HEALTH
Practice Address 1900 Lake Tahoe Blvd
South Lake Tahoe
CA 96150-6305
Practice Telephone 5305733251
Mailing Telephone 5305733251
Enumeration Date 2008-04-28
Last Update Date 2008-04-28
Authorized Official Name SALLY WILIAMS (LCSW/PROGRAM COORDINATOR)
Authorized Official Telephone 5305733251
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider IDs and Locations

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
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
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

Other Data Sources

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

Office Location

Street Address 1900 LAKE TAHOE BLVD
City SOUTH LAKE TAHOE
State CA
Zip Code 96150-6305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942304365 Sabrina Owen Marriage & Family Therapist 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150 2006-09-08
1477169605 Keith John Tanenbaum Counselor 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 2020-09-22
1316578701 Nicole Marie Vandehurst Counselor 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 2020-02-04
1336796838 Jacob Daniel Rodgers Counselor 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 2019-08-20
1962057398 Anna Kathryn Lee Marriage & Family Therapist 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 2019-08-02
1629583802 Jake Diaz Counselor 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 2017-12-09
1467965111 Shelby Elizabeth Sgamma Counselor 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 2017-11-15
1558890699 Cheryl Marie Frawley Social Worker 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 2017-06-11
1124557509 Haley Catherine Turner Counselor 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 2017-06-08
1750810289 Michaela Murphy Counselor 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 2017-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750818969 Terri Wong Behavior Technician 908 Alameda Ave, #b, South Lake Tahoe, CA 96150 2017-05-18
1154735157 Catherine Anne Jones Dental Hygienist 1088 4th St # 6, South Lake Tahoe, CA 96150 2014-06-17
1245663194 Sheila Marie Gwin Behavioral Analyst 2111south Ave, South Lake Tahoe, CA 96150 2013-08-14
1164785598 Launa Jean Martin Doula 1399 Bozeman Dr, South Lake Tahoe, CA 96150 2012-06-20
1881957355 Elizabeth Marilyn Mcnamara Emergency Medicine Barton Memorial Hospital, 2107 South Ave, South Lake Tahoe, CA 96150 2012-06-20
1295034627 Dana Elizabeth Cox Chiropractor 3097 Harrison Ave., # 202, S. Lake Tahoe, CA 96150 2011-03-24
1639485162 April Lyn Westfall Dentist 3358 Sandy Way, # B, S Lake Tahoe, CA 96150 2010-08-21
1700199270 Rollie E Rohnow Pharmacist 1020 Al Tahoe Blvd, Rite Aid Pharmacy, South Lake Tahoe, CA 96150 2010-07-26
1699000455 Ellen Newell Mccullough Physical Therapist 1900 High Meadow Trail, South Lake Tahoe, CA 96150 2009-10-13
1093941148 Ashley Elizabeth Bedell Counselor 1137 Emerald Bay Rd., South Lake Tahoe, CA 96150 2009-06-03
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598365652 Hearts for Sight Foundation Clinic/Center 1540 Prospect Ave Apt A, San Gabriel, CA 91776-4484 2020-10-28
1679172290 Cyti Psychology PC Clinic/Center 3025 Calico St, Santee, CA 92071-5678 2020-10-23
1427655810 An Elegant Sufficiency, A Psychological Corporation Clinic/Center 672 W 11th St Ste 354, Tracy, CA 95376-3821 2020-10-08
1184231508 Rh Community Builders Lp. Clinic/Center 1040 N Pleasant Ave, Fresno, CA 93728-2434 2020-09-29
1730795337 Full Circle Psychotherapy Clinic/Center 6741 Sebastopol Ave Ste 110, Sebastopol, CA 95472-3838 2020-09-18
1871108928 Executive Recovery Group, Inc Clinic/Center 77725 Enfield Ln Ste 200, Palm Desert, CA 92211-0468 2020-09-14
1619581337 Family Tree Psychology Group Inc. Clinic/Center 3655 Grand Ave, Oakland, CA 94610-2009 2020-09-01
1306459029 Lisa Eaton Therapy and Coaching, A Licensed Clinical Social Worker Cor Clinic/Center 3014 Lupine, Lake Forest, CA 92630-8439 2020-08-24
1972112712 County of Kern Clinic/Center 316 Kentucky, Bakersfield, CA 93305 2020-07-28
1417566605 Freedom Family Counseling Group Corp. Clinic/Center 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 2020-07-23
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Competitor

Search similar providers

City SOUTH LAKE TAHOE
Zip Code 96150

Improve Information

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Dataset Information

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.

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