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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
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 |
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 |
1900 LAKE TAHOE BLVD |
City | SOUTH LAKE TAHOE |
State | CA |
Zip Code | 96150-6305 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 96150 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
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] |
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 |
Find all providers with the same taxonomy |
City | SOUTH LAKE TAHOE |
Zip Code | 96150 |
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.