SAN MATEO COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES (NPI# 1528432481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528432481 |
| Entity Type | Organization |
| Organization Name | SAN MATEO COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES |
| Other Organization Name | SHASTA |
| Practice Address |
727 Shasta St Redwood City CA 94063-2124 |
| Practice Telephone | 6505991033 |
| Mailing Telephone | 6505991033 |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | SCOTT GILMAN (DIRECTOR) |
| Authorized Official Telephone | 6505732748 |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF SAN MATEO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Shasta | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710404819 | San Mateo County Behavioral Health and Recovery Services | Clinic/Center | 400 Murchison Dr, Millbrae, CA 94030-3024 | 2017-08-29 |
| 1063939171 | San Mateo County Behavioral Health and Recovery Services | Clinic/Center | 1501 Magnolia Ave, San Bruno, CA 94066-5451 | 2017-08-29 |
| 1851799266 | San Mateo County Behavioral Health and Recovery Services | Community/Behavioral Health | 2277 University Ave, East Palo Alto, CA 94303-1717 | 2014-12-17 |
| Street Address |
727 SHASTA ST |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609997436 | Maria Tan | Occupational Therapist | 727 Shasta St, Redwood City, CA 94063-2124 | 2007-04-02 |
| 1629694013 | Stefie C Dominguez | Student in an Organized Health Care Education/Training Program | 727 Shasta St, Redwood City, CA 94063-2124 | 2020-06-22 |
| 1699331280 | Sandra Janell Sahagun | Student in an Organized Health Care Education/Training Program | 727 Shasta St, Redwood City, CA 94063-2124 | 2019-05-19 |
| 1982269122 | Denise Angelica Berumen | Marriage & Family Therapist | 727 Shasta St, Redwood City, CA 94063-2124 | 2019-05-02 |
| 1225524507 | Robin Ann Greenblat | Student in an Organized Health Care Education/Training Program | 727 Shasta St, Redwood City, CA 94063 | 2018-07-10 |
| 1205289667 | Rebecca Degodoy | Social Worker | 727 Shasta St, Redwood City, CA 94063-2124 | 2016-07-20 |
| 1013384742 | Carla Maria Arellano | Counselor | 727 Shasta St, Redwood City, CA 94063-2124 | 2015-08-28 |
| 1659752012 | Abigail Monberg | Social Worker | 727 Shasta St, Redwood City, CA 94063-2124 | 2015-06-11 |
| 1427463041 | Imelda Jones | Counselor | 727 Shasta St, Redwood City, CA 94063-2124 | 2014-06-23 |
| 1306128681 | Sergio Mauricio Trejo | Counselor | 727 Shasta St, Suite 4900, Redwood City, CA 94063-2124 | 2011-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| 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 |
|---|---|---|---|---|
| 1023569357 | Catch Clinic | Community/Behavioral Health | 1694 Hampton Ave, Redwood City, CA 94061-2607 | 2016-10-21 |
| 1841566718 | Mental Health Association of San Mateo County | Community/Behavioral Health | 104 Cedar St, Redwood City, CA 94063-2104 | 2012-03-26 |
| 1093095150 | Starvista | Community/Behavioral Health | 609 Price Ave Ste 201, Redwood City, CA 94063-1403 | 2011-08-22 |
| 1467627034 | Redeemer Lutheran Church | Community/Behavioral Health | 468 Grand St, Redwood City, CA 94062-2062 | 2008-04-24 |
| 1568561058 | County of San Mateo | Community/Behavioral Health | 400 Edmonds Rd, Redwood City, CA 94062 | 2006-09-21 |
| 1356951750 | Christina Lansdown Marriage and Family Therapy | Community/Behavioral Health | 1060 El Camino Real Ste H, Redwood City, CA 94063-1645 | 2020-07-31 |
| 1508495532 | Medexpert International, Inc. | Community/Behavioral Health | 1300 Hancock St, Redwood City, CA 94063-2809 | 2020-04-02 |
| 1457807810 | Adolescent Counseling Services | Community/Behavioral Health | 643 Bair Island Rd, #301, Redwood City, CA 94063-2754 | 2016-08-26 |
| 1003269994 | Edgewood Center for Children and Families | Community/Behavioral Health | 604 Price Ave, Suite A and B, Redwood City, CA 94063 | 2016-07-15 |
| 1336413947 | Compass | Community/Behavioral Health | 617 Veterans Blvd Ste 204, Redwood City, CA 94063-1419 | 2012-02-28 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
Please comment or provide details below to improve the information on SAN MATEO COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES.
| 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.