JAIL SERVICES (NPI# 1629112743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629112743 |
| Entity Type | Organization |
| Organization Name | JAIL SERVICES |
| Other Organization Name | HEALTH SERVICES AGENCY-MENTAL HEALTH DIVISION |
| Practice Address |
259 Water St Santa Cruz CA 95060-4009 |
| Mailing Address |
1400 Emeline Ave Santa Cruz CA 95060-1976 |
| Practice Telephone | 8314544170 |
| Mailing Telephone | 8314544170 |
| Mailing Fax Number | 8314544663 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | RAMA KHALSA (HEALTH SERVICES AGENCY DIRECTOR) |
| Authorized Official Telephone | 8314544000 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF SANTA CRUZ |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
CA | Ambulatory Health Care Facilities | |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LEGAL ENTITIY NPI# | 1659315430 | 01 |
| CA | 44AE | 05 |
| Other Name | Type Code |
|---|---|
| Health Services Agency-Mental Health Division | Doing Business As Name - Organization |
| Street Address |
259 WATER ST |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| 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 |
|---|---|---|---|---|
| 1811175201 | Encompass Community Services | Clinic/Center | 542 Ocean St Ste K, Santa Cruz, CA 95060-6622 | 2008-02-07 |
| 1447474853 | Encompass Community Services | Clinic/Center | 941 El Dorado Ave, Santa Cruz, CA 95062-2863 | 2007-04-13 |
| 1821133695 | Puentes North | Clinic/Center | 115a Coral St, Santa Cruz, CA 95060-2104 | 2007-02-20 |
| 1093914483 | Fee-for-service Lcsw | Clinic/Center | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2007-07-16 |
| 1568660025 | Fee-for-service Psychiatrist | Clinic/Center | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2007-07-06 |
| 1730387200 | Fee-for-service Mfcc | Clinic/Center | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2007-07-06 |
| 1457559924 | County of Santa Cruz | Clinic/Center | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2007-07-06 |
| 1366640831 | Fee-for-service-mixed Specialty Group | Clinic/Center | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2007-07-06 |
| 1477751931 | Fee-for-service Psychologist | Clinic/Center | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2007-07-06 |
| 1548304660 | County of Santa Cruz | Clinic/Center | 1400 Emeline Ave, 2nd Floor, Santa Cruz, CA 95060-1976 | 2007-02-20 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
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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.