CENTRAL COUNTY MENTAL HEALTH SERVICES (NPI# 1710165048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710165048 |
| Entity Type | Organization |
| Organization Name | CENTRAL COUNTY MENTAL HEALTH SERVICES |
| Practice Address |
3080 La Selva St San Mateo CA 94403-2109 |
| Practice Telephone | 6505732201 |
| Practice Fax Number | 6505729347 |
| Mailing Telephone | 6505732201 |
| Mailing Fax Number | 6505729347 |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |
| Authorized Official Name | MS. ELEANOR VALDES DWYER (UNIT CHIEF) |
| Authorized Official Telephone | 6505732404 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | SAN MATEO COUNTY BEHAVIORAL AND RECOVERY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | 696582 | CA | Agencies |
| Street Address |
3080 LA SELVA ST |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326103300 | John J Marin | Marriage & Family Therapist | 3080 La Selva St, San Mateo, CA 94403-2109 | 2006-12-27 |
| 1063681146 | Roniqua D. Cook-greene | Marriage & Family Therapist | 3080 La Selva St, San Mateo, CA 94403-2109 | 2008-02-22 |
| 1497933642 | Jason Deibel | Registered Nurse | 3080 La Selva St, San Mateo, CA 94403-2109 | 2008-02-08 |
| 1912184672 | Ivana Steigman | Student in an Organized Health Care Education/Training Program | 3080 La Selva St, San Mateo, CA 94403-2109 | 2008-01-24 |
| 1386820132 | Debra Finch | Community Health Worker | 3080 La Selva St, San Mateo, CA 94403-2109 | 2008-01-10 |
| 1972787125 | Lisa Brooks Slede | Marriage & Family Therapist | 3080 La Selva St, San Mateo, CA 94403-2109 | 2007-12-24 |
| 1760670616 | Taha Mustafa Abdelwahhab | Registered Nurse | 3080 La Selva St, San Mateo, CA 94403-2109 | 2007-10-04 |
| 1811183619 | Fusun K Teregul | Counselor | 3080 La Selva St, San Mateo, CA 94403-2109 | 2007-09-14 |
| 1811197189 | Heather Alison Harms | Registered Nurse | 3080 La Selva St, San Mateo, CA 94403-2109 | 2007-07-24 |
| 1932310521 | Patricia Genevieve Arca | Registered Nurse | 3080 La Selva St, San Mateo, CA 94403-2109 | 2007-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
| 1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
| 1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
| 1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
| 1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
| 1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
| 1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
| 1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
| 1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
| 1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
| Find all providers in zip 94403 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134401953 | Addus Healthcare, Inc. | Nursing Care | 1730 S Amphlett Blvd Ste 144, San Mateo, CA 94402-2709 | 2011-09-19 |
| 1881838449 | Good Shepherd Holdings Corp | Nursing Care | 16 E 3rd Ave, Suite 4, San Mateo, CA 94401-4033 | 2009-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821224 | Discovery Health Services | Nursing Care | 5726 La Jolla Blvd Ste 104, La Jolla, CA 92037-7342 | 2020-11-04 |
| 1457959496 | Meditas Corporation | Nursing Care | 4068 Park Vista Dr, Pasadena, CA 91107-1322 | 2020-10-13 |
| 1659978328 | La Tanya Wallace | Nursing Care | 3111 Camino Del Rio N Ste 4th, San Diego, CA 92108-5720 | 2020-10-06 |
| 1548874654 | Integral Advanced Nursing Services Corporation | Nursing Care | 4138 Towhee Dr, Calabasas, CA 91302-1823 | 2020-09-04 |
| 1295349777 | Tryfacta, Inc. | Nursing Care | 4637 Chabot Dr Ste 100, Pleasanton, CA 94588-2753 | 2020-09-02 |
| 1174135982 | Queens Manor 2 Home Care | Nursing Care | 248 Amelia Ct, Vista, CA 92084-2587 | 2020-08-21 |
| 1518579192 | Core Nursing, Inc. | Nursing Care | 1513 Portia St, Los Angeles, CA 90026-2651 | 2020-08-17 |
| 1316569189 | Sri Sai Krish Institute | Nursing Care | 12362 Beach Blvd Ste 14, Stanton, CA 90680-3957 | 2020-05-14 |
| 1669008934 | Angenida Hospice LLC | Nursing Care | 14081 Yorba St Ste 201, Tustin, CA 92780-2011 | 2020-03-19 |
| 1396379244 | Beckett Enterprise | Nursing Care | 900 Kincaid Ave # K8, Inglewood, CA 90302-2021 | 2020-03-01 |
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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.