CONTRA COSTA COUNTY (NPI# 1750509162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750509162 |
| Entity Type | Organization |
| Organization Name | CONTRA COSTA COUNTY |
| Other Organization Name | TRANSITIONAL SERVICES |
| Practice Address |
10 Douglas Dr Suite 140 Martinez CA 94553-4077 |
| Mailing Address |
50 Douglas Dr Suite 441 Martinez CA 94553-4098 |
| Practice Telephone | 9259575110 |
| Practice Fax Number | 9256469595 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2015-01-13 |
| Authorized Official Name | PATRICK GODLEY (COO CFO) |
| Authorized Official Telephone | 9259575405 |
| Is Organization Subpart | Y |
| Parent Organization Name | CONTRA COSTA COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DHCS | 07HN | 01 |
| Other Name | Type Code |
|---|---|
| Transitional Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962062745 | Contra Costa County | Clinic/Center | 1160 Brickyard Cove Rd Ste 111, Point Richmond, CA 94801-4112 | 2019-06-14 |
| 1558829820 | Contra Costa County | Clinic/Center | 395 Taylor Blvd Ste 200, Pleasant Hill, CA 94523-2290 | 2019-03-06 |
| 1093229882 | Contra Costa County | Lodging | 845b Brookside Dr, Richmond, CA 94801-1310 | 2017-12-01 |
| 1467966259 | Contra Costa County | Lodging | 847 Brookside Dr Ste C, Richmond, CA 94801-1314 | 2017-12-01 |
| 1659885440 | Contra Costa County | Respite Care | 2047d Arnold Industrial Way, Concord, CA 94520-5342 | 2017-12-01 |
| 1295249399 | Contra Costa County | Counselor | 2047c Arnold Industrial Way, Concord, CA 94520-5342 | 2017-11-28 |
| 1447602693 | Contra Costa County | Early Intervention Provider Agency | 4427 Horseshoe Cir, Antioch, CA 94531-8136 | 2016-07-11 |
| 1316339609 | Contra Costa County | Ambulance | 2010 Geary Rd, Pleasant Hill, CA 94523-4619 | 2015-02-24 |
| 1205152782 | Contra Costa County | Clinic/Center | 2425 Bisso Lane, Suite 100, Concord, CA 94520-4817 | 2010-04-09 |
| 1336214642 | Contra Costa County | Clinic/Center | 1860 Silverwood Dr, Concord, CA 94519-1351 | 2006-11-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CONTRA COSTA COUNTY OF HEALTH SERVICES HAZARDO | 4585 Pacheco Blvd, Martinez, CA 94553-2226 |
| System for Award Management (SAM) Entities | CONTRA COSTA COUNTY OFFICE OF EDUCATION | 77 Santa Barbara Rd, Pleasant Hill, CA 94523-4215 |
| Street Address |
10 DOUGLAS DR SUITE 140 |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-4077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043296247 | Thomas Edward Gamsky | Internal Medicine | 10 Douglas Dr, Martinez, CA 94553-4077 | 2005-12-20 |
| 1295991602 | Lou Anthony Bordisso | Marriage & Family Therapist | 10 Douglas Dr, Suite 140, Martinez, CA 94553-4077 | 2008-08-05 |
| 1487709820 | Amanda Elizabeth Dold | Marriage & Family Therapist | 10 Douglas Dr, Martinez, CA 94553-4077 | 2007-01-24 |
| 1093867616 | Angel Johnson | Counselor | 10 Douglas Dr, Suite 140, Martinez, CA 94553-4077 | 2007-01-16 |
| 1952466344 | Bluford Bradford Hestir IIi | Psychologist | 10 Douglas Dr, Suite 140, Martinez, CA 94553-4077 | 2006-12-26 |
| 1891884847 | Robert Howard Mead Jr. | Marriage & Family Therapist | 10 Douglas Dr, Suite 140, Martinez, CA 94553-4077 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| 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 |
|---|---|---|---|---|
| 1598018897 | Contra Costa Arc - Lynn Center | Community/Behavioral Health | 1340 Arnold Dr Ste 121, Martinez, CA 94553-4189 | 2012-10-24 |
| 1689715880 | Youth Development Corporation of America | Community/Behavioral Health | 4424 Columbia Rd, Ste B, Martinez, GA 30907-4565 | 2007-02-09 |
| 1811044464 | Georgia Psychological Services | Community/Behavioral Health | 4139 Columbia Rd Ste A, Martinez, GA 30907-5401 | 2007-01-05 |
| 1245854207 | Agape Behavioral Healthcare and Counseling, LLC . | Community/Behavioral Health | 3711 Executive Center Dr, Martinez, GA 30907-0951 | 2020-06-04 |
| 1124596333 | Contra Costa County | Community/Behavioral Health | 1350 Arnold Dr Ste 102, Martinez, CA 94553-4190 | 2018-11-06 |
| 1760982169 | Contra Costa County | Community/Behavioral Health | 1340 Arnold Dr Ste 200, Martinez, CA 94553-4189 | 2018-02-13 |
| 1447762521 | Seneca Family of Agencies | Community/Behavioral Health | 150 E St, Martinez, CA 94553-3139 | 2017-10-30 |
| 1841635554 | Rising Tide Behavioral Interventions, LLC | Community/Behavioral Health | 305 Habersham Rd, Martinez, GA 30907-9073 | 2013-05-08 |
| 1588965651 | Contra Costa County Health Services | Community/Behavioral Health | 10 Douglas Dr Ste 140, Martinez, CA 94553-4078 | 2010-11-05 |
| 1629257928 | Martinez Detention Facility | Community/Behavioral Health | 1000 Ward St, Martinez, CA 94553-1360 | 2007-11-02 |
| Find all providers in MARTINEZ | ||||
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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.