COUNTY OF SAN MATEO (NPI# 1760574487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760574487 |
Entity Type | Organization |
Organization Name | COUNTY OF SAN MATEO |
Other Organization Name | YOUTH SERVICES CENTER |
Practice Address |
222 Paul Scannell Dr San Mateo CA 94402 |
Mailing Address |
222 Paul Scannell Dr San Mateo CA 94402-4061 |
Practice Telephone | 6503125322 |
Mailing Telephone | 6503125322 |
Enumeration Date | 2006-09-29 |
Last Update Date | 2020-03-12 |
Authorized Official Name | SCOTT GILMAN (MENTAL HEALTH EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6505732748 |
Is Organization Subpart | Y |
Parent Organization Name | BEHAVIORAL HEALTH AND RECOVERY SERVICES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Youth Services Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
1427242163 | County of San Mateo | Community/Behavioral Health | 2000 Alameda De Las Pulgas Ste 280, San Mateo, CA 94403-1289 | 2007-09-05 |
1568540557 | County of San Mateo | Clinic/Center | 200 James Ave, Redwood City, CA 94062-5123 | 2006-11-01 |
1023196011 | County of San Mateo | Clinic/Center | 350 90th Street, Daly City, CA 94015-1634 | 2006-11-01 |
1215029087 | County of San Mateo | Clinic/Center | 300 Piedmont Ave, San Bruno, CA 94066-3959 | 2006-09-29 |
1811089659 | County of San Mateo | Clinic/Center | 825 Southwood Dr, South San Francisco, CA 94080-3106 | 2006-09-29 |
1215029079 | County of San Mateo | Clinic/Center | 199 Churchill Ave, Woodside, CA 94062-1151 | 2006-09-29 |
1700978574 | County of San Mateo | Clinic/Center | 699 Serramonte Blvd, Room 300, Daly City, CA 94015-4132 | 2006-09-29 |
Street Address |
222 PAUL SCANNELL DR |
City | SAN MATEO |
State | CA |
Zip Code | 94402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811515489 | Naomi Symphony Noel Uyeda | Student in an Organized Health Care Education/Training Program | 222 Paul Scannell Dr, San Mateo, CA 94402-4061 | 2020-07-10 |
1326535527 | Paola Mendoza-rivera | Student in an Organized Health Care Education/Training Program | 222 Paul Scannell Dr, San Mateo, CA 94402-4061 | 2018-04-13 |
1558896332 | Julia Laurin Kline | Counselor | 222 Paul Scannell Dr, San Mateo, CA 94402 | 2017-04-28 |
1568859494 | Courtenay Cummings | Student in an Organized Health Care Education/Training Program | 222 Paul Scannell Dr, San Mateo, CA 94402-4061 | 2015-04-17 |
1174930085 | Jonathan Michael Dubos | Counselor | 222 Paul Scannell Dr, San Mateo, CA 94402 | 2014-07-14 |
1053731018 | Jessica Marie Valencia | Student in an Organized Health Care Education/Training Program | 222 Paul Scannell Dr, San Mateo, CA 94402-4061 | 2014-04-17 |
1801229117 | Christina Gotelli | Counselor | 222 Paul Scannell Dr, San Mateo, CA 94402-4061 | 2013-08-10 |
1134564206 | Nathan Chow | Counselor | 222 Paul Scannell Dr, San Mateo, CA 94402-4061 | 2013-05-02 |
1184068488 | Amy Lee Gambow | Counselor | 222 Paul Scannell Dr, San Mateo, CA 94402-4061 | 2013-04-17 |
1316209125 | Nhat M. Nguyen | Student in an Organized Health Care Education/Training Program | 222 Paul Scannell Dr, San Mateo, CA 94402-4061 | 2012-06-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
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Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548779564 | Ann L Johnson | Psychiatry & Neurology | 1 Franklin Pkwy, San Mateo, CA 94403-1906 | 2017-09-21 |
1609294768 | Vikas Duvvuri Md Phd A Professional Corporation | Psychiatry & Neurology | 1941 Ofarrell St Ste 106, San Mateo, CA 94403-1374 | 2014-04-04 |
1033475256 | Mariel Herbert | Psychiatry & Neurology | 181 2nd Ave Ste 450, San Mateo, CA 94401-3814 | 2012-04-02 |
1093009102 | Allan Levy | Psychiatry & Neurology | 50 Mounds Rd, 503, San Mateo, CA 94402-1272 | 2011-06-06 |
1790931228 | Morris Kace, M.d., A Professional Corp. | Psychiatry & Neurology | 611 N San Mateo Dr, San Mateo, CA 94401-2381 | 2008-08-15 |
1669665949 | Estelle Gregory | Psychiatry & Neurology | 498 Fathom Dr, San Mateo, CA 94404-1004 | 2007-08-21 |
1770709263 | Mark David Levine, Md Burlingame PC | Psychiatry & Neurology | 999 Baker Way, Ste 420, San Mateo, CA 94404-1578 | 2007-04-17 |
1689793267 | Christian Ernest Vondoepp | Psychiatry & Neurology | 327 North San Mateo Drive, Suite 10, San Mateo, CA 94401-2585 | 2007-03-28 |
1255470480 | Vikas Duvvuri | Psychiatry & Neurology | 1941 Ofarrell St, Suite 106, San Mateo, CA 94403-1340 | 2007-02-05 |
1669525911 | Farzana Amin | Psychiatry & Neurology | 1710 S Amphlett Blvd, Suite 301, San Mateo, CA 94402-2703 | 2007-01-19 |
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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.