MOUNTAIN SIDE BEHAVIORAL HEALTH (NPI# 1891319695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891319695 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN SIDE BEHAVIORAL HEALTH |
| Practice Address |
1033 South Drive Colfax CA 95713 |
| Mailing Address |
70 College Way Auburn CA 95603-5001 |
| Practice Telephone | 8882900925 |
| Mailing Telephone | 9709484129 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | AARON ESTRADA (COO) |
| Authorized Official Telephone | 9799484129 |
| Authorized Official Credential | CADC-II |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972010650 | Mountain Side Behavioral Health | Counselor | 70 College Way, Auburn, CA 95603-5001 | 2018-01-04 |
| Street Address |
1033 SOUTH DRIVE |
| City | COLFAX |
| State | CA |
| Zip Code | 95713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518262898 | Colfax Drug Company, LLC | Pharmacist | 9 Depot St. #5, Colfax, CA 95713 | 2011-01-19 |
| 1174774178 | Laurie E. Thompson | Counselor | 500 Crown Point Cir. Ste 100, Grass Valley, CA 95713 | 2008-10-08 |
| 1669588091 | Paula Suzanne Dwelly | Marriage & Family Therapist | 21520 Canyon Way, Colfax, CA 95713 | 2006-08-21 |
| 1396779930 | Kurtis H Fox | Family Medicine | 101 W. Grass Valley St, Colfax, CA 95713 | 2006-07-10 |
| 1700858743 | Ryan Grandpre | Dentist | 120 Whitcomb Ave, Colfax, CA 95713 | 2006-02-03 |
| 1952851701 | Ruth Ross | Registered Nurse | 21475 Canyon Way, Colfax, CA 95713-0001 | 2016-10-05 |
| 1649485145 | Danny E Zendner | Dentist | 120 Whitcomb Ave, Colfax, CA 95713-1080 | 2007-05-10 |
| 1891900312 | Chad Eric Jensen | Dentist | 120 Whitcomb Ave, Colfax, CA 95713-1080 | 2007-05-10 |
| 1760600035 | Dawn M Anderson | Dentist | 33 E. Grass Valley St., Colfax, CA 95713-1300 | 2007-04-23 |
| 1568669414 | Aeneas Chance | Pharmacist | 9 Depot St Unit 5, Colfax, CA 95713-1390 | 2007-07-02 |
| Find all providers in zip 95713 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043788508 | Diana Mindham | Counselor | 8327 Highway F48 W, Colfax, IA 50054-7836 | 2018-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1538760871 | Ky Washington | Counselor | 1625 Sweetwater Rd # C1, National City, CA 91950-7647 | 2020-11-03 |
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1548869266 | Yama Totakhail | Counselor | 915 Bryant St # 94103, San Francisco, CA 94103-4514 | 2020-10-23 |
| 1053910901 | Eduardo Alberto Perez | Counselor | 8829 Dewsbury Ave, San Diego, CA 92126-2428 | 2020-10-21 |
| 1285233155 | Alaric Fairchild | Counselor | 1400 N Johnson Ave Ste 1011400n, El Cajon, CA 92020-1650 | 2020-10-21 |
| 1487253571 | Roxanne Rene Coito | Counselor | 1919 Apple St # D, Oceanside, CA 92054-4425 | 2020-10-20 |
| 1255939732 | Diana Palencia | Counselor | 44459 10th St W, Lancaster, CA 93534-3324 | 2020-10-15 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
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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.