SAN JOQUIN COUNTY MENTAL HEALTH SERVICES (NPI# 1982901641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982901641 |
| Entity Type | Organization |
| Organization Name | SAN JOQUIN COUNTY MENTAL HEALTH SERVICES |
| Practice Address |
1212 N California St Stockton CA 95202-1552 |
| Mailing Address |
4375 Armadale Way Sacramento CA 95823-4466 |
| Practice Telephone | 2094683370 |
| Mailing Telephone | 9164275080 |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |
| Authorized Official Name | JAMES GARRETT (DEPUTY DIRECTOR) |
| Authorized Official Telephone | 2094688894 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
1212 N CALIFORNIA ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95202-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972592939 | Jin R. Soofi | Psychiatry & Neurology | 1212 N California St, Stockton, CA 95202-1552 | 2005-10-20 |
| 1750981437 | Matthew Robin Devera | Licensed Psychiatric Technician | 1212 N California St, Stockton, CA 95202-1552 | 2020-10-30 |
| 1609475581 | Bailey T Manego | Recreational Therapist Assistant | 1212 N California St, Stockton, CA 95202-1552 | 2020-10-21 |
| 1265039226 | Zachary Hensley | Marriage & Family Therapist | 1212 N California St, Stockton, CA 95202-1552 | 2020-10-02 |
| 1508477662 | Danielle Wiseman | Counselor | 1212 N California St, Stockton, CA 95202-1552 | 2020-08-12 |
| 1073121414 | Criselle Jane Carillo Sumampong | Licensed Psychiatric Technician | 1212 N California St, Stockton, CA 95202-1552 | 2020-07-22 |
| 1477161396 | Meliza Ann Agpaoa Ruiz | Licensed Psychiatric Technician | 1212 N California St, Stockton, CA 95202-1552 | 2020-07-16 |
| 1124646815 | Maria Truong | Counselor | 1212 N California St, Stockton, CA 95202-1552 | 2020-07-08 |
| 1871110437 | Victoria Lynn Phillips | Social Worker | 1212 N California St, Stockton, CA 95202-1552 | 2020-06-30 |
| 1730702119 | Jennifer J Salon | Licensed Psychiatric Technician | 1212 N California St, Stockton, CA 95202-1552 | 2020-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
| 1861035586 | Andrea Mn Perkins | Social Worker | Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 | 2019-10-25 |
| 1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
| 1730655895 | Jenaiah La'neise Sauceda | Social Worker | 343 E Main St Ste 918, Stockton, CA 95202 | 2018-10-16 |
| 1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
| 1912406976 | Janet Mendoza | Social Worker | 6 South Eldorado Street, Stockton, CA 95202 | 2018-02-06 |
| 1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
| 1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
| 1821513946 | Savoeun Phal | Counselor | 1212 N California St Ste A214, Stockton, CA 95202 | 2017-08-09 |
| 1861921272 | Mandeep K Minhas | Registered Nurse | 1212 California St, Stockton, CA 95202 | 2017-06-08 |
| Find all providers in zip 95202 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225380868 | St. Mary's Urgent Care | Clinic/Center | 2333 W March Ln Ste A, Stockton, CA 95207-5272 | 2012-10-05 |
| 1841599008 | Thrifty Rite Aid Corporation | Clinic/Center | 1050 N Wilson Way, Stockton, CA 95205-4218 | 2011-03-26 |
| 1487120879 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 1429 W Fremont St, Stockton, CA 95203-2635 | 2018-10-23 |
| 1851867246 | American Current Care of California, A Medical Corporation | Clinic/Center | 3663 Arch Rd Ste 400, Stockton, CA 95215-8315 | 2018-10-23 |
| 1760958151 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 3663 Arch Rd Ste 400, Stockton, CA 95215-8315 | 2018-10-23 |
| 1629193305 | Xcel Orthopaedic Physical Therapy, Inc. | Clinic/Center | 1429 W Fremont St, Stockton, CA 95203-2627 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658699 | Perennial Medical Services Inc | Clinic/Center | 810 Manhattan Ave, Hermosa Beach, CA 90254-4150 | 2020-10-27 |
| 1841899085 | Eye Glass Specialists Inc. | Clinic/Center | 213 E Foothill Blvd, Rialto, CA 92376-5159 | 2020-10-20 |
| 1134736705 | Boston Medical Center Inc | Clinic/Center | 960 E Green St Ste 101, Pasadena, CA 91106-2401 | 2020-09-28 |
| 1215541628 | Pacific Care II | Clinic/Center | 1024 Jayhawk Way, Modesto, CA 95358-6714 | 2020-09-02 |
| 1316557358 | Breathe Thermae, Inc. | Clinic/Center | 200 S Cahuilla Rd, Palm Springs, CA 92262-6334 | 2020-08-04 |
| 1497363212 | Joana Anjeh Tala | Clinic/Center | 2951 Hampshire Cir, Corona, CA 92879-6133 | 2020-07-17 |
| 1376160580 | Beyond Practice, Inc. | Clinic/Center | 300 W Ocean Blvd Apt 6114, Long Beach, CA 90802-8029 | 2020-07-03 |
| 1205452315 | Affection Healthcare LLC | Clinic/Center | 1641 North Ripon Road, Ripon, CA 95366 | 2020-06-24 |
| 1467074963 | Onclick Healthcare Incorporated | Clinic/Center | 2625 Townsgate Rd Ste 330, Westlake Village, CA 91361-5749 | 2020-05-07 |
| 1811517832 | D.e. Garrison, D.o., Inc. | Clinic/Center | 3209 Esplanade Ste 120, Chico, CA 95973-0154 | 2020-04-20 |
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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.