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SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES NPI 1003002353

Clinic/Center (Mental Health (Including Community Mental Health Center)) in Stockton, CA

About SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES

San Joaquin County Behavioral Health Services is a provider in Stockton, CA. The NPI number assigned to this provider is 1003002353. The practitioner's primary taxonomy code is Clinic/Center (261QM0801X). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Mhsa-la Familia Fsp.

NPI

1003002353

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameSAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Provider Location Address1149 N EL DORADO ST STOCKTON, CA 95202 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1212 N CALIFORNIA ST STOCKTON, CA 95202 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameMHSA-LA FAMILIA FSP Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date09-20-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date05-28-2014 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
1149 N EL DORADO ST
STOCKTON, CA
ZIP 95202
Phone: (209) 468-8778
Fax: (209) 462-2399
Get Directions

Mailing Address

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202
Phone: (209) 468-8778
Fax: (209) 468-2399

Primary Taxonomy

Taxonomy Code261QM0801X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMental Health (Including Community Mental Health Center)
License StateCA

Authorized Official

Authorized Official Name VICTOR SINGH LCSW Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleDIRECTOR BEHAVIORAL HEALTH SERVICES
Authorized Official Phone(209) 468-2082

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
9092MEDICAID (05)CA
ZZZ89455ZMEDICARE PIN (08)

Map Location


SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES address is 1149 N EL DORADO ST STOCKTON, CA 95202

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003083221 MARIAELENA GARCIA VASQUEZ
Individual		Counselor1149 N EL DORADO ST
STOCKTON, CA 95202
(209) 468-2335
1083881338 ERICA A JIMENEZ
Individual		Counselor1149 N EL DORADO ST
STOCKTON, CA 95202
(209) 468-2335
1114194305 LYDIA CAMPOS
Individual		Counselor1149 N EL DORADO ST
STOCKTON, CA 95202
(209) 468-2335
1114194479 RITA MORALES GUTIERREZ
Individual		Counselor1149 N EL DORADO ST
STOCKTON, CA 95202
(209) 468-2335
1114194560 JESSICA CELESTE VASQUEZ
Individual		Counselor (Mental Health)1149 N EL DORADO ST
STOCKTON, CA 95202
(209) 468-2335
1134388556MS. JUANA CASTRO
Individual		Counselor1149 N EL DORADO ST
STOCKTON, CA 95202
(209) 468-2335
1235363367 TONI LEONA EISENGA
Individual		Counselor1149 N EL DORADO ST
STOCKTON, CA 95202
(209) 468-2337
1245497429MRS. MARIBEL GARCIA
Individual		Counselor1149 N EL DORADO ST
STOCKTON, CA 95202
(209) 468-2335
1407013410 MARIA DOLORES LOPEZ
Individual		Counselor1149 N EL DORADO ST
STOCKTON, CA 95202
(209) 468-2335
1427217587 SUSANA IBARRA
Individual		Counselor1149 N EL DORADO ST
STOCKTON, CA 95202
(209) 468-2335
1518191642 VANESSA ROSE THOMPSON
Individual		Counselor1149 N EL DORADO ST
STOCKTON, CA 95202
(209) 468-2337
1558538728MRS. MIRNA RUIZ
Individual		Counselor1149 N EL DORADO ST
STOCKTON, CA 95202
(209) 468-2335
1578720504 BEATRICE MARTINEA
Individual		Counselor1149 N EL DORADO ST
STOCKTON, CA 95202
(209) 468-2335
1609043959 ANNABELL DELEORA
Individual		Counselor (Mental Health)1149 N EL DORADO ST
STOCKTON, CA 95202
(209) 468-2335
1619128808 CLAUDIA ENITH VEGA
Individual		Counselor1149 N EL DORADO ST
STOCKTON, CA 95202
(209) 468-2335
1639336639MRS. MARIELENA VALTIERRA HOLBO
Individual		Counselor1149 N EL DORADO ST
STOCKTON, CA 95202
(209) 468-2335
1639346885 MARITZA CRUZ
Individual		Counselor1149 N EL DORADO ST
STOCKTON, CA 95202
(209) 468-2335
1679740922 MARIA G DESANTIAGO
Individual		Counselor1149 N EL DORADO ST
STOCKTON, CA 95202
(209) 468-2335
1710193537SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Organization		Clinic/Center (Mental Health (Including Community Mental Health Center))1149 N EL DORADO ST
STOCKTON, CA 95202
(209) 468-8778
1821247149 MARIBEL VARAGS
Individual		Counselor1149 N EL DORADO ST
STOCKTON, CA 95202
(209) 468-2335
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