MHSA-LA FAMILIA FSP
NPI 1003002353
Clinic/Center - Mental Health (Including Community Mental Health Center) in Stockton, CA

Q: What is San Joaquin County Behavioral Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since September 20, 2007CLIA 05D2212017 · Waiver

1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-8700(209) 462-2399 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2024, Jul 13, 2023, May 9, 2023 and 1 more (4 updates tracked since 2020).

On this page

About Mhsa-la Familia Fsp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MHSA-LA FAMILIA FSP (NPI 1003002353) is a healthcare organization registered as a mental health (including community mental health center) in Stockton, California and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through February 1, 2027 and lists Genevieve Valentine, Director Behavioral Health Services, as its authorized official.

NPPES Registry Identity

NPI1003002353

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameSAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES

Location Address1212 N CALIFORNIA STStockton, CA 95202-1552

Mailing Address1212 N California StStockton, CA 95202-1552 · (209) 468-8778 · Fax (209) 468-2399

Phone(209) 468-8700

Fax(209) 462-2399

Organization SubpartNo

Authorized OfficialGenevieve ValentineDirector Behavioral Health Services · (209) 468-8887

Enumeration DateSeptember 20, 2007

Last NPPES UpdateMay 1, 20244 updates tracked since enumeration

NPPES CertifiedMay 1, 2024

✔ NPI 1003002353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

1212 N CALIFORNIA ST, Stockton, CA 95202

Open in Google Maps ↗

Other Names 1

Doing Business AsMhsa-la Familia Fsp

Other Identifiers 1

Medicaid9092CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2212017

San Joaquin County Behavioral Health Services - 24 · Stockton, CA

Active · expires Feb 1, 2027

CLIA Number05D2212017

Laboratory TypeBehav Health Srvs 24 Hr

Certificate Effective DateFebruary 2, 2025

Certificate Expiration DateFebruary 1, 2027

Laboratory DirectorRobert Graff

Laboratory Phone(209) 468-8672

Laboratory LocationSan Joaquin County Behavioral Health Services - 241212 N California St, Stockton, CA 95202

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PENNY GIBBONS BURKE RPH

Pharmacist