MARY MAGDALENE COMMUNITY SERVICES
NPI 1093418048
Counselor - Mental Health in Stockton, CA

Active since March 27, 2023
620 N AURORA ST STE 7, STOCKTON, CA 95202(209) 888-4519 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Magdalene Community Services NPPES

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

MARY MAGDALENE COMMUNITY SERVICES (NPI 1093418048), doing business as Mary Magdalene Community Services Agency, is a healthcare organization registered as a mental health in Stockton, California and active in the NPI registry since March 2023. The organization lists Geneva Haynes, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1093418048
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMARY MAGDALENE COMMUNITY SERVICES AGENCY
Location Address620 N AURORA ST STE 7Stockton, CA 95202-2276
Mailing Address620 N Aurora St Ste 7Stockton, CA 95202-2276 · (209) 888-4519
Organization SubpartNo
Authorized OfficialGeneva HaynesExecutive Director · (209) 888-4519
Enumeration DateMarch 27, 2023
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 1, 2023
NPI 1093418048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X
620 N AURORA ST STE 7, Stockton, CA 95202

Other Names 2

Other NameMary Magdalene Community Services
Doing Business AsMary Magdalene Community Services Agency

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

Case Manager/Care Coordinator
620 N AURORA ST STE 7
STOCKTON, CA 95202
Counselor (Mental Health)
620 N AURORA ST STE 7
STOCKTON, CA 95202
Community Health Worker
620 N AURORA ST STE 7
STOCKTON, CA 95202
Community Health Worker
620 N AURORA ST STE 7
STOCKTON, CA 95202
Community Health Worker
620 N AURORA ST STE 7
STOCKTON, CA 95202
Licensed Psychiatric Technician
620 N AURORA ST STE 7
STOCKTON, CA 95202
Community Health Worker
620 N AURORA ST STE 7
STOCKTON, CA 95202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Magdalene Community Services Agency's NPI number?

The NPI number for Mary Magdalene Community Services Agency is 1093418048. It was assigned to this organization in the NPPES registry on March 27, 2023. The provider is also known as Mary Magdalene Community Services.

Where is Mary Magdalene Community Services Agency located?

Mary Magdalene Community Services Agency is located at 620 N Aurora St Ste 7, Stockton, CA 95202. The listed phone number is (209) 888-4519.

What is Mary Magdalene Community Services Agency's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mary Magdalene Community Services Agency was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.