NORTHSTATE MENTAL WELLNESS CLINIC
NPI 1093558363
Community/Behavioral Health in Rancho Cordova, CA

Active since June 14, 2024
2920 PROSPECT PARK DRIVE, RANCHO CORDOVA, CA 95670(916) 686-7300 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northstate Mental Wellness Clinic NPPES

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

NORTHSTATE MENTAL WELLNESS CLINIC (NPI 1093558363) is a healthcare organization registered as a community/behavioral health in Rancho Cordova, California and active in the NPI registry since June 2024. The organization lists Alvin Cheung, President / Ceo, as its authorized official.

NPPES Registry Identity

NPI1093558363
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameNORTHSTATE MENTAL WELLNESS CLINIC
Location Address2920 PROSPECT PARK DRIVERancho Cordova, CA 95670
Mailing Address9700 W Taron DriveElk Grove, CA 95757 · (916) 686-7300
Organization SubpartNo
Authorized OfficialAlvin CheungPresident / Ceo · (916) 216-6202
Enumeration DateJune 14, 2024
NPI 1093558363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2920 PROSPECT PARK DRIVE, Rancho Cordova, CA 95670

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 Northstate Mental Wellness Clinic's NPI number?

The NPI number for Northstate Mental Wellness Clinic is 1093558363. It was assigned to this organization in the NPPES registry on June 14, 2024.

Where is Northstate Mental Wellness Clinic located?

Northstate Mental Wellness Clinic is located at 2920 Prospect Park Drive, Rancho Cordova, CA 95670. The listed phone number is (916) 686-7300.

What is Northstate Mental Wellness Clinic's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Northstate Mental Wellness Clinic was last updated on June 14, 2024. 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.