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M A C T HEALTH BOARD INCORPORATED
NPI 1154147445
Clinic/Center - Federally Qualified Health Center (FQHC) in Sonora, CA

Active since December 02, 2024
13975 MONO WAY STE J, SONORA, CA 95370(209) 588-4640(209) 674-6219 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 12, 2025, Mar 21, 2025, Dec 2, 2024 (3 updates tracked since 2024).

About M A C T Health Board Incorporated NPPES

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

M A C T HEALTH BOARD INCORPORATED (NPI 1154147445), doing business as Mact Behavioral Health, Sonora, is a healthcare organization registered as a federally qualified health center (fqhc) in Sonora, California and active in the NPI registry since December 2024. The organization lists John Shawver Alexander, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1154147445
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameM A C T HEALTH BOARD INCORPORATED
Location Address13975 MONO WAY STE JSonora, CA 95370-2824
Mailing AddressPo Box 939Angels Camp, CA 95222-0939 · (209) 754-6262 · Fax (209) 736-1814
Phone(209) 588-4640
Fax(209) 674-6219
Organization SubpartYes
Authorized OfficialJohn Shawver AlexanderExecutive Director · (209) 754-6262
Enumeration DateDecember 2, 2024
Last NPPES UpdateJune 12, 20253 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1154147445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
13975 MONO WAY STE J, Sonora, CA 95370
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Other Names 1

Doing Business AsMact Behavioral Health, Sonora

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 3

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

MR. JOHNNY JOSIAH MEEHAN LCSW
Social Worker (Clinical)
13975 MONO WAY STE J
SONORA, CA 95370
Tuolumne County (209) 588-4640
CHELSEA DAHLINGER
Social Worker (Clinical)
13975 MONO WAY STE J
SONORA, CA 95370
Tuolumne County (209) 588-4640
JENNIFER YENDES
Social Worker (Clinical)
13975 MONO WAY STE J
SONORA, CA 95370
Tuolumne County (209) 588-4640

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 M A C T Health Board Incorporated's NPI number?

The NPI number for M A C T Health Board Incorporated is 1154147445. It was assigned to this organization in the NPPES registry on December 2, 2024. The provider is doing business as MACT Behavioral Health, Sonora.

Where is M A C T Health Board Incorporated located?

M A C T Health Board Incorporated is located at 13975 Mono Way Ste J, Sonora, CA 95370. The listed phone number is (209) 588-4640.

What is M A C T Health Board Incorporated's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for M A C T Health Board Incorporated was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.