SJC-MANAGE CARE FEE FOR SERVICE-MIXED SPECIALTY GROUP
NPI 1518169069
Clinic/Center - Mental Health (Including Community Mental Health Center) in Stockton, CA

NPI Status: Active since June 05, 2007

Contact Information

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202
Phone: (209) 468-8700
Fax: (209) 468-2399

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About SJC-MANAGE CARE FEE FOR SERVICE-MIXED SPECIALTY GROUP

This page provides the complete NPI Profile along with additional information for Sjc-manage Care Fee For Service-mixed Specialty Group, a provider established in Stockton, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1518169069 assigned on June 2007. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Sjc-manage Care Fee For Service-mixed Specialty Group. The authorized official of this NPI record is Genevieve Valentine Lmft (Director-behavioral Health Services)

NPI
1518169069
Provider Legal Name
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Other Organization Name
SJC-MANAGE CARE FEE FOR SERVICE-MIXED SPECIALTY GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1212 N CALIFORNIA ST STOCKTON, CA 95202
Location Phone
(209) 468-8700
Location Fax
(209) 468-2399
Mailing Address
1212 N CALIFORNIA ST STOCKTON, CA 95202
Mailing Phone
(209) 468-8778
Mailing Fax
(209) 468-2399
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-05-2007
Last Update Date
05-03-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GENEVIEVE VALENTINE LMFT

Authorized Official Title
DIRECTOR-BEHAVIORAL HEALTH SERVICES
Authorized Official Phone
(209) 468-8750

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9028MEDICAID (05)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518169069
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25282618012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 2 + 6 + 1 + 8 + 0 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1518169069 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

DR. ADEGOKE ADEYEMO M.D.

Psychiatry & Neurology

(Psychiatry)

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202

(209) 468-8491

MRS. LINDA RAMSAY OCLARAY MASTER OF ARTS

Marriage & Family Therapist

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202

(209) 953-7463

MRS. ANNALIZA LAGRUTTA MA

Marriage & Family Therapist

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202

(209) 468-8644

MR. GARY A. GRAY PT

Counselor

(Mental Health)

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202

(209) 468-8700

MS. SHIRLEY ANN HOLLOWELL R.N.

Registered Nurse

(Psychiatric/Mental Health, Adult)

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202

(209) 953-1033

MR. RICHARD ANTHONY BENITEZ MHC I

Marriage & Family Therapist

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202

(209) 468-8700

PROF. REMEDIOS AGUADA WALLACE

Licensed Psychiatric Technician

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202

(209) 468-8842

MRS. CYNTHIA L MORISHIGE LCSW

Social Worker

(Clinical)

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202

(209) 468-8643

MS. DEBRA L. GRINSTEAD R. N.

Registered Nurse

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202

(209) 468-8843

MR. JOHN D SCHAEFFER MFT

Marriage & Family Therapist

1212 N CALIFORNIA ST
INPATIENT
STOCKTON, CA
ZIP 95202

(209) 468-8082

MS. SUSAN MARIE GRUBER MSW

Social Worker

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202

(209) 468-3760

MR. CHRISTOPHER EGONIO

Case Manager/Care Coordinator

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202

(209) 468-3760

MR. PAUL DAVID WALLACE

Licensed Psychiatric Technician

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202

(209) 468-3760

MS. GLORIA ANN GREENING PSYCHIATRIC TECHNICI

Licensed Psychiatric Technician

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202

(209) 468-8660

ROBERT S GRAFF M.D.

Psychiatry & Neurology

(Psychiatry)

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202

(209) 468-6937

MARIA ELIZABETH ARROYO R N

Registered Nurse

(Psychiatric/Mental Health, Adult)

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202

(209) 468-8660

LINDA JANE JEFFRY BRETT R.N.

Registered Nurse

(Psychiatric/Mental Health, Child & Adolescent)

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202

(209) 468-2385

DEBBY ANN LIMAS RN

Registered Nurse

(Psychiatric/Mental Health, Adult)

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202

(209) 468-8660

MRS. MARY ANDRES

Counselor

(Mental Health)

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202

(209) 468-8819

MS. ADRIANA M. CRUZ ASW

Social Worker

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202

(209) 468-2385

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518169069, enumerated as an "organization" on June 05, 2007.

The provider is located at 1212 N CALIFORNIA ST STOCKTON, CA 95202 and the phone number is (209) 468-8700.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.