MENTAL HEALTH MODESTO LLC
NPI 1629826276
Clinic/Center - Adult Mental Health in Modesto, CA
About Mental Health Modesto Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MENTAL HEALTH MODESTO LLC (NPI 1629826276) is a healthcare organization registered as an adult mental health in Modesto, California and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Sophie Gomes, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 05D2319537
Mental Health Modesto · Modesto, CAFrequently 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 Mental Health Modesto LLC's NPI number?
The NPI number for Mental Health Modesto LLC is 1629826276. It was assigned to this organization in the NPPES registry on May 8, 2024.
Where is Mental Health Modesto LLC located?
Mental Health Modesto LLC is located at 1101 Standiford Ave Ste D4, Modesto, CA 95350. The listed phone number is (201) 306-5670.
What is Mental Health Modesto LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Does Mental Health Modesto LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2319537) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mental Health Modesto LLC was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.
# Mental Health Modesto Llc · NPI 1629826276
Adult Mental Health organization in Modesto, California. Organization record, active in the CMS NPPES registry since May 8, 2024.
## Identity
- **NPI:** 1629826276 (Entity type: Organization)
- **Enumerated:** May 8, 2024
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Sophie Gomes, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 1101 STANDIFORD AVE STE D4, Modesto, CA 95350-0981
- **Phone:** (201) 306-5670
## Record status
- **NPPES last updated:** July 23, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629826276) · Data from the CMS NPPES public registry.