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MARY MAGDALENE COMMUNITY SERVICES
NPI 1699136440
Community/Behavioral Health in Stockton, CA

Active since March 08, 2016
440 N EL DORADO ST, STOCKTON, CA 95202(200) 988-8451(209) 888-4535 Get Directions Write a Review

NPPES record last updated: March 8, 2016. 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 1699136440) is a healthcare organization registered as a community/behavioral health in Stockton, California and active in the NPI registry since March 2016. The organization lists Geneva Haynes, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1699136440
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMARY MAGDALENE COMMUNITY SERVICES
Location Address440 N EL DORADO STStockton, CA 95202-1950
Mailing Address440 N El Dorado StStockton, CA 95202-1950 · (200) 988-8451 · Fax (209) 888-4535
Phone(200) 988-8451
Fax(209) 888-4535
Organization SubpartNo
Authorized OfficialGeneva HaynesExecutive Director · (209) 888-4519
Enumeration DateMarch 8, 2016
✔ NPI 1699136440 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.
440 N EL DORADO ST, Stockton, CA 95202
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Other Providers at the Same Location NPPES 4

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

SHYLA WHITE
Case Management
440 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 888-4529
NATHAN ONEAL
Case Manager/Care Coordinator
440 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 888-4519
MR. GEROME CORNELL SURRELL III
Counselor (Mental Health)
440 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 888-4519
ANGELA JANICE WARE AMFT
Marriage & Family Therapist
440 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 888-4519

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's NPI number?

The NPI number for Mary Magdalene Community Services is 1699136440. It was assigned to this organization in the NPPES registry on March 8, 2016.

Where is Mary Magdalene Community Services located?

Mary Magdalene Community Services is located at 440 N El Dorado St, Stockton, CA 95202. The listed phone number is (200) 988-8451.

What is Mary Magdalene Community Services'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 Mary Magdalene Community Services was last updated on March 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.