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NORTHSTATE MENTAL WELLNESS CLINIC
NPI 1750137451
Counselor - Mental Health in Rancho Cordova, CA

Active since April 24, 2024
2920 PROSPECT PARK DR, RANCHO CORDOVA, CA 95670(916) 378-3581 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 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 1750137451) is a healthcare organization registered as a mental health in Rancho Cordova, California and active in the NPI registry since April 2024. The organization lists Regina Isabel K'burg, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1750137451
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameNORTHSTATE MENTAL WELLNESS CLINIC
Location Address2920 PROSPECT PARK DRRancho Cordova, CA 95670-6036
Mailing Address2920 Prospect Park DrRancho Cordova, CA 95670-6036 · (916) 378-3581
Phone(916) 378-3581
Organization SubpartNo
Authorized OfficialRegina Isabel K'burgClinic Director · (916) 284-8336
Enumeration DateApril 24, 2024
NPPES CertifiedApril 24, 2024
✔ NPI 1750137451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2920 PROSPECT PARK DR, Rancho Cordova, CA 95670
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 1750137451. It was assigned to this organization in the NPPES registry on April 24, 2024.

Where is Northstate Mental Wellness Clinic located?

Northstate Mental Wellness Clinic is located at 2920 Prospect Park Dr, Rancho Cordova, CA 95670. The listed phone number is (916) 378-3581.

What is Northstate Mental Wellness Clinic's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Northstate Mental Wellness Clinic was last updated on April 24, 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.