STANISLAUS COUNTY BEHAVIORAL HEALTH NPI 1760736151

Point of Service in Modesto, CA

NPI 1760736151 Organization Point of Service

NPI Profile for STANISLAUS COUNTY BEHAVIORAL HEALTH

Stanislaus County Behavioral Health is a provider established in Modesto, California specializing in point of service. The NPI number of Stanislaus County Behavioral Health is 1760736151 and was assigned on November 2012. The practitioner's primary taxonomy code is 305S00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mrs. Teresa Ann Gonzalez (Mental Health Clinician)

NPI

1760736151

Provider NameSTANISLAUS COUNTY BEHAVIORAL HEALTH
Provider Location Address421 E MORRIS AVE MODESTO, CA 95354
Provider Mailing Address421 E MORRIS AVE MODESTO, CA 95354
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-06-2012
Last Update Date11-06-2012


Primary Taxonomy

Taxonomy Code305S00000X
ClassificationPoint of Service
TypeManaged Care Organizations
Taxonomy DescriptionThis product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Business Address

STANISLAUS COUNTY BEHAVIORAL HEALTH
421 E MORRIS AVE
MODESTO, CA
ZIP 95354
Phone: (209) 558-7494

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Mailing Address

STANISLAUS COUNTY BEHAVIORAL HEALTH
421 E MORRIS AVE
MODESTO, CA
ZIP 95354
Phone: (209) 558-7494



Authorized Official

Authorized Official NameMRS. TERESA ANN GONZALEZ
Authorized Official TitleMENTAL HEALTH CLINICIAN
Authorized Official Phone(209) 558-7494

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
=========MEDICAID (05)CA

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1760736151
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2712014312110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 4 + 3 + 1 + 2 + 1 + 1 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1760736151 is valid because the calculated check digit 1 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.

NPI Name / Type Taxonomy Address
1255463865 LILLIE MAE CLARK
Individual
Case Manager/Care Coordinator421 E MORRIS AVE
MODESTO, CA 95354
(209) 558-7494
1477670651MRS. REGINA C PERDOMO
Individual
Case Manager/Care Coordinator421 E MORRIS AVE
MODESTO, CA 95354
(209) 558-7494
1104943232 BARBARA YVONNE MOORE
Individual
Case Manager/Care Coordinator421 E MORRIS AVE
MODESTO, CA 95354
(209) 558-8550
1265551238MRS. DARLENE MARIE THOMPSON LCSW
Individual
Counselor (Mental Health)421 E MORRIS AVE
MODESTO, CA 95354
(209) 558-7494
1740496314 RUBY LAURA WALLS
Individual
Counselor421 E MORRIS AVE
MODESTO, CA 95354
(209) 558-8550
1396989992MS. DENISE MARIE DILLON BA
Individual
Counselor (Mental Health)421 E MORRIS AVE
MODESTO, CA 95354
(209) 558-8550
1831322429MS. NORMA A HERNANDEZ AA
Individual
Counselor (Mental Health)421 E MORRIS AVE
MODESTO, CA 95354
(209) 558-8550
1316291644 RHONDA JEAN PARKER
Individual
Case Manager/Care Coordinator421 E MORRIS AVE
MODESTO, CA 95354
(209) 558-8550
1063754349 LUCILITA P ESCOBAR
Individual
Case Manager/Care Coordinator421 E MORRIS AVE
MODESTO, CA 95354
(209) 558-7494
1093842197 KATHLEEN MARIE PAXTON CADC II A8378702
Individual
Marriage & Family Therapist421 E MORRIS AVE
MODESTO, CA 95354
(209) 573-1691
1508313388 ANA TRUJILLO SANTILLAN
Individual
Social Worker (Clinical)421 E MORRIS AVE
MODESTO, CA 95354
(209) 558-8550
1740605377MRS. LANEA JUECO
Individual
Registered Nurse (Psychiatric/Mental Health)421 E MORRIS AVE
MODESTO, CA 95354
(209) 558-4600
1790868834 BERNARDO JOVEN MORA MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)421 E MORRIS AVE
MODESTO, CA 95354
(209) 558-7494
1932762424MS. VIRGINIA M. SIGALA
Individual
Prevention Professional421 E MORRIS AVE
MODESTO, CA 95354
(209) 558-7494
1710540240 VALERIE DENISE VAN TUINEN
Individual
Technician421 E MORRIS AVE
MODESTO, CA 95354
(209) 558-8550
1609439108 ENEDELIA N/A GARCIA
Individual
Technician421 E MORRIS AVE
MODESTO, CA 95354
(209) 558-7494
1568025062MRS. DIANA VIELKA PALACIO
Individual
Technician421 E MORRIS AVE
MODESTO, CA 95354
(209) 558-8550
1023672391 ESMERALDA GARZA SANDOVAL JR.
Individual
Prevention Professional421 E MORRIS AVE
MODESTO, CA 95354
(209) 558-7494
1144884107MISS STEVIE RATTELL
Individual
Prevention Professional421 E MORRIS AVE
MODESTO, CA 95354
(209) 558-7494
1952966178 FRANCESCA CANTU
Individual
Technician421 E MORRIS AVE
MODESTO, CA 95354
(209) 558-7494

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Stanislaus County Behavioral Health is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.