COUNTY OF SISKIYOU BEHAVIORAL HEALTH
NPI 1780803239
Community/Behavioral Health in Yreka, CA

Q: What is County Of Siskiyou's NPI number?

The NPI number for County Of Siskiyou is 1780803239. It was assigned to this organization in the NPPES registry on April 24, 2007. The provider is doing business as County Of Siskiyou Behavioral Health.

Q: What is County Of Siskiyou's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since April 24, 2007

2060 CAMPUS DR, YREKA, CA 96097(530) 841-4100(530) 841-4230 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 3, 2024, Mar 2, 2021, Feb 16, 2021 and 2 more (5 updates tracked since 2021).

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About County Of Siskiyou Behavioral Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTY OF SISKIYOU BEHAVIORAL HEALTH (NPI 1780803239) is a healthcare organization registered as a community/behavioral health in Yreka, California and active in the NPI registry since April 2007. The organization lists Rose Marie Bullock, Administrative Services Manager, as its authorized official.

NPPES Registry Identity

NPI1780803239

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCOUNTY OF SISKIYOU

Location Address2060 CAMPUS DRYreka, CA 96097-9538

Mailing Address2060 Campus DrYreka, CA 96097-9538 · (530) 841-4100 · Fax (530) 841-4230

Phone(530) 841-4100

Fax(530) 841-4230

Organization SubpartNo

Authorized OfficialRose Marie BullockAdministrative Services Manager · (530) 841-4732

Enumeration DateApril 24, 2007

Last NPPES UpdateMay 3, 20245 updates tracked since enumeration

NPPES CertifiedApril 16, 2024

✔ NPI 1780803239 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.

2060 CAMPUS DR, Yreka, CA 96097

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Other Names 1

Doing Business AsCounty Of Siskiyou Behavioral Health

Other Identifiers 1

Medicaid01114108CA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

County Of Siskiyou Behavioral Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 11 clinicians reassign Medicare billing to County Of Siskiyou Behavioral Health, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Clinical Social Worker7

Nurse Practitioner2

Psychiatry2

Clinicians, nearest first (11)

Karina Castillo

Clinical Social Worker

NPI 1689914244

2060 CAMPUS DR
Yreka, CA 96097

(530) 841-4100

✔ PECOS✔ Accepts MedicareSame address

Jeremy Goldsmith, LCSW

Clinical Social Worker

NPI 1437861085

2060 CAMPUS DR
Yreka, CA 96097

(530) 841-4100

✔ PECOS✔ Accepts MedicareSame address

Elvia Amezcua, LCSW

Clinical Social Worker

NPI 1427616887

2060 CAMPUS DR
Yreka, CA 96097

(530) 841-4100

✔ PECOSSame address

Vicki Bedford

Clinical Social Worker

NPI 1710511225

2601 N OLD STAGE RD SPC 48
Mount Shasta, CA 96067

(503) 863-1599

✔ PECOS✔ Accepts Medicare30 mi

Candace Ross, MSW, LCSW, MAC, CCTP

Clinical Social Worker

NPI 1467549212

1107 REAM AVE
Mount Shasta, CA 96067

(530) 918-7200

✔ PECOS✔ Accepts Medicare33 mi

Martin Dawson, NP

Nurse Practitioner

NPI 1073653861

2865 CHURN CREEK RD SUITE B
Redding, CA 96002

(530) 646-7269

✔ PECOS80 mi

Rinnah Macvittie, FNP-BC; AGNP-C

Nurse Practitioner

NPI 1417346552

2415 HIGH SCHOOL AVE STE 700
Concord, CA 94520

(415) 848-9111

✔ PECOS✔ Accepts Medicare259 mi

John Schaeffer, D.O.

Psychiatry

NPI 1497743918

101 CALIFORNIA ST STE 2710
San Francisco, CA 94111

(916) 320-4222

✔ PECOS270 mi

David Johnson, M.D.

Psychiatry

NPI 1902913239

8400 NORMANDALE LAKE BLVD STE 920
Bloomington, MN 55437

(952) 395-7212

✔ PECOS✔ Accepts Medicare1,485 mi

Kellie Malewski, LMSW, CAADC

Clinical Social Worker

NPI 1275866071

5401 MCAULEY DR.
Ann Arbor, MI 48106

(734) 786-2328

✔ PECOS✔ Accepts Medicare1,991 mi

Erica Picon, LCSW

Clinical Social Worker

NPI 1144661562

1967 WEHRLE DR # 1086
Buffalo, NY 14221

(415) 403-2156

✔ PECOS✔ Accepts Medicare2,225 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 County Of Siskiyou's NPI number?

The NPI number for County Of Siskiyou is 1780803239. It was assigned to this organization in the NPPES registry on April 24, 2007. The provider is doing business as County Of Siskiyou Behavioral Health.

Where is County Of Siskiyou located?

County Of Siskiyou is located at 2060 Campus Dr, Yreka, CA 96097. The listed phone number is (530) 841-4100.

What is County Of Siskiyou's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is County Of Siskiyou enrolled in Medicare?

Yes. County Of Siskiyou is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through County Of Siskiyou?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to County Of Siskiyou. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (7), Nurse Practitioner (2) and Psychiatry (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for County Of Siskiyou was last updated on May 3, 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.