TERESA DEJESUS MENDOZA SUDCC 11
NPI 1881089647
Counselor - Addiction (Substance Use Disorder) in San Rafeal, CA

Active since March 30, 2015
1147 LINCOLN ST, SAN RAFEAL, CA 94901(415) 459-2395 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2024, Aug 23, 2018 (2 updates tracked since 2018).

About Teresa Dejesus Mendoza Sudcc 11 NPPES

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

TERESA DEJESUS MENDOZA SUDCC 11 (NPI 1881089647) is an individual addiction (substance use disorder) provider in San Rafeal, California, licensed in California (10546) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1881089647
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTERESA DEJESUS MENDOZACredential: SUDCC 11
Location Address1147 LINCOLN STSan Rafeal, CA 94901
Mailing Address1563 Mission StSan Francisco, CA 94103-2543 · (415) 762-3714
Sole ProprietorYes
Enumeration DateMarch 30, 2015
Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
NPI 1881089647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · 10546
1147 LINCOLN ST, San Rafeal, CA 94901

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 Teresa Mendoza's NPI number?

The NPI number for Teresa Mendoza is 1881089647. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Teresa Mendoza located?

Teresa Mendoza practices at 1147 Lincoln St, San Rafeal, CA 94901. The listed phone number is (415) 459-2395.

What is Teresa Mendoza's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Teresa Mendoza was last updated on July 10, 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.