FAMILY SERVICE AGENCY (FAMILY SERVICE AGENCY OF THE CENTRAL COAST) NPI 1891240131

Community/Behavioral Health in Soquel, CA

NPI 1891240131 Organization Community/Behavioral Health

About FAMILY SERVICE AGENCY (FAMILY SERVICE AGENCY OF THE CENTRAL COAST)

Family Service Agency (family Service Agency Of The Central Coast) is a provider established in Soquel, California specializing in community/behavioral health. The NPI number of Family Service Agency (family Service Agency Of The Central Coast) is 1891240131 and was assigned on August 2016. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Family Service Agency. The authorized official of this NPI record is Mr. David A Bianchi (Executive Director)

NPI

1891240131

Provider NameFAMILY SERVICE AGENCY (FAMILY SERVICE AGENCY OF THE CENTRAL COAST)
Provider Location Address2901 PARK AVE SUITE A3 SOQUEL, CA 95073
Provider Mailing Address2901 PARK AVE SUITE A3 SOQUEL, CA 95073
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameFAMILY SERVICE AGENCY
Other Name TypeDoing Business As (3)
Enumeration Date08-16-2016
Last Update Date08-16-2016


Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
Taxonomy DescriptionA 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.

Business Address

FAMILY SERVICE AGENCY
2901 PARK AVE
SUITE A3
SOQUEL, CA
ZIP 95073
Phone: (831) 346-6767
Fax: (831) 346-6771

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Mailing Address

FAMILY SERVICE AGENCY
2901 PARK AVE
SUITE A3
SOQUEL, CA
ZIP 95073
Phone: (831) 346-6767
Fax: (831) 346-6771



Authorized Official

Authorized Official NameMR. DAVID A BIANCHI
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(831) 423-9444

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336173384 BETTY J. JODER M.A., LMFT
Individual
Marriage & Family Therapist2901 PARK AVE SUITE A-1
SOQUEL, CA 95073
(831) 475-1797
1366508988DR. KAREN L COSLETT D.D.S.
Individual
Dentist (General Practice)2901 PARK AVE STE. C-1
SOQUEL, CA 95073
(831) 476-6900
1710046750 MATTHEW B ROHAN P.T.
Individual
Physical Therapist2901 PARK AVE SUITE B1
SOQUEL, CA 95073
(831) 706-2085
1316383581 ELIZABETH A COSTELLA PT
Individual
Physical Therapist2901 PARK AVE SUITE B1
SOQUEL, CA 95073
(831) 706-2085
1346676350 ROSE A DEAKERS PT
Individual
Physical Therapist2901 PARK AVE SUITE B1
SOQUEL, CA 95073
(831) 706-2085
1619329182 JENNIFER MALLONGA PT
Individual
Physical Therapist2901 PARK AVE STE B1
SOQUEL, CA 95073
(831) 706-2085
1902939556 ELIZABETH G RILEY PT
Individual
Physical Therapist2901 PARK AVE STE B1
SOQUEL, CA 95073
(831) 706-2085
1780830513 DAVID ALAN RESNIKOFF LCS
Individual
Social Worker (Clinical)2901 PARK AVE STE B8
SOQUEL, CA 95073
(831) 471-5044

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
The code describing 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.