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KAISER PERMANENTE
NPI 1922337864
Clinic/Center - Adolescent and Children Mental Health in Vallejo, CA

Active since December 23, 2009
1761 BROADWAY ST, 100, VALLEJO, CA 94589(707) 645-2700(707) 645-2181 Get Directions Write a Review

NPPES record last updated: December 23, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaiser Permanente NPPES

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

KAISER PERMANENTE (NPI 1922337864) is a healthcare organization registered as an adolescent and children mental health in Vallejo, California and active in the NPI registry since December 2009. The organization lists Tracie Lee Kepler Hoffman, Mft, as its authorized official.

NPPES Registry Identity

NPI1922337864
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameKAISER PERMANENTE
Location Address1761 BROADWAY ST, 100Vallejo, CA 94589-2226
Mailing Address1761 Broadway St, 100Vallejo, CA 94589 · (707) 645-2700 · Fax (707) 645-2181
Phone(707) 645-2700
Fax(707) 645-2181
Organization SubpartNo
Authorized OfficialTracie Lee Kepler HoffmanMft · (707) 645-2700
Enumeration DateDecember 23, 2009
✔ NPI 1922337864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in CA · MFC 47228
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License MFC 47228 (CA)
1761 BROADWAY ST, Vallejo, CA 94589
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Other Identifiers 1

Medicare NSC0=========CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE LUTAT OTR/L
Occupational Therapist (Physical Rehabilitation)
1761 BROADWAY ST
VALLEJO, CA 94589
Napa County (707) 651-1000
FRANK A TYLER PSY.D.
Counselor (Mental Health)
1761 BROADWAY ST, SUITE 100
VALLEJO, CA 94589
Napa County (707) 645-2700
MRS. SANDRA FAYE CROUSE PT
Physical Therapist
1761 BROADWAY ST
VALLEJO, CA 94589
Napa County (707) 645-2720
SHASTA MARIE IHORN PHD
Psychologist
1761 BROADWAY ST, STE 100
VALLEJO, CA 94589
Napa County (707) 645-2700
MARSHA MASLAN
Social Worker (Clinical)
1761 BROADWAY ST, SUITE #100
VALLEJO, CA 94589
Napa County (707) 645-2700
DR. HARRY MICHAEL BROWN PH.D.
Psychologist (Clinical)
1761 BROADWAY ST, SUITE 100
VALLEJO, CA 94589
Napa County (707) 645-2700
MRS. LOURDES CORONA BALMASEDA-CHAN P.T.
Physical Therapist
1761 BROADWAY ST
VALLEJO, CA 94589
Napa County (707) 645-2720
STEPHANIE LYNN SNYDER MFT
Marriage & Family Therapist
1761 BROADWAY ST
VALLEJO, CA 94589
Napa County (707) 645-2452

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 Kaiser Permanente's NPI number?

The NPI number for Kaiser Permanente is 1922337864. It was assigned to this organization in the NPPES registry on December 23, 2009.

Where is Kaiser Permanente located?

Kaiser Permanente is located at 1761 Broadway St 100, Vallejo, CA 94589. The listed phone number is (707) 645-2700.

What is Kaiser Permanente's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Kaiser Permanente was last updated on December 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.