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COUNTY OF SANTA CLARA NPI 1174784169


NPI Information

NPI: 1174784169
Provider Name: COUNTY OF SANTA CLARA

Doing Business As: SCCMHD - EVANS LANE PROGRAM

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2090 EVANS LN
SAN JOSE, CA
ZIP 95125
Phone: (408) 885-5770
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COUNTY OF SANTA CLARA is an adult mental health clinic center in San Jose, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. COUNTY OF SANTA CLARA NPI is 1174784169. The provider is registered as an organization entity type.
The provider Is Doing Business As Sccmhd - Evans Lane Program.

The provider's business location address is:

2090 EVANS LN
SAN JOSE, CA
ZIP 95125-072
Phone: (408) 885-5770

The provider's authorized official is Sherri Terao .
The authorized official title is Director Of Behavioral Services and has the following contact phone number (408) 885-5782.

The enumeration date for this NPI number is 6/23/2008 and was last updated on 9/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
2261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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