SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES NPI 1265647234

NPI Information

NPI: 1265647234
Provider Name: SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES

Other Name: SAN JOAQUIN COUNTY-MH SERVICES LODI CLINIC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1209 W TOKAY STREET
SUITE 1, 3, 5, 6, 7, 9, 12, 14, AND 16
LODI, CA
ZIP 95240
Phone: (209) 468-8778
Get Directions

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES is a mental health (including community mental health center) clinic center in Lodi, CA. SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES NPI is 1265647234. The provider is registered as an organization entity type.
The provider Other Name Is San Joaquin County-mh Services Lodi Clinic.

The provider's business location address is:

1209 W TOKAY STREET
SUITE 1, 3, 5, 6, 7, 9, 12, 14, AND 16
LODI, CA
ZIP 95240-845
Phone: (209) 468-8778
Fax: (209) 468-2399

The provider's authorized official is Genevieve Valentine .
The authorized official title is Director Of Behavioral Health and has the following contact phone number (209) 468-8887.

The enumeration date for this NPI number is 5/13/2007 and was last updated on 7/13/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3924	MEDICAID	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

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