TELECARE CORPORATION NPI 1356427413

NPI Information

NPI: 1356427413
Provider Name: TELECARE CORPORATION

Doing Business As: TELECARE BEHAVIORAL HEALTH SERVICES TEAM

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
121 DOWNEY AVE
MODESTO, CA
ZIP 95354
Phone: (209) 341-1824
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TELECARE CORPORATION is a mental health (including community mental health center) clinic center in Modesto, CA. TELECARE CORPORATION NPI is 1356427413. The provider is registered as an organization entity type.
The provider Is Doing Business As Telecare Behavioral Health Services Team.

The provider's business location address is:

121 DOWNEY AVE
MODESTO, CA
ZIP 95354
Phone: (209) 341-1824
Fax: (209) 523-1296

The provider's authorized official is Leslie Davis .
The authorized official title is Svp, Cfo and has the following contact phone number (510) 337-7950.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 7/7/2021.

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	License Number	License State	Primary
1	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	5077	OTHER	CALIFORNIA	COUNTY MENTAL HEALTH CERTIFICATION
2	CR722J	OTHER	CALIFORNIA	MEDICARE PTAN

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: 11/14/2023

NPI Synchronization or Removal

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