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COUNTY OF SACRAMENTO NPI 1407922024


NPI Information

NPI: 1407922024
Provider Name: COUNTY OF SACRAMENTO

Doing Business As: SOUTH LINCOLN MENTAL HEALTH SERVICES

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
257 S LINCOLN WAY
GALT, CA
ZIP 95632
Phone: (209) 745-3484
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COUNTY OF SACRAMENTO is an adolescent and children mental health clinic center in Galt, 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 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. COUNTY OF SACRAMENTO NPI is 1407922024. The provider is registered as an organization entity type.
The provider Is Doing Business As South Lincoln Mental Health Services.

The provider's business location address is:

257 S LINCOLN WAY
GALT, CA
ZIP 95632-711
Phone: (209) 745-3484
Fax: (209) 714-2739

The provider's authorized official is Uma Zykofsky .
The authorized official title is Deputy Director and has the following contact phone number (916) 875-9904.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 9/25/2014.


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
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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
18483MEDICAIDCALIFORNIA

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

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