INTEGRATED CARE MANAGEMENT SOLUTIONS NPI 1558790931

NPI Information

  • NPI: 1558790931
  • Provider Name: INTEGRATED CARE MANAGEMENT SOLUTIONS
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 564 S DORA ST
    SUITE D
    UKIAH, CA
    ZIP 95482
  • Phone: (707) 472-0362

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NPI Details

INTEGRATED CARE MANAGEMENT SOLUTIONS is a mental health (including community mental health center) clinic center in Ukiah, CA. INTEGRATED CARE MANAGEMENT SOLUTIONS NPI is 1558790931. The provider is registered as an organization entity type.

The provider's business location address is:

564 S DORA ST
SUITE D
UKIAH, CA
ZIP 95482-486
Phone: (707) 472-0362
Fax: (707) 472-0121

The provider's authorized official is Jeff Payne .
The authorized official title is Executive Director and has the following contact phone number (530) 751-9904.

The enumeration date for this NPI number is 11/5/2013 and was last updated on 10/20/2014.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/21/2025

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