SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES NPI 1609085984

NPI Information

NPI: 1609085984
Provider Name: SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Doing Business As: SJC-MHS ADOLESCENT DAY SERVICES
CLIA Number: 05D2250836
Address: 1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202
Phone: (209) 468-8750

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NPI Details

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES is a mental health (including community mental health center) clinic center in Stockton, CA. SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES NPI is 1609085984. The provider is registered as an organization entity type.
The provider Is Doing Business As Sjc-mhs Adolescent Day Services.

The provider's business location address is:

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202-552
Phone: (209) 468-8750
Fax: (209) 468-2399

The provider's authorized official is Genevieve Valentine .
The authorized official title is Director-behavioral Health Services and has the following contact phone number (209) 468-8750.

The CLIA number assigned to this NPI record is 05D2250836 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 5/2/2024.

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
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No

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	9000	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: 11/21/2025

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