JAIL SERVICES NPI 1629112743

NPI Information

NPI: 1629112743
Provider Name: JAIL SERVICES
Classification: Clinic/Center - 261QM0850X
Specialization: Adult Mental Health
Entity Type: Organization
Doing Business As: HEALTH SERVICES AGENCY-MENTAL HEALTH DIVISION
Address: 259 WATER ST
SANTA CRUZ, CA
ZIP 95060
Phone: (831) 454-4170

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NPI Details

JAIL SERVICES is an adult mental health clinic center in Santa Cruz, 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 adults. JAIL SERVICES NPI is 1629112743. The provider is registered as an organization entity type.
The provider Is Doing Business As Health Services Agency-mental Health Division.

The provider's business location address is:

259 WATER ST
SANTA CRUZ, CA
ZIP 95060-009
Phone: (831) 454-4170

The provider's authorized official is Rama Khalsa .
The authorized official title is Health Services Agency Director and has the following contact phone number (831) 454-4000.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 3/4/2008.

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	261QM0855X	Clinic/Center	Adolescent and Children Mental Health		CALIFORNIA	No
2	261QM0850X	Clinic/Center	Adult Mental Health		CALIFORNIA	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	1659315430	OTHER	CALIFORNIA	LEGAL ENTITIY NPI#
2	44AE	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: 3/30/2025

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