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SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES NPI 1629285903


NPI Information

NPI: 1629285903
Provider Name: SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES

Doing Business As: SAN JOAQUIN CO MHS CHILDREN'S SERVICES

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

Specialization: Adolescent and Children Mental Health

Address:
1414 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202
Phone: (209) 468-8778
Get Directions

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES is an adolescent and children mental health clinic center in Stockton, 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. SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES NPI is 1629285903. The provider is registered as an organization entity type.
The provider Is Doing Business As San Joaquin Co Mhs Children's Services.

The provider's business location address is:

1414 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202-515
Phone: (209) 468-8778
Fax: (209) 468-2399

The provider's authorized official is Vic Singh .
The authorized official title is Lcsw and has the following contact phone number (209) 468-2080.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 5/5/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13915MEDICAIDCALIFORNIA

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: 4/28/2024

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