STANISLAUS COUNTY BHRS NPI 1750592184

NPI Information

  • NPI: 1750592184
  • Provider Name: STANISLAUS COUNTY BHRS
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Other Name: FEE FOR SERVICE - PSYCHIATRIST
  • Address: 800 SCENIC DR
    MODESTO, CA
    ZIP 95350
  • Phone: (209) 525-6225

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NPI Details

STANISLAUS COUNTY BHRS is a psychiatry psychiatry neurology in Modesto, CA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. STANISLAUS COUNTY BHRS NPI is 1750592184. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Fee For Service - Psychiatrist.

The provider's business location address is:

800 SCENIC DR
MODESTO, CA
ZIP 95350-131
Phone: (209) 525-6225

The provider's authorized official is Ruben Imperial .
The authorized official title is Behavioral Health Interim Director and has the following contact phone number (209) 525-6225.

The enumeration date for this NPI number is 5/25/2007 and was last updated on 10/10/2019.

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
12084P0800XPsychiatry & NeurologyPsychiatryYes

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
15054MEDICAIDCALIFORNIA

What is NPI?

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This page was last updated on: 11/21/2025

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