CONTRA COSTA COUNTY (NPI# 1023188489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023188489 |
| Entity Type | Organization |
| Organization Name | CONTRA COSTA COUNTY |
| Other Organization Name | CENTRAL COUNTY ADULT MENTAL HEALTH SERVICES |
| Practice Address |
1420 Willow Pass Rd Suites 110, 140, and 200 Concord CA 94520-5223 |
| Mailing Address |
50 Douglas Dr Suite 391 Martinez CA 94553-4098 |
| Practice Telephone | 9256465480 |
| Practice Fax Number | 9256465622 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2019-06-14 |
| Authorized Official Name | PATRICK M. GODLEY (COO CFO) |
| Authorized Official Telephone | 9259575405 |
| Is Organization Subpart | Y |
| Parent Organization Name | CONTRA COSTA COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MENTAL HEALTH | 07CM | 01 |
| Other Name | Type Code |
|---|---|
| Central County Adult Mental Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962062745 | Contra Costa County | Clinic/Center | 1160 Brickyard Cove Rd Ste 111, Point Richmond, CA 94801-4112 | 2019-06-14 |
| 1558829820 | Contra Costa County | Clinic/Center | 395 Taylor Blvd Ste 200, Pleasant Hill, CA 94523-2290 | 2019-03-06 |
| 1093229882 | Contra Costa County | Lodging | 845b Brookside Dr, Richmond, CA 94801-1310 | 2017-12-01 |
| 1467966259 | Contra Costa County | Lodging | 847 Brookside Dr Ste C, Richmond, CA 94801-1314 | 2017-12-01 |
| 1659885440 | Contra Costa County | Respite Care | 2047d Arnold Industrial Way, Concord, CA 94520-5342 | 2017-12-01 |
| 1295249399 | Contra Costa County | Counselor | 2047c Arnold Industrial Way, Concord, CA 94520-5342 | 2017-11-28 |
| 1447602693 | Contra Costa County | Early Intervention Provider Agency | 4427 Horseshoe Cir, Antioch, CA 94531-8136 | 2016-07-11 |
| 1316339609 | Contra Costa County | Ambulance | 2010 Geary Rd, Pleasant Hill, CA 94523-4619 | 2015-02-24 |
| 1205152782 | Contra Costa County | Clinic/Center | 2425 Bisso Lane, Suite 100, Concord, CA 94520-4817 | 2010-04-09 |
| 1336214642 | Contra Costa County | Clinic/Center | 1860 Silverwood Dr, Concord, CA 94519-1351 | 2006-11-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CONTRA COSTA COUNTY OF HEALTH SERVICES HAZARDO | 4585 Pacheco Blvd, Martinez, CA 94553-2226 |
| System for Award Management (SAM) Entities | CONTRA COSTA COUNTY OFFICE OF EDUCATION | 77 Santa Barbara Rd, Pleasant Hill, CA 94523-4215 |
| Street Address |
1420 WILLOW PASS RD SUITES 110, 140, AND 200 |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-5223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447342902 | Douglas Eugene Hanlin | Psychiatry & Neurology | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5223 | 2006-09-29 |
| 1912505314 | Tyler Evans | Registered Nurse | 1420 Willow Pass Rd, Concord, CA 94520-5823 | 2020-10-16 |
| 1356998132 | Dave Tingzon | Registered Nurse | 1420 Willow Pass Rd, Concord, CA 94520-5823 | 2019-08-26 |
| 1063985455 | Matthew Kubasta | Student in an Organized Health Care Education/Training Program | 1420 Willow Pass Rd, Concord, CA 94520 | 2019-01-08 |
| 1508388430 | Kirsten Heher | Counselor | 1420 Willow Pass Rd, 200, Concord, CA 94520 | 2017-07-12 |
| 1114459161 | Joy Witt | Counselor | 1420 Willow Pass Rd, 200, Concord, CA 94520-5823 | 2017-03-29 |
| 1306378401 | Keith Hall | Counselor | 1420 Willow Pass Rd, 200, Concord, CA 94520-5823 | 2017-03-29 |
| 1073064358 | John Kayode Ojewole | Counselor | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2016-10-20 |
| 1730540782 | Candelario Jack Castillo IIi | Social Worker | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2016-03-17 |
| 1881031896 | Mark R Patras | Registered Nurse | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2013-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629600929 | John G. Giragos Jr. Md LLC | Clinic/Center | 132 Indian Pipe Ln, Concord, MA 01742-4766 | 2020-02-05 |
| 1427659986 | Balance Mental Health, P.l.l.c. | Clinic/Center | 3 Pleasant St Ste 5-6, Concord, NH 03301-4003 | 2020-11-02 |
| 1821586033 | Cognicounseling | Clinic/Center | 747 Main St, Concord, MA 01742-3302 | 2018-04-24 |
| 1235545559 | Contra Costa County | Clinic/Center | 1430 Willow Pass Rd, Suite 100 and 105, Concord, CA 94520-7928 | 2014-07-08 |
| 1750577904 | Cmc-northeast Psychiatric Services | Clinic/Center | 380 Copperfield Blvd Ne, Concord, NC 28025-2402 | 2007-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365652 | Hearts for Sight Foundation | Clinic/Center | 1540 Prospect Ave Apt A, San Gabriel, CA 91776-4484 | 2020-10-28 |
| 1679172290 | Cyti Psychology PC | Clinic/Center | 3025 Calico St, Santee, CA 92071-5678 | 2020-10-23 |
| 1427655810 | An Elegant Sufficiency, A Psychological Corporation | Clinic/Center | 672 W 11th St Ste 354, Tracy, CA 95376-3821 | 2020-10-08 |
| 1184231508 | Rh Community Builders Lp. | Clinic/Center | 1040 N Pleasant Ave, Fresno, CA 93728-2434 | 2020-09-29 |
| 1730795337 | Full Circle Psychotherapy | Clinic/Center | 6741 Sebastopol Ave Ste 110, Sebastopol, CA 95472-3838 | 2020-09-18 |
| 1871108928 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln Ste 200, Palm Desert, CA 92211-0468 | 2020-09-14 |
| 1619581337 | Family Tree Psychology Group Inc. | Clinic/Center | 3655 Grand Ave, Oakland, CA 94610-2009 | 2020-09-01 |
| 1306459029 | Lisa Eaton Therapy and Coaching, A Licensed Clinical Social Worker Cor | Clinic/Center | 3014 Lupine, Lake Forest, CA 92630-8439 | 2020-08-24 |
| 1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
| 1417566605 | Freedom Family Counseling Group Corp. | Clinic/Center | 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.