SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES (NPI# 1083821367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083821367 |
Entity Type | Organization |
Organization Name | SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
Other Organization Name | SJC-MHS-HEART HOMELESS ENGAGEMENT & RESPONSE TEAM LODI |
Practice Address |
1209 W Tokay St Lodi CA 95240-3845 |
Mailing Address |
1212 N California St Stockton CA 95202-1552 |
Practice Telephone | 2094688778 |
Practice Fax Number | 2094682399 |
Mailing Telephone | 2094688778 |
Mailing Fax Number | 2094682399 |
Enumeration Date | 2007-05-17 |
Last Update Date | 2020-08-22 |
Authorized Official Name | BRUCE HOPPERSTAD (DIRECTOR-BEHAVIORAL HEALTH SERV) |
Authorized Official Telephone | 2094682080 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
X | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 9054 | 05 |
Other Name | Type Code |
---|---|
SJC-MHS-HEART Homeless Engagement & Response Team Lodi | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
1215214069 | San Joaquin County Behavioral Health Services | Clinic/Center | 24 S Hunter St, Stockton, CA 95202-3231 | 2011-11-08 |
1609085984 | San Joaquin County Behavioral Health Services | Clinic/Center | 6776 Alexandria Pl, Stockton, CA 95207-3407 | 2007-05-22 |
1548478142 | San Joaquin County Behavioral Health Services | Clinic/Center | 6861 Mary Graham Lane, French Camp, CA 95231 | 2007-05-18 |
1376750232 | San Joaquin County Behavioral Health Services | Clinic/Center | 535 W Mathews Rd, French Camp, CA 95231-9757 | 2007-05-17 |
1710193537 | San Joaquin County Behavioral Health Services | Clinic/Center | 1149 N El Dorado St, Stockton, CA 95202-1305 | 2007-05-16 |
1306051370 | San Joaquin County Behavioral Health Services | Clinic/Center | 220 W 11th St, Tracy, CA 95376-3944 | 2007-05-13 |
1497968184 | San Joaquin County Behavioral Health Services | Substance Abuse Rehabilitation Facility | 500 W. Hospital Road, French Camp, CA 95231 | 2007-05-08 |
1598232456 | San Joaquin County Behavioral Health Services | Clinic/Center | 1212 N California St, Stockton, CA 95202-1552 | 2018-10-30 |
1598284366 | San Joaquin County Behavioral Health Services | Clinic/Center | 1212 N California St, Stockton, CA 95202-1552 | 2017-09-13 |
Street Address |
1209 W TOKAY ST |
City | LODI |
State | CA |
Zip Code | 95240-3845 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801919519 | Vernice Sally Mohr | Licensed Psychiatric Technician | 1209 W Tokay St, Suite 5, Lodi, CA 95240-3845 | 2007-04-09 |
1376106203 | Shana M Gibbons | Registered Nurse | 1209 W Tokay St, Lodi, CA 95240-3845 | 2019-04-16 |
1902305972 | Celeste Rose Martinez | Licensed Psychiatric Technician | 1209 W Tokay St, Lodi, CA 95240-3845 | 2018-02-06 |
1992917843 | Marisa M Godi | Speech-Language Pathologist | 1209 W Tokay St, Suite 8, Lodi, CA 95240-3845 | 2007-05-04 |
1831311133 | Sara Rouse | Speech-Language Pathologist | 1209 W Tokay St, Ste 8, Lodi, CA 95240-3845 | 2007-05-03 |
1083826036 | Colleen Adair Selling | Speech-Language Pathologist | 1209 W Tokay St, Ste.8, Lodi, CA 95240-3845 | 2007-05-03 |
1144432360 | Sara Marie Peterson | Speech-Language Pathologist | 1209 W Tokay St, Suite 8, Lodi, CA 95240-3845 | 2007-05-03 |
1518182534 | Judith Ann Dolyniuk | Counselor | 1209 W Tokay St, Suite 5, Lodi, CA 95240 | 2007-04-16 |
1972726131 | Victoria Yvonne Sibayan | Marriage & Family Therapist | 1209 W Tokay St, Suite 5, Lodi, CA 95240-3845 | 2007-04-10 |
1952524894 | Treva Sue Strain | Social Worker | 1209 W Tokay St, Suite 3, Lodi, CA 95240-3845 | 2007-04-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962034991 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1139 E. Kettleman Lane, Suite 101, Lodi, CA 95240 | 2020-02-07 |
1548747082 | Gill and Patel Dental Corporation | Dentist | 2610 Reynolds Ranch Pkwy, Ste 100, Lodi, CA 95240 | 2018-07-27 |
1629511308 | Jose Daniel Garcia | Licensed Vocational Nurse | 12755 Ca-88, Lodi, CA 95240 | 2016-11-29 |
1104372754 | Jocelyn Janel Shilue | Specialist/Technologist | 705 Brandywine Drive, Lodi, CA 95240 | 2016-09-01 |
1750735965 | Natharchia R Peoples | Counselor | 9150 Ca-12, Lodi, CA 95240 | 2016-04-14 |
1891189403 | Valley Community Couseling Services | Case Management | 1300 W. Lodi Ste G-2, Stockton, CA 95240 | 2015-03-20 |
1114317195 | Carol Kooyman | Speech-Language Pathologist | 831 So. Lee Ave., Lodi, CA 95240 | 2015-01-29 |
1730514464 | Richard Barry Sirard | Pharmacist | 520 S Cherokee Lane, Lodi, CA 95240 | 2013-09-12 |
1740622570 | Joshlynn Uribe | Marriage & Family Therapist | 13520 E Live Oak Rd, Lodi, CA 95240 | 2013-07-22 |
1902172406 | Sital Singh | Internal Medicine | 999 S Fairmont Ave Ste 125, Lodi, CA 95240 | 2012-03-29 |
Find all providers in zip 95240 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821117284 | Matthew Fava | Clinic/Center | 404 W Pine St, Lodi, CA 95240-2048 | 2007-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114527041 | M. Attarian A Marriage and Family Therapy Professional Corporation | Clinic/Center | 433 N Camden Dr Ste 400, Beverly Hills, CA 90210-4408 | 2020-10-29 |
1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
1013523174 | Vitalis Wellness Center Inc. | Clinic/Center | 1519 Constitution Blvd Apt 201, Salinas, CA 93906-3150 | 2020-09-23 |
1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
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.