SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES


Address: 1209 W Tokay St, Lodi, CA 95240-3845
Phone: 2094688778

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CA 9054 05

Other Provider/Organization Names

Other Name Type Code
SJC-MHS-HEART Homeless Engagement & Response Team Lodi Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1209 W TOKAY ST
City LODI
State CA
Zip Code 95240-3845

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821117284 Matthew Fava Clinic/Center 404 W Pine St, Lodi, CA 95240-2048 2007-03-28

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City LODI
Zip Code 95240

Improve Information

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Dataset Information

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.

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