COUNTY OF SOLANO (NPI# 1093927311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093927311 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SOLANO |
| Other Organization Name | SCMH YOUTH SERVICES FAIRFIELD |
| Practice Address |
2101 Courage Dr Fairfield CA 94533-6717 |
| Mailing Address |
275 Beck Ave # Ms 5-215 Fairfield CA 94533-6804 |
| Practice Telephone | 7077844900 |
| Practice Fax Number | 7073994957 |
| Mailing Telephone | 7077848575 |
| Mailing Fax Number | 7074213207 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2012-08-28 |
| Authorized Official Name | MS. MARIA TERESA L. LAPIRA (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7077848584 |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF SOLANO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 4896 | 05 |
| Other Name | Type Code |
|---|---|
| SCMH Youth Services Fairfield | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710274899 | County of Solano | Community/Behavioral Health | 1119 East Monte Vista Avenue, Vacaville, CA 95687 | 2011-07-08 |
| 1730470006 | County of Solano | Clinic/Center | 275 Beck Ave # Ms 5210, Fairfield, CA 94533-6804 | 2011-04-21 |
| 1083845275 | County of Solano | Clinic/Center | 2201 Courage Drive, Fairfield, CA 94533-6717 | 2009-08-05 |
| 1396947743 | County of Solano | Case Management | 275 Beck Avenue, Fairfield, CA 94533-6804 | 2007-06-05 |
| 1508072588 | County of Solano | Case Management | 275 Beck Avenue Ms 5210, Fairfield, CA 94533-6804 | 2007-05-15 |
| 1639550411 | County of Solano | Case Management | 675 Texas St, Cac, Suite 3800, Fairfield, CA 94533-6372 | 2015-06-17 |
| 1427330869 | County of Solano | Clinic/Center | 2201 Courage Dr, Fairfield, CA 94533-6733 | 2011-09-12 |
| 1972882884 | County of Solano | Clinic/Center | 275 Beck Ave # Ms 5210, Fairfield, CA 94533-6804 | 2011-08-09 |
| 1497058317 | County of Solano | Community/Behavioral Health | 2101 Courage Dr, Ms 10-100, Fairfield, CA 94533-6717 | 2010-12-15 |
| 1659680908 | County of Solano | Community/Behavioral Health | 675 Texas St, Fairfield, CA 94533-6372 | 2010-10-05 |
| Street Address |
2101 COURAGE DR |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-6717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396736732 | Sarah Jane Bolger | Nurse Practitioner | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2005-11-03 |
| 1235754706 | Armina Roseanna Delacruz | Counselor | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-06-10 |
| 1043834955 | Rodney Ralls | Counselor | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-06-05 |
| 1740800531 | Cleveland Anthony Thibodeaux IIi | Counselor | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-04-21 |
| 1477173672 | Lauren Elayna Lopez | Case Manager/Care Coordinator | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-04-17 |
| 1497388763 | Edward Lusung Mendoza | Licensed Vocational Nurse | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-02-14 |
| 1598397655 | Pamela Monterrosa | Student in an Organized Health Care Education/Training Program | 2101 Courage Dr, Fairfield, CA 94533 | 2020-02-06 |
| 1205476801 | Lemuel Francis Constantino | Registered Nurse | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-01-10 |
| 1285273490 | Simone Lenore Adkins | Counselor | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2020-01-06 |
| 1376182857 | Sean Michael Maher | Registered Nurse | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2019-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477103547 | Kdds Too, Inc. | Community/Behavioral Health | 28 Dwight Place, Fairfield, NJ 07004 | 2019-09-19 |
| 1891280368 | Jennifer Jasmine Aguilar | Community/Behavioral Health | 2357 Morrison Ln, Fairfield, CA 94534-9746 | 2018-06-27 |
| 1184071714 | Bridging The Gap Holistic Services, LLC | Community/Behavioral Health | 3238 Village Dr, Fairfield, OH 45014-8119 | 2016-05-24 |
| 1104289594 | Center for Childrens Behavioral Health Incorporated | Community/Behavioral Health | 356 Horseneck Rd, Fairfield, NJ 07004-1610 | 2016-04-01 |
| 1619341153 | Summit Counseling Services, Pllc | Community/Behavioral Health | 201 1st Ave N, Fairfield, MT 59436 | 2015-11-20 |
| 1528450301 | Judy Elizabeth Mcclure | Community/Behavioral Health | 808 N 4th St, Fairfield, IA 52556-2203 | 2015-03-03 |
| 1326397019 | Franz Rudas | Community/Behavioral Health | 644 Antiquity Dr, Fairfield, CA 94534-4050 | 2012-09-10 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1821309980 | Fedcap Rehabilitation Services, Inc. | Community/Behavioral Health | 373 Route 46 W, Bldg. D Suite 110, Fairfield, NJ 07004-2442 | 2010-06-23 |
| 1275760282 | Family Preservation Services, Inc. | Community/Behavioral Health | 1200 Sterrett Rd, Fairfield, VA 24435-2629 | 2009-06-17 |
| Find all providers in FAIRFIELD | ||||
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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.