CONTRA COSTA COUNTY (NPI# 1205152782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205152782 |
| Entity Type | Organization |
| Organization Name | CONTRA COSTA COUNTY |
| Other Organization Name | OLDER ADULT MENTAL HEALTH SERVICES |
| Practice Address |
2425 Bisso Lane Suite 100 Concord CA 94520-4817 |
| Mailing Address |
50 Douglas Dr Suite 310-e Martinez CA 94553-4098 |
| Practice Telephone | 9255215620 |
| Practice Fax Number | 9255215639 |
| Mailing Telephone | 9259575400 |
| Mailing Fax Number | 9259575401 |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2014-07-29 |
| Authorized Official Name | PATRICK M. GODLEY (CFO AND COO) |
| 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 | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DHCS | 071M | 01 |
| Other Name | Type Code |
|---|---|
| Older 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 |
| 1336214642 | Contra Costa County | Clinic/Center | 1860 Silverwood Dr, Concord, CA 94519-1351 | 2006-11-21 |
| 1306916762 | Contra Costa County | Clinic/Center | 100 Glacier Dr, Martinez, CA 94553-4824 | 2006-11-09 |
| 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 |
2425 BISSO LANE SUITE 100 |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467941039 | Deidre A Miller | Student in an Organized Health Care Education/Training Program | 2425 Bisso Lane, Suite 200, Concord, CA 94520 | 2018-05-09 |
| 1215304944 | Christopher Domke | Student in an Organized Health Care Education/Training Program | 2425 Bisso Lane, Ste. 200, Concord, CA 94520-4886 | 2015-08-28 |
| 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 | 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 |
|---|---|---|---|---|
| 1992325914 | Al Counseling | Clinic/Center | 300 Baker Ave Ste 300, Concord, MA 01742-2124 | 2020-04-20 |
| 1538796842 | New Start Counseling Solutions | Clinic/Center | 2150 East St, Concord, CA 94520-2012 | 2020-03-25 |
| 1548770126 | Paul Mckim | Clinic/Center | 188 N Main St Ste 1office3, Concord, NH 03301-5095 | 2017-10-09 |
| 1679648182 | Eliot Community Human Services | Clinic/Center | 86 Baker Ave Ext, Concord, MA 01742 | 2006-11-21 |
| 1760489439 | Portia Bell Hume Behavioral Health and Training Center | Clinic/Center | 1333 Willow Pass Rd Ste 102, 101, Concord, CA 94520-7930 | 2005-07-07 |
| 1770046427 | Riverbend Community Mental Health, Inc | Clinic/Center | 40 Pleasant St, Concord, NH 03301-4006 | 2019-04-10 |
| 1366908113 | Pioneer Spirit Counseling LLC | Clinic/Center | 259 S Main St, Concord, NH 03301-3405 | 2019-02-18 |
| 1346704301 | Fishback Psychological Services, P.C. | Clinic/Center | 236 Lephillip Court, Suite D, Concord, NC 28025 | 2019-01-24 |
| 1376868471 | Behavioral Health, Pllc | Clinic/Center | 37 Market St Sw, Concord, NC 28025-5007 | 2010-03-31 |
| 1750566832 | Cabarrus Family Medicine | Clinic/Center | 270 Copperfield Blvd Ne, Suite 10, Concord, NC 28025-2441 | 2008-01-08 |
| Find all providers in CONCORD | ||||
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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.