STANISLAUS COUNTY


Address: 1130 Monaco Ct, Stockton, CA 95207-6704
Phone: 2095257423

STANISLAUS COUNTY (NPI# 1346373875) 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) 1346373875
Entity Type Organization
Organization Name STANISLAUS COUNTY
Other Organization Name CRESTWOOD MANOR - STOCKTON
Practice Address 1130 Monaco Ct
Stockton
CA 95207-6704
Mailing Address 800 Scenic Dr
Modesto
CA 95350-6131
Practice Telephone 2095257423
Mailing Telephone 2095257423
Enumeration Date 2007-03-13
Last Update Date 2020-08-22
Authorized Official Name DENISE C HUNT (BEHAVIORAL HEALTH DIRECTOR)
Authorized Official Telephone 2095256225
Authorized Official Credential RN, MFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
CA 50AL 05

Other Provider/Organization Names

Other Name Type Code
CRESTWOOD MANOR - STOCKTON Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1952502676 Stanislaus County Community/Behavioral Health 1501 F St, Modesto, CA 95354-2522 2007-05-30
1194926246 Stanislaus County Community/Behavioral Health 2028 W Orangeburg Ave, Modesto, CA 95350-3742 2007-05-29
1861525081 Stanislaus County Community/Behavioral Health 12555 B Street, Merced, CA 95340 2007-03-14
1790818821 Stanislaus County Community/Behavioral Health 823 E Orangeburg Ave, Modesto, CA 95350-4619 2007-03-14
1770616674 Stanislaus County Community/Behavioral Health 101 Lander Ave, Turlock, CA 95380-5201 2007-03-13
1417080300 Stanislaus County Community/Behavioral Health 1803 Enslen Ave, Modesto, CA 95350-3112 2007-03-13
1851423834 Stanislaus County Community/Behavioral Health 1024 J St, Suite 225, Modesto, CA 95354-0828 2007-03-12
1942332077 Stanislaus County Community/Behavioral Health 5725 Paradise Dr, Corte Madera, CA 94925-1212 2007-03-12
1962534099 Stanislaus County Community/Behavioral Health 755 S Yosemite Ave, Oakdale, CA 95361-4094 2007-03-12
1467584599 Stanislaus County Community/Behavioral Health 22791 Foothill Blvd, Hayward, CA 94541-4207 2007-03-12

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities STANISLAUS COUNTY POLICE ACTIVITIES LEAGUE 1325 Beverly Dr, Modesto, CA 95351-2313
System for Award Management (SAM) Entities STANISLAUS COUNTY PROBATION DEPARTMENT 2215 Blue Gum Avez, Modesto, CA 95358

Office Location

Street Address 1130 MONACO CT
City STOCKTON
State CA
Zip Code 95207-6704

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841261054 John Fong Psychiatry & Neurology 1130 Monaco Ct, Stockton, CA 95207 2006-01-27
1730128174 Crestwood Behavioral Health, Inc. Skilled Nursing Facility 1130 Monaco Ct, Stockton, CA 95207-6704 2006-06-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669004438 Dr. Jeffrey A Saladin, Dental Corporation Dentist 1002 Robinhood Drive, Stockton, CA 95207 2020-02-10
1811533110 Tanya V Jones Dental Hygienist Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 2019-11-21
1053966358 Ingrid Marcela Saavedra Behavioral Analyst 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 2019-08-05
1497218861 Turning Point Community Programs Community/Behavioral Health 1803 W March Ln Ste C-d, Stockton, CA 95207 2019-04-11
1427510627 Stockton Sleep Center Inc Physiological Laboratory 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 2019-04-05
1518436229 Nicolas Anthony Overby Occupational Therapist Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 2018-11-26
1912475724 Ashley Johnson Behavior Technician 87 W. March Ln. Suite 6, Stockton, CA 95207 2018-11-09
1124596085 Korie Cottrell Behavior Technician 87 W. March Ln., Suite 6, Stockton, CA 95207 2018-11-08
1760979645 Maria Esther Rodriguez Counselor 2425 W March Ln., Stockton, CA 95207 2018-04-17
1902301161 Lashray Elliott Behavior Technician 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 2018-03-28
Find all providers in zip 95207

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497218861 Turning Point Community Programs Community/Behavioral Health 1803 W March Ln Ste C-d, Stockton, CA 95207 2019-04-11
1932664620 San Joaquin County Behavioral Health Services Community/Behavioral Health 1212 N. Califorian St, Stockton, CA 95202 2019-02-06
1467950345 Parents By Choice Community/Behavioral Health 306 E Main St Ste 300-312, Stockton, CA 95202-2908 2018-01-25
1033648084 O'connor Woods Housing Corp Community/Behavioral Health 3400 Wagner Heights Rd, Stockton, CA 95209-4843 2017-06-05
1851824882 Elizabeth Thompson Community/Behavioral Health 149 W Stadium Dr, Stockton, CA 95204-3117 2017-04-06
1689125163 Anka Behavioral Health, Inc. Community/Behavioral Health 2428 Warlow Ln, Stockton, CA 95206 2016-10-19
1740731736 Ger Vang Community/Behavioral Health 822 Prospector Dr, Stockton, CA 95210-1442 2016-10-14
1316494339 Anka Behavioral Health, Inc. Community/Behavioral Health 9555 Priscilla Ln, Stockton, CA 95212 2016-09-07
1255708855 Buphant Society Community/Behavioral Health 1045 N. Eldorado, 11, Stockton, CA 95202 2015-08-31
1710364823 Central Valley Center for Community Advocacy, Inc. Community/Behavioral Health 20 N. Sutter St., Suite 400, Stockton, CA 95202-2911 2015-04-28
Find all providers in STOCKTON

Competitor

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City STOCKTON
Zip Code 95207

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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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