SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES (NPI# 1376750232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376750232 |
| Entity Type | Organization |
| Organization Name | SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
| Other Organization Name | PETERSON HALL |
| Practice Address |
535 W Mathews Rd French Camp CA 95231-9757 |
| 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 | 2014-05-28 |
| Authorized Official Name | VICTOR SINGH (DIRECTOR-BEHAVIORAL HEALTH SERV) |
| Authorized Official Telephone | 2094682082 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 9009 | 05 |
| Other Name | Type Code |
|---|---|
| Peterson Hall | 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 |
| 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 |
| 1740711902 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N California St, Stockton, CA 95202-1552 | 2017-03-21 |
| Street Address |
535 W MATHEWS RD |
| City | FRENCH CAMP |
| State | CA |
| Zip Code | 95231-9757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588211825 | Luis Manuel Merlos IIi | Counselor | 535 W Mathews Rd, French Camp, CA 95231-9757 | 2019-08-21 |
| 1033624267 | Luz L Lopez-garcia | Counselor | 535 W Mathews Rd, French Camp, CA 95231-9757 | 2017-12-11 |
| 1104237759 | Barbara Joan Goeman | Registered Nurse | 535 W Mathews Rd, French Camp, CA 95231-9757 | 2014-05-16 |
| 1043631765 | Mayra Montes | Registered Nurse | 535 W Mathews Rd, French Camp, CA 95231-9757 | 2013-12-23 |
| 1619300472 | Winifreda Guirit | Registered Nurse | 535 W Mathews Rd, French Camp, CA 95231-9757 | 2013-08-15 |
| 1679906606 | Petronella W Lip | Registered Nurse | 535 W Mathews Rd, French Camp, CA 95231-9757 | 2013-08-13 |
| 1134552391 | Shelley Mcleod | Registered Nurse | 535 W Mathews Rd, French Camp, CA 95231-9757 | 2013-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124264510 | San Joaquin General Hospital Dialysis Clinic | General Acute Care Hospital | 7783 S. Freedom Road, French Camp, CA 95231 | 2009-01-06 |
| 1427229731 | Vhee M Agcaoili | Social Worker | 7777 S. Freedom Road, Stockton, CA 95231 | 2008-03-13 |
| 1851576532 | Nikolas Bjorn Adamsson | Counselor | 10350 South Mckinley Avenue, French Camp, CA 95231 | 2007-12-31 |
| 1558557801 | County of San Joaquin | Clinic/Center | 7783 South Freedom Road, French Camp, CA 95231 | 2007-09-20 |
| 1962602847 | Julie Mai Dang | Pharmacist | 7777 South Freedom Drive, French Camp, CA 95231 | 2007-07-19 |
| 1548478142 | San Joaquin County Behavioral Health Services | Clinic/Center | 6861 Mary Graham Lane, French Camp, CA 95231 | 2007-05-18 |
| 1497968184 | San Joaquin County Behavioral Health Services | Substance Abuse Rehabilitation Facility | 500 W. Hospital Road, French Camp, CA 95231 | 2007-05-08 |
| 1891918793 | Randy Raymond Barretto | Counselor | 500 W. Hospitalm Rd, French Camp ., CA 95231 | 2007-04-10 |
| 1245352392 | Dora Florez | Counselor | 500 W Hospital Road, French Camp, CA 95231 | 2007-04-06 |
| 1538281506 | John Campos | Physical Therapy Assistant | 500 West Hospital Rd., French Camp, CA 95231 | 2007-04-03 |
| Find all providers in zip 95231 | ||||
| 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 |
|---|---|---|---|---|
| 1770860520 | San Joaquin County Behavioral Health Services | Clinic/Center | 7000 Michael Canlis Way, French Camp, CA 95231-9781 | 2011-11-08 |
| 1750678835 | San Joaquin County Behavioral Health Services | Clinic/Center | 500 W Hospital Rd, French Camp, CA 95231-9693 | 2011-07-08 |
| 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 | ||||
| City | FRENCH CAMP |
| Zip Code | 95231 |
Please comment or provide details below to improve the information on SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES.
| 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.