COUNTY OF SONOMA (NPI# 1457498636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457498636 |
Entity Type | Organization |
Organization Name | COUNTY OF SONOMA |
Other Organization Name | MENTAL HEALTH YOUTH & FAMILY SERVICES |
Practice Address |
2227 Capricorn Way Ste 207 Santa Rosa CA 95407-5486 |
Practice Telephone | 7075654810 |
Mailing Telephone | 7075654810 |
Enumeration Date | 2007-01-30 |
Last Update Date | 2018-12-12 |
Authorized Official Name | JENNIFER M PIMENTEL (DEPARTMENT ANALYST - CLAIMS MANAGER) |
Authorized Official Telephone | 7075654861 |
Is Organization Subpart | Y |
Parent Organization Name | COUNTY OF SONOMA |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | PROVIDER NUMBER | 4926 | 01 |
Other Name | Type Code |
---|---|
Mental Health Youth & Family Services | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386120442 | County of Sonoma | Clinic/Center | 2235 Challenger Way Ste 107 - 108, Santa Rosa, CA 95407-5421 | 2018-07-12 |
1093220675 | County of Sonoma | Clinic/Center | 7400 Rancho Los Guilicos Rd, Santa Rosa, CA 95409-6540 | 2017-12-05 |
1952637027 | County of Sonoma | Clinic/Center | 140 S Cloverdale Blvd, Cloverdale, CA 95425 | 2009-10-26 |
1487863866 | County of Sonoma | Clinic/Center | 2227 Capricorn Way, Santa Rosa, CA 95407-5478 | 2007-05-22 |
1457567802 | County of Sonoma | Clinic/Center | 2235 Challenger Way Ste 101, Santa Rosa, CA 95407-5421 | 2007-05-15 |
1598979031 | County of Sonoma | Clinic/Center | 810a Grove St, Sonoma, CA 95476-5328 | 2007-05-10 |
1306050828 | County of Sonoma | Clinic/Center | 112 Childrens Cir, Santa Rosa, CA 95409-6558 | 2007-05-10 |
1245444868 | County of Sonoma | Clinic/Center | 2245 Challenger Way Ste 100, Santa Rosa, CA 95407-5418 | 2007-05-10 |
1295949733 | County of Sonoma | Clinic/Center | 5350 Old Redwood Hwy N, Suite 600, Petaluma, CA 94954-1115 | 2007-05-10 |
1629124037 | County of Sonoma | Clinic/Center | 2235 Challenger Way Ste 107-108, Santa Rosa, CA 95407-5458 | 2007-01-26 |
Street Address |
2227 CAPRICORN WAY STE 207 |
City | SANTA ROSA |
State | CA |
Zip Code | 95407-5486 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871121483 | Lauren Elizabeth Reed | Case Manager/Care Coordinator | 2227 Capricorn Way Ste 207, Santa Rosa, CA 95407-5486 | 2020-03-30 |
1811542186 | Andrea Marie Ladow-kenny | Registered Nurse | 2227 Capricorn Way Ste 207, Santa Rosa, CA 95407-5486 | 2019-08-05 |
1336603604 | Sarah Faith Jenkins | Case Manager/Care Coordinator | 2227 Capricorn Way Ste 207, Santa Rosa, CA 95407-5486 | 2019-01-30 |
1144792680 | Megan Rozenia Lawrence-ferreira | Marriage & Family Therapist | 2227 Capricorn Way Ste 207, Santa Rosa, CA 95407-5486 | 2018-12-21 |
1386130599 | County of Sonoma | Clinic/Center | 2227 Capricorn Way Ste 207, Santa Rosa, CA 95407-5486 | 2018-07-11 |
1790204576 | Margaret Gross | Counselor | 2227 Capricorn Way Ste 207, Santa Rosa, CA 95407-5486 | 2017-09-13 |
1215328075 | Mario Apolinar | Counselor | 2227 Capricorn Way Ste 207, Santa Rosa, CA 95407-5486 | 2015-02-13 |
1932519394 | Mitchell Blomseth | Marriage & Family Therapist | 2227 Capricorn Way Ste 207, Santa Rosa, CA 95407-5486 | 2014-05-06 |
1629407929 | Jessica Kastrup | Counselor | 2227 Capricorn Way Ste 207, Santa Rosa, CA 95407-5486 | 2013-11-06 |
1346686342 | Lars Christian Nylund | Marriage & Family Therapist | 2227 Capricorn Way Ste 207, Santa Rosa, CA 95407-5486 | 2013-05-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
Find all providers in zip 95407 |
Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376757989 | Department of Health Services | Clinic/Center | 7425 Rancho Los Guilicos Rd, Santa Rosa, CA 95409-6519 | 2007-05-10 |
1790822955 | Individuals Now, Inc | Clinic/Center | 2447 Summerfield Road, Santa Rosa, CA 95405 | 2007-01-30 |
1629124037 | County of Sonoma | Clinic/Center | 2235 Challenger Way Ste 107-108, Santa Rosa, CA 95407-5458 | 2007-01-26 |
1245604909 | Sonoma County Counseling | Clinic/Center | 3434 Mendocino Ave, Building C, Santa Rosa, CA 95403-2274 | 2015-11-18 |
1841409224 | Department of Health Services | Clinic/Center | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2007-05-22 |
1336286244 | Department of Health Services | Clinic/Center | 3322 Chanate Rd, #49269n, Santa Rosa, CA 95404-1708 | 2007-01-31 |
1245377159 | Department of Health Services | Clinic/Center | 3322 Chanate Rd, #49269s, Santa Rosa, CA 95404-1708 | 2007-01-31 |
1538206446 | Department of Health Services | Clinic/Center | 3333 Chanate Rd, #49269r, Santa Rosa, CA 95404-1707 | 2007-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073112157 | 10-20 Club Inc. | Clinic/Center | 8221 3rd St Ste 403, Downey, CA 90241-3733 | 2020-10-20 |
1447857040 | Mary Cox, Lmft | Clinic/Center | 13800 Heacock St Ste 230a, Moreno Valley, CA 92553-8824 | 2020-10-06 |
1821607771 | Tonya Octave, Lcsw, Prof Corp | Clinic/Center | 237 S Lakeview Ave Ste A, Placentia, CA 92870-6756 | 2020-07-27 |
1972121762 | Environmental Alternatives Susanville | Clinic/Center | 2003 Main St, Susanville, CA 96130-4501 | 2020-07-08 |
1083231781 | Treehouse Child Therapy Professional Corporation | Clinic/Center | 514 N California Ave Ste 13, Beaumont, CA 92223-2120 | 2020-06-29 |
1083230262 | Socal Adolescent Wellness, Inc. | Clinic/Center | 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899 | 2020-06-23 |
1447876123 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 454 E Cerritos St, Rialto, CA 92376-3658 | 2020-06-18 |
1669098505 | Rowi Valencia, Inc. | Clinic/Center | 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 | 2020-06-16 |
1386267870 | Bni Treatment Centers | Clinic/Center | 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 | 2020-05-19 |
1538781042 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 3872 Carthage St, Riverside, CA 92501-2102 | 2020-05-07 |
Find all providers with the same taxonomy |
City | SANTA ROSA |
Zip Code | 95407 |
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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.