TEHAMA COUNTY HEALTH SERVICES AGENCY - MENTAL HEALTH DIVISION (NPI# 1467668616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467668616 |
| Entity Type | Organization |
| Organization Name | TEHAMA COUNTY HEALTH SERVICES AGENCY - MENTAL HEALTH DIVISION |
| Practice Address |
1860 Walnut Street, Suite A, B, D and J Red Bluff CA 96080 |
| Mailing Address |
Po Box 400 Red Bluff CA 96080-0400 |
| Practice Telephone | 5305278491 |
| Mailing Telephone | 5305278491 |
| Mailing Fax Number | 5305270240 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | MS. VALERIE S LUCERO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5305278491 |
| Is Organization Subpart | Y |
| Parent Organization Name | TEHAMA COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| 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 | 000005201 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1860 Walnut St, Red Bluff, CA 960803611 | 5305278491 | 5305270240 |
| 1860 Walnut Street, Suites A, B and J, Red Bluff, CA 96080 | 5305275631 |
| Street Address |
1860 WALNUT STREET, SUITE A, B, D AND J |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
| 1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
| 1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
| 1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
| 1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
| 1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
| 1932321080 | Lassen House | Assisted Living Facility | 705 Luther Road, Red Bluff, CA 96080 | 2007-05-02 |
| Find all providers in zip 96080 | ||||
| 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 |
|---|---|---|---|---|
| 1750703997 | Tehama County Health Services Agency | Clinic/Center | 1740 Walnut St, Red Bluff, CA 96080-3667 | 2014-01-07 |
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| 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 |
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| Find all providers with the same taxonomy | ||||
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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.