SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES (NPI# 1497968184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497968184 |
| Entity Type | Organization |
| Organization Name | SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
| Other Organization Name | FAMILY TIES |
| Practice Address |
500 W. Hospital Road French Camp CA 95231 |
| Practice Telephone | 2094686208 |
| Practice Fax Number | 2094687032 |
| Mailing Telephone | 2094686208 |
| Mailing Fax Number | 2094687032 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2017-08-07 |
| Authorized Official Name | BILLY OLPIN (DEPUTY DIRECTOR SUBSTANCE ABUSE SER) |
| Authorized Official Telephone | 2094688845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
390002EN | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Family Ties | 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 |
| 1376750232 | San Joaquin County Behavioral Health Services | Clinic/Center | 535 W Mathews Rd, French Camp, CA 95231-9757 | 2007-05-17 |
| 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 |
| 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 |
500 W. HOSPITAL ROAD |
| City | FRENCH CAMP |
| State | CA |
| Zip Code | 95231 |
| 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 |
| 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 |
| 1235213463 | County of San Joaquin | Clinic/Center | 7783 South Freedom Rd., French Camp, CA 95231 | 2006-10-24 |
| Find all providers in zip 95231 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252690 | Serena Alicia Jones | Substance Abuse Rehabilitation Facility | 500 W Hospital Rd, French Camp, CA 95231-9693 | 2019-06-05 |
| 1770140600 | Kelly Marie Foreman | Substance Abuse Rehabilitation Facility | 500 W Hospital Rd, French Camp, CA 95231-9693 | 2019-05-27 |
| 1710101084 | Anka Behavioral Health Incorporated | Substance Abuse Rehabilitation Facility | 8210 S Bright Rd, French Camp, CA 95231 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275620 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 80 W Nicasio, San Geronimo, CA 94963 | 2020-11-05 |
| 1013518042 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 1208 Via Aracena, Camarillo, CA 93010-7440 | 2020-11-05 |
| 1609477645 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 1850 Calle Alberca, Camarillo, CA 93010-1811 | 2020-11-05 |
| 1467053736 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 615 Bugeia Ln, Novato, CA 94945-1517 | 2020-11-04 |
| 1376144642 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 100 Avocado Pl, Camarillo, CA 93010-8467 | 2020-11-04 |
| 1285235556 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 7210 Johnston Rd, Pleasanton, CA 94588-9466 | 2020-11-04 |
| 1780282988 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 2891 I Street Ext, Petaluma, CA 94952-9521 | 2020-10-12 |
| 1720692577 | Muir Wood, LLC. | Substance Abuse Rehabilitation Facility | 1743 Skillman Lane, Petaluma, CA 94952-9495 | 2020-08-31 |
| 1598376816 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 6868 Cold Springs Rd, Penngrove, CA 94951-9722 | 2020-08-11 |
| 1770194060 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 195 S Peralta Hills Dr, Anaheim, CA 92807-3424 | 2020-08-11 |
| 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.