COUNTY OF STANISLAUS (NPI# 1538297973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538297973 |
| Entity Type | Organization |
| Organization Name | COUNTY OF STANISLAUS |
| Other Organization Name | STANISLAUS COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES |
| Practice Address |
251 East Hackett Road Modesto CA 95358 |
| Mailing Address |
800 Scenic Drive Bldg. 4 Modesto CA 95350-6131 |
| Practice Telephone | 2095256225 |
| Mailing Telephone | 2095256225 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | RUBEN IMPERIAL (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Telephone | 2095256225 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF STANISLAUS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 5049 | 05 |
| Other Name | Type Code |
|---|---|
| Child Welfare - CSOC | Other Name - Individual/Organization |
| STANISLAUS COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730650524 | County of Stanislaus | Community/Behavioral Health | 4640 Spyres Way Ste B7, Modesto, CA 95356-9800 | 2018-12-06 |
| 1992909378 | County of Stanislaus | Community/Behavioral Health | 500 N 9th St, Bldg B, Modesto, CA 95350 | 2007-06-12 |
| 1265634281 | County of Stanislaus | Community/Behavioral Health | 190 Hackett Road, Modesto, CA 95358 | 2007-06-01 |
| 1205969904 | County of Stanislaus | Community/Behavioral Health | 1904 Richland Ave, Cert - C2 Bldg, Ceres, CA 95307-4562 | 2007-03-13 |
| 1750413704 | County of Stanislaus | Community/Behavioral Health | 631 West F. Street, Oakdale, CA 95361-3734 | 2007-03-12 |
| 1639208820 | County of Stanislaus | Community/Behavioral Health | 1418 J St, Modesto, CA 95354-1013 | 2007-03-05 |
| 1679601736 | County of Stanislaus | Community/Behavioral Health | 500 N 9th St, Bldg A, Modesto, CA 95350 | 2007-03-01 |
| 1225166739 | County of Stanislaus | Community/Behavioral Health | 2101 Geer Rd Ste 120, Turlock, CA 95382 | 2007-02-28 |
| 1578691903 | County of Stanislaus | Community/Behavioral Health | 500 N. 9th Street, Bldg. A, Modesto, CA 95350 | 2007-02-28 |
| 1679642060 | County of Stanislaus | Clinic/Center | 1325 Sonoma Ave, Modesto, CA 95355-3922 | 2006-11-07 |
| Street Address |
251 EAST HACKETT ROAD |
| City | MODESTO |
| State | CA |
| Zip Code | 95358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902321805 | Cecilia Yolanda Guajardo | Counselor | 2524 Finney Road, Ceres, CA 95358 | 2017-08-11 |
| 1205203049 | Olga Olivia Castillo | Case Manager/Care Coordinator | 1620 Cummings Rd, Modesto, CA 95358 | 2015-08-27 |
| 1174942270 | Rajneel Singh | Case Manager/Care Coordinator | 1524 Radcliffe Ave, Modesto, CA 95358 | 2014-04-16 |
| 1447486139 | Karl David Meabrod | Counselor | 190 E. Hackett Rd., Modesto, CA 95358 | 2009-06-08 |
| 1265634281 | County of Stanislaus | Community/Behavioral Health | 190 Hackett Road, Modesto, CA 95358 | 2007-06-01 |
| 1134250400 | Shelley Marie Southern | Marriage & Family Therapist | 1620 Cummins Drive, Modesto, CA 95358 | 2007-03-08 |
| 1407347248 | Jamie Lauren Mcgillis | Counselor | 1620 Cummins Dr, Modesto, CA 95358 | 2018-05-29 |
| 1508250135 | Michelle Eldridge | Case Manager/Care Coordinator | 1620 Cummins Drive, Modesto, CA 95358 | 2015-03-20 |
| 1083747604 | Juan Carlos Teran Jr. | Case Manager/Care Coordinator | 1620 Cummins Dr, Modesto, CA 95358 | 2007-03-13 |
| 1134411309 | Jessica L Flores | Licensed Vocational Nurse | 1520 Swarthmore Dr, Modesto, CA 95358-1049 | 2011-05-06 |
| Find all providers in zip 95358 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053882035 | Stanislaus County Behavioral Health and Recovery Services | Community/Behavioral Health | 190 E. Hackett Road, Modesto, CA 95358-9450 | 2018-12-17 |
| 1730650524 | County of Stanislaus | Community/Behavioral Health | 4640 Spyres Way Ste B7, Modesto, CA 95356-9800 | 2018-12-06 |
| 1780199711 | Resilience and Wellness Counseling | Community/Behavioral Health | 1012 11th St Ste Ll4, Modesto, CA 95354-0827 | 2017-12-13 |
| 1194260133 | Koinonia Foster Homes Inc | Community/Behavioral Health | 406 Motor City Ct, Ste. F, Modesto, CA 95356-9200 | 2016-12-29 |
| 1841732302 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 1539 Mchenry Ave., Modesto, CA 95350-4528 | 2016-11-14 |
| 1356798383 | Childrens Crisis Intervention Program | Community/Behavioral Health | 1540 Florida Ave Ste 212, Modesto, CA 95350-4430 | 2016-05-19 |
| 1245637230 | Sierra Vista Drop In Center | Community/Behavioral Health | 908 Sierra Dr, Modesto, CA 95351-3254 | 2014-11-19 |
| 1700126158 | Living Well Bcs Inc | Community/Behavioral Health | 510 Chabot Ave, Modesto, CA 95354-0233 | 2013-02-21 |
| 1740513266 | Sierra Vista Child & Family Services | Community/Behavioral Health | 1700 Mchenry Village Way Ste B, Modesto, CA 95350-4308 | 2009-09-16 |
| 1992909378 | County of Stanislaus | Community/Behavioral Health | 500 N 9th St, Bldg B, Modesto, CA 95350 | 2007-06-12 |
| Find all providers in MODESTO | ||||
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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.