CONTRA COSTA COUNTY HEALTH SERVICES (NPI# 1588965651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588965651 |
| Entity Type | Organization |
| Organization Name | CONTRA COSTA COUNTY HEALTH SERVICES |
| Practice Address |
10 Douglas Dr Ste 140 Martinez CA 94553-4078 |
| Practice Telephone | 9253131156 |
| Practice Fax Number | 9253131163 |
| Mailing Telephone | 9253131156 |
| Mailing Fax Number | 9253131163 |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |
| Authorized Official Name | WILLIAM WALKER (HEALTH SERVICES DIRECTOR) |
| Authorized Official Telephone | 9253131156 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LCS 8182 | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174677116 | Contra Costa County Health Services | Marriage & Family Therapist | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5223 | 2007-01-23 |
| 1164575940 | Contra Costa County Health Services | Psychologist | 303 41st St, Richmond, CA 94805-2221 | 2007-01-18 |
| Street Address |
10 DOUGLAS DR STE 140 |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-4078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780736058 | David Patrick Dwyer | Marriage & Family Therapist | 10 Douglas Dr Ste 140, Martinez, CA 94553-4078 | 2007-01-17 |
| 1023408739 | Breanna Davaran | Counselor | 10 Douglas Dr Ste 140, Martinez, CA 94553 | 2015-02-02 |
| 1861822603 | Hazel Avellanosa Lee | Marriage & Family Therapist | 10 Douglas Dr Ste 140, Martinez, CA 94553-4078 | 2013-11-14 |
| 1346542883 | Roberta Bowers | Social Worker | 10 Douglas Dr Ste 140, Martinez, CA 94553-4078 | 2010-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| 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 |
|---|---|---|---|---|
| 1598018897 | Contra Costa Arc - Lynn Center | Community/Behavioral Health | 1340 Arnold Dr Ste 121, Martinez, CA 94553-4189 | 2012-10-24 |
| 1689715880 | Youth Development Corporation of America | Community/Behavioral Health | 4424 Columbia Rd, Ste B, Martinez, GA 30907-4565 | 2007-02-09 |
| 1811044464 | Georgia Psychological Services | Community/Behavioral Health | 4139 Columbia Rd Ste A, Martinez, GA 30907-5401 | 2007-01-05 |
| 1245854207 | Agape Behavioral Healthcare and Counseling, LLC . | Community/Behavioral Health | 3711 Executive Center Dr, Martinez, GA 30907-0951 | 2020-06-04 |
| 1124596333 | Contra Costa County | Community/Behavioral Health | 1350 Arnold Dr Ste 102, Martinez, CA 94553-4190 | 2018-11-06 |
| 1760982169 | Contra Costa County | Community/Behavioral Health | 1340 Arnold Dr Ste 200, Martinez, CA 94553-4189 | 2018-02-13 |
| 1447762521 | Seneca Family of Agencies | Community/Behavioral Health | 150 E St, Martinez, CA 94553-3139 | 2017-10-30 |
| 1841635554 | Rising Tide Behavioral Interventions, LLC | Community/Behavioral Health | 305 Habersham Rd, Martinez, GA 30907-9073 | 2013-05-08 |
| 1629257928 | Martinez Detention Facility | Community/Behavioral Health | 1000 Ward St, Martinez, CA 94553-1360 | 2007-11-02 |
| 1851586572 | Seneca Center | Community/Behavioral Health | 1320 Arnold Dr, Suite 160, Martinez, CA 94553-6537 | 2007-09-06 |
| Find all providers in MARTINEZ | ||||
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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.