SCMHTC (NPI# 1629496187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629496187 |
| Entity Type | Organization |
| Organization Name | SCMHTC |
| Practice Address |
2150 Stockton Blvd Sacramento CA 95817-1337 |
| Practice Telephone | 9168751000 |
| Mailing Telephone | 9168751000 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |
| Authorized Official Name | MR. CARL SCOTT BRAY (TREATMENT CENTER PROGRAM COORDINATO) |
| Authorized Official Telephone | 9168751020 |
| Authorized Official Credential | MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Street Address |
2150 STOCKTON BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336100171 | Richard A Cross | Psychiatry & Neurology | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2006-03-31 |
| 1427657477 | Brandy Russell | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-10-21 |
| 1710591250 | Mary Joy Gigaquit Hyatt | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-09-02 |
| 1295345478 | Felicia Ann Facio | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-08-03 |
| 1982213864 | Simranjot Kaur Sidhu | Registered Nurse | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-07-28 |
| 1881202141 | Ferdinand Garcia | Registered Nurse | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-07-22 |
| 1548885569 | Sara Crosby | Licensed Practical Nurse | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-06-15 |
| 1700409539 | Cortney S Clark | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-05-27 |
| 1063032076 | Jazmin Franco | Case Manager/Care Coordinator | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-04-20 |
| 1447889688 | Wilfredo Ranit Escartin Jr. | Registered Nurse | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144744186 | National Psychiatric Care and Rehabilitation Services | Psychiatric Residential Treatment Facility | 1532 Rosalind St Ste D, Sacramento, CA 95838-4535 | 2017-08-01 |
| 1083869366 | Yolo County Care Contiunnm | Psychiatric Residential Treatment Facility | 5730 Kandinsky Way, Sacramento, CA 95835-2331 | 2008-12-01 |
| 1861847774 | Sacramento County Mental Health Treatment Center | Psychiatric Residential Treatment Facility | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2016-04-28 |
| 1881934248 | Sacramento County Mental Health Treatment Center | Psychiatric Residential Treatment Facility | 2150 Stockton Blvd, Sacramento, CA 95817-1337 | 2013-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172720 | Meadows | Psychiatric Residential Treatment Facility | 6395 Meadows Ct, Malibu, CA 90265-1706 | 2020-10-20 |
| 1912506064 | Point Dume | Psychiatric Residential Treatment Facility | 29149 Cliffside Dr, Malibu, CA 90265-4215 | 2020-10-20 |
| 1275132326 | Beach House | Psychiatric Residential Treatment Facility | 29245 Cliffside Dr, Malibu, CA 90265-4268 | 2020-10-20 |
| 1376159566 | 3855 Brunston LLC | Psychiatric Residential Treatment Facility | 3855 Brunston Ct, Westlake Village, CA 91362-5130 | 2020-09-22 |
| 1649884909 | Montage Recovery Ca LLC | Psychiatric Residential Treatment Facility | 2890 Kana Dume, Malibu, CA 90265 | 2020-09-03 |
| 1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
| 1063024644 | Crownview Psychiatric Institute | Psychiatric Residential Treatment Facility | 1110 Camino Del Sol Cir, Carlsbad, CA 92008-3509 | 2020-08-17 |
| 1215545652 | Elevation Behavioral Health | Psychiatric Residential Treatment Facility | 3836 Kanan Rd, Agoura Hills, CA 91301-3237 | 2020-07-22 |
| 1053929273 | Montage Recovery Solutions | Psychiatric Residential Treatment Facility | 17801 Twilight Ln, Encino, CA 91316-4330 | 2020-07-14 |
| 1225646441 | Montage Recovery Solutions | Psychiatric Residential Treatment Facility | 2900 S Kanan Dume Rd, Malibu, CA 90265-2792 | 2020-07-14 |
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| City | SACRAMENTO |
| Zip Code | 95817 |
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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.