COUNTY OF SHASTA


Address: 1612 Market St, Redding, CA 96001-1021
Phone: 5302255200

COUNTY OF SHASTA (NPI# 1649721077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649721077
Entity Type Organization
Organization Name COUNTY OF SHASTA
Other Organization Name WRAPAROUND/CLINICAL SERVICES
Practice Address 1612 Market St
Redding
CA 96001-1021
Mailing Address 2640 Breslauer Way
Redding
CA 96001-4246
Practice Telephone 5302255200
Enumeration Date 2016-10-20
Last Update Date 2017-07-25
Authorized Official Name MR. DONNELL EWERT (DIRECTOR OF MENTAL HEALTH)
Authorized Official Telephone 5302456750
Authorized Official Credential MPH
Is Organization Subpart Y
Parent Organization Name COUNTY OF SHASTA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
HHSA Children's Branch, MH, Wraparound Other Name - Individual/Organization
Wraparound/Clinical Services Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1821510652 County of Shasta Community/Behavioral Health 1420 Yuba St, Redding, CA 96001-1032 2017-07-13
1811419658 County of Shasta Community/Behavioral Health 1580 Market St, Redding, CA 96001-1023 2017-07-13
1013438019 County of Shasta Community/Behavioral Health 1411 Yuba St, Redding, CA 96001-1010 2017-06-29
1588709182 County of Shasta Clinic/Center 2650 Breslauer Way, Redding, CA 96001-4246 2007-02-21
1881692390 County of Shasta Community/Behavioral Health 2640 Breslauer Way, Redding, CA 96001-4246 2005-07-08
1447720842 County of Shasta Social Worker 1544 Magnolia Ave, Redding, CA 96001-1513 2018-11-28
1649792474 County of Shasta Community/Behavioral Health 1560 Market St, Redding, CA 96001-1023 2017-07-13

Office Location

Street Address 1612 MARKET ST
City REDDING
State CA
Zip Code 96001-1021

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730651266 Vanessa Louise Banda Social Worker 1544 Magnolia Avenue, Redding, CA 96001 2018-12-21
1184194672 Marie Sherrick Licensed Vocational Nurse 2030 Elreno Lane, Redding, CA 96001 2018-11-28
1699257857 Prorehab Physical Therapy and Sports Performance, Inc Physical Therapist 3673 Eureka Way, Redding, CA 96001 2018-09-05
1316456833 Jennifer Rose Goehring Counselor 1310 Continental Street, Redding, CA 96001 2017-09-27
1891224440 Audrey Cutler Social Worker 1313 Yuba St., Redding, CA 96001 2017-06-07
1184167991 Calafia Holdings LLC Skilled Nursing Facility 1836 Gold Street, Redding, CA 96001 2016-11-28
1194272369 Shasta County Clinic/Center 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 2016-09-06
1417329236 Shari Hayden Specialist/Technologist, Other 2111 Air Park Dr, Redding, CA 96001 2015-10-21
1679951982 Shasta Hearing Aids Health Maintenance Organization 900 Butte St, Redding, CA 96001 2015-05-07
1073919171 Native American Mental Health Services Corporation Psychiatry & Neurology 1742 Oregon Street, Redding, CA 96001 2014-11-17
Find all providers in zip 96001

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861988750 Anka Behavioral Health Incorporated Community/Behavioral Health 1786 Vinson Dr, Redding, CA 96003-7950 2018-07-03
1528554417 Anka Behavioral Health Incorporated Community/Behavioral Health 20374 Pickford Way, Redding, CA 96002-9231 2018-07-03
1215441282 Kings View Corporation Community/Behavioral Health 1670 Market St Ste 256, Redding, CA 96001-1046 2017-11-28
1821510652 County of Shasta Community/Behavioral Health 1420 Yuba St, Redding, CA 96001-1032 2017-07-13
1811419658 County of Shasta Community/Behavioral Health 1580 Market St, Redding, CA 96001-1023 2017-07-13
1013438019 County of Shasta Community/Behavioral Health 1411 Yuba St, Redding, CA 96001-1010 2017-06-29
1912262932 Parent Infant Programs, Inc Community/Behavioral Health 2628 Victor Ave, Redding, CA 96002-1454 2012-07-05
1093078586 Randal Lee Bartholomew Community/Behavioral Health 1237 California St., Redding, CA 96001 2012-06-19
1629379011 Children & Family Services Community/Behavioral Health 1313 Yuba St, Redding, CA 96001-1012 2010-11-16
1578685210 Shasta Treatment Associates Community/Behavioral Health 1175 Hartnell Ave, Suite C, Redding, CA 96002-2135 2007-04-04
Find all providers in REDDING

Competitor

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City REDDING
Zip Code 96001

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Dataset Information

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.

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