NPIMap

Organization Active NPI

San Joaquin County Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stockton, CA
National Provider Identifier
1003193855
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Practice address
105 S San Joaquin St
Stockton, CA 95202-3206
Phone
(209) 953-5466
Fax
(209) 953-7526
NPI assigned
Nov 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Fay Vieira, LMFT
Title
Director-Behavioral Health Services
Phone
(209) 468-8849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

105 S San Joaquin St
Stockton, CA 95202-3206

Mailing address

1212 N California St
Stockton, CA 95202-1552
Phone (209) 468-8778

Other practice location 1

1212 N California St
Stockton, CA 95202-1552
Phone (209) 468-8778

Other identifiers 1

IdentifierTypeStateIssuer
39MedicaidCA

Other names 1

  • SJC-MHS Community Corrections Partnership-BHS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Joaquin Gen Hospita94 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1003193855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021552",
            "telephone_number": "209-468-8778",
            "fax_number": "209-468-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S SAN JOAQUIN ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952023206",
            "telephone_number": "209-953-5466",
            "fax_number": "209-953-7526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 N California St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952021552",
            "country_code": "US",
            "telephone_number": "209-468-8778",
            "fax_number": "209-468-2399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "VIEIRA",
        "authorized_official_first_name": "FAY",
        "authorized_official_title_or_position": "DIRECTOR-BEHAVIORAL HEALTH SERVICES",
        "authorized_official_telephone_number": "209-468-8849",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SJC-MHS Community Corrections Partnership-BHS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SJC-MHS Community Corrections Partnership-BHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.