NPIMap

Organization Active NPI

Stanislaus County Behavioral Health & Recovery Services

  • Mental Health Counselor
  • Modesto, CA
National Provider Identifier
1013049444
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44780 Issued in CA
Legal business name
STANISLAUS COUNTY BEHAVIORAL HEALTH & RECOVERY SERVICES
Practice address
1100 Kansas Ave Ste B
Modesto, CA 95351-1596
Phone
(209) 558-8884
Fax
(209) 558-8888
NPI assigned
Mar 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Hermille NMN Catzalco, MA
Title
Mental Health Clinician I
Phone
(209) 558-8884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 44780 CA Primary

Addresses

Primary practice location

1100 Kansas Ave Ste B
Modesto, CA 95351-1596

Mailing address

107 Greenwich LN.
Modesto, CA 95351
Phone (209) 558-8884

Other names 1

  • No other name Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Health and Recovery Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013049444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GREENWICH LN.",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95351",
            "telephone_number": "209-558-8884",
            "fax_number": "209-558-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 KANSAS AVE STE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953511596",
            "telephone_number": "209-558-8884",
            "fax_number": "209-558-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANISLAUS COUNTY BEHAVIORAL HEALTH & RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CATZALCO",
        "authorized_official_first_name": "HERMILLE",
        "authorized_official_middle_name": "NMN",
        "authorized_official_title_or_position": "MENTAL HEALTH CLINICIAN I",
        "authorized_official_telephone_number": "209-558-8884",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "44780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "No other name",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.