NPIMap

Organization Active NPI

Contra Costa County

Doing business as Central County Adult Mental Health Services

  • Adult Mental Health Clinic/Center
  • Concord, CA
National Provider Identifier
1023188489
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CONTRA COSTA COUNTY
Doing business as
Central County Adult Mental Health Services
Practice address
1420 Willow Pass Rd
Concord, CA 94520-5823
Phone
(925) 646-5480
Fax
(925) 646-5622
NPI assigned
Nov 9, 2006
Last updated
Oct 9, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CONTRA COSTA COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
David D. Lee, MBA, FHFMA
Title
Deputy Cfo
Phone
(925) 957-5445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

1420 Willow Pass Rd
Concord, CA 94520-5823

Mailing address

50 Douglas Dr Ste 310
Martinez, CA 94553-4003

Other identifiers 1

IdentifierTypeStateIssuer
07CMOtherCAMENTAL HEALTH

Other names 1

  • Central County Adult Mental Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050707001058 CA Part B Supplier - Clinic/Group Practice 8628052974 Receives reassigned benefits from 482 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Pablo, CA; Pittsburg, CA; North Richmond, CA; Concord, CA; Brentwood, CA; Antioch, CA; Martinez, CA

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Contra Costa Cnty Outpa99 organizations share this tax ID, including this one
Part of
Contra Costa Cnty Outpa

Organizations with this tax ID in the same state 14

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

View all 14

Locations

1420 Willow Pass Rd
Concord, CA 94520
Phone (925) 646-5480

1420 Willow Pass Rd
Ste 110
Concord, CA 94520
Phone (925) 646-5480

1420 Willow Pass Rd
Ste 200
Concord, CA 94520
Phone (925) 521-5150

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 100

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 100

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1023188489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DOUGLAS DR STE 310",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 WILLOW PASS RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205823",
            "telephone_number": "925-646-5480",
            "fax_number": "925-646-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTRA COSTA COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONTRA COSTA COUNTY",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DEPUTY CFO",
        "authorized_official_telephone_number": "925-957-5445",
        "authorized_official_credential": "MBA, FHFMA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "07CM",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central County Adult Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central County Adult Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.