Organization Active NPI

Bonny Doon Union Elementary School District

  • Mental Health Counselor
  • Santa Cruz, CA
National Provider Identifier
1023833209
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BONNY DOON UNION ELEMENTARY SCHOOL DISTRICT
Practice address
1492 Pine Flat Rd
Santa Cruz, CA 95060-9711
Phone
(831) 427-2300
NPI assigned
Nov 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Mike Heffner
Title
Superintendent-Principal
Phone
(831) 427-2300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1492 Pine Flat Rd
Santa Cruz, CA 95060-9711

Mailing address

1492 Pine Flat Rd
Santa Cruz, CA 95060-9711
Phone (831) 427-2300

National Provider Directory

National Provider Directory

Locations

1492 Pine Flat Rd
Santa Cruz, CA 95060
Phone (831) 427-2300

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1023833209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 PINE FLAT RD",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950609711",
            "telephone_number": "831-427-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 PINE FLAT RD",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950609711",
            "telephone_number": "831-427-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNY DOON UNION ELEMENTARY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "HEFFNER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "SUPERINTENDENT-PRINCIPAL",
        "authorized_official_telephone_number": "831-427-2300"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.