NPIMap

Organization Active NPI

Marie Green Psychiatric Center

  • Psychiatric Hospital Unit
  • Merced, CA
National Provider Identifier
1033403316
Registry record updated Jun 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
758581 Issued in CA
Legal business name
MARIE GREEN PSYCHIATRIC CENTER
Practice address
452 Hydrangea CT
Merced, CA 95341-7748
Phone
(209) 777-2233
NPI assigned
Jun 5, 2011
Last updated
Jun 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2011

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

Authorized official

Name
Mrs. Kabao Vang, RN
Title
Psychiatric Staff Nurse I
Phone
(209) 381-6879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 758581 CA Primary

Addresses

Primary practice location

452 Hydrangea CT
Merced, CA 95341-7748

Mailing address

452 Hydrangea CT
Merced, CA 95341-7748
Phone (209) 777-2233

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307232000000",
    "number": "1033403316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 HYDRANGEA CT",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953417748",
            "telephone_number": "209-777-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 HYDRANGEA CT",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953417748",
            "telephone_number": "209-777-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE GREEN PSYCHIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-05",
        "last_updated": "2011-06-05",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "KABAO",
        "authorized_official_title_or_position": "PSYCHIATRIC STAFF NURSE I",
        "authorized_official_telephone_number": "209-381-6879",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CA",
            "license": "758581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2011; 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.