Active NPI
Cordilleras
- Mental Health Counselor
- Redwood City, CA
National Provider Identifier
1033699772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CORDILLERAS
- Practice address
- 200 Edmonds Rd
Redwood City, CA 94062-3813 - Phone
- (650) 367-1890
- NPI assigned
- Aug 21, 2018
- Organization subpart
- Yes
- Parent organization
- TELECARE CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marianne B Mendoza, ACSW
- Title
- Residential Social Worker
- Phone
- (650) 367-1890
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
200 Edmonds Rd
Redwood City, CA 94062-3813
Mailing address
200 Edmonds Rd
Redwood City, CA 94062-3813
Phone (650) 367-1890
National Provider Directory
National Provider Directory- Part of
- Cordilleras
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Fremont, CA
- NPI 1679148654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534809600000",
"number": "1033699772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 EDMONDS RD",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940623813",
"telephone_number": "650-367-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 EDMONDS RD",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940623813",
"telephone_number": "650-367-1890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORDILLERAS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TELECARE CORPORATION",
"enumeration_date": "2018-08-21",
"last_updated": "2018-08-21",
"status": "A",
"authorized_official_last_name": "MENDOZA",
"authorized_official_first_name": "MARIANNE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "RESIDENTIAL SOCIAL WORKER",
"authorized_official_telephone_number": "650-367-1890",
"authorized_official_credential": "ACSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.