Integrated Care Management Solutions

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

INTEGRATED CARE MANAGEMENT SOLUTIONS

Practice address

544 S Main St
Suite B
Fort Bragg, CA 95437-5107

Phone

(707) 961-0172

Fax

(707) 961-0127

NPI assigned

May 23, 2014

Organization subpart

Yes

Parent organization

INTEGRATED CARE MANAGEMENT SOLUTIONSAs reported in NPPES

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

Authorized official

Name

Mr. Jeff Payne

Title

Executive Director

Phone

(530) 751-9904

Specialties & licenses 1

Addresses

Part of

Integrated Care Management Solutions

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.

• Integrated Care Management Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ukiah, CA
  • NPI 1558790931
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurel Lemohn

  • Marriage & Family Therapist
  • Fort Bragg, CA
  • NPI 1083119507
  NPD (past)

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1043622137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 PLUMAS CT",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912960",
            "telephone_number": "530-751-9917",
            "fax_number": "530-751-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 S MAIN ST",
            "address_2": "SUITE B",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375107",
            "telephone_number": "707-961-0172",
            "fax_number": "707-961-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CARE MANAGEMENT SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATED CARE MANAGEMENT SOLUTIONS",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-751-9904",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Barbara Hofberg, PA
• Grace Holldorf
• Ashley Marie Hood
• Frank Ben Housel III, MD
• Huckleberry Transportation, LLC
• Mei Lin M Jackson
• Linda K James, M.D.
• Ann Kathleen Jamgochian, FNP
• Jason D Moore (Coast Family Acupuncture)
• Richard William Jaulus, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Bragg, CA
• Providers in Fort Bragg, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.