NPIMap

Organization Active NPI

County of Monterey Behavioral Health

Doing business as Csoc Fast

  • Clinical Child & Adolescent Psychologist
  • Salinas, CA
National Provider Identifier
1073645586
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
COUNTY OF MONTEREY BEHAVIORAL HEALTH
Doing business as
Csoc Fast
Practice address
1000 S Main Street
Suite 105/210B/311
Salinas, CA 93901-2352
Phone
(831) 784-2100
Fax
(831) 784-2127
NPI assigned
Mar 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Avamasag Semo
Title
Medical Records
Phone
(831) 755-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

1000 S Main Street
Suite 105/210B/311
Salinas, CA 93901-2352

Mailing address

1611 Bunker Hill Way Ste 120
Salinas, CA 93906-6006
Phone (831) 755-4545

Other names 1

  • CSOC FAST Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040913001243 CA Part B Supplier - Clinic/Group Practice 2466345632 Receives reassigned benefits from 105 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Soledad, CA; Salinas, CA; King City, CA

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Tax ID family
Natividad Med Ctr Surg84 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

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

View all 20

Locations

1000 S Main St
Ste 105210B311
Salinas, CA 93901
Phone (831) 784-2100

1000 S Main St
Ste 105
Salinas, CA 93901
Phone (831) 796-1500

1611 Bunker Hill Way
Ste 120
Salinas, CA 93906
Phone (831) 755-4792

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1073645586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 BUNKER HILL WAY STE 120",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939066006",
            "telephone_number": "831-755-4545",
            "fax_number": "831-755-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S MAIN STREET",
            "address_2": "SUITE 105/210B/311",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012352",
            "telephone_number": "831-784-2100",
            "fax_number": "831-784-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MONTEREY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "SEMO",
        "authorized_official_first_name": "AVAMASAG",
        "authorized_official_title_or_position": "MEDICAL RECORDS",
        "authorized_official_telephone_number": "831-755-4545"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSOC FAST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.