NPIMap

Organization Active NPI

The Village Project, Incorporated

  • Community/Behavioral Health Agency
  • Seaside, CA
National Provider Identifier
1073758249
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCS20974 Issued in CA
Legal business name
THE VILLAGE PROJECT, INCORPORATED
Practice address
1069 Broadway Ave
Suite 201
Seaside, CA 93955-4996
Phone
(831) 392-1500
Fax
(831) 392-1501
NPI assigned
Dec 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Mr. Melvin Thomas Mason, LCSW
Title
Executive Director
Phone
(831) 392-1500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCS20974 CA Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1069 Broadway Ave
Suite 201
Seaside, CA 93955-4996

Mailing address

1069 Broadway Ave
Suite 201
Seaside, CA 93955-4996
Phone (831) 392-1500

National Provider Directory

National Provider Directory
Tax ID family
The Village Project Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1069 Broadway Ave
Ste 201
Seaside, CA 93955
Phone (831) 224-5169

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1073758249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 BROADWAY AVE",
            "address_2": "SUITE 201",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939554996",
            "telephone_number": "831-392-1500",
            "fax_number": "831-392-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 BROADWAY AVE",
            "address_2": "SUITE 201",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939554996",
            "telephone_number": "831-392-1500",
            "fax_number": "831-392-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE PROJECT, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "831-392-1500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCS20974",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.