Active NPI
Sierra Summit Behavioral Health & Family Therapy a Professional Corpor
- Adult Mental Health Clinic/Center
- Grass Valley, CA
National Provider Identifier
1073867925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 49918
- Legal business name
- SIERRA SUMMIT BEHAVIORAL HEALTH & FAMILY THERAPY A PROFESSIONAL CORPOR
- Practice address
- 350 Crown Point Cir
Suite 150
Grass Valley, CA 95945-9088 - Phone
- (530) 845-4602
- NPI assigned
- Oct 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Talal H. Alsaleem, LMFT
- Title
- Ceo/ Clinical Director
- Phone
- (530) 845-4602
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 49918 | CA | Primary |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 49918 | CA |
Addresses
Primary practice location
350 Crown Point Cir
Suite 150
Grass Valley, CA 95945-9088
Mailing address
1315 Hazel St
Gridley, CA 95948-2409
Phone (530) 845-4602
Other names 1
- Sierra Summit Behavioral Health, PC
National Provider Directory
National Provider DirectoryLocations
350 Crown Point Cir
Ste 150
Grass Valley, CA 95945
Phone (530) 845-4602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351555200000",
"number": "1073867925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 HAZEL ST",
"city": "GRIDLEY",
"state": "CA",
"postal_code": "959482409",
"telephone_number": "530-845-4602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 CROWN POINT CIR",
"address_2": "SUITE 150",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959459088",
"telephone_number": "530-845-4602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIERRA SUMMIT BEHAVIORAL HEALTH & FAMILY THERAPY A PROFESSIONAL CORPOR",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-30",
"last_updated": "2012-10-30",
"status": "A",
"authorized_official_last_name": "ALSALEEM",
"authorized_official_first_name": "TALAL",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "CEO/ CLINICAL DIRECTOR",
"authorized_official_telephone_number": "530-845-4602",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "CA",
"license": "49918",
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "CA",
"license": "49918",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sierra Summit Behavioral Health, PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.