Organization Active NPI

Sierra Summit Behavioral Health & Family Therapy a Professional Corpor

  • Adult Mental Health Clinic/Center
  • Grass Valley, CA
National Provider Identifier
1073867925
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
49918 Issued in CA
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

Updated by the provider on Oct 30, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.