Organization Active NPI

Early Childhood Mental Health Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vallejo, CA
National Provider Identifier
1083419279
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EARLY CHILDHOOD MENTAL HEALTH PROGRAM
Practice address
1726 Sonoma Blvd
Vallejo, CA 94590-6012
Phone
(707) 810-0098
NPI assigned
Feb 13, 2025
Organization subpart
Yes
Parent organization
EARLY CHILDHOOD MENTAL HEALTH PROGRAMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Jeffrey Thomas Sloan, MS, MBA, AMFTNPI 1497478192
Title
Executive Director
Phone
(510) 367-9564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1726 Sonoma Blvd
Vallejo, CA 94590-6012

Mailing address

1726 Sonoma Blvd
Vallejo, CA 94590-6012
Phone (707) 810-0098

Other names 1

  • Early Childhood Mental Health Program Solano Other name

National Provider Directory

National Provider Directory
Tax ID family
Early Childhood Mental Health Program2 organizations share this tax ID, including this one
Part of
Early Childhood Mental Health Program

Other organizations with this tax ID 1

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

Locations

1726 Sonoma Blvd
Vallejo, CA 94590
Phone (707) 339-7390

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1083419279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 SONOMA BLVD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945906012",
            "telephone_number": "707-810-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 SONOMA BLVD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945906012",
            "telephone_number": "707-810-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY CHILDHOOD MENTAL HEALTH PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EARLY CHILDHOOD MENTAL HEALTH PROGRAM",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-367-9564",
        "authorized_official_credential": "MS, MBA, AMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Early Childhood Mental Health Program Solano",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.