NPIMap

Organization Active NPI

Front Street

  • Mental Illness Community Based Residential Treatment Facility
  • Santa Cruz, CA
National Provider Identifier
1083969844
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
445202099 Issued in CA
Legal business name
FRONT STREET
Practice address
2115 7TH Ave
Santa Cruz, CA 95062-1663
Phone
(831) 420-0120
NPI assigned
Jul 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Ann Butler
Title
President
Phone
(831) 334-1754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 445202099 CA Primary

Addresses

Primary practice location

2115 7TH Ave
Santa Cruz, CA 95062-1663

Mailing address

2115 7TH Ave
Santa Cruz, CA 95062-1663
Phone (831) 420-0120

National Provider Directory

National Provider Directory
Tax ID family
Front Street12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1083969844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 7TH AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621663",
            "telephone_number": "831-420-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 7TH AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621663",
            "telephone_number": "831-420-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT STREET",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-334-1754"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "445202099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.