NPIMap

Organization Active NPI

Mental Health Association of San Mateo County

  • Case Management Agency
  • Redwood City, CA
National Provider Identifier
1124506738
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MENTAL HEALTH ASSOCIATION OF SAN MATEO COUNTY
Practice address
105 5TH Ave
Redwood City, CA 94063-3667
Phone
(650) 257-8816
NPI assigned
Aug 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Authorized official

Name
Shane Young
Title
Programs and Operations Manager
Phone
(650) 257-8816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

105 5TH Ave
Redwood City, CA 94063-3667

Mailing address

2686 Spring St
Redwood City, CA 94063-3522
Phone (303) 819-2436

Other names 1

  • Waverly Place Apartments Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Diego County Mental Health8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1124506738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686 SPRING ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940633522",
            "telephone_number": "303-819-2436",
            "fax_number": "510-879-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 5TH AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940633667",
            "telephone_number": "650-257-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATION OF SAN MATEO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "PROGRAMS AND OPERATIONS MANAGER",
        "authorized_official_telephone_number": "650-257-8816"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waverly Place Apartments",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Waverly Place Apartments",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.