Del Norte Mission Possible

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

DEL NORTE MISSION POSSIBLE

Practice address

1100 H St
Crescent City, CA 95531-3422

Phone

(707) 954-7319

NPI assigned

Oct 10, 2022

Organization subpart

No

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

Authorized official

Name

Charlaine Mazzei

Title

Executive Director

Phone

(707) 464-3812

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1154046324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 NORTHCREST DR",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318922",
            "telephone_number": "707-464-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 H ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955313422",
            "telephone_number": "707-954-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL NORTE MISSION POSSIBLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "MAZZEI",
        "authorized_official_first_name": "CHARLAINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-464-3812"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Del Norte County Mental Health
• Del Norte County Unified School District
• Del Norte Healthcare District
• Del Norte LLC
• Del Norte Medical Imaging, Inc.
• Del Norte Senior Center
• Timothy Robert Devereaux, PSY.D
• Albena Dimitrova, MD
• Nhan Hoang Dinh, PHARMD
• Krystal Dodge

• Case Management Agency in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.