Active NPI
Child Haven Inc
- Community/Behavioral Health Agency
- Fairfield, CA
National Provider Identifier
1154720712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CHILD HAVEN INC
- Practice address
- 801 Empire St
Fairfield, CA 94533-5702 - Phone
- (707) 425-5744
- Fax
- (707) 425-5162
- NPI assigned
- Aug 20, 2014
- Last updated
- Aug 20, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Alma Uribe Chinas
- Title
- MFT- Trainee
- Phone
- (707) 425-5744
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | CA | Primary | |
| Early Intervention Provider Agency | 252Y00000X | CA |
Addresses
Primary practice location
801 Empire St
Fairfield, CA 94533-5702
Mailing address
801 Empire St
Fairfield, CA 94533-5702
Phone (707) 425-5744
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Student in an Organized Health Care Education/Training Program
- Fairfield, CA
- NPI 1093912735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408492800000",
"number": "1154720712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 EMPIRE ST",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945335702",
"telephone_number": "707-425-5744",
"fax_number": "707-425-5162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 EMPIRE ST",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945335702",
"telephone_number": "707-425-5744",
"fax_number": "707-425-5162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD HAVEN INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-20",
"last_updated": "2014-08-20",
"status": "A",
"authorized_official_last_name": "URIBE CHINAS",
"authorized_official_first_name": "ALMA",
"authorized_official_title_or_position": "MFT- TRAINEE",
"authorized_official_telephone_number": "707-425-5744",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.