Contra Costa County Health Services

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 18702 Issued in CA

Legal business name

CONTRA COSTA COUNTY HEALTH SERVICES

Doing business as

Contra Costa County Mental Health

Practice address

1420 Willow Pass Rd
Suite 200
Concord, CA 94520-5223

Phone

(925) 646-5480

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John David Allen, M.F.T.

Title

Mental Health Prog Manager

Phone

(925) 646-5480

Specialties & licenses 1

Addresses

Other names 1

• Contra Costa County Mental Health Doing business as

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1174677116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 WILLOW PASS RD",
            "address_2": "SUITE 200",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205223",
            "telephone_number": "925-646-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 WILLOW PASS RD",
            "address_2": "SUITE 200",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205223",
            "telephone_number": "925-646-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTRA COSTA COUNTY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MENTAL HEALTH PROG MANAGER",
        "authorized_official_telephone_number": "925-646-5480",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.F.T."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 18702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Contra Costa County Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Contra Costa County (El Cerrito Health Center)
• Contra Costa County (Respite Shelter)
• Contra Costa County (Contra Costa AOT Services)
• Contra Costa County (Central County Children's Mental Health Services)
• Contra Costa County Behavioral Health
• Contra Costa ENT Medical Assoc
• Contra Costa Eye Medical Center Inc
• Contra Costa Infectious Disease Medical Group Inc.
• Contra Costa Mental Health Wellness Center Inc
• Contra Costa MH Wellness Center

• Marriage & Family Therapist in Concord, CA
• Providers in Concord, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.