NPIMap

Organization Active NPI

County of Santa Clara

Doing business as Evans Lane Wellness and Recovery Center

  • Adult Mental Health Clinic/Center
  • San Jose, CA
National Provider Identifier
1174784169
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
COUNTY OF SANTA CLARA
Doing business as
Evans Lane Wellness and Recovery Center
Practice address
2090 Evans LN
San Jose, CA 95125-2072
Phone
(408) 885-5770
NPI assigned
Jun 23, 2008
Last updated
Nov 22, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SANTA CLARAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Sherri Terao
Title
Dir, Behavioral Health SVCS
Phone
(408) 885-5776

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

2090 Evans LN
San Jose, CA 95125-2072

Mailing address

828 S Bascom Ave Ste 200
San Jose, CA 95128-2600
Phone (408) 885-5770

Other names 1

  • EVANS LANE WELLNESS AND RECOVERY CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Santa Clara Cnty Health177 organizations share this tax ID, including this one
Part of
Santa Clara Cnty Health

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

828 S Bascom Ave
Ste 200
San Jose, CA 95128
Phone (408) 885-5770

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1174784169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 S BASCOM AVE STE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282600",
            "telephone_number": "408-885-5770",
            "fax_number": "408-885-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 EVANS LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252072",
            "telephone_number": "408-885-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SANTA CLARA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SANTA CLARA",
        "enumeration_date": "2008-06-23",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "TERAO",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "DIR, BEHAVIORAL HEALTH SVCS",
        "authorized_official_telephone_number": "408-885-5776"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVANS LANE WELLNESS AND RECOVERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.