NPIMap

Organization Active NPI

El Concilio

Doing business as Latino Behavior Health & Recovery Services

  • Community/Behavioral Health Agency
  • Stockton, CA
National Provider Identifier
1194001941
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EL CONCILIO
Doing business as
Latino Behavior Health & Recovery Services
Practice address
1755 W Hammer LN Ste 8
Stockton, CA 95209-2900
Phone
(209) 444-8910
Fax
(209) 444-8905
NPI assigned
Oct 25, 2011
Last updated
Oct 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Mrs. Gloria Patricia Ayala-Briscoe
Title
MSW Intern
Phone
(209) 444-8910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1755 W Hammer LN Ste 8
Stockton, CA 95209-2900

Mailing address

1755 W Hammer LN Ste 8
Stockton, CA 95209-2900
Phone (209) 444-8910

Other names 1

  • Latino Behavior Health & Recovery Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lisa M Degennaro103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

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

View all 16

Locations

1755 W Hammer Ln
Ste 8
Stockton, CA 95209
Phone (209) 444-8910

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1194001941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 W HAMMER LN STE 8",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952092900",
            "telephone_number": "209-444-8910",
            "fax_number": "209-444-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 W HAMMER LN STE 8",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952092900",
            "telephone_number": "209-444-8910",
            "fax_number": "209-444-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CONCILIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "AYALA-BRISCOE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "MSW INTERN",
        "authorized_official_telephone_number": "209-444-8910",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Latino Behavior Health & Recovery Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.