NPIMap

Organization Active NPI

Shasta County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Redding, CA
National Provider Identifier
1194272369
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SHASTA COUNTY
Practice address
2950 Polk Street
The Classroom
Redding, CA 96001
Phone
(530) 225-5200
NPI assigned
Sep 6, 2016
Organization subpart
Yes
Parent organization
COUNTY OF SHASTAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Authorized official

Name
Mr. Donnell Ewert, MPH
Title
Director of Mental Health
Phone
(530) 245-6750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2950 Polk Street
The Classroom
Redding, CA 96001

Mailing address

2640 Breslauer Way
Redding, CA 96001-4246

Other names 1

  • Woodlands Other name

National Provider Directory

National Provider Directory
Tax ID family
Shasta County Health de33 organizations share this tax ID, including this one
Part of
Shasta County Health de

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1194272369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 BRESLAUER WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960014246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 POLK STREET",
            "address_2": "THE CLASSROOM",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-225-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASTA COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SHASTA",
        "enumeration_date": "2016-09-06",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "EWERT",
        "authorized_official_first_name": "DONNELL",
        "authorized_official_title_or_position": "DIRECTOR OF MENTAL HEALTH",
        "authorized_official_telephone_number": "530-245-6750",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlands",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Woodlands",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.