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Organization Active NPI

San Joaquin Behavioral Health Services

Doing business as San Joaquin County Behavioral Health Services

  • Community/Behavioral Health Agency
  • Stockton, CA
National Provider Identifier
1215028931
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SAN JOAQUIN BEHAVIORAL HEALTH SERVICES
Doing business as
San Joaquin County Behavioral Health Services
Practice address
1212 N California St
Stockton, CA 95202-1552
Phone
(209) 468-8778
Fax
(209) 468-2399
NPI assigned
Sep 27, 2006
Last updated
May 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Genevieve Valentine, LMFTNPI 1689836272
Title
BHS Director
Phone
(209) 468-8756

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CA
Mental Health Counselor 101YM0800X CA
Psychologist 103T00000X CA
Cognitive & Behavioral Psychologist 103TB0200X CA
Clinical Social Worker 1041C0700X CA
Marriage & Family Therapist 106H00000X CA
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1212 N California St
Stockton, CA 95202-1552

Mailing address

1212 N California St
Stockton, CA 95202-1552
Phone (209) 468-8778

Other practice location 1

620 N Aurora St
Stockton, CA 95202-2343
Phone (209) 468-4240

Other practice location 2

575 W Mathews Rd
French Camp, CA 95231-9757
Phone (209) 468-4240

Other practice location 3

999 W Mathews Rd
French Camp, CA 95231-9502
Phone (209) 468-4240

Other identifiers 1

IdentifierTypeStateIssuer
9069MedicaidCA

Other names 1

  • San Joaquin County Behavioral Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050915001095 CA Part B Supplier - Clinic/Group Practice 6002703436 Receives reassigned benefits from 189 practitioners
12 other NPIs on this enrollment
Practice locations: Lodi, CA; Manteca, CA; Stockton, CA; Tracy, CA

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Public HLTH Lab San Joa94 organizations share this tax ID, including this one

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

999 W Mathews Rd
French Camp, CA 95231
Phone (209) 468-4240

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
San Joaquin General HospitalFrench Camp, CA, CCN 050167 Hospital Operational/Managerial Control (100%) Feb 25, 2014
County of San JoaquinStockton, CA, CCN 751118 Federally qualified health center Operational/Managerial Control (100%) May 28, 2013
County of San JoaquinFrench Camp, CA, CCN 751126 Federally qualified health center Operational/Managerial Control (100%) May 28, 2013
County of San JoaquinStockton, CA, CCN 751119 Federally qualified health center Operational/Managerial Control (100%) May 28, 2013
San Joaquin County Clinics CHSStockton, CA, CCN 751117 Federally qualified health center Operational/Managerial Control (100%) May 28, 2013
San Joaquin County Clinics PMCFrench Camp, CA, CCN 751128 Federally qualified health center Operational/Managerial Control (100%) May 28, 2013
San Joaquin County ClinicsFrench Camp, CA, CCN 751127 Federally qualified health center Operational/Managerial Control (100%) May 28, 2013
County of San JoaquinManteca, CA, CCN 921002 Federally qualified health center Operational/Managerial Control (100%) Dec 1, 2016

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 252

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.

View all 252

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1215028931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021552",
            "telephone_number": "209-468-8778",
            "fax_number": "209-468-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021552",
            "telephone_number": "209-468-8778",
            "fax_number": "209-468-2399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 N Aurora St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952022343",
            "country_code": "US",
            "telephone_number": "209-468-4240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "575 W Mathews Rd",
            "address_purpose": "LOCATION",
            "city": "French Camp",
            "state": "CA",
            "postal_code": "952319757",
            "country_code": "US",
            "telephone_number": "209-468-4240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 W Mathews Rd",
            "address_purpose": "LOCATION",
            "city": "French Camp",
            "state": "CA",
            "postal_code": "952319502",
            "country_code": "US",
            "telephone_number": "209-468-4240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN JOAQUIN BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "BHS DIRECTOR",
        "authorized_official_telephone_number": "209-468-8756",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9069",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Joaquin County Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.