NPIMap

Organization Active NPI

San Juan Unified School District

  • Adolescent and Children Mental Health Clinic/Center
  • Carmichael, CA
National Provider Identifier
1225113111
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
SAN JUAN UNIFIED SCHOOL DISTRICT
Practice address
6147 Sutter Ave
Carmichael, CA 95608-2738
Phone
(916) 971-7640
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Authorized official

Name
Monika Howard, LPCC
Title
Program Specialist
Phone
(916) 979-8017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

6147 Sutter Ave
Carmichael, CA 95608-2738

Mailing address

6147 Sutter Ave
Carmichael, CA 95608-2738
Phone (916) 971-7640

Other names 1

  • White House Counseling Center Other name

National Provider Directory

National Provider Directory
Tax ID family
San Juan Unified School District4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

6147 Sutter Ave
Carmichael, CA 95608
Phone (916) 971-5360

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1225113111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6147 SUTTER AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082738",
            "telephone_number": "916-971-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6147 SUTTER AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082738",
            "telephone_number": "916-971-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN UNIFIED SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "PROGRAM SPECIALIST",
        "authorized_official_telephone_number": "916-979-8017",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White House Counseling Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.