NPIMap

Organization Active NPI

Veterans Administration

  • Adult Mental Health Clinic/Center
  • Santa Rosa, CA
National Provider Identifier
1235230848
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
C19197 Issued in CA
Legal business name
VETERANS ADMINISTRATION
Practice address
3315 Chanate Rd Ste 1B
Santa Rosa, CA 95404-1740
Phone
(707) 570-3800
Fax
(707) 570-3860
NPI assigned
Sep 26, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Donald Blair Dean, MD
Title
Staff Psychiatrist
Phone
(707) 570-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X C19197 CA Primary

Addresses

Primary practice location

3315 Chanate Rd Ste 1B
Santa Rosa, CA 95404-1740

Mailing address

3315 Chanate Rd Ste 1B
Santa Rosa, CA 95404-1740
Phone (707) 570-3800

Other identifiers 1

IdentifierTypeStateIssuer
C19197OtherCAMEDICAL BOARD NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Rosita'119 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

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

View all 15

Locations

3315 Chanate Rd
Ste 1B
Santa Rosa, CA 95404
Phone (707) 570-3800

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1235230848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 CHANATE RD STE 1B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954041740",
            "telephone_number": "707-570-3800",
            "fax_number": "707-570-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 CHANATE RD STE 1B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954041740",
            "telephone_number": "707-570-3800",
            "fax_number": "707-570-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "STAFF PSYCHIATRIST",
        "authorized_official_telephone_number": "707-570-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "C19197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD NUMBER",
            "identifier": "C19197",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.