NPIMap

Organization Active NPI

Henrietta Weill Memorial Child Guidance Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Delano, CA
National Provider Identifier
1245436914
Registry record updated Apr 29, 2019
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
HENRIETTA WEILL MEMORIAL CHILD GUIDANCE CLINIC
Practice address
375 Dover Park Way
Delano, CA 93215
Phone
(661) 322-1021
NPI assigned
Jun 21, 2007
Last updated
Apr 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
Candy Coats
Title
Human Resources Manager
Phone
(661) 322-1021

Specialties & licenses 1

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

Addresses

Primary practice location

375 Dover Park Way
Delano, CA 93215

Mailing address

375 Dover Park Way
Delano, CA 93215-3008
Phone (661) 322-1021

Other practice location 1

1430 6th Ave
Delano, CA 93215-3008
Phone (661) 322-1021

Other identifiers 1

IdentifierTypeStateIssuer
1550MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Henrietta Weill Memorial Child Guidance Clinic7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1430 6th Ave
Delano, CA 93215
Phone (661) 322-1021

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1245436914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 DOVER PARK WAY",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153008",
            "telephone_number": "661-322-1021",
            "fax_number": "661-322-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 DOVER PARK WAY",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "93215",
            "telephone_number": "661-322-1021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Delano",
            "state": "CA",
            "postal_code": "932153008",
            "country_code": "US",
            "telephone_number": "661-322-1021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HENRIETTA WEILL MEMORIAL CHILD GUIDANCE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "COATS",
        "authorized_official_first_name": "CANDY",
        "authorized_official_title_or_position": "HUMAN RESOURCES MANAGER",
        "authorized_official_telephone_number": "661-322-1021"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.