Active NPI
MSK Solutions
- Foster Care Agency
- Vallejo, CA
National Provider Identifier
1265023915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- Legal business name
- MSK SOLUTIONS
- Practice address
- 1116 Legend Cir
Vallejo, CA 94591-8679 - Phone
- (707) 647-3972
- NPI assigned
- Jan 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tegre Miles
- Title
- Chief Executive Officer
- Phone
- (510) 681-7988
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Foster Care Agency | 253J00000X | Primary |
Addresses
Primary practice location
1116 Legend Cir
Vallejo, CA 94591-8679
Mailing address
3871 Quarryville CT
Fairfield, CA 94533-6651
Phone (510) 681-7988
Other practice location 1
444 Georgia St
Vallejo, CA 94590-6005
Phone (510) 681-7988
Other practice location 2
4113 Fall Creek Ct
Fairfield, CA 94534-6637
Phone (707) 863-0125
Other names 1
- Mile High Residential and Behavioral Health
National Provider Directory
National Provider Directory- Tax ID family
- Mile High Residential and Behavioral Health
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foster Care Agency
- Fairfield, CA
- NPI 1295326809
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Vallejo, CA
- NPI 1437803178
Practitioners & affiliated clinicians
Practitioners 17
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community Health Worker
- Vallejo, CA
- NPI 1104536119
-
- Case Manager/Care Coordinator
- Vallejo, CA
- NPI 1316703812
-
- Case Manager/Care Coordinator
- Vallejo, CA
- NPI 1992380380
-
- Case Manager/Care Coordinator
- Vallejo, CA
- NPI 1124775739
-
- Mental Health Counselor
- Fairfield, CA
- NPI 1255099594
-
- Registered Nurse
- Fairfield, CA
- NPI 1225782410
-
- Mental Health Counselor
- Vallejo, CA
- NPI 1023764594
-
- Social Worker
- Vallejo, CA
- NPI 1396409975
-
- Rehabilitation Practitioner
- Fairfield, CA
- NPI 1881413011
-
- Rehabilitation Practitioner
- Citrus Heights, CA
- NPI 1093524779
-
- Case Manager/Care Coordinator
- Vallejo, CA
- NPI 1902519952
-
- Day Training/Habilitation Specialist
- Fairfield, CA
- NPI 1093634230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611619200000",
"number": "1265023915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3871 QUARRYVILLE CT",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945336651",
"telephone_number": "510-681-7988",
"fax_number": "510-323-8066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 LEGEND CIR",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945918679",
"telephone_number": "707-647-3972"
}
],
"practiceLocations": [
{
"address_1": "444 Georgia St",
"address_purpose": "LOCATION",
"city": "Vallejo",
"state": "CA",
"postal_code": "945906005",
"country_code": "US",
"telephone_number": "510-681-7988",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4113 Fall Creek Ct",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CA",
"postal_code": "945346637",
"country_code": "US",
"telephone_number": "707-863-0125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MSK SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-26",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A",
"authorized_official_last_name": "MILES",
"authorized_official_first_name": "TEGRE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "510-681-7988",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mile High Residential and Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.