NPIMap

Organization Active NPI

California Mental Health

  • Marriage & Family Therapist
  • Folsom, CA
National Provider Identifier
1295124204
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
82219 Issued in CA
Legal business name
CALIFORNIA MENTAL HEALTH
Practice address
1002 River Rock Dr
Suite 221
Folsom, CA 95630-2094
Phone
(530) 273-1112
Fax
(530) 273-1112
NPI assigned
Jan 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Kathleen McVicker
Title
Owner
Phone
(530) 273-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 82219 CA Primary

Addresses

Primary practice location

1002 River Rock Dr
Suite 221
Folsom, CA 95630-2094

Mailing address

13810 Climbing Way
Nevada City, CA 95959-9649
Phone (530) 273-1112

National Provider Directory

National Provider Directory
Tax ID family
California Mental Health7 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

1002 River Rock Dr
Ste 221
Folsom, CA 95630
Phone (530) 273-1112

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1295124204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13810 CLIMBING WAY",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959599649",
            "telephone_number": "530-273-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 RIVER ROCK DR",
            "address_2": "SUITE 221",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302094",
            "telephone_number": "530-273-1112",
            "fax_number": "530-273-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "MCVICKER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-273-1112"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "82219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.