NPIMap

Organization Active NPI

County of Merced

  • Adolescent and Children Mental Health Clinic/Center
  • Los Banos, CA
National Provider Identifier
1295858074
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
COUNTY OF MERCED
Practice address
40 W G St Ste a-E
Los Banos, CA 93635-3657
Phone
(209) 710-6100
NPI assigned
Apr 9, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Kurt Craig, CIPP/US
Title
Compliance Officer
Phone
(209) 381-6818

Corporate family (same tax ID) 44

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

View all 44

National Provider Directory

National Provider Directory
Tax ID family
Merced County Department of Alcohol and Drug Services (45 organizations share this tax ID)

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

40 W G St Ste a-E
Los Banos, CA 93635-3657

Mailing address

P.O. Box 2087
Merced, CA 95344-0087
Phone (209) 381-6800

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2453MedicaidCA

Other names 1

NPPES NPI Registry
  • BHRS YOUTH OUTPATIENT- LOS BANOS Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 8, 2019.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1295858074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2087",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953440087",
            "telephone_number": "209-381-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W G ST STE A-E",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353657",
            "telephone_number": "209-710-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MERCED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "209-381-6818",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CIPP/US"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2453",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHRS YOUTH OUTPATIENT- LOS BANOS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "BHRS YOUTH OUTPATIENT- LOS BANOS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Banos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.