NPIMap

Organization Active NPI

Lassen County

  • Community/Behavioral Health Agency
  • Susanville, CA
National Provider Identifier
1306083928
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LASSEN COUNTY
Practice address
1445 Bunyan Rd
Suite B
Susanville, CA 96130-3201
Phone
(530) 251-8277
NPI assigned
Jan 20, 2009
Last updated
Jan 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Mrs. Terri O'Bryan, MSW
Title
Director
Phone
(530) 251-2653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1445 Bunyan Rd
Suite B
Susanville, CA 96130-3201

Mailing address

1445 Bunyan Rd
Suite B
Susanville, CA 96130-3201
Phone (530) 251-8277

Other names 1

  • ICPS Other name

National Provider Directory

National Provider Directory
Tax ID family
Lassen County13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

1445 Bunyan Rd
Unit B
Susanville, CA 96130
Phone (530) 251-2618

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1306083928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 BUNYAN RD",
            "address_2": "SUITE B",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961303201",
            "telephone_number": "530-251-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 BUNYAN RD",
            "address_2": "SUITE B",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961303201",
            "telephone_number": "530-251-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASSEN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "O'BRYAN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "530-251-2653",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICPS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Susanville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.