NPIMap

Organization Active NPI

Jewish Family and Children's Services

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
National Provider Identifier
1336203355
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MFC24484 Issued in CA
Legal business name
JEWISH FAMILY AND CHILDREN'S SERVICES
Practice address
1360 N Dutton Ave
Suite C
Santa Rosa, CA 95401-4687
Phone
(707) 571-8131
Fax
(707) 571-8195
NPI assigned
Dec 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lynne W. Joachim, M.F.T.
Title
Clinical Counselor
Phone
(707) 571-8131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MFC24484 CA Primary

Addresses

Primary practice location

1360 N Dutton Ave
Suite C
Santa Rosa, CA 95401-4687

Mailing address

1360 N Dutton Ave
Suite C
Santa Rosa, CA 95401-4687
Phone (707) 571-8131

Other identifiers 1

IdentifierTypeStateIssuer
MFC 24484OtherCALICENSE MFT

Other names 1

  • Parents Place Other name

National Provider Directory

National Provider Directory
Tax ID family
Jewish Family and Children's Services12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336203355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 N DUTTON AVE",
            "address_2": "SUITE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014687",
            "telephone_number": "707-571-8131",
            "fax_number": "707-571-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 N DUTTON AVE",
            "address_2": "SUITE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014687",
            "telephone_number": "707-571-8131",
            "fax_number": "707-571-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH FAMILY AND CHILDREN'S SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOACHIM",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "707-571-8131",
        "authorized_official_credential": "M.F.T."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC24484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE MFT",
            "identifier": "MFC 24484",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parents Place",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.