NPIMap

Organization Active NPI

Chamberlain'S Day Center

  • Community/Behavioral Health Agency
  • Gilroy, CA
National Provider Identifier
1336239185
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHAMBERLAIN'S DAY CENTER
Practice address
8352 Church St
Suite C
Gilroy, CA 95020-4449
Phone
(408) 848-6511
Fax
(408) 848-2099
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Sheri Lynn Russell, MFT
Title
Program Director
Phone
(408) 843-9504

Specialties & licenses 1

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

Addresses

Primary practice location

8352 Church St
Suite C
Gilroy, CA 95020-4449

Mailing address

8352 Church St
Suite C
Gilroy, CA 95020-4449
Phone (408) 848-6511

Other identifiers 1

IdentifierTypeStateIssuer
000004357MedicaidCA

Other names 1

  • Chamberlain's Mental Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

8352 Church St
Ste C
Gilroy, CA 95020
Phone (408) 848-6511

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1336239185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8352 CHURCH ST",
            "address_2": "SUITE C",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204449",
            "telephone_number": "408-848-6511",
            "fax_number": "408-848-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8352 CHURCH ST",
            "address_2": "SUITE C",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204449",
            "telephone_number": "408-848-6511",
            "fax_number": "408-848-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMBERLAIN'S DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "408-843-9504",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000004357",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chamberlain's Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.