NPIMap

Organization Active NPI

Interim, Incorporated

  • Community/Behavioral Health Agency
  • Monterey, CA
National Provider Identifier
1336327337
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INTERIM, INCORPORATED
Practice address
608 Pearl St
Monterey, CA 93940-3022
Phone
(831) 649-4522
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Barbara Mitchell
Title
Executive Director
Phone
(831) 649-4522

Specialties & licenses 1

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

Addresses

Primary practice location

608 Pearl St
Monterey, CA 93940-3022

Mailing address

604 Pearl St
Monterey, CA 93940-3070
Phone (831) 649-4522

Other identifiers 1

IdentifierTypeStateIssuer
27582MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200129000786 CA Part B Supplier - Clinic/Group Practice 0941636609 Receives reassigned benefits from 17 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Monterey, CA; Salinas, CA; Marina, CA

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

National Provider Directory

National Provider Directory

Locations

299 12th St
Ste B
Marina, CA 93933
Phone (831) 883-3030

2982 Bayonet Ct
Marina, CA 93933
Phone (831) 384-7251

Practitioners & affiliated clinicians

Practitioners 59

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

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1336327337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 PEARL ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403070",
            "telephone_number": "831-649-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 PEARL ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403022",
            "telephone_number": "831-649-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "831-649-4522"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27582",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.