Active NPI
County of Sonoma-Department of Health
- Adult Mental Health Clinic/Center
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- COUNTY OF SONOMA-DEPARTMENT OF HEALTH
- Practice address
- 3322 Chanate Rd
Santa Rosa, CA 95404-1708 - Phone
- (707) 576-8181
- NPI assigned
- May 10, 2007
- Last updated
- Aug 14, 2008
- Organization subpart
- Yes
- Parent organization
- COUNTY OF SONOMA- DEPARTMENT OF HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Stornetta
- Title
- Compliance Auditor Accountant III
- Phone
- (707) 565-4782
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | NU | Primary |
Addresses
Primary practice location
3322 Chanate Rd
Santa Rosa, CA 95404-1708
Mailing address
3322 Chanate Rd
Santa Rosa, CA 95404-1708
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4925 | Other | CA | STATE PROVIDER NUMBER |
Other names 1
- DMH Psychiatric Emergency Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040616001152 | CA | Part B Supplier - Clinic/Group Practice | 4688658651 |
Receives reassigned benefits from 65 practitioners 18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cloverdale, CA; Sonoma, CA; Santa Rosa, CA; Petaluma, CA; Guerneville, CA |
Other NPIs on the same Medicare enrollment 15
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Rosa, CA
- NPI 1154537512
O20040616001152
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Guerneville, CA
- NPI 1225242860
O20040616001152
-
dba Mental Health Adult Services
- Adult Mental Health Clinic/Center
- Santa Rosa, CA
- NPI 1245444868
O20040616001152
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Rosa, CA
- NPI 1275749624
O20040616001152
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Petaluma, CA
- NPI 1295949733
O20040616001152
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Rosa, CA
- NPI 1306050828
O20040616001152
-
- Adolescent and Children Mental Health Clinic/Center
- Santa Rosa, CA
- NPI 1457498636
O20040616001152
-
dba Behavioral Health Full Service Partnerships
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Rosa, CA
- NPI 1457567802
O20040616001152
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Rosa, CA
- NPI 1457923989
O20040616001152
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sonoma, CA
- NPI 1598979031
O20040616001152
-
dba Adult Medication Support Services
- Adolescent and Children Mental Health Clinic/Center
- Santa Rosa, CA
- NPI 1629124037
O20040616001152
-
dba Department of Health - Center for HIV Prevention and Care
- Community Health Clinic/Center
- Santa Rosa, CA
- NPI 1699825067
O20040616001152
National Provider Directory
National Provider Directory- Part of
- Sonoma Countydept of Me
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Public Health or Welfare Agency
- Santa Rosa, CA
- NPI 1154470342
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatry Physician
- Santa Rosa, CA
- NPI 1669523387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218672000000",
"number": "1336353952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3322 CHANATE RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954041708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3322 CHANATE RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954041708",
"telephone_number": "707-576-8181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF SONOMA-DEPARTMENT OF HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF SONOMA- DEPARTMENT OF HEALTH",
"enumeration_date": "2007-05-10",
"last_updated": "2008-08-14",
"status": "A",
"authorized_official_last_name": "STORNETTA",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "COMPLIANCE AUDITOR ACCOUNTANT III",
"authorized_official_telephone_number": "707-565-4782"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PROVIDER NUMBER",
"identifier": "4925",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DMH Psychiatric Emergency Service",
"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 14, 2008; 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.