NPIMap

Organization Active NPI

Department of Health Services - Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cloverdale, CA
National Provider Identifier
1356529663
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DEPARTMENT OF HEALTH SERVICES - MENTAL HEALTH
Practice address
100 W 3Rd St
Cloverdale, CA 95425-3204
Phone
(187) 770-0527
NPI assigned
Feb 8, 2008
Last updated
Feb 8, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
DEPARTMENT OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Diana L Stornetta
Title
Compliance Accountant III
Phone
(707) 565-4782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

100 W 3Rd St
Cloverdale, CA 95425-3204

Mailing address

100 W 3Rd St
Cloverdale, CA 95425-3204
Phone (187) 770-0527

Other identifiers 1

IdentifierTypeStateIssuer
49CC1OtherCACA STATE MEDI-CAL RU

Other names 1

  • Community Mental Health Center-Cloverdale Regional Satelitte Other name

National Provider Directory

National Provider Directory
Tax ID family
Sonoma Countydept of Me61 organizations share this tax ID, including this one
Part of
Sonoma Countydept of Me

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1356529663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 3RD ST",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954253204",
            "telephone_number": "187-770-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 3RD ST",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954253204",
            "telephone_number": "187-770-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH SERVICES - MENTAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF HEALTH",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "STORNETTA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COMPLIANCE ACCOUNTANT III",
        "authorized_official_telephone_number": "707-565-4782"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE MEDI-CAL RU",
            "identifier": "49CC1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Mental Health Center-Cloverdale Regional Satelitte",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cloverdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.