Active NPI
Strategies for Change
- Community/Behavioral Health Agency
- Sacramento, CA
National Provider Identifier
1366629503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 340084AN
- Legal business name
- STRATEGIES FOR CHANGE
- Practice address
- 3301 Fong Ranch Rd
Sacramento, CA 95834-1719 - Phone
- (916) 473-5764
- NPI assigned
- Jan 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia Keeth
- Title
- Executive Director
- Phone
- (916) 473-5764
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 340084AN | CA | Primary |
Addresses
Primary practice location
3301 Fong Ranch Rd
Sacramento, CA 95834-1719
Mailing address
4441 Auburn Blvd
Suite E
Sacramento, CA 95841-4139
Phone (916) 473-5764
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 343405000 | Medicaid | CA |
Other names 1
- NATOMAS HIGH SCHOOL
National Provider Directory
National Provider Directory- Tax ID family
- Strategies for Change
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245628800000",
"number": "1366629503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4441 AUBURN BLVD",
"address_2": "SUITE E",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958414139",
"telephone_number": "916-473-5764",
"fax_number": "916-473-5766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 FONG RANCH RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341719",
"telephone_number": "916-473-5764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRATEGIES FOR CHANGE",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-30",
"last_updated": "2009-06-22",
"status": "A",
"authorized_official_last_name": "KEETH",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "916-473-5764"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "340084AN",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "343405000",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NATOMAS HIGH SCHOOL",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.