Sierra Mental Wellness

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SIERRA MENTAL WELLNESS

Practice address

2178 Johnson Ave
San Luis Obispo, CA 93401-4535

Phone

(805) 781-4700

NPI assigned

Aug 18, 2015

Last updated

Aug 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Risa Lee Hamilton

Title

Crisis Evaluator

Phone

(805) 781-4700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1366818999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2178 JOHNSON AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014535",
            "telephone_number": "805-781-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2178 JOHNSON AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014535",
            "telephone_number": "805-781-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA MENTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "RISA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CRISIS EVALUATOR",
        "authorized_official_telephone_number": "805-781-4700"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sibal Optometry, Inc.
• Mariah Sibal, OD
• Alex Sicaud
• John Barry Siebenlist, M.D.
• Lawrence Zachary Siegler, MFT
• Sierra Mental Wellness Group
• Sierra Vista Hospital, Inc. (Sierra Vista Regional Medical Center)
• Sierra Vista Hospital, Inc. (Sierra Vista Regional Medical Center)
• Sierra Vista Medical Pavilion Ambulatory Surgery Suite
• Kahlua Sievert

• Community/Behavioral Health Agency in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.