NPIMap

Organization Active NPI

Department of Health Services

  • Adolescent and Children Mental Health Clinic/Center
  • Santa Rosa, CA
National Provider Identifier
1376757989
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
DEPARTMENT OF HEALTH SERVICES
Practice address
7425 Rancho Los Guilicos Rd
Santa Rosa, CA 95409-6519
Phone
(707) 565-4700
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

7425 Rancho Los Guilicos Rd
Santa Rosa, CA 95409-6519

Mailing address

7425 Rancho Los Guilicos Rd
Santa Rosa, CA 95409-6519

Other names 1

  • DMH Sonoma County PACT Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Hospital of61 organizations share this tax ID, including this one

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

Locations

7425 Rancho Los Guilicos Rd
Santa Rosa, CA 95409
Phone (707) 565-6318

Practitioners & affiliated clinicians

Practitioners 2

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

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": "1598054400000",
    "number": "1376757989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 RANCHO LOS GUILICOS RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954096519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 RANCHO LOS GUILICOS RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954096519",
            "telephone_number": "707-565-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "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": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMH Sonoma County PACT",
            "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 22, 2020; 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.