NPIMap

Organization Active NPI

Front St. Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Watsonville, CA
National Provider Identifier
1376770776
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
FRONT ST. INC.
Practice address
102 Wheelock Rd
Watsonville, CA 95076-9719
Phone
(831) 420-0120
Fax
(831) 420-0123
NPI assigned
Jun 12, 2009
Last updated
Aug 17, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FRONT ST. INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Ann M. Butler
Title
Ceo and Owner
Phone
(831) 420-0120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

102 Wheelock Rd
Watsonville, CA 95076-9719

Mailing address

2115 7TH Ave
Santa Cruz, CA 95062-1663
Phone (831) 420-0120

Other identifiers 1

IdentifierTypeStateIssuer
44CZOtherCAMEDI-CAL PRV NBR

Other names 1

  • Wheelock Residential Other name

National Provider Directory

National Provider Directory
Tax ID family
Front Street12 organizations share this tax ID, including this one
Part of
Front Street

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

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.

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1376770776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 7TH AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621663",
            "telephone_number": "831-420-0120",
            "fax_number": "831-420-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WHEELOCK RD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950769719",
            "telephone_number": "831-420-0120",
            "fax_number": "831-420-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT ST. INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRONT ST. INC.",
        "enumeration_date": "2009-06-12",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO AND OWNER",
        "authorized_official_telephone_number": "831-420-0120"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PRV NBR",
            "identifier": "44CZ",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wheelock Residential",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Wheelock Residential",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.