Mendocino County Superintendent of Schools

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

SS2310231 Issued in CA

Legal business name

MENDOCINO COUNTY SUPERINTENDENT OF SCHOOLS

Doing business as

Mendocino County Office of Education

Practice address

2240 Old River Rd
Ukiah, CA 95482-6103

Phone

(707) 467-5174

Fax

(707) 468-9234

NPI assigned

Jan 22, 2007

Last updated

Jun 4, 2024By 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

Mrs. Suzanne E. Steely

Title

Director, Internal Fiscal

Phone

(707) 467-5036

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mendocino County Office of Education Doing business as

Tax ID family

Fort Bragg Unified2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Fort Bragg Unified

  • Local Education Agency (LEA)
  • Fort Bragg, CA
  • NPI 1497879274
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Patrick Bratton, PH. D

  • Clinical Psychologist
  • Clearlake, CA
  • NPI 1982923918
  NPD (past)
• Devon Krepela, MS

  • School Psychologist
  • Willits, CA
  • NPI 1437761897
  NPD (past)
• Keenan P Tyner, LCSW

  • Clinical Social Worker
  • Ukiah, CA
  • NPI 1023347911
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1396899043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 OLD RIVER RD",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826103",
            "fax_number": "707-468-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 OLD RIVER RD",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826103",
            "telephone_number": "707-467-5174",
            "fax_number": "707-468-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDOCINO COUNTY SUPERINTENDENT OF SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "STEELY",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR, INTERNAL FISCAL",
        "authorized_official_telephone_number": "707-467-5036",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": "SS2310231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS2310231",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mendocino County Office of Education",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mendocino Community Health Clinic, Inc.
• Mendocino Community Health Clinic, Inc.
• Mendocino County
• Mendocino County AIDS Volunteer Network (Mendocino County AIDS/Viral Hepatitis Network)
• Mendocino County AIDS/Viral Hepatitis Network
• Mendocino County Youth Project
• Mendocino County Youth Project
• Mendocino County Youth Project
• Mendocino Lake Audiology Inc.
• Mendocino Lake Hearing Care, Inc (Mendocino Lake Audiology)

• Local Education Agency (LEA) in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Local Education Agency (LEA) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.