NPIMap

Organization Active NPI

Doctors Medical Center

Doing business as Doctors Behavioral Health

  • Psychiatric Hospital
  • Modesto, CA
National Provider Identifier
1407016793
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
DOCTORS MEDICAL CENTER
Doing business as
Doctors Behavioral Health
Practice address
1441 Florida Ave
Modesto, CA 95350-4405
Phone
(209) 576-3600
NPI assigned
Jun 11, 2008
Organization subpart
Yes
Parent organization
DOCTORS MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Tony Vartan, LCSW
Title
Administrator
Phone
(209) 557-6309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X CA Primary

Addresses

Primary practice location

1441 Florida Ave
Modesto, CA 95350-4405

Mailing address

1501 Claus Rd
Modesto, CA 95355-9711
Phone (209) 557-6300

Other names 1

  • Doctors Behavioral Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MOD@Direct.Hub2.TenetHealth.com Direct

National Provider Directory

National Provider Directory
Tax ID family
DMC Professional Billing7 organizations share this tax ID, including this one
Part of
DMC Professional Billing

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407016793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 CLAUS RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953559711",
            "telephone_number": "209-557-6300",
            "fax_number": "209-557-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 FLORIDA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504405",
            "telephone_number": "209-576-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOCTORS MEDICAL CENTER",
        "enumeration_date": "2008-06-11",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "VARTAN",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "209-557-6309",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MOD@Direct.Hub2.TenetHealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1441 Florida Ave",
            "city": "Modesto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953504405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Doctors Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Doctors Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.