Organization Active NPI

Community Connection

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Cruz, CA
National Provider Identifier
1407075658
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COMMUNITY CONNECTION
Practice address
300 Harvey West Blvd
Santa Cruz, CA 95060-2103
Phone
(831) 425-8132
Fax
(831) 425-4581
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Kenneth William Boston
Title
Program Cooridinator
Phone
(831) 425-8132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

300 Harvey West Blvd
Santa Cruz, CA 95060-2103

Mailing address

300 Harvey West Blvd
Santa Cruz, CA 95060-2103
Phone (831) 425-8132

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1407075658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HARVEY WEST BLVD",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602103",
            "telephone_number": "831-425-8132",
            "fax_number": "831-425-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HARVEY WEST BLVD",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602103",
            "telephone_number": "831-425-8132",
            "fax_number": "831-425-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "BOSTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PROGRAM COORIDINATOR",
        "authorized_official_telephone_number": "831-425-8132"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.