Edc MH

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3714

Legal business name

EDC MH

Practice address

126 Redwood Ave
Sacramento, CA 95815-2010

Phone

(916) 564-0503

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Vibha K Udupa

Title

MSW II Intern

Phone

(916) 564-0503

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417070699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 REDWOOD AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958152010",
            "telephone_number": "916-564-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 REDWOOD AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958152010",
            "telephone_number": "916-564-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDC MH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UDUPA",
        "authorized_official_first_name": "VIBHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MSW II INTERN",
        "authorized_official_telephone_number": "916-564-0503",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": "3714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Louise Ecklor, LMFT
• Maricel Ecobiza
• Gregory Econome
• Nicole Economou, MD
• Harvey S. Edber, MD
• Aysa Eddings
• Sydney Capri Eddings
• James Stuart Eddins
• Mark Douglas Eddy, PT OCS CSCS
• William Eddy, MD

• Community/Behavioral Health Agency in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community/Behavioral Health Agency in California

• 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.