San Joaquin County Behavioral Health Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

101YM0800X Issued in CA

Legal business name

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES

Practice address

1212 N California St
Stockton, CA 95202-1552

Phone

(209) 468-8842

NPI assigned

Aug 9, 2012

Last updated

Aug 9, 2012By 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

Jaqueline Coulter

Title

Program Manager

Phone

(209) 468-8842

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1427305333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021552",
            "telephone_number": "209-468-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "COULTER",
        "authorized_official_first_name": "JAQUELINE",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "209-468-8842"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "101YM0800X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Joaquin County Behavioral Health Services (SJC-MHS-HEART Homeless Engagement & Response Team Stockton)
• San Joaquin County Behavioral Health Services (SJC-MHS FFS-LCSW-Manage Care)
• San Joaquin County Behavioral Health Services (CCP Pre-Trial)
• San Joaquin County Behavioral Health Services (SJC-MHS FFS-Psychologist-Manage Care)
• San Joaquin County Behavioral Health Services (Transcultural Services)
• San Joaquin County Behavioral Health Services (SJC-MHS Crisis Intervention Services)
• San Joaquin County Behavioral Health Services (SJC-MHS InSPIRE)
• San Joaquin County Behavioral Health Services (MHS CYS Katie A Services)
• San Joaquin County Behavioral Health Services (Community Support Services - Homeless Programs)
• San Joaquin County Behavioral Health Services (SJC-Manage Care Fee for Service-Mixed Specialty Group)

• Case Management Agency in Stockton, CA
• Providers in Stockton, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.