NPIMap

Organization Active NPI

MSK Solutions

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Vallejo, CA
National Provider Identifier
1437803178
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
MSK SOLUTIONS
Practice address
444 Georgia St
Vallejo, CA 94590-6005
Phone
(707) 563-0157
NPI assigned
Feb 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Mr. Tegre Miles
Title
Executive Director
Phone
(510) 681-7988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

444 Georgia St
Vallejo, CA 94590-6005

Mailing address

444 Georgia St
Vallejo, CA 94590-6005
Phone (707) 563-0157

Other practice location 1

2158 Bridgeport Ave
Fairfield, CA 94534-1602
Phone (510) 681-7988

Other practice location 2

4510 Haflinger Dr
Fairfield, CA 94534-3800
Phone (510) 681-7988

Other names 1

  • Mile High Residential Behavior Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mile High Residential and Behavioral Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

444 Georgia St
Vallejo, CA 94590
Phone (707) 563-0157

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1437803178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 GEORGIA ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945906005",
            "telephone_number": "707-563-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 GEORGIA ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945906005",
            "telephone_number": "707-563-0157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2158 Bridgeport Ave",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945341602",
            "country_code": "US",
            "telephone_number": "510-681-7988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4510 Haflinger Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945343800",
            "country_code": "US",
            "telephone_number": "510-681-7988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MSK SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "TEGRE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-681-7988",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mile High Residential Behavior Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.