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  • Counselor
  • Watsonville, CA
National Provider Identifier
1457474108
Registry record updated Feb 25, 2016
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Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
SIDE-BY-SIDE
Practice address
225 Westridge Dr
Watsonville, CA 95076-4168
Phone
(831) 724-3885
NPI assigned
Apr 9, 2007
Organization subpart
Yes
Parent organization
ENCOMPASS COMMUNITY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Monica Martinez
Title
Program Manager
Phone
(831) 469-1700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

225 Westridge Dr
Watsonville, CA 95076-4168

Mailing address

225 Westridge Dr
Watsonville, CA 95076-4168
Phone (831) 724-3885

Other identifiers 1

IdentifierTypeStateIssuer
44CJMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Families Together41 organizations share this tax ID, including this one
Part of
Families Together

Other organizations with this tax ID 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1457474108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WESTRIDGE DR",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764168",
            "telephone_number": "831-724-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WESTRIDGE DR",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764168",
            "telephone_number": "831-724-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDE-BY-SIDE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENCOMPASS COMMUNITY SERVICES",
        "enumeration_date": "2007-04-09",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "831-469-1700"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44CJ",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.