Organization Active NPI

Cultural Connection Therapy Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Davis, CA
National Provider Identifier
1508439720
Registry record updated Sep 11, 2025
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
CULTURAL CONNECTION THERAPY CENTER
Practice address
719 2ND St Ste 8
Davis, CA 95616-4666
Phone
(530) 505-1994
Fax
(530) 231-0128
NPI assigned
Jul 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mariana Nogueira, LCSW
Title
Owner
Phone
(408) 416-1710

Specialties & licenses 1

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

Addresses

Primary practice location

719 2ND St Ste 8
Davis, CA 95616-4666

Mailing address

719 2ND St Ste 8
Davis, CA 95616-4666
Phone (530) 505-1994

National Provider Directory

National Provider Directory

Locations

719 2nd St
Ste 8
Davis, CA 95616
Phone (408) 416-1710

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1508439720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 2ND ST STE 8",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164666",
            "telephone_number": "530-505-1994",
            "fax_number": "530-231-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 2ND ST STE 8",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164666",
            "telephone_number": "530-505-1994",
            "fax_number": "530-231-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTURAL CONNECTION THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-24",
        "last_updated": "2025-09-11",
        "certification_date": "2021-07-24",
        "status": "A",
        "authorized_official_last_name": "NOGUEIRA",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-416-1710",
        "authorized_official_credential": "LCSW"
    },
    "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 Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.