Active NPI
Cultural Connection Therapy Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Davis, CA
National Provider Identifier
1508439720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Davis, CA
- NPI 1114297736
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.