NPIMap

Organization Active NPI

Contra Costa County

  • Adolescent and Children Mental Health Clinic/Center
  • San Pablo, CA
National Provider Identifier
1508936188
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CONTRA COSTA COUNTY
Practice address
13585 San Pablo Avenue
1St Floor
San Pablo, CA 94806
Phone
(510) 942-4600
NPI assigned
Nov 9, 2006
Organization subpart
Yes
Parent organization
CONTRA COSTA COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
David D. Lee, MBA, FHFMA
Title
Deputy Cfo
Phone
(925) 957-5445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

13585 San Pablo Avenue
1St Floor
San Pablo, CA 94806

Mailing address

50 Douglas Dr Ste 310
Martinez, CA 94553-4003

Other identifiers 1

IdentifierTypeStateIssuer
0768OtherCAMENTAL HEALTH

Other names 1

  • West County Childrens Mental Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Contra Costa Cnty Path99 organizations share this tax ID, including this one
Part of
Contra Costa Cnty Path

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

13585 San Pablo Ave
Fl 1
San Pablo, CA 94806
Phone (510) 942-4600

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1508936188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DOUGLAS DR STE 310",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13585 SAN PABLO AVENUE",
            "address_2": "1ST FLOOR",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "94806",
            "telephone_number": "510-942-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTRA COSTA COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONTRA COSTA COUNTY",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DEPUTY CFO",
        "authorized_official_telephone_number": "925-957-5445",
        "authorized_official_credential": "MBA, FHFMA"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "0768",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West County Childrens Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Pablo, CA

Sources for this page

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