Active NPI
Telecare Corporation
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Vallejo, CA
National Provider Identifier
1508948597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- TELECARE CORPORATION
- Practice address
- 1027 Alabama St
Vallejo, CA 94590-4511 - Phone
- (707) 558-1600
- Fax
- (707) 558-1606
- NPI assigned
- Oct 19, 2006
- 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
- Marshall Langfeld
- Title
- Cfo, Vice President
- Phone
- (510) 337-7950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1027 Alabama St
Vallejo, CA 94590-4511
Mailing address
1080 Marina Village Pkwy
Suite 100
Alameda, CA 94501-6427
Phone (510) 337-7950
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48742 | Other | CA | COUNTY MENTAL HEALTH CERTIFICATE |
| 48741 | Other | CA | COUNTY MENTAL HEALTH CERTIFICATE |
Other names 1
- Telecare Solano County Strides
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070614000167 | CA | Part B Supplier - Clinic/Group Practice | 6901820380 |
Receives reassigned benefits from 246 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
1027 Alabama St
Vallejo, CA 94590
Phone (707) 552-6212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261094400000",
"number": "1508948597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 MARINA VILLAGE PKWY",
"address_2": "SUITE 100",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945016427",
"telephone_number": "510-337-7950",
"fax_number": "510-337-7969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 ALABAMA ST",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945904511",
"telephone_number": "707-558-1600",
"fax_number": "707-558-1606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELECARE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2009-12-18",
"status": "A",
"authorized_official_last_name": "LANGFELD",
"authorized_official_first_name": "MARSHALL",
"authorized_official_title_or_position": "CFO, VICE PRESIDENT",
"authorized_official_telephone_number": "510-337-7950"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNTY MENTAL HEALTH CERTIFICATE",
"identifier": "48742",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNTY MENTAL HEALTH CERTIFICATE",
"identifier": "48741",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Telecare Solano County Strides",
"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 Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.