NPIMap

Organization Active NPI

El Dorado County

Doing business as El Dorado County Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Diamond Springs, CA
National Provider Identifier
1518178193
Registry record updated Apr 12, 2023
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
EL DORADO COUNTY
Doing business as
El Dorado County Mental Health
Practice address
768 Pleasant Valley Road, Suite 201
Diamond Springs, CA 95619
Phone
(530) 621-6290
Fax
(530) 622-1293
NPI assigned
May 24, 2007
Last updated
Apr 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Nicole Ebrahimi-Nuyken, LMFT
Title
Behavioral Health Director
Phone
(530) 621-6545

Specialties & licenses 1

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

Addresses

Primary practice location

768 Pleasant Valley Road, Suite 201
Diamond Springs, CA 95619

Mailing address

768 Pleasant Valley Road, Suite 201
Diamond Springs, CA 95619
Phone (530) 621-6290

Other names 1

  • El Dorado County Mental Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
El Dorado County Health22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1518178193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 PLEASANT VALLEY ROAD, SUITE 201",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "95619",
            "telephone_number": "530-621-6290",
            "fax_number": "530-622-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 PLEASANT VALLEY ROAD, SUITE 201",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "95619",
            "telephone_number": "530-621-6290",
            "fax_number": "530-622-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL DORADO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "EBRAHIMI-NUYKEN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "530-621-6545",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Dorado County Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Diamond Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.