NPIMap

Organization Active NPI

Strategies for Change

  • Community/Behavioral Health Agency
  • Galt, CA
National Provider Identifier
1558548792
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
340084AN Issued in CA
Legal business name
STRATEGIES FOR CHANGE
Practice address
12935 Marengo Rd
Galt, CA 95632-8422
Phone
(916) 473-5764
NPI assigned
Jan 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Ms. Cynthia KeethNPI 1780900795
Title
Executive Director
Phone
(916) 473-5764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 340084AN CA Primary

Addresses

Primary practice location

12935 Marengo Rd
Galt, CA 95632-8422

Mailing address

4441 Auburn Blvd
Suite E
Sacramento, CA 95841-4139
Phone (916) 473-5764

Other identifiers 1

IdentifierTypeStateIssuer
343425000MedicaidCA

Other names 1

  • ESTRELLITA HIGH SCHOOL Other name

National Provider Directory

National Provider Directory
Tax ID family
Strategies for Change23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

12935 Marengo Rd
Galt, CA 95632
Phone (209) 745-2167

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1558548792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 AUBURN BLVD",
            "address_2": "SUITE E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414139",
            "telephone_number": "916-473-5764",
            "fax_number": "916-473-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12935 MARENGO RD",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956328422",
            "telephone_number": "916-473-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIES FOR CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "KEETH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-473-5764",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "340084AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343425000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESTRELLITA HIGH SCHOOL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Galt, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.