NPIMap

Organization Active NPI

County of Mendocino Juvenile Hall

  • Prison Health Clinic/Center
  • Ukiah, CA
National Provider Identifier
1578428355
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
COUNTY OF MENDOCINO JUVENILE HALL
Practice address
585 Low Gap Rd
Ukiah, CA 95482-3734
Phone
(707) 234-6682
NPI assigned
Dec 23, 2025
Organization subpart
Yes
Parent organization
COUNTY OF MENDOCINOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Ms. Katherine Ford
Title
Assistant Chief Probation Officer
Phone
(707) 234-6904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X Primary

Addresses

Primary practice location

585 Low Gap Rd
Ukiah, CA 95482-3734

Mailing address

585 Low Gap Rd
Ukiah, CA 95482-3734
Phone (707) 234-6682

National Provider Directory

National Provider Directory
Tax ID family
Mendocino County Mental Health21 organizations share this tax ID, including this one
Part of
Mendocino County Mental Health

Other organizations with this tax ID 11

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

Locations

585 Low Gap Rd
Ukiah, CA 95482
Phone (707) 234-6682

NPI Registry JSON

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1578428355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 LOW GAP RD",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954823734",
            "telephone_number": "707-234-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 LOW GAP RD",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954823734",
            "telephone_number": "707-234-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MENDOCINO JUVENILE HALL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF MENDOCINO",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "ASSISTANT CHIEF PROBATION OFFICER",
        "authorized_official_telephone_number": "707-234-6904",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.