NPIMap

Organization Active NPI

Marie Green Psychiatric Center Merced

  • Mental Illness Intermediate Care Facility
  • Merced, CA
National Provider Identifier
1588914584
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
VN198166 Issued in CA
Legal business name
MARIE GREEN PSYCHIATRIC CENTER MERCED
Practice address
300 E 15TH St
Merced, CA 95341-6217
Phone
(209) 381-6879
Fax
(209) 381-6871
NPI assigned
Sep 17, 2012
Last updated
Sep 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Mrs. Baljinder K Bassi, NURSE/PSYCH TECH
Title
LVN/LMHW
Phone
(209) 381-6879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X VN198166 CA Primary

Addresses

Primary practice location

300 E 15TH St
Merced, CA 95341-6217

Mailing address

1940 Vistana Dr
Atwater, CA 95301-5303
Phone (209) 723-5330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1588914584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 VISTANA DR",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015303",
            "telephone_number": "209-723-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 15TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416217",
            "telephone_number": "209-381-6879",
            "fax_number": "209-381-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE GREEN PSYCHIATRIC CENTER MERCED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "BASSI",
        "authorized_official_first_name": "BALJINDER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LVN/LMHW",
        "authorized_official_telephone_number": "209-381-6879",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE/PSYCH TECH"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "CA",
            "license": "VN198166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.