Active NPI
San Joaquin County Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stockton, CA
National Provider Identifier
1598284366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
- Practice address
- 1212 N California St
Stockton, CA 95202-1552 - Phone
- (209) 468-8778
- Fax
- (209) 468-3486
- NPI assigned
- Sep 13, 2017
- 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
- Genevieve Valentine, LMFT
- Title
- Director-Behavioral Health Services
- Phone
- (209) 468-8750
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
1212 N California St
Stockton, CA 95202-1552
Mailing address
1212 N California St
Stockton, CA 95202-1552
Phone (209) 468-8778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39B9 | Medicaid | CA |
Other names 1
- WPC-Behavioral Health Services Integration Team
National Provider Directory
National Provider Directory- Tax ID family
- San Joaquin Gen Hospita
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
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- Dental Clinic/Center
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-
- Children's Substance Abuse Rehabilitation Facility
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- NPI 1497968184
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stockton, CA
- NPI 1518169069
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stockton, CA
- NPI 1518176478
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stockton, CA
- NPI 1518387935
-
- Addiction (Substance Use Disorder) Counselor
- Stockton, CA
- NPI 1538042098
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stockton, CA
- NPI 1538378369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714608000000",
"number": "1598284366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 N CALIFORNIA ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952021552",
"telephone_number": "209-468-8778",
"fax_number": "209-468-3486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 N CALIFORNIA ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952021552",
"telephone_number": "209-468-8778",
"fax_number": "209-468-3486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-13",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A",
"authorized_official_last_name": "VALENTINE",
"authorized_official_first_name": "GENEVIEVE",
"authorized_official_title_or_position": "DIRECTOR-BEHAVIORAL HEALTH SERVICES",
"authorized_official_telephone_number": "209-468-8750",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39B9",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WPC-Behavioral Health Services Integration Team",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stockton, CA
- San Joaquin County Behavioral Health Services
- San Joaquin County Behavioral Health Services
- San Joaquin County Behavioral Health Services
- San Joaquin County Behavioral Health Services
- San Joaquin County Behavioral Health Services
- San Joaquin County Behavioral Health Services
- San Joaquin County Behavioral Health Services
- San Joaquin County Behavioral Health Services
- San Joaquin County Behavioral Health Services
- San Joaquin County Behavioral Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.