Organization Active NPI

Transitions-Mental Health Association

Doing business as Adult Transitional Program

  • Mental Illness Community Based Residential Treatment Facility
  • San Luis Obispo, CA
National Provider Identifier
1609073691
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
405801098 Issued in CA
Legal business name
TRANSITIONS-MENTAL HEALTH ASSOCIATION
Doing business as
Adult Transitional Program
Practice address
1511 Osos St
San Luis Obispo, CA 93401-4037
Phone
(805) 541-0107
Fax
(805) 544-0741
NPI assigned
Jul 2, 2007
Organization subpart
Yes
Parent organization
TRANSITIONS-MENTAL HEALTH ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Ms. Jill Bolster-White
Title
Executive Director
Phone
(805) 541-5144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 405801098 CA Primary

Addresses

Primary practice location

1511 Osos St
San Luis Obispo, CA 93401-4037

Mailing address

PO Box 15408
San Luis Obispo, CA 93406-5408
Phone (805) 541-5144

Other names 1

  • Adult Transitional Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tmha Santa Maria Wellness Center27 organizations share this tax ID, including this one
Part of
Tmha Santa Maria Wellness Center

Other organizations with this tax ID 26

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

View all 26

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1609073691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15408",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934065408",
            "telephone_number": "805-541-5144",
            "fax_number": "805-541-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 OSOS ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014037",
            "telephone_number": "805-541-0107",
            "fax_number": "805-544-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONS-MENTAL HEALTH ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRANSITIONS-MENTAL HEALTH ASSOCIATION",
        "enumeration_date": "2007-07-02",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "BOLSTER-WHITE",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-541-5144",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "405801098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Transitional Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.