NPIMap

Organization Active NPI

Keystone School Elmira

  • Community/Behavioral Health Agency
  • Elmira, CA
National Provider Identifier
1609096817
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
48705736204887 Issued in CA
Legal business name
KEYSTONE SCHOOL ELMIRA
Practice address
5416 Holdener Road
Elmira, CA 95625
Phone
(707) 453-6227
Fax
(707) 453-6957
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sheila McCarthy, M.A
Title
Principal
Phone
(707) 453-6227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 48705736204887 CA Primary

Addresses

Primary practice location

5416 Holdener Road
Elmira, CA 95625

Mailing address

PO Box 525
Elmira, CA 95625-0525
Phone (707) 453-6227

Other identifiers 1

IdentifierTypeStateIssuer
251S00000XMedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609096817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 525",
            "city": "ELMIRA",
            "state": "CA",
            "postal_code": "956250525",
            "telephone_number": "707-453-6227",
            "fax_number": "707-453-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 HOLDENER ROAD",
            "city": "ELMIRA",
            "state": "CA",
            "postal_code": "95625",
            "telephone_number": "707-453-6227",
            "fax_number": "707-453-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE SCHOOL ELMIRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "707-453-6227",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "48705736204887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251S00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.