NPIMap

Organization Active NPI

Mental Health Practitioners

  • Psychiatric/Mental Health Nurse Practitioner
  • Sonoma, CA
National Provider Identifier
1609763341
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MENTAL HEALTH PRACTITIONERS
Practice address
651 1St St W Ste G
Sonoma, CA 95476-7046
Phone
(415) 968-6515
NPI assigned
Jun 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Rebecca Blakesley, PMHNPNPI 1134899388
Title
VP
Phone
(415) 968-6515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

651 1St St W Ste G
Sonoma, CA 95476-7046

Mailing address

836 Southampton Rd # B115
Benicia, CA 94510-1961
Phone (415) 968-6515

Other names 1

  • Mental Health Practitioners Doing business as

National Provider Directory

National Provider Directory

Locations

836 Southampton Rd
#B115
Benicia, CA 94510

265 E River Park Cir
Fresno, CA 93720

450 N Brand Blvd
Glendale, CA 91203
Phone (818) 521-1112

3281 E Guasti Rd
Ontario, CA 91761
Phone (909) 323-7100

8880 Rio San Diego Dr
San Diego, CA 92108
Phone (619) 500-6282

1 Sansome St
Fl 35
San Francisco, CA 94104
Phone (415) 298-0122

25129 The Old Rd
Stevenson Ranch, CA 91381
Phone (661) 284-1984

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1609763341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 SOUTHAMPTON RD # B115",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945101961",
            "telephone_number": "415-968-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 1ST ST W STE G",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954767046",
            "telephone_number": "415-968-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH PRACTITIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "BLAKESLEY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "415-968-6515",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health Practitioners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sonoma, CA

Sources for this page

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