Mental Health Modesto LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MENTAL HEALTH MODESTO LLC

Practice address

1101 Standiford Ave Ste D4
Modesto, CA 95350-0981

Phone

(201) 306-5670

NPI assigned

May 8, 2024

Last updated

Jul 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sophie Gomes

Title

Authorized Official

Phone

(209) 665-3326

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1629826276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 RED HILL AVE STE A210C",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 STANDIFORD AVE STE D4",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500981",
            "telephone_number": "201-306-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH MODESTO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "GOMES",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "209-665-3326"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Montero Meneses, DO
• Yan Meng, M.D.
• Kalkidan Mengesha
• Maria Alicia Menjivar
• Menm, LLC (Miracle-Ear)
• Roselande Mentor, FNP
• Andrew Mera
• Mohsen Merati, MD
• Genine Christina Meraz
• Jasleen Guadalupe Meraz

• Adult Mental Health Clinic/Center in Modesto, CA
• Providers in Modesto, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.