Organization Active NPI

Stanislaus County BHRS

  • Community/Behavioral Health Agency
  • Modesto, CA
National Provider Identifier
1689744492
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STANISLAUS COUNTY BHRS
Practice address
1601 I St., Ste. 200, 2ND FL.
Modesto, CA 95354-1110
Phone
(209) 525-6225
NPI assigned
Nov 9, 2006
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
STANISLAUS COUNTY BHRSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Ruben Imperial, MBA
Title
Behavioral Health Director
Phone
(209) 525-6225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU
Community/Behavioral Health Agency 251S00000X CA Primary

Addresses

Primary practice location

1601 I St., Ste. 200, 2ND FL.
Modesto, CA 95354-1110

Mailing address

1601 I St., Ste. 200, 2ND FL.
Modesto, CA 95354-1110
Phone (209) 525-6225

Other identifiers 13

IdentifierTypeStateIssuer
ZZZ21961ZOtherMEDICARE ID
ZZZ15535ZOtherMEDICARE ID
ZZZ93575ZOtherMEDICARE ID
ZZZ06630ZOtherMEDICARE
ZZZ15536ZOtherMEDICARE ID
ZZZP5010ZOtherMEDICARE ID
ZZZ15533ZOtherMEDICARE ID
ZZZ26597ZOtherMEDICARE ID
ZZZ20934ZOtherMEDICARE
ZZZ15529ZOtherMEDICARE ID
ZZZ15534ZOtherMEDICARE ID
ZZZ31213ZOtherMEDICARE ID
ZZZ89558ZOtherMEDICARE ID

Other names 1

  • Behavioral Health & Recovery Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031111000935 CA Part B Supplier - Clinic/Group Practice 0648183996 Receives reassigned benefits from 24 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ceres, CA; Modesto, CA; Turlock, CA
O20031111000939 CA Part B Supplier - Clinic/Group Practice 0648183996 Receives reassigned benefits from 59 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Modesto, CA; Ceres, CA

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

National Provider Directory

National Provider Directory
Part of
Stan Co Mentalhealth SV

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1689744492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 I ST., STE. 200, 2ND FL.",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541110",
            "telephone_number": "209-525-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 I ST., STE. 200, 2ND FL.",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541110",
            "telephone_number": "209-525-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANISLAUS COUNTY BHRS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STANISLAUS COUNTY BHRS",
        "enumeration_date": "2006-11-09",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "IMPERIAL",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "209-525-6225",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZ21961Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZ15535Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZ93575Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ZZZ06630Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZ15536Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZP5010Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZ15533Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZ26597Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ZZZ20934Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZ15529Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZ15534Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZ31213Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZ89558Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health & Recovery Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.