NPIMap

Organization Active NPI

Mary Magdalene Community Services

  • Community/Behavioral Health Agency
  • Stockton, CA
National Provider Identifier
1699136440
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MARY MAGDALENE COMMUNITY SERVICES
Practice address
440 N El Dorado St
Stockton, CA 95202-1950
Phone
(200) 988-8451
Fax
(209) 888-4535
NPI assigned
Mar 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Mr. Geneva Haynes, MSW
Title
Executive Director
Phone
(209) 888-4519

Specialties & licenses 1

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

Addresses

Primary practice location

440 N El Dorado St
Stockton, CA 95202-1950

Mailing address

440 N El Dorado St
Stockton, CA 95202-1950
Phone (200) 988-8451

National Provider Directory

National Provider Directory
Tax ID family
Mary Magdalene Community Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

440 N El Dorado St
Stockton, CA 95202
Phone (209) 888-4519

Practitioners & affiliated clinicians

Practitioners 4

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": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1699136440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N EL DORADO ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021950",
            "telephone_number": "200-988-8451",
            "fax_number": "209-888-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N EL DORADO ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021950",
            "telephone_number": "200-988-8451",
            "fax_number": "209-888-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY MAGDALENE COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "GENEVA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-888-4519",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.