North Coast Nurture Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NORTH COAST NURTURE CENTER

Practice address

1225 Central Ave Ste 2
McKinleyville, CA 95519-4390

Phone

(707) 601-5622

Fax

(707) 840-6036

NPI assigned

Apr 10, 2020

Organization subpart

No

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

Authorized official

Name

Johanna Barahona Rivera

Title

Clinic Coordinator

Phone

(707) 601-5622

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1700405693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CENTRAL AVE STE 2",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194390",
            "telephone_number": "707-601-5622",
            "fax_number": "707-840-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CENTRAL AVE STE 2",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194390",
            "telephone_number": "707-601-5622",
            "fax_number": "707-840-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST NURTURE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "BARAHONA RIVERA",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "CLINIC COORDINATOR",
        "authorized_official_telephone_number": "707-601-5622"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "doxy.me",
            "affiliation": "N",
            "endpointDescription": "telemedicine",
            "address_1": "1225 Central Ave Ste 2",
            "city": "McKinleyville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955194390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Naoum Mattar Moukarzel, PHARMD
• Maria Grace Neely
• Jake Allen Neighbors
• Sadie Neighbors
• Andrea Jean Nelson, RDN
• North Coast Psychotherapy Center for Anxiety and Ocd, Inc.
• North Pacific Dermatology a Medical Corporation
• Northern Humboldt Union High School District
• Jacob Andrew Norton
• Amy Cirincione O'Connor, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in McKinleyville, CA
• Providers in McKinleyville, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.