NPIMap

Organization Active NPI

County of Santa Cruz

  • Adolescent and Children Mental Health Clinic/Center
  • Santa Cruz, CA
National Provider Identifier
1710021837
Registry record updated May 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
COUNTY OF SANTA CRUZ
Practice address
1400 Emeline Ave
1St Floor
Santa Cruz, CA 95060-1976
Phone
(831) 454-4900
Fax
(831) 454-4663
NPI assigned
Feb 20, 2007
Last updated
May 19, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SANTA CRUZAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2017

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

Authorized official

Name
Michael Beaton
Title
Health Services Agency Director
Phone
(831) 454-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X CA Primary

Addresses

Primary practice location

1400 Emeline Ave
1St Floor
Santa Cruz, CA 95060-1976

Mailing address

1400 Emeline Ave
1St Floor
Santa Cruz, CA 95060-1976
Phone (831) 454-4900

Other identifiers 4

IdentifierTypeStateIssuer
FHC70042FOtherCASANTA CRUZ COUNTY MEDI-CAL GROUP#
ZZZ92069ZOtherCASANTA CRUZ COUNTY MEDICARE GROUP PTAN#
4430MedicaidCA
1659315430OtherCALEGAL ENTITY NPI#

Other names 1

  • Children's Mental Health Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Santa Cruz County Health Services Agency24 organizations share this tax ID, including this one
Part of
Santa Cruz County Health Services Agency

Other organizations with this tax ID 23

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

View all 23

Locations

1400 Emeline Ave
Fl 1
Santa Cruz, CA 95060
Phone (831) 454-4900

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495152000000",
    "number": "1710021837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 EMELINE AVE",
            "address_2": "1ST FLOOR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601976",
            "telephone_number": "831-454-4900",
            "fax_number": "831-454-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 EMELINE AVE",
            "address_2": "1ST FLOOR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601976",
            "telephone_number": "831-454-4900",
            "fax_number": "831-454-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SANTA CRUZ",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SANTA CRUZ",
        "enumeration_date": "2007-02-20",
        "last_updated": "2017-05-19",
        "status": "A",
        "authorized_official_last_name": "BEATON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "HEALTH SERVICES AGENCY DIRECTOR",
        "authorized_official_telephone_number": "831-454-4000"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANTA CRUZ COUNTY MEDI-CAL GROUP#",
            "identifier": "FHC70042F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANTA CRUZ COUNTY MEDICARE GROUP PTAN#",
            "identifier": "ZZZ92069Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4430",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGAL ENTITY NPI#",
            "identifier": "1659315430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Mental Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; 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.