NPIMap

Organization Active NPI

Central County Mental Health Services

  • Nursing Care Agency
  • San Mateo, CA
National Provider Identifier
1710165048
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
696582 Issued in CA
Legal business name
CENTRAL COUNTY MENTAL HEALTH SERVICES
Practice address
3080 La Selva St
San Mateo, CA 94403-2109
Phone
(650) 573-2201
Fax
(650) 572-9347
NPI assigned
Feb 8, 2008
Last updated
Feb 8, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SAN MATEO COUNTY BEHAVIORAL AND RECOVERY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Ms. Eleanor Valdes Dwyer, LCSW
Title
Unit Chief
Phone
(650) 573-2404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 696582 CA Primary

Addresses

Primary practice location

3080 La Selva St
San Mateo, CA 94403-2109

Mailing address

3080 La Selva St
San Mateo, CA 94403-2109
Phone (650) 573-2201

National Provider Directory

National Provider Directory
Tax ID family
San Mateo Medical Center Methadone Treatment Program123 organizations share this tax ID, including this one
Part of
San Mateo Medical Center Methadone Treatment Program

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

3080 La Selva St
San Mateo, CA 94403
Phone (650) 573-3571

Practitioners & affiliated clinicians

Practitioners 41

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 41

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1710165048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 LA SELVA ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032109",
            "telephone_number": "650-573-2201",
            "fax_number": "650-572-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 LA SELVA ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032109",
            "telephone_number": "650-573-2201",
            "fax_number": "650-572-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COUNTY MENTAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN MATEO COUNTY BEHAVIORAL AND RECOVERY SERVICES",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "VALDES",
        "authorized_official_title_or_position": "UNIT CHIEF",
        "authorized_official_telephone_number": "650-573-2404",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CA",
            "license": "696582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.