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Central County Mental Health Services

Organization Active NPI Nursing Care Agency · San Mateo, CA

NPI 1710165048 · NPPES record last updated Feb 8, 2008

Key facts

NPI
1710165048
Entity type
Organization (NPI type 2)
Primary specialty
Nursing Care Agency 251J00000X
License
696582 (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
Organization subpart
Yes
Parent organization (as reported)
SAN MATEO COUNTY BEHAVIORAL AND RECOVERY SERVICES

Authorized official

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

Corporate family (same tax ID) 24

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

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

National Provider Directory

Tax ID family
Harold D Chope Comm Pat (123 organizations share this tax ID)
Part of
Harold D Chope Comm Pat

Locations

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

Specialties & licenses

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

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 8, 2008.

{
    "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

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Sources for this page

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