NPIMap

Organization Active NPI

Human Services Projects, Inc.

Doing business as Community Behavioral Intervention Services

  • Community/Behavioral Health Agency
  • Stockton, CA
National Provider Identifier
1710168158
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
M13967 Issued in CA
Legal business name
HUMAN SERVICES PROJECTS, INC.
Doing business as
Community Behavioral Intervention Services
Practice address
5361 N Pershing Ave
Suite H
Stockton, CA 95207-5450
Phone
(209) 477-9177
Fax
(209) 477-4667
NPI assigned
Nov 14, 2007
Last updated
Mar 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Authorized official

Name
Ms. Marti Harris Fredericks, LMFTNPI 1215107065
Title
Executive Director
Phone
(209) 477-9177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X M13967 CA Primary

Addresses

Primary practice location

5361 N Pershing Ave
Suite H
Stockton, CA 95207-5450

Mailing address

5361 N Pershing Ave
Suite H
Stockton, CA 95207-5450
Phone (209) 477-9177

Other names 1

  • Community Behavioral Intervention Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Behavioral Intervention Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5361 N Pershing Ave
Ste H
Stockton, CA 95207
Phone (209) 477-9177

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1710168158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5361 N PERSHING AVE",
            "address_2": "SUITE H",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075450",
            "telephone_number": "209-477-9177",
            "fax_number": "209-477-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5361 N PERSHING AVE",
            "address_2": "SUITE H",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075450",
            "telephone_number": "209-477-9177",
            "fax_number": "209-477-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN SERVICES PROJECTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "FREDERICKS",
        "authorized_official_first_name": "MARTI",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-477-9177",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "M13967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Behavioral Intervention Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2012; 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.