NPIMap

Organization Active NPI

Behavioral Health and Recovery Services

  • Community/Behavioral Health Agency
  • Modesto, CA
National Provider Identifier
1720101058
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
48233 Issued in CA
Legal business name
BEHAVIORAL HEALTH AND RECOVERY SERVICES
Practice address
1100 Kansas Ave
Modesto, CA 95351-1596
Phone
(209) 558-8884
Fax
(209) 558-8888
NPI assigned
Apr 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Hermille NMN Catzalco, MFTI
Title
Mental Health Clinician
Phone
(209) 558-8884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 48233 CA Primary

Addresses

Primary practice location

1100 Kansas Ave
Modesto, CA 95351-1596

Mailing address

107 Greenwich LN
Modesto, CA 95350
Phone (209) 558-8884

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Health and Recovery 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.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720101058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GREENWICH LN",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95350",
            "telephone_number": "209-558-8884",
            "fax_number": "209-558-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 KANSAS AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953511596",
            "telephone_number": "209-558-8884",
            "fax_number": "209-558-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH AND RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CATZALCO",
        "authorized_official_first_name": "HERMILLE",
        "authorized_official_middle_name": "NMN",
        "authorized_official_title_or_position": "MENTAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "209-558-8884",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFTI"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "48233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.