Active NPI
El Dorado County Mental Health
- Point of Service
- Placerville, CA
National Provider Identifier
1770706509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- MFT32579
- Legal business name
- EL DORADO COUNTY MENTAL HEALTH
- Practice address
- 2808 Mallard Lane
Suite C
Placerville, CA 95667 - Phone
- (530) 621-6557
- NPI assigned
- Apr 10, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Bachman
- Title
- Director
- Phone
- (530) 621-6290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | MFT32579 | CA | Primary |
Addresses
Primary practice location
2808 Mallard Lane
Suite C
Placerville, CA 95667
Mailing address
344 Placerville Dr
Suite 17
Placerville, CA 95667-3920
Phone (530) 621-6290
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Marriage & Family Therapist
- Placerville, CA
- NPI 1689898918
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": "1770706509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 PLACERVILLE DR",
"address_2": "SUITE 17",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956673920",
"telephone_number": "530-621-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2808 MALLARD LANE",
"address_2": "SUITE C",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "95667",
"telephone_number": "530-621-6557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EL DORADO COUNTY MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BACHMAN",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "530-621-6290"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "CA",
"license": "MFT32579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placerville, CA
- El Dorado County Health and Human Services Agency
- El Dorado County Health Department
- El Dorado County Health Services Department
- El Dorado County Mental Health
- El Dorado County Mental Health
- El Dorado County Multi-Purpose Senior Services Program
- El Dorado County Office Health & Human Services Agency
- El Dorado County Office of Education (STAIR-Step Program)
- El Dorado County Office of Education
- El Dorado County PHF
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.