Active NPI
Fair Oaks Behavioral Health Inc.
- Clinical Social Worker
- Fairbanks, CA
National Provider Identifier
1780448936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- FAIR OAKS BEHAVIORAL HEALTH INC.
- Practice address
- 7844 Madison Ave Ste 172
Fairbanks, CA 95862 - Phone
- (916) 823-8459
- NPI assigned
- Feb 8, 2024
- Last updated
- Feb 8, 2024
- 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
- Joshua Lee Collver-Horvath, LCSW
- Title
- Clinical Director/Owner/Founder
- Phone
- (916) 761-3162
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
7844 Madison Ave Ste 172
Fairbanks, CA 95862
Mailing address
PO Box 60074
Sacramento, CA 95860
Phone (916) 761-3162
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707350400000",
"number": "1780448936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60074",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95860",
"telephone_number": "916-761-3162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7844 MADISON AVE STE 172",
"city": "FAIRBANKS",
"state": "CA",
"postal_code": "95862",
"telephone_number": "916-823-8459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIR OAKS BEHAVIORAL HEALTH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-08",
"last_updated": "2024-02-08",
"status": "A",
"authorized_official_last_name": "COLLVER-HORVATH",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER/FOUNDER",
"authorized_official_telephone_number": "916-761-3162",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.