NPIMap

Organization Active NPI

County of San Luis Obispo Behavioral Health

  • Health Maintenance Organization
  • San Luis Obispo, CA
National Provider Identifier
1780929414
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
COUNTY OF SAN LUIS OBISPO BEHAVIORAL HEALTH
Practice address
277 South St #T
San Luis Obispo, CA 93401
Phone
(805) 781-4850
Fax
(805) 781-4866
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Ms. Patricia Gayle Kirkland, CERTIFIED COUNSELOR
Title
Case Manager/Peer Representative
Phone
(805) 781-4750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

277 South St #T
San Luis Obispo, CA 93401

Mailing address

2180 Johnson Ave
San Luis Obispo, CA 93401-4513
Phone (805) 781-4275

Other names 1

  • ATCC, Drug and Alcohol Services Other name

National Provider Directory

National Provider Directory
Tax ID family
San Luis Obispo County CCS7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1780929414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 JOHNSON AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014513",
            "telephone_number": "805-781-4275",
            "fax_number": "805-781-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 SOUTH ST #T",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-781-4850",
            "fax_number": "805-781-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN LUIS OBISPO BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "CASE MANAGER/PEER REPRESENTATIVE",
        "authorized_official_telephone_number": "805-781-4750",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CERTIFIED COUNSELOR"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATCC, Drug and Alcohol Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.