NPIMap

Organization Active NPI

County of del Norte

Doing business as DHHS Behavioral Health Branch

  • Community/Behavioral Health Agency
  • Crescent City, CA
National Provider Identifier
1790801116
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0801 Issued in CA
Legal business name
COUNTY OF DEL NORTE
Doing business as
DHHS Behavioral Health Branch
Practice address
405 & 455 K Street
Crescent City, CA 95531-8301
Phone
(707) 464-7224
Fax
(707) 465-0855
NPI assigned
Mar 21, 2007
Last updated
May 13, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF DEL NORTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Authorized official

Name
Marcus T PadillaNPI 1649821513
Title
Staff Services Analyst
Phone
(707) 464-7224

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 0801 CA Primary

Addresses

Primary practice location

405 & 455 K Street
Crescent City, CA 95531-8301

Mailing address

455 K Street
Crescent City, CA 95531-8301
Phone (707) 464-7224

Other identifiers 1

IdentifierTypeStateIssuer
0801OtherCAMEDICAL PROVIDER

Other names 1

  • DHHS Behavioral Health Branch Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060207000238 CA Part B Supplier - Clinic/Group Practice 8527073949 Receives reassigned benefits from 24 practitioners
Practice locations: Crescent City, CA

National Provider Directory

National Provider Directory
Part of
Heath and Human Services

Locations

405 K St
Crescent City, CA 95531
Phone (707) 464-7224

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1790801116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 K STREET",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318301",
            "telephone_number": "707-464-7224",
            "fax_number": "707-465-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 & 455 K STREET",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318301",
            "telephone_number": "707-464-7224",
            "fax_number": "707-465-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DEL NORTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF DEL NORTE",
        "enumeration_date": "2007-03-21",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "STAFF SERVICES ANALYST",
        "authorized_official_telephone_number": "707-464-7224"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "0801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER",
            "identifier": "0801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DHHS Behavioral Health Branch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crescent City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.