NPIMap

Organization Active NPI

Native American Mental Health Services Corporation

  • Psychiatry Physician
  • Eureka, CA
National Provider Identifier
1811545429
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NATIVE AMERICAN MENTAL HEALTH SERVICES CORPORATION
Practice address
800 W Harris St Ste 33
Eureka, CA 95503-3929
Phone
(707) 296-7660
Fax
(707) 296-7661
NPI assigned
Aug 27, 2019
Organization subpart
Yes
Parent organization
NATIVE AMERICANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Benton C Kinney, PA-C
Title
Owner/Cfo
Phone
(530) 226-7419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

800 W Harris St Ste 33
Eureka, CA 95503-3929

Mailing address

800 W Harris St Ste 33
Eureka, CA 95503-3929
Phone (707) 296-7660

National Provider Directory

National Provider Directory
Tax ID family
North American8 organizations share this tax ID, including this one
Part of
North American

Other organizations with this tax ID 7

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

Locations

424 7TH St
Ste B
Eureka, CA 95501

434 7th St
#B
Eureka, CA 95501
Phone (707) 296-7660

1742 Oregon St
Redding, CA 96001
Phone (530) 226-7419

450 Lincoln Ave
Ste 101
Salinas, CA 93901
Phone (831) 269-5288

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1811545429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W HARRIS ST STE 33",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955033929",
            "telephone_number": "707-296-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W HARRIS ST STE 33",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955033929",
            "telephone_number": "707-296-7660",
            "fax_number": "707-296-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE AMERICAN MENTAL HEALTH SERVICES CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIVE AMERICAN",
        "enumeration_date": "2019-08-27",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "KINNEY",
        "authorized_official_first_name": "BENTON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/CFO",
        "authorized_official_telephone_number": "530-226-7419",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

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

Verify at the official NPI Registry.