NPIMap

Organization Active NPI

Puentes North

Doing business as Health Services Agency-Mental Health Division

  • Adult Mental Health Clinic/Center
  • Santa Cruz, CA
National Provider Identifier
1821133695
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PUENTES NORTH
Doing business as
Health Services Agency-Mental Health Division
Practice address
115A Coral St
Santa Cruz, CA 95060-2104
Phone
(831) 454-5179
Fax
(831) 454-4663
NPI assigned
Feb 20, 2007
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SANTA CRUZAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Rama Khalsa, PH.D.
Title
Health Services Agency Director
Phone
(831) 454-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X CA Primary

Addresses

Primary practice location

115A Coral St
Santa Cruz, CA 95060-2104

Mailing address

1400 Emeline Ave
Santa Cruz, CA 95060-1976
Phone (831) 454-4170

Other identifiers 2

IdentifierTypeStateIssuer
1659315430OtherCALEGAL ENTITY NPI#
44BXMedicaidCA

Other names 1

  • Health Services Agency-Mental Health Division Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Santa Cruz County Health Services Agency24 organizations share this tax ID, including this one
Part of
Santa Cruz County Health Services Agency

Other organizations with this tax ID 23

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

View all 23

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1821133695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 EMELINE AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601976",
            "telephone_number": "831-454-4170",
            "fax_number": "831-454-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115A CORAL ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602104",
            "telephone_number": "831-454-5179",
            "fax_number": "831-454-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUENTES NORTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SANTA CRUZ",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "KHALSA",
        "authorized_official_first_name": "RAMA",
        "authorized_official_title_or_position": "HEALTH SERVICES AGENCY DIRECTOR",
        "authorized_official_telephone_number": "831-454-4000",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGAL ENTITY NPI#",
            "identifier": "1659315430",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44BX",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Services Agency-Mental Health Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.