NPIMap

Organization Active NPI

Yolo County Alcohol, Drug and Mental Health

  • Substance Abuse Rehabilitation Facility
  • Woodland, CA
National Provider Identifier
1821201336
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
570001BN Issued in CA
Legal business name
YOLO COUNTY ALCOHOL, DRUG AND MENTAL HEALTH
Practice address
178 W Beamer St
Woodland, CA 95695-2663
Phone
(530) 666-8655
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark Bryan, MSW
Title
Deputy Director
Phone
(530) 666-8532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 570001BN CA Primary

Addresses

Primary practice location

178 W Beamer St
Woodland, CA 95695-2663

Mailing address

178 W Beamer St
Woodland, CA 95695-2663
Phone (530) 666-8655

Other identifiers 1

IdentifierTypeStateIssuer
575707OtherCAPROVIDER ID

Other names 1

  • Beamer Street Other name

National Provider Directory

National Provider Directory
Tax ID family
Peterson Clinic15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

178 W Beamer St
Woodland, CA 95695
Phone (530) 666-8655

Practitioners & affiliated clinicians

Practitioners 1

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821201336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 W BEAMER ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952663",
            "telephone_number": "530-666-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 W BEAMER ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952663",
            "telephone_number": "530-666-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOLO COUNTY ALCOHOL, DRUG AND MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "530-666-8532",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "570001BN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "575707",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beamer Street",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.