NPIMap

Organization Active NPI

San Benito County Behavioral Health

  • Clinic/Center
  • Hollister, CA
National Provider Identifier
1841313558
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SAN BENITO COUNTY BEHAVIORAL HEALTH
Practice address
544 San Benito St
Ste. 102
Hollister, CA 95023-3832
Phone
(831) 636-4020
Fax
(831) 636-4025
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Authorized official

Name
Shannon Nathan Wong, RN
Title
Quality Improvement Supervisor
Phone
(831) 636-4020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

544 San Benito St
Ste. 102
Hollister, CA 95023-3832

Mailing address

1131 San Felipe Road
Hollister, CA 95023-2800
Phone (831) 636-4020

Other names 1

  • San Benito County Esperanza Center Other name

National Provider Directory

National Provider Directory
Tax ID family
San Benito County Behavioral Health20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Locations

544 San Benito St
#102
Hollister, CA 95023
Phone (831) 636-4020

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1841313558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 SAN FELIPE ROAD",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950232800",
            "telephone_number": "831-636-4020",
            "fax_number": "831-636-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 SAN BENITO ST",
            "address_2": "STE. 102",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950233832",
            "telephone_number": "831-636-4020",
            "fax_number": "831-636-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN BENITO COUNTY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "QUALITY IMPROVEMENT SUPERVISOR",
        "authorized_official_telephone_number": "831-636-4020",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Benito County Esperanza Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hollister, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.