NPIMap

Organization Active NPI

Shasta County

  • Adolescent and Children Mental Health Clinic/Center
  • Redding, CA
National Provider Identifier
1841568094
Registry record updated Sep 12, 2012
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Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
SHASTA COUNTY
Practice address
3711 Oasis Rd
Redding, CA 96003-0397
Phone
(530) 245-6750
Fax
(530) 225-5950
NPI assigned
Dec 2, 2011
Organization subpart
Yes
Parent organization
SHASTA COUNTY HEALTH AND HUMAN SERVICES AGENCYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Marta McKenzie, R.D., M.P.H.
Title
Director of Mental Health
Phone
(530) 245-6750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

3711 Oasis Rd
Redding, CA 96003-0397

Mailing address

2640 Breslauer
Redding, CA 96001-1021
Phone (530) 245-6750

National Provider Directory

National Provider Directory
Tax ID family
Shasta County Health de33 organizations share this tax ID, including this one
Part of
Shasta County Health de

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1841568094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 BRESLAUER",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011021",
            "telephone_number": "530-245-6750",
            "fax_number": "530-225-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 OASIS RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960030397",
            "telephone_number": "530-245-6750",
            "fax_number": "530-225-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASTA COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHASTA COUNTY HEALTH AND HUMAN SERVICES AGENCY",
        "enumeration_date": "2011-12-02",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "MARTA",
        "authorized_official_title_or_position": "DIRECTOR OF MENTAL HEALTH",
        "authorized_official_telephone_number": "530-245-6750",
        "authorized_official_credential": "R.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.