NPIMap

Organization Active NPI

Placer County Mental Health Secret Ravine

  • Community/Behavioral Health Agency
  • Newcastle, CA
National Provider Identifier
1851418495
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PLACER COUNTY MENTAL HEALTH SECRET RAVINE
Practice address
645 Kentucky Greens Wy
Newcastle, CA 95658
Phone
(916) 415-4425
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Maureen F BaumanNPI 1063538874
Title
Director of Adult System of Care
Phone
(530) 889-7256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

645 Kentucky Greens Wy
Newcastle, CA 95658

Mailing address

645 Kentucky Greens Wy
Newcastle, CA 95658
Phone (916) 415-4425

Other identifiers 1

IdentifierTypeStateIssuer
3188OtherCASTATE OF CA MENTAL HEALTH

Other names 1

  • County of Placer Other name

National Provider Directory

National Provider Directory
Tax ID family
Placer Medical Clinic23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851418495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 KENTUCKY GREENS WY",
            "city": "NEWCASTLE",
            "state": "CA",
            "postal_code": "95658",
            "telephone_number": "916-415-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 KENTUCKY GREENS WY",
            "city": "NEWCASTLE",
            "state": "CA",
            "postal_code": "95658",
            "telephone_number": "916-415-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLACER COUNTY MENTAL HEALTH SECRET RAVINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUMAN",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR OF ADULT SYSTEM OF CARE",
        "authorized_official_telephone_number": "530-889-7256"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CA MENTAL HEALTH",
            "identifier": "3188",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County of Placer",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newcastle, 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.