NPIMap

Organization Active NPI

Stanislaus County BHRS

  • Community/Behavioral Health Agency
  • Turlock, CA
National Provider Identifier
1851429914
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STANISLAUS COUNTY BHRS
Practice address
2101 Geer Rd Ste 120
Turlock, CA 95382-2456
Phone
(209) 558-8466
NPI assigned
Mar 1, 2007
Last updated
Nov 4, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
STANISLAUS COUNTY BHRSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Richard Degette, MFT
Title
Behavioral Health Director
Phone
(209) 525-6225

Specialties & licenses 1

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

Addresses

Primary practice location

2101 Geer Rd Ste 120
Turlock, CA 95382-2456

Mailing address

800 Scenic Dr
Modesto, CA 95350-6131
Phone (209) 525-6225

Other identifiers 1

IdentifierTypeStateIssuer
5044MedicaidCA

Other names 1

  • WORKPLACE WELLNESS CAC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031111000935 CA Part B Supplier - Clinic/Group Practice 0648183996 Receives reassigned benefits from 24 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ceres, CA; Modesto, CA; Turlock, CA
O20041108000570 CA Part B Supplier - Clinic/Group Practice 0648183996 Receives reassigned benefits from 36 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ceres, CA; Modesto, CA; Turlock, CA

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory
Part of
Stan Co Mentalhealth SV

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1851429914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SCENIC DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506131",
            "telephone_number": "209-525-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 GEER RD STE 120",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822456",
            "telephone_number": "209-558-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANISLAUS COUNTY BHRS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STANISLAUS COUNTY BHRS",
        "enumeration_date": "2007-03-01",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "DEGETTE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "209-525-6225",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5044",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WORKPLACE WELLNESS CAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.