Organization Active NPI

Southtulare County Mobile Unit

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tulare, CA
National Provider Identifier
1851718597
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
VN186583 Issued in CA
Legal business name
SOUTHTULARE COUNTY MOBILE UNIT
Practice address
201 S K St
Tulare, CA 93274-4013
Phone
(559) 687-0929
NPI assigned
Mar 19, 2014
Last updated
Mar 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Mr. Charles Douglass, LCSW/LMFT
Title
Program Director
Phone
(559) 687-0929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X VN186583 CA Primary

Addresses

Primary practice location

201 S K St
Tulare, CA 93274-4013

Mailing address

201 S K St
Tulare, CA 93274-4013
Phone (559) 687-0929

National Provider Directory

National Provider Directory
Tax ID family
Southtulare County Mobile Unit40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

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

View all 39

Locations

201 S K St
Tulare, CA 93274
Phone (559) 687-0929

Practitioners & affiliated clinicians

Practitioners 2

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": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1851718597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S K ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932744013",
            "telephone_number": "559-687-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S K ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932744013",
            "telephone_number": "559-687-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHTULARE COUNTY MOBILE UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "DOUGLASS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "559-687-0929",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW/LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "VN186583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.