Organization Active NPI

Valley Harvest Church of Merced

  • Community/Behavioral Health Agency
  • Merced, CA
National Provider Identifier
1861016842
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VALLEY HARVEST CHURCH OF MERCED
Doing business as
Center for HOPe & Restoration (Trauma/Recovery Center)
Practice address
557 W 26TH St
Merced, CA 95340-2825
Phone
(209) 756-6777
Fax
(209) 723-4344
NPI assigned
Jun 4, 2020
Organization subpart
Yes
Parent organization
VALLEY HARVEST CHURCH OF MERCEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Prof. Gloria Jackson Morris, MA ORG BEHAV/MENT H
Title
Managing Director
Phone
(209) 756-6777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

557 W 26TH St
Merced, CA 95340-2825

Mailing address

PO Box 2771
Merced, CA 95344-0771
Phone (209) 756-6777

Other names 1

  • Center for HOPe & Restoration (Trauma/Recovery Center) Doing business as

National Provider Directory

National Provider Directory
Part of
Valley Harvest Church of Merced

Locations

557 W 26th St
Merced, CA 95340
Phone (209) 756-6777

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1861016842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2771",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953440771",
            "telephone_number": "209-756-6777",
            "fax_number": "209-723-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 W 26TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402825",
            "telephone_number": "209-756-6777",
            "fax_number": "209-723-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HARVEST CHURCH OF MERCED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY HARVEST CHURCH OF MERCED",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "209-756-6777",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "MA ORG BEHAV/MENT H"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for HOPe & Restoration (Trauma/Recovery Center)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.