Jabali Behavioral Health Nursing, Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

JABALI BEHAVIORAL HEALTH NURSING, INC

Practice address

9245 Laguna Springs Dr Ste 200
Elk Grove, CA 95758-7991

Phone

(530) 537-8244

NPI assigned

Apr 5, 2022

Organization subpart

No

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

Authorized official

Name

Veronica Kamau, PMHNP

Title

Administration

Phone

(443) 414-7767

Specialties & licenses 1

Addresses

Other names 1

• Jabali Behavioral Health LLC Doing business as

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1861133050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8627 CAMARGUE CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958285947",
            "telephone_number": "443-414-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 LAGUNA SPRINGS DR STE 200",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587991",
            "telephone_number": "530-537-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JABALI BEHAVIORAL HEALTH NURSING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "KAMAU",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "443-414-7767",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jabali Behavioral Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Itransit Inc
• Liza IV, MS, RDN
• Reesheda Ivory
• Marshe Ivy, NP
• Tracey Iyamu-Sanusi, FNP
• Laura Lusa Jack
• Carson Jackson
• Christina Jackson
• Jourdan Monika-Michele Jackson
• Takesha L Jackson

• Adult Mental Health Clinic/Center in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.