Organization Active NPI

Mental Health Association of San Mateo County

  • Case Management Agency
  • Redwood City, CA
National Provider Identifier
1861530107
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MENTAL HEALTH ASSOCIATION OF SAN MATEO COUNTY
Practice address
37 Clinton St
Redwood City, CA 94062
Phone
(650) 367-9610
Fax
(650) 367-9612
NPI assigned
Feb 1, 2007
Organization subpart
Yes
Parent organization
MENTAL HEALTH ASSOCIATION OF SAN MATEO COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Shane Young
Title
Program and Operations Manager
Phone
(650) 257-8816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

37 Clinton St
Redwood City, CA 94062

Mailing address

2686 Spring St
Redwood City, CA 94063-3522
Phone (650) 257-8816

Other identifiers 1

IdentifierTypeStateIssuer
9258OtherCAPROVIDER ID

Other names 2

  • YAIL Doing business as
  • Caminar-YAIL Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090821000068 CA Part B Supplier - Clinic/Group Practice 0143374454 Receives reassigned benefits from 19 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fairfield, CA; Palo Alto, CA; Redwood City, CA; San Jose, CA; San Mateo, CA; Vallejo, CA; Colma, CA

Other NPIs on the same Medicare enrollment 10

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

National Provider Directory

National Provider Directory
Tax ID family
San Diego County Mental Health8 organizations share this tax ID, including this one
Part of
San Diego County Mental Health

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1861530107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686 SPRING ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940633522",
            "telephone_number": "650-257-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CLINTON ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94062",
            "telephone_number": "650-367-9610",
            "fax_number": "650-367-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATION OF SAN MATEO COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENTAL HEALTH ASSOCIATION OF SAN MATEO COUNTY",
        "enumeration_date": "2007-02-01",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "PROGRAM AND OPERATIONS MANAGER",
        "authorized_official_telephone_number": "650-257-8816"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "9258",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YAIL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Caminar-YAIL",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Caminar-YAIL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.