Department of Mental Health Palmdale Mental Health Center

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

DEPARTMENT OF MENTAL HEALTH PALMDALE MENTAL HEALTH CENTER

Doing business as

DMH
DMH Palmdale mental health center

Practice address

1529 E Palmdale Blvd Ste 150
Palmdale, CA 93550-2038

Phone

(661) 575-1800

NPI assigned

Jun 1, 2023

Last updated

Jun 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Comacho Fuentes

Title

Program Manager

Phone

(661) 575-1800

Specialties & licenses 1

Addresses

Other names 2

• DMH Doing business as
• DMH Palmdale mental health center Doing business as

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1871286070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 E PALMDALE BLVD STE 150",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502038",
            "telephone_number": "661-575-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 E PALMDALE BLVD STE 150",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502038",
            "telephone_number": "661-575-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF MENTAL HEALTH PALMDALE MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "COMACHO FUENTES",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "661-575-1800"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DMH Palmdale mental health center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Manager/Care Coordinator in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.