Nevada County Human Services Agency

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MFC 18395 Issued in CA

Legal business name

NEVADA COUNTY HUMAN SERVICES AGENCY

Practice address

11148 Butler Rd
Grass Valley, CA 95945-6915

Phone

(530) 798-8215

Fax

(530) 271-5943

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Susan L Clark, MFT #18395NPI 1356650162

Title

Therapist

Phone

(530) 798-8215

Specialties & licenses 1

Addresses

Other names 1

• Children's Mental Health Other name

Practitioners 1

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

• Susan Lynn Clark, MS, COUNSELING, MFT

  • Marriage & Family Therapist
  • Grass Valley, CA
  • NPI 1356650162
  NPD (past) Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1871702803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11148 BUTLER RD",
            "address_2": "GRASS VALLEY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959456915",
            "telephone_number": "530-798-8215",
            "fax_number": "530-271-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11148 BUTLER RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959456915",
            "telephone_number": "530-798-8215",
            "fax_number": "530-271-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA COUNTY HUMAN SERVICES AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "530-798-8215",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFT #18395"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC 18395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Mental Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Neva Monigatti-Lake, M.D.
• Neva Monigatti-Lake, M.D.
• Nevada City Medical Office Inc a Professional Corporation
• Nevada County Behavioral Health
• Nevada County Crisis Stabilization Unit
• Nevada JT. Union High School District
• Nevada-Sierra Connecting Point Public Authority
• Newsom & Fitzpatrick Medical Group Inc
• Christine Mueller Newsom, MD
• Huy Anh Nguyen, D.O.

• Community/Behavioral Health Agency in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.