Organization Active NPI

Delta Center Family Therapy Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stockton, CA
National Provider Identifier
1881241776
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DELTA CENTER FAMILY THERAPY INC
Practice address
343 E Main St Ste 701
Stockton, CA 95202-2977
Phone
(209) 800-4573
NPI assigned
Aug 24, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Jonathan Robert Page, LMFT
Title
Ceo
Phone
(209) 800-4573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

343 E Main St Ste 701
Stockton, CA 95202-2977

Mailing address

343 E Main St Ste 701
Stockton, CA 95202-2977
Phone (209) 800-4573

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jon@deltacenterfortransformation.com Direct

National Provider Directory

National Provider Directory

Locations

343 E Main St
Ste 701
Stockton, CA 95202
Phone (209) 800-4573

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1881241776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 E MAIN ST STE 701",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022977",
            "telephone_number": "209-800-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E MAIN ST STE 701",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022977",
            "telephone_number": "209-800-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA CENTER FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-24",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-800-4573",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jon@deltacenterfortransformation.com",
            "affiliation": "Y",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "343 E Main St Ste 701",
            "city": "Stockton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952022977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.