NPIMap

Organization Active NPI

San Joaquin County Behavioral Health Services

Doing business as Coping and Resiliency Education Services Plus

  • Adolescent and Children Mental Health Clinic/Center
  • Stockton, CA
National Provider Identifier
1881464022
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Doing business as
Coping and Resiliency Education Services Plus
Practice address
620 N Aurora St Ste 305&306
Stockton, CA 95202-2343
Phone
(209) 468-2385
NPI assigned
Jan 8, 2024
Last updated
Jan 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Genevieve Valentine, LMFT
Title
Deputy Director Behavioral Health
Phone
(209) 468-8887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

620 N Aurora St Ste 305&306
Stockton, CA 95202-2343

Mailing address

1414 N California St
Stockton, CA 95202-1515
Phone (209) 468-2385

Other names 1

  • Coping and Resiliency Education Services Plus Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of San Joaquin94 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Locations

620 N Aurora St
Ste 305306
Stockton, CA 95202
Phone (209) 468-2385

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1881464022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021515",
            "telephone_number": "209-468-2385",
            "fax_number": "209-468-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N AURORA ST STE 305&306",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022343",
            "telephone_number": "209-468-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "209-468-8887",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coping and Resiliency Education Services Plus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coping and Resiliency Education Services Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 12, 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.