Organization Active NPI

Telecare Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Sacramento, CA
National Provider Identifier
1891994596
Registry record updated Mar 29, 2011
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
TELECARE CORPORATION
Doing business as
Telecare Yolo Strides
Practice address
500 Jefferson Blvd
BLDG. B, Suite 150
West Sacramento, CA 95605-2350
Phone
(916) 376-8594
Fax
(916) 376-8595
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Marshall Langfeld
Title
Cfo,SVP
Phone
(510) 337-7950

Specialties & licenses 1

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

Addresses

Primary practice location

500 Jefferson Blvd
BLDG. B, Suite 150
West Sacramento, CA 95605-2350

Mailing address

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501-1078
Phone (510) 337-7950

Other identifiers 1

IdentifierTypeStateIssuer
57BAOtherCOUNTY MENTAL HEALTH CERTIFICATE

Other names 1

  • Telecare Yolo Strides Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070614000167 CA Part B Supplier - Clinic/Group Practice 6901820380 Receives reassigned benefits from 246 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1891994596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 MARINA VILLAGE PKWY",
            "address_2": "STE 100",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011078",
            "telephone_number": "510-337-7950",
            "fax_number": "510-337-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JEFFERSON BLVD",
            "address_2": "BLDG. B, SUITE 150",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956052350",
            "telephone_number": "916-376-8594",
            "fax_number": "916-376-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELECARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "LANGFELD",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "CFO,SVP",
        "authorized_official_telephone_number": "510-337-7950"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY MENTAL HEALTH CERTIFICATE",
            "identifier": "57BA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Telecare Yolo Strides",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.