Organization Active NPI

LDS Family Services

Doing business as LDS family Services CA Concord

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Concord, CA
National Provider Identifier
1942325972
Registry record updated Jun 3, 2008
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
LDS FAMILY SERVICES
Doing business as
LDS family Services CA Concord
Practice address
1063 Detroit Ave
Suite a
Concord, CA 94518-2411
Phone
(925) 685-2941
Fax
(925) 685-2958
NPI assigned
Mar 20, 2007
Organization subpart
Yes
Parent organization
LDS FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Kenneth B. StewartNPI 1366594871
Title
Agency Director
Phone
(916) 483-2154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1063 Detroit Ave
Suite a
Concord, CA 94518-2411

Mailing address

1063 Detroit Ave
Suite a
Concord, CA 94518-2411

Other names 1

  • LDS family Services CA Concord Doing business as

National Provider Directory

National Provider Directory
Tax ID family
LDS Family Services46 organizations share this tax ID, including this one
Part of
LDS Family Services

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

Locations

1063 Detroit Ave
Ste A
Concord, CA 94518
Phone 9256852941 ext. 103

Practitioners & affiliated clinicians

Practitioners 7

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1942325972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 DETROIT AVE",
            "address_2": "SUITE A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945182411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 DETROIT AVE",
            "address_2": "SUITE A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945182411",
            "telephone_number": "925-685-2941",
            "fax_number": "925-685-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LDS FAMILY SERVICES",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "916-483-2154"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LDS family Services CA Concord",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.