NPIMap

Organization Active NPI

Calaveras County

  • Community/Behavioral Health Agency
  • San Andreas, CA
National Provider Identifier
1962759522
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CALAVERAS COUNTY
Practice address
590 Toyanza Drive
San Andreas, CA 95249
Phone
(209) 754-6516
NPI assigned
Aug 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Stacey Meily
Title
Program Manager
Phone
(209) 754-6516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

590 Toyanza Drive
San Andreas, CA 95249

Mailing address

891 Mountain Ranch Rd
San Andreas, CA 95249-9713

Other identifiers 1

IdentifierTypeStateIssuer
000000501MedicaidCA

Other names 2

  • Calaveras County Behavioral Health Children Doing business as
  • Calaveras County Behavioral Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Calaveras8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1962759522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 MOUNTAIN RANCH RD",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952499713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 TOYANZA DRIVE",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "95249",
            "telephone_number": "209-754-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALAVERAS COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "MEILY",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "209-754-6516"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calaveras County Behavioral Health Children",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Calaveras County Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Andreas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.