NPIMap

Organization Active NPI

Alpine County Behavioral Health Services

  • Point of Service
  • Markleeville, CA
National Provider Identifier
1972039105
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
LR02471016 Issued in CA
Legal business name
ALPINE COUNTY BEHAVIORAL HEALTH SERVICES
Practice address
75 Diamond Valley Rd Unit C
Markleeville, CA 96120-9579
Phone
(530) 694-1816
Fax
(530) 694-2387
NPI assigned
May 9, 2017
Last updated
May 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Alissa R Nourse, M.ED.
Title
BHS Director
Phone
(530) 694-1816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X LR02471016 CA Primary

Addresses

Primary practice location

75 Diamond Valley Rd Unit C
Markleeville, CA 96120-9579

Mailing address

75 Diamond Valley Rd Unit C
Markleeville, CA 96120-9579
Phone (530) 694-1816

National Provider Directory

National Provider Directory
Tax ID family
County of Alpine11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1972039105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 DIAMOND VALLEY RD UNIT C",
            "city": "MARKLEEVILLE",
            "state": "CA",
            "postal_code": "961209579",
            "telephone_number": "530-694-1816",
            "fax_number": "530-694-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 DIAMOND VALLEY RD UNIT C",
            "city": "MARKLEEVILLE",
            "state": "CA",
            "postal_code": "961209579",
            "telephone_number": "530-694-1816",
            "fax_number": "530-694-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE COUNTY BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-09",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "NOURSE",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BHS DIRECTOR",
        "authorized_official_telephone_number": "530-694-1816",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "LR02471016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Markleeville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.