Telecare Corporation

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TELECARE CORPORATION

Practice address

4545 Georgetown Place
Suite A3
Stockton, CA 95207-6228

Phone

(510) 337-7950

Fax

(510) 337-7969

NPI assigned

Aug 31, 2015

Last updated

Mar 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lorena Lopez

Title

Provider Relations Supervisor

Phone

(510) 337-7950

Specialties & licenses 1

Addresses

Other names 1

• TELECARE EARLY INTERVENTION RECOVERY SERVICES Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1982071502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 MARINA VILLAGE PARKWAY",
            "address_2": "SUITE 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": "4545 GEORGETOWN PLACE",
            "address_2": "SUITE A3",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076228",
            "telephone_number": "510-337-7950",
            "fax_number": "510-337-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELECARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "PROVIDER RELATIONS SUPERVISOR",
        "authorized_official_telephone_number": "510-337-7950"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TELECARE EARLY INTERVENTION RECOVERY SERVICES",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "TELECARE EARLY INTERVENTION RECOVERY SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Telecare Corporation
• Telecare Corporation (Telecare San Joaquin Connect II)
• Telecare Corporation (San Joaquin Connect III FSP)
• Telecare Corporation (San Joaquin Peer Navigation)
• Telecare Corporation (Telecare San Joaquin Connect I)
• Telegenx, LLC
• Jose Telles
• Vanessa Tellez-Sanchez
• Adriana Telly
• Shiela Marie C Telmo, NP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Stockton, CA
• Providers in Stockton, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.