NPIMap

Organization Active NPI

Humboldt Fanilyservicecenter

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eureka, CA
National Provider Identifier
1982923009
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
30069 Issued in CA
Legal business name
HUMBOLDT FANILYSERVICECENTER
Practice address
1802 California St
Eureka, CA 95501-2808
Phone
(707) 443-7358
Fax
(707) 443-1092
NPI assigned
May 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Ms. Paula Ann Nedelcoff, MFT
Title
Director
Phone
(707) 443-7358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 30069 CA Primary

Addresses

Primary practice location

1802 California St
Eureka, CA 95501-2808

Mailing address

1802 California Street
Eureka, CA 95501
Phone (707) 443-7358

National Provider Directory

National Provider Directory
Tax ID family
Humboldt Family Service Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1802 California St
Eureka, CA 95501
Phone (707) 443-7358

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1982923009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 CALIFORNIA STREET",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "95501",
            "telephone_number": "707-443-7358",
            "fax_number": "707-443-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 CALIFORNIA ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955012808",
            "telephone_number": "707-443-7358",
            "fax_number": "707-443-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT FANILYSERVICECENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "NEDELCOFF",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "707-443-7358",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "30069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.