South County Behavioral Health

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

Legal business name

SOUTH COUNTY BEHAVIORAL HEALTH

Practice address

1215 1St St
Gilroy, CA 95020-4733

Phone

(408) 852-2481

Fax

(408) 852-2480

NPI assigned

Jul 14, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Angel Fuentes

Title

Program Manager II

Phone

(408) 852-2483

Specialties & licenses 1

Addresses

Other names 1

• County Of Santa Clara Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kifle Tsegaw Melisse, LPT

  • Licensed Psychiatric Technician
  • Gilroy, CA
  • NPI 1215618525
  NPD

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1992484174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 1ST ST",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204733",
            "telephone_number": "408-852-2481",
            "fax_number": "408-852-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 1ST ST",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204733",
            "telephone_number": "408-852-2481",
            "fax_number": "408-852-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "PROGRAM MANAGER II",
        "authorized_official_telephone_number": "408-852-2483",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County Of Santa Clara",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ester Elena Soto
• Glenn Soto
• Jasmine Soto
• Jose Carmen Soto
• South Bay Childrens Therapy Center Inc
• South County Community Services
• South County Compassion Center
• South County Dialysis
• South Valley Care Homes, Inc.
• South Valley Care Homes, Inc.

• Psychiatric/Mental Health Registered Nurse in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.