Organization · Type 2 NPI

Shasta County Mental Health Burney Clinic

Mental Health Clinic/Center (Including Community Mental Health Center) · Burney, CA

NPI number 1316096142 Active

Practice location

37497 Enterprise Street, A
Burney, CA 96013

Call (530) 335-2906 Map

Fax (530) 335-2389

Mailing address

PO Box 496048
Redding, CA 96049-6048

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

NPI record

NPI: 1316096142
Entity type: Organization (Type 2)
Issued: Jan 10, 2007
Last updated: Apr 1, 2008
Status: Active
Subpart: Yes of County of Shasta

Other names

<unavail>
Shasta County Mental Health Burney · doing business as

Authorized official

Mark Montgomery, PSYD
Director of Mental Health
(530) 225-5200

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1316096142

Shasta County Mental Health Burney Clinic's National Provider Identifier is 1316096142, issued on Jan 10, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Burney, CA. The record was last updated on Apr 1, 2008.