Organization · Type 2 NPI

County of Mendocino

Community/Behavioral Health Agency · Ukiah, CA

NPI number 1972658128 Active

Practice location

1120 S Dora St
Ukiah, CA 95482-3919

Specialties and licenses

Taxonomy	Code	License
Case Management Agency	251B00000X	None listed
Community/Behavioral Health Agency Primary	251S00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed
Exclusive Provider Organization	302F00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1972658128
Entity type: Organization (Type 2)
Issued: Jan 25, 2007
Last updated: Dec 2, 2023
Status: Active
Subpart: Yes of County of Mendocino

Other names

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Behavioral Health & Recovery Services - Mental Health · other name

Authorized official

Dr. Jenine Miller, PSY.D.
BHRS Director
(707) 472-2341

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.

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About NPI 1972658128

County of Mendocino's National Provider Identifier is 1972658128, issued on Jan 25, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Ukiah, CA. The record was last updated on Dec 2, 2023.