Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
MENDOCINO COUNTY
Active
Organization
MENDOCINO COUNTY
Active
Other names
Behavioral Health & Recovery Services - Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
JENINE MILLER PSY.D. (BHRS DEPUTY DIRECTOR)
(707) 472-2300
Entity
Organization
Contact information
Practice address
474 E VALLEY ST, WILLITS, CA 95490-3606
(707) 472-2300
(707) 472-2331
Mailing address
1120 S DORA ST, UKIAH, CA 95482-6340
(707) 472-2300
(707) 472-2331
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
302F00000X
Exclusive Provider Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00023
—
CA
05
—
2367
—
CA
01
—
BBB33295B
MH SUBMITTER #
CA
Enumeration date
03/05/2007
Last updated
01/17/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up