Organization
COUNTY OF MENDOCINO
Active
Parent organization
COUNTY OF MENDOCINO
Other names
Behavioral Health & Recovery Services - Mental Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF MENDOCINO
Authorized official
DR. JENINE MILLER PSY.D. (DIRECTOR)
(707) 472-2355
Entity
Organization
Contact information
Practice address
790 S FRANKLIN ST STE B, FORT BRAGG, CA 95437-5456
(707) 964-4747
Mailing address
1120 S DORA ST, UKIAH, CA 95482
(707) 467-2300
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
302F00000X
Exclusive Provider Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00023
—
CA
05
—
2311
—
CA
01
—
BBB33295B
MH SUBMITTER #
CA
Enumeration date
03/02/2007
Last updated
12/02/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us