Organization
COUNTY OF MENDOCINO
Active
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
Update your record
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 at https://nppes.cms.hhs.gov.
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