Provider Demographics
NPI:1235417585
Name:SAN MATEO COUNTY MENTAL HEALTH
Entity Type:Organization
Organization Name:SAN MATEO COUNTY MENTAL HEALTH
Other - Org Name:ACE-MCE
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-573-2403
Mailing Address - Street 1:225 37TH AVE
Mailing Address - Street 2:2ND FLOOR, MIS
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-4324
Mailing Address - Country:US
Mailing Address - Phone:650-573-2509
Mailing Address - Fax:650-573-2110
Practice Address - Street 1:225 37TH AVE
Practice Address - Street 2:2ND FLOOR, MIS
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-4324
Practice Address - Country:US
Practice Address - Phone:650-573-2509
Practice Address - Fax:650-573-2110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health