Provider Demographics
NPI:1821243783
Name:SANTA CLARA COUNTY MENTAL HEALTH
Entity Type:Organization
Organization Name:SANTA CLARA COUNTY MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REHABILITATION COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:K
Authorized Official - Last Name:MASADEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-807-3443
Mailing Address - Street 1:1221 MASTIC ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95110-3410
Mailing Address - Country:US
Mailing Address - Phone:408-807-3443
Mailing Address - Fax:
Practice Address - Street 1:2221 ENBORG LN
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128
Practice Address - Country:US
Practice Address - Phone:408-885-7545
Practice Address - Fax:408-885-2063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit