Provider Demographics
NPI:1376359539
Name:MOUNTAIN ELEMENTARY SCHOOL DISTRICT
Entity type:Organization
Organization Name:MOUNTAIN ELEMENTARY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRESHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-475-6812
Mailing Address - Street 1:3042 OLD SAN JOSE RD
Mailing Address - Street 2:
Mailing Address - City:SOQUEL
Mailing Address - State:CA
Mailing Address - Zip Code:95073-9453
Mailing Address - Country:US
Mailing Address - Phone:831-887-8236
Mailing Address - Fax:831-464-7200
Practice Address - Street 1:3042 OLD SAN JOSE RD
Practice Address - Street 2:
Practice Address - City:SOQUEL
Practice Address - State:CA
Practice Address - Zip Code:95073-9453
Practice Address - Country:US
Practice Address - Phone:831-887-8236
Practice Address - Fax:831-464-7200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty