Provider Demographics
NPI:1962567685
Name:MENTAL HEALTH ASSOCIATION OF SAN MATEO COUNTY - BELMONT STUDIOS
Entity type:Organization
Organization Name:MENTAL HEALTH ASSOCIATION OF SAN MATEO COUNTY - BELMONT STUDIOS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLATTE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:650-368-3345
Mailing Address - Street 1:2686 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-3522
Mailing Address - Country:US
Mailing Address - Phone:650-368-3345
Mailing Address - Fax:650-368-9017
Practice Address - Street 1:800 F ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-3891
Practice Address - Country:US
Practice Address - Phone:650-368-3345
Practice Address - Fax:650-368-9017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR0000041A5OtherMEDICAL