Healthcare Provider Details

I. General information

NPI: 1356426688
Provider Name (Legal Business Name): SUTTER-YUBA MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 07/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1965 LIVE OAK BLVD
YUBA CITY CA
95991-8828
US

IV. Provider business mailing address

PO BOX 1520
YUBA CITY CA
95992-1520
US

V. Phone/Fax

Practice location:
  • Phone: 530-822-7208
  • Fax: 530-822-7270
Mailing address:
  • Phone: 530-822-7200
  • Fax: 530-822-7270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number1016015
License Number StateCA

VIII. Authorized Official

Name: RICK BINGHAM
Title or Position: ASSISTANT HHS DIRECTOR
Credential: LMFT
Phone: 530-822-7327