MEDICARE: SOLANO COUNTY SUPERINTENDENT OF SCHOOLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1194325340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLANO COUNTY SUPERINTENDENT OF SCHOOLS

Provider Business Mailing Address
First Line	:	5100 BUSINESS CENTER DR
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94534-1658
Country	:	US
Telephone Number	:	707-399-4419
Fax Number	:

Provider Business Practice Location Address
First Line	:	2460 CLAY BANK RD BLDG 8
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94533-1655
Country	:	US
Telephone Number	:	707-399-4807
Fax Number	:	707-421-2745

Authorized Official
Title or Position	:	DIRECTOR OF BEHAVIORAL HEALTH SERVI
Name	:	CAMDEN WILLIAM WEBB
Credential	:	MFT
Telephone Number	:	707-399-4807

Provider Enumeration Date	:	10/27/2020
Last Update Date	:	05/22/2026

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