MARTHA'S PLACE – NPI #1295059368
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

MARTHA'S PLACE is an AHC clinic located in SAN LUIS OBISPO, CA. NPPES has assigned the NPI number 1295059368 to MARTHA'S PLACE on March 18, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MARTHA'S PLACE” is a dba name, the actual legal business name for this organization is COUNTY OF SAN LUIS OBISPO. The primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

The NPI profile was previously updated about 13 years ago on Aug 22, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARTHA'S PLACE below.

NPI Profile for
COUNTY OF SAN LUIS OBISPO

NPI Number
1295059368
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COUNTY OF SAN LUIS OBISPO
Doing Business As (dba): MARTHA'S PLACE
Primary location
2925 MCMILLAN AVE STE 108
SAN LUIS OBISPO, CA 93401-6765
Phone: (805) 781-4700 Fax: (805) 781-1273
Mailing address
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone: (805) 781-4700 Fax: (805) 781-1273
Organization Subpart
No
Authorized Official
M. DAISY ILANO
MEDICAL DIRECTOR
Phone: (805) 781-4700
Updated
Identifiers

Identifiers for MARTHA'S PLACE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA4083
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.