MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION – NPI #1942334339
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.

MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION is an AHC clinic located in SACRAMENTO, CA. NPPES has assigned the NPI number 1942334339 to MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION on March 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION” is a dba name, the actual legal business name for this organization is DIGNITY HEALTH MEDICAL FOUNDATION. 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 6 years ago on Nov 18, 2020. 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 MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION below.

NPI Profile for
DIGNITY HEALTH MEDICAL FOUNDATION

NPI Number
1942334339
Enumeration Date

(more than 19 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
DIGNITY HEALTH MEDICAL FOUNDATION
Doing Business As (dba): MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION
Primary location
1792 TRIBUTE RD
SUITE 350
SACRAMENTO, CA 95815-4305
Phone: (916) 924-6400 Fax: (916) 648-9869
Mailing address
PO BOX 60000
FILE #72938
SAN FRANCISCO, CA 94160-2938
Phone: (916) 733-3397 Fax:
Organization Subpart
Yes - MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION is subpart of another organization.
Authorized Official
THERESA HYLEN
CHIEF FINANCIAL OFFICER
Phone: (916) 851-2559
Updated
Certification Date
Nov 18, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE SHIELDZZZ60278Z
OTHERBSCA PRO FEESZZZ29342Z
OTHERCIGNA0019838
OTHERDME SUPPLIER #476040021
OTHERHEALTH NET195
OTHERHEALTH NET983
OTHERSPECIAL PURPOSE TAX ID #341996544
MEDICAIDCAGR006356C
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.