Provider Demographics
NPI:1659181410
Name:CENTRAL VALLEY MENTAL HEALTH INC
Entity type:Organization
Organization Name:CENTRAL VALLEY MENTAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAKESH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAND
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:408-318-7637
Mailing Address - Street 1:15728 ROAD 29 1/2
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93636-2005
Mailing Address - Country:US
Mailing Address - Phone:408-318-7637
Mailing Address - Fax:
Practice Address - Street 1:15728 ROAD 29 1/2
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93636-2005
Practice Address - Country:US
Practice Address - Phone:408-318-7637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL VALLEY MENTAL HEALTH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-13
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)Group - Single Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Single Specialty