OrganizationActive
Emotional and Behavioral Helath Services
NPI 1487986519 · Clinic/Center · Copperopolis, CA
Provider details
- NPI number
- 1487986519
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Rourke, Owner(209) 785-7766
- License
- 12670 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1165 Ranch Rd
Copperopolis, CA 95228
Phone: (209) 785-7766
Street-level locationGet directions
Mailing address
Po Box 189
Copperopolis, CA 95228-0189
Registry dates
- Enumerated
- 2010-01-29
- Last updated
- 2010-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.