OrganizationActive
Department of Health Service
NPI 1962616433 · Mental Health Clinic/Center (Including Community Mental Health Center) · Santa Rosa, CA
Provider details
- NPI number
- 1962616433
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Diana Stornetta, Compliance Auditor Accountant III(707) 565-4782
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3400 Chanate Rd
Santa Rosa, CA 95404-1710
Phone: (707) 565-4950
Street-level locationGet directions
Mailing address
3400 Chanate Rd
Santa Rosa, CA 95404-1710
Other names (DBA / former)
- Other name
- 3400 Regional Team
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.