Pacific Clinics is a Community/Behavioral Health Agency (organization) practicing in Carnelian Bay, California. The National Provider Identifier (NPI) is #1750905634, which was assigned on June 5, 2020, and the registration record was last updated on May 15, 2024. The practitioner's main practice location is at 5225 N Lake Blvd, Carnelian Bay, CA 96140; the contact telephone number is 4083793790. The primary taxonomy of Pacific Clinics is Community/Behavioral Health Agency (251S00000X). The authorized official for Pacific Clinics is Kathryn Mccarthy (Chief Executive Officer / President).
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
| NPI | 1750905634 |
| Entity Type | Organization |
| Organization Name | PACIFIC CLINICS |
| Provider Name | PACIFIC CLINICS |
| Practice Address |
5225 N Lake Blvd Carnelian Bay CA 96140 |
| Practice Telephone | 4083793790 |
| Mailing Address |
499 Loma Alta Ave Los Gatos CA 95030-6227 |
| Mailing Telephone | 4083793790 |
| Mailing Fax Number | 4083644013 |
| Certification Date | 2024-05-15 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2024-05-15 |
| Is Organization Subpart | Y |
| Parent Organization Legal Business Name | PACIFIC CLINICS |
| Official Name | KATHRYN MCCARTHY |
| Official Title | CHIEF EXECUTIVE OFFICER / PRESIDENT |
| Telephone | 4083793790 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 251X00000X | Supports Brokerage | ||||
| N | 171M00000X | Case Manager/Care Coordinator | 193200000X MULTI-SPECIALTY GROUP | |||
| N | 251C00000X | Day Training, Developmentally Disabled Services | ||||
| Y | 251S00000X | Community/Behavioral Health |
| Other Organization Name | Type |
|---|---|
| Pacific Clinics | Doing Business As Name |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Pacific Clinics | 5030 N 1st St, Alviso, CA 95002-3508 | Community/Behavioral Health Agency | 2024-07-26 |
| Pacific Clinics | 141 W 5th St Ste D, Oxnard, CA 93030-7105 | Supports Brokerage Agency | 2026-04-28 |
| Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| Classification | Community/Behavioral Health |
| Grouping | Agencies |
| Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition, 1/1/2021: modified definition] |
| Code | 251X00000X |
| Taxonomy | Supports Brokerage Agency |
| Classification | Supports Brokerage |
| Grouping | Agencies |
| Definition: A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
| Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| Classification | Case Manager/Care Coordinator |
| Grouping | Other Service Providers |
| Definition: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| Classification | Day Training, Developmentally Disabled Services |
| Grouping | Agencies |
| Definition: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
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|---|---|---|---|
| Mindset Behavioral Health Services LLC | 4171 Marietta St Ste 300b, Powder Springs, GA 30127-4808 | Community/Behavioral Health Agency | 2026-06-05 |
| Integrated Life Services LLC | 700 S Sycamore St Ste 8, Petersburg, VA 23803-5803 | Community/Behavioral Health Agency | 2026-06-05 |
| Oroville Southside Community Improvement Association | 2959 Lower Wyandotte Rd, Oroville, CA 95966-6201 | Community/Behavioral Health Agency | 2026-06-05 |
| Pearls of Grace, Inc. | 800 E Chestnut St Apt 1a, Louisville, KY 40204-1182 | Community/Behavioral Health Agency | 2026-06-04 |
| Behavioral Foundations Group, PLLC | 29980 Fm 2978 Rd Apt 3402, Magnolia, TX 77354-4136 | Community/Behavioral Health Agency | 2026-06-05 |
| Empowered Living Solutions& Wellness LLC | 3408 Plover Run Trl, Pflugerville, TX 78660-3628 | Community/Behavioral Health Agency | 2026-06-06 |
| Together We Thrive Group, LLC | 347 Clark Rd, Wilsons, VA 23894-2062 | Community/Behavioral Health Agency | 2026-06-05 |
| Bay Area Community Services, Inc. | 345 E Travis Blvd, Fairfield, CA 94533-3958 | Community/Behavioral Health Agency | 2026-06-05 |
| Lily Flower of The Valley | 2648 International Blvd Ste 402, Oakland, CA 94601-1580 | Community/Behavioral Health Agency | 2026-06-06 |
| Nurturing Minds Health and Wellness LLC | 9026 Liberty Rd Ste 102, Randallstown, MD 21133-3900 | Community/Behavioral Health Agency | 2026-06-05 |
| Find all providers with the same taxonomy | |||
| Street Address |
5225 N LAKE BLVD |
| City | CARNELIAN BAY |
| State | CA |
| Zip Code | 96140 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Joseph Carl Weinstein | 5225 N Lake Blvd, Carnelian Bay, CA 96140-1958 | Marriage & Family Therapist | 2021-07-30 |
| Heather Laine Kranz | 5225 N Lake Blvd, Carnelian Bay, CA 96140 | Marriage & Family Therapist | 2020-12-04 |
| Mariela Ramirez Ramirez | 5225 N Lake Blvd, Carnelian Bay, CA 96140-1958 | Social Worker | 2023-09-26 |
| Megan Jamison | 5225 N Lake Blvd, Carnelian Bay, CA 96140-1958 | Clinical Social Worker | 2017-10-03 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Maxi Chelli | 5225 North Lake Blvd, Carnelian Bay, CA 96140 | Social Worker | 2017-09-05 |
| Susan Gaunt | 5225 North Lake Blvd, Carnelian Bay, CA 96140 | Community Health Registered Nurse | 2007-04-18 |
| Betsy Rachael Dobbins | 5225 N. Lake Blvd, Carnelian Bay, CA 96140 | Mental Health Counselor | 2007-03-20 |
| Michelle L Williams | 215 Carnelian Bay Rd, Carnelian Bay, CA 96140 | Physical Therapist | 2007-01-11 |
| Stephen Lemuel Sims | 4991 North Lake Blvd, Carnelian Bay, CA 96140 | General Practice Dentistry | 2007-04-18 |
| Kathy Ann Tanner | 5225 North Lake Blvd., Carnelian Bay, CA 96140 | Marriage & Family Therapist | 2007-03-12 |
| Maria Martin | 686 Sunset Rd., Carnelian Bay, CA 96140-0127 | Registered Dietitian | 2011-05-11 |
| Laurie Oshaughnessy Pt Services | 215 Carnelian Bay St, Suite A, Carnelian Bay, CA 96140 | Physical Therapist | 2006-07-28 |
| Brooke Barrett | 215 Carnelian Bay Road, Carnelian Bay, CA 96140 | Physical Therapist | 2007-01-16 |
| Kristen Lee Picard | 5225 North Lake Blvd, Carnelian Bay, CA 96140-0399 | Mental Health Counselor | 2007-07-18 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Pacific Psychiatric Services, LLC | 928 Nuuanu Ave Lowr Level, Honolulu, HI 96817-5193 | Psychiatric/Mental Health Nurse Practitioner | 2026-06-03 |
| Pacific Home Care LLC | 2043 Columbia Dr, Twin Falls, ID 83301-5983 | Home Health Aide | 2026-06-04 |
| Golden Pacific Imaging, P.C. | 1100 Abernathy Rd, Atlanta, GA 30328-5620 | Diagnostic Radiology Physician | 2026-05-19 |
| Turner Pacific LLC | 5617 58th St Ne, Marysville, WA 98270-9034 | Massage Therapist | 2026-05-28 |
| Pacific Ipa Inc | 43821 15th St W, Lancaster, CA 93534-4756 | Pain Medicine Physician | 2026-04-09 |
| Pacific Breeze Afh LLC | 16017 Ne 79th Way, Vancouver, WA 98682-1541 | Adult Care Home Facility | 2026-05-04 |
| Pacific Pain Specialists | 22510 Se 64th Place, Suite 120, Issaquan, WA 98027 | Pain Medicine (Anesthesiology) Physician | 2009-11-04 |
| Pacific Pines Counseling LLC | 902 Market Street, Tacoma, WA 98402 | Counselor | 2026-04-17 |
| Pacific Medical, Inc | 1111 W Robinhood Dr Ste L, Stockton, CA 95207-5626 | Durable Medical Equipment & Medical Supplies | 2026-04-28 |
| Pacific Neurolink | 2772 Laniloa Rd, Honolulu, HI 96813-1064 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2026-04-02 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |