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San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 1 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
COUNTY OWNED amp OPERATED PROGRAMS (24 hours a day 7 days a week toll-free telephone number 1-888-468-9370)
1Black
Awareness
Community
Outreach
ProgramMulticultur
al Services
(BACOPMC) - Full
Service Partnership
(MHSA)
9090
1149 N El Dorado
Street
Stockton CA
95202
(209) 468-2337
httpswwwsjg
ovorgmhs
M-F 8 am- 5 pm
Adult
Hindi
Punjabi
Urdu
Pushto
English
Spanish
Full Service
Partnership with a
special emphasis on
outreach to the
African American
Native American
MuslimMiddle
Eastern and
GayLesbianBi-
sexualTransgender
communities
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 2 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
2Children and
Youth Services
Stockton Clinic
(CYS)
3915
1414 N California
Street
Stockton CA
95202
(209) 468-2385
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Children
and
Youth
Spanish
Russian
Ukran-
ian
Hindi
Urdu
Comprehensive
mental health services
for children youth
and their families
living in Central
County area Services
include individual and
group therapy case
management
psychiatric
assessment and
medication support
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 3 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
3Children and
Youth Services -
Foster Youth Full
Service Partnership
(MHSA)
9096
1414 N California
Street
Stockton CA
95202
(209) 468-2385
httpswwwsjg
ovorgmhs
M-F 8 am- 5 pm
Children
and
Youth
Spanish
Tagalog
Urdu
Punjabi
Hindi
Mental Health
Services Act (MHSA)
program focused on
children and youth in
the Foster Care
system
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 4 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
4Children and
Youth Services -
Juvenile Justice Full
Service Partnership
(MHSA)
9095
1414 N California
Street
Stockton CA
95202
(209) 468-2385
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Children
and
Youth
Cambo-
dian
Spanish
Hmong
Mental Health
Services Act
program focused on
children and youth in
the Juvenile Justice
system
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 5 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
5Community
Adult Treatment
Services (CATS -
Teams A B C and
D)
9069
1212 N California
Street
Stockton CA
95202
(209) 468-8842
(209) 468-8862
(209) 468-8881
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Canton-
ese
Tagalog
Comprehensive
Mental Health
Services for adults
(18
60) Services
include psychiatric
assessment
medication support
group individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 6 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
6Community
Corrections
Partnership
9039AP
1212 N California
Street
Stockton CA
95202
(209) 468-9373
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Serve clients under
AB-109
community
supervision with
Probation to reduce
recidivism
promote wellness
and
recovery and
increase safety for
our community
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 7 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
7Crisis
Community
Response Team
(CCRT)
9088
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
Crisis
Community
Response Team
(CCRT)Mobile
Crisis Support
Team (MCST)
12-830 pm
7 days a week
Adult
Children
Youth
Older
Adult
Spanish
Mobile multi-
disciplinary crisis
team for community
adult mental health
outreach early
intervention and
joint field response
with law
enforcement for
crisis 5150 detention
evaluations
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 8 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
8Crisis
Intervention
Services
9011
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
24 hours
Adult
Children
Youth
Older
Adult
Spanish
24-Hour evaluation
services including
assessment for
psychiatric
emergencies crisis
counseling
outpatient and
community referrals
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
9Crisis
Stabilization
Units (CSU)
9032
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
24 hours
Adult
Adol-
escents
Older
Adult
Spanish
Cambo-
dian
Vietna-
mese
23-Hour psychiatric
assessment and
stabilization unit
Resources and
Referrals are
provided during
admission
Crisis Stabilization UC
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 9 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
10Forensic Court
Full Service
Partnership
(MHSA)
9091
1212 N California
Street Stockton CA
95202
(209) 468-8786
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Provides
comprehensive
psychiatric and
integrative services
to address the needs
of Mentally Ill
Offenders
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 10 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
11Gaining Older
Adult Life Skills
(GOALS) Full
Service Partnership
(MHSA)
9093
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Full Service
Partnership with the
emphasis on outreach
to the underserved
older adult
population ages
(60+)
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 11 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
12InSPIRE
(MHSA)
39AN
1212 N California
Street
Stockton CA
95202
(209) 468-8880
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Cambo-
dian Viet-
namese
MHSA innovation
component
providing learning
community
opportunities to
specialized cohorts
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 12 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
13La Familia
Clinic Full
Service
Partnership
(MHSA)
9092
1149 N El Dorado
Street
Stockton CA
95202
(209) 468-2335
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
Latino
out-
reach
and
access
Spanish
Psychiatric
assessment case
management
medication support
individual and group
therapy with a
special emphasis on
serving Spanish-
speaking persons
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 13 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
14Mary Graham
Childrens Shelter
9008
6861 Mary Graham
Lane
French Camp CA
95231
(209) 468-6966
httpwww
marygrahamfou
ndationorg
24 Hours
Children
and
Youth
Provides outpatient
mental health
services to residents
of Mary Graham
Childrens Shelter
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 14 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services)
Include-
ing ASL
YesNo YesNo YesNo
15MHSA TAY
FSP
39B1
1212 N California
Street Stockton
CA 95202
(209) 468-8862
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adults
Full service
partnership providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 15 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
16Older Adult
Services (OAS)
3980
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Cambo-
dian Viet-
namese
Comprehensive
Behavioral Health
Services for older
adults (60+) provided
by a multidisciplinary
team Services
include psychiatric
assessment
medication
support group
individual therapy
and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 16 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services
Includin
g ASL
YesNo YesNo YesNo
17 Peterson
Hall
9009
535 W Matthews
Rd French Camp
CA 95231
(209) 468-4240
hiipswwwsjg
ovorgmhs
M-F 8 am- 8
pm SatSun 10-
7 pm
Children
and
Youth
Cambo-
dian
Spanish
Provides outpatient
mental health services
to youth detained at
Peterson Hall
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
18Psychiatric
Health
Facility (PHF)
3976
1212 N California
Street Stockton
CA 95202
(209) 468-8686
httpswwwsjg
ovorgmhs 24
hours
Adult Spanish
24-hour inpatient
hospitalization
services
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 17 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
19San Joaquin
County MH
Services Lodi Clinic
3924
1209 W Tokay
Street
Suites 1 3 5 7 9
12 14 and 16
Lodi CA 95240
(209) 331-2070
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Children
Youth
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
North
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 18 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
20San Joaquin
County MH
Services Tracy
Clinic
9048
220 W Eleventh
Street
Tracy CA 95376
(209) 831-5941
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
South
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
21SJC-MHS
CYS Katie A
Services
9020
333 E Washington
Street
Stockton CA
95202
(209) 468-1547
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Children
and
Youth
Spanish
Hmong
Japanese
Provides in-home
and in-community
outpatient mental
health services to
WampI Code 300
dependent SJC
children
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Operation
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lations
Served
Non-
English
Lang-
uages (in
addition to
free Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
22Transcultural
Clinic
(TCC) - full range
of specialty mental
health services and
intensive case
management
program
9014
4422 N Pershing
Ave
Suites D1-D4
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available
in Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
23Southeast
Asian Recovery
Services (SEARS)
for the Southeast
Asian population-
Full Service
Partnership
(MHSA)
9094
4422 N Pershing
Avenue Suite D2
D3 D4 D5 D6
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available in
Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
CONTRACT ORGANIZATIONAL PROVIDERS
24Anka Lodi (was
Mourfield House)
9075
458 Almond Drive
Lodi CA 95240
(209) 982-4697
wwwankabhior
g M-F 8am-5pm
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
25ASPIRAnet
39AR
6 S El Dorado
Street Suite 510
Stockton CA
95202
(209) 478-9862
wwwaspiranet
Org
M-F 8 am- 5
pm
Children
and
Youth
Provides
Therapeutic
Behavioral Services
(TBS) and crisis
stabilization services
as an alternative to
psychiatric
hospitalization
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
26Bright House
9047
8210 Bright Road
French Camp CA
95231
(209) 982-1235
wwwankabhior
g 24 hours
Adult
Adult Transitional
Residential
Treatment Program
Medication Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
27Casa Pacifica
39AB
1722 S Lewis Road
Camarrillo CA
93012
(805) 981-1422
wwwcaspacific
aorg
M-F 8 am- 6 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
28CBIS
(University of the
Pacific)
39A1
405 E Pine Street
Stockton CA
95204
(209) 476-1959
wwwcommunit
yre-
entryprogramco
m M-F 8am-430
pm
Adult
Spanish
Behavioral
Intervention Services
Mental Health Services
Intensive Home Based
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
29Chamberlains
Children Center
Inc
39B4
1850 San Benito
Street
Hollister CA
95023
(831) 636-2121
wwwchamberla
inccorg
M-F 8 am- 5 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
30Charis Youth
Center
9057
714 W Main Street
Grass Valley CA
95945
(530) 477-9800
wwwcharisyout
hcenterorg
M-F 830 am-
430 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
31Child Abuse
Prevention Council
39A8
540 N California
Street
Stockton CA
95202
(209) 644-5311
wwwnochildab
useorg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health services
utilizing
strengthening family
approach
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
32Community
Re- Entry
Program (CRP)
9044
405 E Pine Street
Stockton CA
95204
(209) 946-2132
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
independent living
skills training and
rehabilitation
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
33Crestwood
Solano
(PHF)
39A8
2201 Tuolumne
Street Suite B
Vallejo CA 94589
(707) 558-1777
wwwcrestwood
behavioralhealth
com
24
hours
Adult
24-hour
inpatient
hospitalization
services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
34Crittenton
Services For
Children And
Families
39B3
100 E Valley View
Drive Fullerton CA
92832
(714) 680-8268
wwwcrittentons
ocalorg
M-F 830 am- 5
pm
Children
and
Youth
Residential
facility providing
mental health
treatment to youth
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS)
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
35Edgewood
Center for
Children and
Families
39AV
1801 Vincente
Street San
Francisco CA
94116
(415) 681-3211
wwwedgewood
org
24
Hrs
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
36Fred Finch
Youth
Center
39AY
3800 Coolidge
AvenueOakland
CA 94602
(510) 482-2244
wwwfredfinch
Org
M-F 830 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
37Grant House
9064
1117 S Grant
Street Stockton
CA 95206
(209) 461-6500
wwwankabhior
g 24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
38Latino
Behavioral Health
and Recovery
Services
9067
445 N San Joaquin
Street
Stockton CA
95202
(209) 444-8910
wwwelconcilio
Org
M-F 8 am- 5 pm
Adult
Spanish
Provides Culturally
Competent
Services to Latinos
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
39Martin Gipson
Socialization Center
9043
405 E Pine Street
Stockton CA
95204
(209) 464-5519
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
socialization
vocational and
educational
opportunities for
Adult Mentally
ill consumers
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
40Mountain
Valley Child and
Family Services
Inc
9039
24077 Highway 49
Nevada City CA
95959
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Therapeutic
Behavioral Services
(TBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
41Mountain
Valley Child and
Family Services
Inc
39A4
7818 Bar Du Lane
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
42Mountain
Valley Child and
Family Services
Inc
39A3
6171 Bradshaw Rd
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
43Mountain
Valley Child and
Family Services
Inc
39A2
9200 Sweet Acacia
Way Sacramento
CA 95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 37 of 66
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
44Phoenix House
of
Los Angeles Inc
39B6
1600 Eldrige
Avenue Lake View
Terrace CA 91342
(818) 686-3000
wwwphoenixho
useorg
M-F 8 am- 530
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
45Rebekah
Childrenrsquos
Home
39AU
290 IOOF Avenue
Gilroy CA 95020
(408) 846-2100
wwwrcskidsor
g
M-F 8 am- 530
pm
Children
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 39 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
46Sacramento
Childrens Home
9076
2750 Sutterville
Road Sacramento
CA 95820
(916) 452-3981
wwwkidshome
Org
M-F 830 am - 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 40 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
47San Gabriel
Childrens Center
Out Patient
39B7
4740 N Grand
Avenue Covina CA
91724
(626) 859-2089
wwwsangabriel
childcom
M-F 8 am- 5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 41 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
48Star View
Adolescent Center
OP
39BB
4025 West 226th
Street
Torrance CA
90505
(310)373-4556
wwwstarsincco
m 24 hours
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 42 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
49Summitview
Child Treatment
Center
9061
670 Placerville Dr
2 Placerville CA
95667
(530) 644-2412
wwwsummitvie
wtreatmentorg
M-F 8 am-5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 43 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
50Telecare (aka
Jeremy House)
39AX
5634 Jeremy Way
Stockton CA
95212
(209) 888-4969
wwwtelecareco
rpcom
24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
51Telecare Early
Intervention
Recovery Services
(TEIRS)
39B2
4545 Georgetown
Place Suite A3
Stockton CA
95207
(209) 715-3754
wwwtelecareco
rpcom
M-F 8 am- 5 pm
Adult
Spanish
Provides outpatient
mental health services
for children and
adults
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 44 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
52TLC Child and
Family Services
39A9
1800 Gravenstein
Hwy North Suite A
Sebastopol CA
95472
(707) 823-7300
httpwwwtlc4
kidsorg
M-F 8 am- 430
pm
Children
and
Youth
Community-based
program
providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 45 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
53Valley
Community
Counseling Services
(VCCS) (Manteca)
9040
129 E Center
Street Suite 3
Manteca CA
95336
(209) 239-5553
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health
services for children
and youth in South
County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 46 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
54Valley
Community
Counseling Services
(VCCS) (School
Based Program -
Stockton)
9042
6707 Embarcadero
Drive Suite A
Stockton CA
95219
(209) 956-4240
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Outpatient mental
health services
provided at various
schools in
Stockton Manteca
and Lodi
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 47 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
55Valley
Community
Counseling Services
(VCCS) (Tracy)
9041
19 East 6th Street
Tracy CA 95378
(209) 835-8583
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health services
for children and youth
in South County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 48 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
56Victor
Community
Services and
Support Stockton
(VCSS)
9063
2495 W March
Lane Suite 125
Stockton CA
25207
(209) 465-1080
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services in-home and
in community
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 49 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
57Victor
Treatment
Center - Santa Rosa
9083
3164 Condo Court
Santa Rosa CA
95403
(707) 523-2334
wwwvictororg
M-F 810 am- 4
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 50 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
58Victor
Youth Services
(North Valley
Schools)
39AC
855 Canyon Road
Redding CA
96001
(530) 378-1855
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 51 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
59Womens
Center- Family
and Youth
Services
39B6
729 N California
Street Stockton
CA 95202
(209) 929-6700
wwwwomensce
nteryfsorg
M-F 830 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
CONTRACT PSYCHIATRIC HOSPITALS
60BHC Heritage
Oaks
Hospital
4250 Auburn
Boulevard
(916) 489-3336
wwwheritageoa
kshospitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 52 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
61BHC Sierra
Vista
Hospital
8001 Bruceville
Road
(916) 423-2000
wwwsierravista
hospitalcom
24 hours
All ages
Yes
Yes
Yes
62St Helena
Hospital Center for
Behavioral Health
525 Oregon Street
(707) 648-2200
wwwadventisth
ealthorg
24 hours
All ages
Yes
Yes
Yes
63John Muir
Behavioral Health
Center
2740 Grant Street
(925) 680-6500
wwwjohnmuirh
ealthcom
24 hours
All ages
Yes
Yes
Yes
64Sutter Center for
Psychiatry
7700 Folsom
Boulevard
(916) 388-3045
wwwsuttermedi
calcenterorg
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 53 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
65Fremont
Hospital
39001 Sundale
Drive
(510) 796-1100
wwwfremontho
spitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake
Unit
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-9600
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Substance Use Disorder
Assessment for
Outpatient amp Inpatient
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
67 Chemical
Dependency
Counseling Center
(CDCC)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-3720
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Youth
Adult
Perinatal
Spanish
Mon Wed and Fri
8am-5pm
Closed Holidays
Outpatient Treatment
Perinatal Component
Intensive Outpatient
Youth Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 56 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
68 Alcohol amp Drug
Alternative Program
(ADAP)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-6840
Fax (209)468-
8640
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon Wed and Fri
8am-5pm
Tue And Thur
8am-7pm
Closed Holidays
Outpatient Court
Monitoring Education
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 57 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
69 Family Ties
500 W Hospital Rd
French Camp CA
95231
(209) 468-6208
Fax (209)468-
7032
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Adult
Perinatal
Spanish
24 Hour Services
Inpatient Treatment
Perinatal Component
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 58 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
70 Recovery House
500 W Hospital Rd
French Camp CA
95231
(209) 468-6857
Fax (209)468-
6739
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
24 Hour Services
Inpatient Treatment
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 59 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
71 Adolescent Co-
Occurring Treatment
Program (ACT)
Childrens Behavioral
Health Services
1414 N California
St 2nd Floor
Stockton CA 95202
(209) 468-2385
Fax (209)468-
8024
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Individual amp group
counseling and
education in conjunction
with the adolescentrsquos
mental health services a
partnership with Mental
Health Services and
Substance Abuse
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 60 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
72 Prevention
Services
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-2005
Fax (209)468-
2251
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Youth Services Parenting
Students In Prevention
(SIP)
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 61 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
73 Aegis
Treatment Center
8626 N Lower
Sacramento Road
Suite 41 Stockton
CA 95209
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1230pm
Sat Sun and
Holidays
6am-1030am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 62 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
74 5th Street
Medical Clinic
Stockton
1839 S El Dorado
St Stockton CA
95206
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 63 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
75 Aegis
Treatment Center
Healthy Connections
(California St)
Stockton
1947 N California
St Suites B and C
Stockton CA 95210
(209) 463-0870
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 64 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
76 Healthy
Connections Lodi
Clinic
441 South Ham
Lane Suite A
Lodi CA 95242
(209) 224-8490
httpsaegistreat
mentcenterscom
clinicaegis-
lodi-california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
7am-12 noon
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 65 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
77 Manteca
Healthy Connections
Center Street
955 W Center St
Suites 12A amp 14
Manteca CA 95337
(209) 239-9600
httpsaegistreat
mentcenterscom
clinicaegis-
manteca-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
8am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 66 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
78 MedMark
Treatment Center
1111 N El Dorado
St Stockton CA
95202
(209) 938-0228
httpmedmark
commedmark-
treatment-
centers-
stockton
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
Provider Name Facility NameID
Type of Practioner (licensed
amp Waivered)
National
Provider
Identifier
number California license number type of license
Cultu
ral
Comp
etenc
e
Traini
ng
(YN)1 Black
Awaremenss
Community
Outreach
ProgramMulti
cultural
Services Amarpreet Singh BHS BACOPMC Psychiatrist (Locum) 1235182916 Physician and Surgeon N
Aravind Pai BHS BACOPMC Psychiatrist (Locum) 1629076088 Physician and Surgeon A30319 N
Donna Bickham BHS BACOPMC Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Donnelle Tamayo BHS BACOPMC Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS BACOPMC Staff Nurse III 1104375724 Registered Nurse 723203 Y
Kathleen Wilson-Parish BHS BACOPMC Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS BACOPMC MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Nancy Nelson BHS BACOPMC Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Paul Wallace BHS BACOPMC Chief Psychiatric Tech 1114044799 Licensed Psychiatric Technician PT26296 Y
Quynh-Chi Nguyen BHS BACOPMC Staff Nurse III 1417371014 Registered Nurse 845080 Y
Scott Harrison BHS BACOPMC Clinician II 1518089317 Marriage and Family Therapist Intern IMF75861 Y
Shirley Hollowell BHS BACOPMC Registered Nurse 1124143474 Registered Nurse 352081 Y
2 Children and
Youth Services
Stockton Clinic Ganiya (Iyabo) Adediran
Childrens and Youth Services- Stockton
3915 Waivered 1881148690 81666 AMFT Y
Provider Staff Listing
Benjamin Alban
Childrens and Youth Services- Stockton
3915 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Stockton
3915 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Stockton
3915 Licensed 1821294455 105923 Psychiatrist Y
Valentin Avramov
Childrens and Youth Services- Stockton
3915 Licensed 1053488767 109609 Psychiatrist Y
Kristina Birch
Childrens and Youth Services- Stockton
3915 Waivered 1366874844 1809 APCC Y
Linda Brett
Childrens and Youth Services- Stockton
3915 Licensed 1295853299 523914 RN Y
Donna Cassettari
Childrens and Youth Services- Stockton
3915 Licensed 1497887699 43173 LMFT Y
Renessa Castaneda-Jensen
Childrens and Youth Services- Stockton
3915 Licensed 1376664862 81528 LMFT Y
Jacqueline Coulter
Childrens and Youth Services- Stockton
3915 Licensed 1720184765 41366LMFT Y
Courtney Flores
Childrens and Youth Services- Stockton
3915 Licensed 1851437735 29811 LCSQW Y
Maria Garcia
Childrens and Youth Services- Stockton
3915 Licensed 1235400557 80425 LCSW Y
Ikesha Goodwin
Childrens and Youth Services- Stockton
3915 Waivered 1104279728 101632 IMF Y
Kelsey Guidicatti
Childrens and Youth Services- Stockton
3915 Waivered 1245783687 93458 AMFT Y
Antonio Gutierrez
Childrens and Youth Services- Stockton
3915 Licensed 1023473469 71535 LCSW Y
Victoria Hall
Childrens and Youth Services- Stockton
3915 Licensed 1437464179 91065 LMFT Y
Nicole Hodgson
Childrens and Youth Services- Stockton
3915 Licensed 1962727792 85491 LMFT Y
Hudson Mark Hudson
Childrens and Youth Services- Stockton
3915 Licensed 1528190725 78609 LMFT Y
Shadai Lescale Huante
Childrens and Youth Services- Stockton
3915 Waivered 1528340320 59764 ACSW Y
Genevieve Lisenbey
Childrens and Youth Services- Stockton
3915 Waivered 1265698104 80465 AMFT Y
Sharon Lizotte
Childrens and Youth Services- Stockton
3915 Waivered 1851820708 101863 AMFT Y
Angie Nicholas
Childrens and Youth Services- Stockton
3915 Licensed 1679713796 52080 LMFT Y
Shiella Pablico
Childrens and Youth Services- Stockton
3915 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Sheilena Payne
Childrens and Youth Services- Stockton
3915 Licensed 1336437656 94571 LMFT N
Timothy Quinn
Childrens and Youth Services- Stockton
3915 Waivered 1316322381 79556 Marriage amp Family Therapist Intern Y
Joann Rihad
Childrens and Youth Services- Stockton
3915 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet
Childrens and Youth Services- Stockton
3915 Licensed 1366468555 C53401 Psychiatrist Y
Jacqueline Salgado
Childrens and Youth Services- Stockton
3915 Licensed 1043661903 95452 Marriage amp Family Therapist Y
Kristen Schneider
Childrens and Youth Services- Stockton
3915 Waivered 1578963591 72071 ACSW Y
Carla Simien
Childrens and Youth Services- Stockton
3915 Licensed 1629564000 40771 Licensed Psychiatric Technician N
Tamra Smith
Childrens and Youth Services- Stockton
3915 Licensed 1336267608 76975 LCSW Y
Maribel Vargas
Childrens and Youth Services- Stockton
3915 Waivered 1821247149 35622 ACSW Y
J Watkins
Childrens and Youth Services- Stockton
3915 Licensed 1043797871 4200 LPCC Y
Tamara Weber
Childrens and Youth Services- Stockton
3915 Licensed 1992101497 105926 LMFT Y
Amanda Yocham
Childrens and Youth Services- Stockton
3915 Licensed 1326103516 79068 LMFT Y
Nikki Young
Childrens and Youth Services- Stockton
3915 Waivered 1841692159 88891 AMFT Y
3 Children and
Youth Services-
Foster Youth
Full Service
Partnership Benjamin Alban
Childrens and Youth Services- Foster
Youth 9096 Licensed 1932227295 26094 LCSW Y
Maria Garcia
Childrens and Youth Services- Foster
Youth 9096 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Foster
Youth 9096 Licensed 1023473469 71535 LCSW Y
4 Children and
Youth Services-
Juvenile Justice
Full Srvice
Partnership Benjamin Alban
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1821294455 105923 Psychiatrist Y
Maria Garcia
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1023473469 71535 LCSW Y
Shabneet Hira Brar
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1851598452 A112447 Psychiatrist Y
Sheilena Payne
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1336437656 94571 LMFT N
5 Community
Adult
Treatment
Services Amanda Hurlock CATS OUTPATIENT 1836 Waivered 1205369899 AMFT 100834 Y
Adeline Mendez CATS OUTPATIENT 1836 Licensed 1255453353 PT 25868 Y
Anna Perez Testo CATS OUTPATIENT 1836 Licensed 1740309889 LMFT 52444 Y
Angelo Pasa CATS OUTPATIENT 1836 Licensed 1689874125 RN 691250 Y
Beverly Thompson CATS OUTPATIENT 1836 Waivered 1528311230 ACSW 70671 Y
Carolyn Walters CATS OUTPATIENT 1836 Licensed 1891815155 LMFT 43069 Y
Debra Baker CATS OUTPATIENT 1836 Waivered 1740610229 AMFT 95836 Y
Eloisa Velasco CATS OUTPATIENT 1836 Licensed 1740797976 PT 40651 Y
Francisco Arreola CATS OUTPATIENT 1836 waivered 1417359027 AMF 87821 Y
Heidi McHenry CATS OUTPATIENT 1836 Licensed 1861763294 PT 35949 Y
Helen Sprague CATS OUTPATIENT 1836 Waivered 1710325642 AMFT 75120 Y
Jane Sanchez CATS OUTPATIENT 1836 Licensed 1346406824 LMFT 50808 Y
Jannelle Heard CATS OUTPATIENT 1836 Waivered 1467813568 AMFT 95836 Y
Kara Herrick CATS OUTPATIENT 1836 Licensed 1518191659 LMFT 43283 Y
Keith Amador CATS OUTPATIENT 1836 Licensed 1891127403 LMFT 102725 Y
Cynthia Morishige CATS OUTPATIENT 1836 Licensed 1649396045 LCSW 13592 Y
Remedios Wallace CATS OUTPATIENT 1836 Licensed 1639294341 PT 24227 Y
Luis Garcia CATS OUTPATIENT 1836 Licensed 1346599677 LMFT 10398 Y
Maria Ayala CATS OUTPATIENT 1836 Waivered 1174991129 APCCI 3382 Y
Marie Daguman CATS OUTPATIENT 1836 Waivered 1619483237 ACSW 79980 Y
Mary Montgomery CATS OUTPATIENT 1836 Licensed 1538281183 LCSW82129 Y
Megan Curtiss CATS OUTPATIENT 1836 Waivered 1265836027 AMFT 107915 Y
Priscilla Kavanagh CATS OUTPATIENT 1836 Waivered 1528429057 APCC2122 Y
Elizabeth DeGravio CATS OUTPATIENT 1836 Licensed 1497167530 PT 37500 Y
Ramil Doronio CATS OUTPATIENT 1836 Licensed 1871767376 RN 555151 Y
Ronee Martin CATS OUTPATIENT 1836 Waivered 1932644796 AMFT 84987 Y
Sasha Jackson CATS OUTPATIENT 1836 Waivered 1295181295 ACSW 79996 Y
Sherri Helsby CATS OUTPATIENT 1836 Licensed 1669893764 LCSW 29248 Y
Teri Jorgensen CATS OUTPATIENT 1836 Licensed 1295071363 RN 469034 Y
Tiffany DeWitte CATS OUTPATIENT 1836 Licensed 1023143245 LCSW 29826 Y
Valerie-Ann Garcia CATS OUTPATIENT 1836 Licensed 1770606386 RN 704233 Y
Savoeun Phal CATS OUTPATIENT 1836 Waivered 1821513946 APCC 5278 Y
Joshua Merrill CATS OUTPATIENT 1836 Waivered 1114463957 AMFT 102798 Y
Gerado Manansala CATS OUTPATIENT 1836 Licensed 1215195813 A 102439 Y
Paul Mascovich CATS OUTPATIENT 1836 Licensed 1215921184 G 33950 Y
Jin Soofi CATS OUTPATIENT 1836 Licensed 1972592939 G 86240 Y
Sheril Keys CATS OUTPATIENT 1836 Licensed 1942664875 PT 38333 Y
Thomas Firnberg CATS OUTPATIENT 1836 Licensed 1164597472 A 040218 Y
Mohammad Jahangiri CATS OUTPATIENT 1836 Licensed 1720266760 A 56400 Y
Fouad Saddik CATS OUTPATIENT 1836 Licensed 1437254117 A 44865 Y
Kellie Salazar CATS OUTPATIENT 1836 Licensed 1295273654 PT 40326 Y
Suryabamu Javeed CATS OUTPATIENT 1836 Licensed 1568567105 A 56307 Y
Robert Graff CATS OUTPATIENT 1836 Licensed 1366560112 G 70479 Y
Chestermagno De La Cruz CATS OUTPATIENT 1836 Licensed 1619476637 PT40672 Y
6 Community
Corrections
Partnership Rico Molina AB10920 licensed 1255454203 LCSW25450 Y
Lawrence Shaddix AB10920 licensed 1508282286 IMF84560 Y
Randolph Herrington AB10920 licensed 1114141173 LMFT48970 Y
7 Crisis
Community
Response Team
(CCRT) Williams Wendy CCRT
MHC III
1265554638 LMFT 84045
Y
Ballesteros Patricia CCRT MHC 1790058352 LMFT 108455 Y
8 Crisis
Intervention
Services Graff Robert Crisis
MD
1366560112 G70479
Y
Gill Paramijit Crisis MD 1073629218 A49224 Y
Firnberg Thomas Crisis MD 1164597472 A040218 Y
Singh Karamjit Crisis MD 1083930440 A132050 N
Singh Amanpreet Crisis MD 1235182916 A78414 N
Lee Catherine Crisis MHC III 1073729646 LMFT 44225 Y
Saleem Noshela Crisis MHC III 1255585584 LCSW 67154 Y
Williams Wendy Crisis MHC III 1265554638 LMFT 84045 Y
Galindo Teresa Crisis MHC III 1700119369 LCSW 69736 Y
Molina-Eliab Sonya Crisis MHC 1497878482 AMFT 99087 Y
Tran Michelle Crisis MHC 1366642068 LCSW 81278 Y
Figueroa Carlos Crisis MHC 1306193933 LMFT 102315 Y
Ballesteros Patricia Crisis MHC 1790058352 LMFT 108455 Y
Nobles Shannon Crisis MHC 1457699720 AMFT 101531 Y
Saelee Cindy Crisis MHC 1255511614 LCSW 82456 Y
Maney Stephen Crisis MHC 1083985998 ASW 78482 Y
Lewman Brenda Crisis MHC 1821477035 LMFT106905 Y
Morales Leonardo Crisis MHC 1962822643 ASW 72730 Y
Grant Anika Crisis MHC 1649697137 AMFT 104116 Y
Sullivan Aisha Crisis MHC 1861772253 LCSW 75323 Y
Hodge Lewie Crisis MHC 1477044931 ASW 80338 N
Donato Imelda Crisis MHC 1194278085 APCC 2409 N
Redoblado Sheryl Crisis MHC 1871731513 LCSW 75136 Y
Walter Taffie Crisis CPT 1083735096 PT 32090 Y
DeJesus Carolyn Crisis CPT 1861650228 PT 34221 Y
McArthur Milagros Crisis PT 1477809929 PT 36471 Y
Olsen Chandra Crisis PT 1770914061 PT 37210 Y
Isham Loni Crisis PT 1891145033 PT 38233 Y
Bazua Melissa Crisis PT 1972944072 PT 36496 Y
Wright-Freeman Cody Crisis PT 1538584859 PT 37819 Y
Bareng Jeff Crisis PT 1043753478 PT 40284 Y
Gill Sandeep Crisis PT 1871852673 PT 34942 Y
Quitoriano Stephanie Crisis PT 1659798130 PT 37033 Y
Otero Luis Crisis PT 1487015582 PT 38229 Y
Price Jennifer Crisis PT 1932621893 PT 40662 Y
Kemp Sydney Crisis PT 1902383623 PT 34601 Y
9 Crisis
Stabilization
Units (CSU) Graff Robert CSU
MD
1366560112 G70479
Y
Allanki Sailaja CSU MD 1306897723 C138838 Y
Singh Karamjit CSU MD 1083930440 A132050 N
Brown Brandi CSU RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth CSU RN 1255459061 RN 488617 Y
Seraypheap Arunny CSU RN 1013037274 RN 547944 Y
Limas Deborah CSU RN 1073631727 RN 526984 Y
Winck Angela CSU RN 1083002992 RN 701021 Y
Cabrera Gilbert CSU RN 1679693766 RN 565185 Y
Mendoza Michelle CSU RN 1477951812 RN 797022 Y
Blackman Demerica CSU RN 1932619517 RN 850647 Y
Laizer Gloria CSU RN 1255706479 RN 764452 Y
Odametey Ama CSU RN 1700366358 RN 835504 N
Hawkins Lynnetta CSU MHC III 1437436938 LMFT 93110 Y
Lambert Rekha CSU MHC 1164647525 LMFT 10386 Y
Nguyen Thao CSU MHC 1912214065 LMFT 88176 Y
Navarro Grace CSU MHC 1083737753 ASW 72678 Y
Limas Stephanie CSU MHC 1053433748 LMFT 99397 Y
Little Christy CSU PT 1497978795 PT 28731 Y
Abundez Jesse CSU CPT 1841413036 PT 29162 Y
Montantes Michael CSU CPT 1780018390 PT 37071 Y
DeJesus Carolyn CSU CPT 1861650228 PT 34221 Y
Arriola Eulalie CSU CPT 1255573044 PT 34426 Y
Hardy Denise CSU PT 1912202813 PT 33714 Y
Harbin Toni CSU PT 1639475049 PT 28726 Y
Fortes Catherine CSU PT 1346681442 PT 36982 Y
Mocko James CSU PT 1558726224 PT 38249 Y
Menius Victoria CSU PT 1487074258 PT 37534 Y
Brown Kristaline CSU PT 1750723821 PT 32575 Y
Thorpe William CSU PT 1326599770 PT 40154 Y
Look Jasmin CSU PT 1194143198 PT 37492 Y
Mariano Joseph CSU PT 1609208172 PT 36968 Y
Marglin Lisa CSU PT 1558733576 PT 38247 Y
Clutario Dindo CSU PT 1164664512 PT 34295 Y
Ripoyla Jerral CSU PT 1821511700 PT 40644 Y
Varquez Sharon CSU PT 1366682387 PT 34435 Y
Holmes Sherronya CSU PT 1205214228 PT 37605 Y
Duncan Deanna CSU PT 1043674963 PT 38260 Y
Vang Mai CSU PT 1982103081 PT 40697 Y
Vong Tharith CSU PT 1134624802 PT 40678 N
Ridad Anthony CSU PT 1659887750 PT 40713 Y
Hill Brandon CSU PT 1053803890 PT 40412 Y
Singh Jasvir CSU PT 1477833911 PT 36007 Y
Kottke Marline CSU LVN 1891223111 LVN 198957 Y
10 Forensic
Court Full
Service
Partnership Edward Olpin BHSJDDSAS licensed 1477687077 LCSW24055 Y
Betsey McCall-Salerno BHSJDDSAS licensed 1740574672 LMFT42444 Y
Isabella Padilla Pereira Forensic74 licensed 1174871818 LMFT97934 Y
Alexander Anderson Forensic MCST74 licensed 1417183385 ASW70838 Y
Joseph Zummo Forensic74 licensed 1497927487 AMFT105417 Y
11 Gaining
Older Adult Life
Skills
(GOALS) Full
Service
Partnership
(MHSA) Crystal Thao GOALS 7523 Waivered 1609183748 ACSW 35249 Y
Jessica Preston GOALS 7523 Waivered 1649727066 ACSW 79154 Y
Karla Romero GOALS 7523 Waivered 1083133276 AMFT 100573 Y
Tracy House GOALS 7523 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi GOALS 7523 Licensed 1093911224 LMFT 40177 Y
Sue Gruber GOALS 7523 Licensed 1811014780 LCSW 29008 Y
Christine Blue GOALS 7523 Licensed 1093786683 A 10733 Y
Katheine Hedrick GOALS 7523 Licensed 1043699333 RN 683243 Y
Cynthia Resendez GOALS 7523 Licensed 1780877845 A84098 Y
12 InSpire
(MHSA) Debra Baker InSprire 7023 Waivered 1740610229 AMFT 95836 Y
Elizabeth DeGravio InSprire 7023 Licensed 1497167530 PT 37500 Y
13 La Familia
Clinic Full
Service
Partnership Nancy Nelson BHS La Familia Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Jane Fernandez BHS La Familia Psychiatrist 1194799395 Physician and Surgeon A93060 Y
Pamela Smith BHS La Familia Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Aravind Pai BHS La Familia Psychiatrist (Locum) 1235182916 Physician and Surgeon A30319 N
Cynthia Resendez BHS La Familia Psychiatrist 1780877845 Physician and Surgeon A84098 Y
Donna Bickham BHS La Familia Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS La Familia Registered Nurse 1124143474 Registered Nurse 352081 Y
Kathleen Wilson-Parish BHS La Familia Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS La Familia MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Alexander Largaespada BHS La Familia Clinician 1881902161 Marriage and Family Therapist Intern IMF93473 Y
Lynn Tarrant BHS La Familia Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
Adriana Cruz BHS La Familia Clinician II 1871612697 Licensed Clinical Social Worker LCSW81643 Y
Scarlette Aranda BHS La Familia Clinician I 1295929529 Associate Clinical Social Worker 83748 Y
Donnelle Tamayo BHS La Familia Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS La Familia Staff Nurse III 1104375724 Registered Nurse 723203 Y
14 Mary
Graham
Childrens
Shelter Renessa Castaneda-Jensen Mary Graham Childrens Shelter 9008 Licensed 1376664862 81528 LMFT Y
15 MHSA TAY
FSP Heidi McHenry TAY FSP Licensed 1861763294 PT 35949 Y
Jannelle Heard TAY FSP Waivered 1467813568 AMFT 95836 Y
Ronee Martin TAY FSP Waivered 1932644796 AMFT 84987 Y
Sasha Jackson TAY FSP Waivered 1295181295 ACSW 79996 Y
16 Older Adult
Services (OAS) Crystal Thao OAS 8236 Waivered 1609183748 ACSW 35249 Y
Jessica Preston OAS 8236 Waivered 1649727066 ACSW 79154 Y
Karla Romero OAS 8236 Waivered 1083133276 AMFT 100573 Y
Tracy House OAS 8236 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi OAS 8236 Licensed 1093911224 LMFT 40177 Y
Sue Gruber OAS 8236 Licensed 1811014780 LCSW 29008 Y
Christine Blue OAS 8236 Licensed 1093786683 A 10733 Y
Katheine Hedrick OAS 8236 Licensed 1043699333 RN 683243 Y
Cynthia Resendez OAS 8236 Licensed 1780877845 A84098 Y
17 Peterson
Hall Jennifer Domingo Peterson Hall 9009 Licensed 1104097286 50961 LMFT Y
Shabneet Hira Brar Peterson Hall 9009 Licensed 1851598452 A112447 Psychiatrist Y
Karina Jimenez Peterson Hall 9009 Waivered 1477891679 78261 AMFT Y
Helan Nguyen Peterson Hall 9009 Waivered 1801135876 85251 AMFT Y
Shiella Pablico Peterson Hall 9009 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Joann Ridad Peterson Hall 9009 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet Peterson Hall 9009 Licensed 1366468555 C53401 Psychiatrist Y
Carla Simien Peterson Hall 9009 Licensed 1629564000 40771 Licensed Psychiatric Technician Y
Fay Vieira Peterson Hall 9009 Licensed 1982815684 50276 LMFT Y
18 Psychiatric
Health Facility
(PHF)
Gill Paramijit
PHF
MD
1073629218 A49224
Y
Hart Robert PHF MD 1477660074 C38923 Y
Silver Hilary PHF MD 1720201221 C33442 Y
Brown Brandi PHF RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth PHF RN 1255459061 RN 488617 Y
Seraypheap Arunny PHF RN 1013037274 RN 547944 Y
Limas Deborah PHF RN 1073631727 RN 526984 Y
Winck Angela PHF RN 1083002992 RN 701021 Y
Cabrera Gilbert PHF RN 1679693766 RN 565185 Y
Mendoza Michelle PHF RN 1477951812 RN 797022 Y
Blackman Demerica PHF RN 1932619517 RN 850647 Y
Laizer Gloria PHF RN 1255706479 RN 764452 Y
Odametey Ama PHF RN 1700366358 RN 835504 N
Camello Bena PHF MHC 1053581116 LCSW 65302 Y
Shah Mamoona PHF MHC 1407978471 Waivered Y
Mills Rachelle PHF MHC 1326169350 LMFT 81070 Y
Little Christy PHF PT 1497978795 PT 28731 Y
Bomar Dolfa PHF CPT 1881817567 PT 31571 Y
DeJesus Carolyn PHF CPT 1861650228 PT 34221 Y
Varquez Sharon PHF PT 1366682387 PT 34435 Y
Pot Sambo PHF PT 1104378827 PT 33626 Y
Bou Jennifer PHF PT 1033652466 PT40281 Y
Sesante Maria PHF PT 1851515720 PT 30936 Y
Ota Robert PHF PT 1578786554 PT 33792 Y
Pinano Paolo PHF PT 1245352616 PT 33726 Y
Ruiz Ronald PHF PT 1700907094 PT 27494 Y
Villasenor Kendra PHF PT 1447518204 PT 36449 Y
Deol Sukhvinder PHF PT 1508988593 PT 30288 Y
Bokelman Roy PHF PT 1114040003 PT 32628 Y
Seba Vicki PHF PT 1639291636 PT 31714 Y
Siador Jill PHF PT 1366884058 PT 36818 Y
Polk Rhonda PHF PT 1316160146 PT 20798 Y
Zorea Dylan PHF PT 1467573766 PT28206 Y
Chapin Larry PHF PT 1528200169 PT 26162 Y
19 San Joaquin
County MH
Services Lodi
Clinic Ruth Johnson Lodi Outpatient 6036 Licensed 1265535538 LCSW 15213 Y
Judith Dolyniuk Lodi Outpatient 6036 Licensed 1518182534 LMFT 97680 Y
Amy Massie Lodi Outpatient 6036 Waivered 1356798391 AMFT 100785 Y
Shayne Maniti Lodi Outpatient 6036 Licensed 1689854093 PT 33732 Y
Saba Rizvi Lodi Outpatient 6036 Licensed 1619190501 A 95786 Y
Avramov Valentin Lodi Outpatient 6036 Licensed 1053488767 109609 Psychiatrist Y
Hill Patricia Lodi Outpatient 6036 Licensed 1902926231 23764 LCSW Y
Mann Bhupinderpreet Lodi Outpatient 6036 Waivered 1174603039 80464 AMFT Y
20 San Joaquin
County MH
Services Tracy
Clinic Ashley Smerdon Tracy Clinic 6136 Waivered 1265713929 MFT87560 Y
Jennifer Spruill Tracy Clinic 6136 Licensed 1518232321 LCSW 69544 Y
Simone Litsch Tracy Clinic 6136 Licensed 1598882599 A 89254 Y
Aravind Pai Tracy Clinic 6136 Licensed 1629076088 A30319 N
Gabriel Holguin Tracy Clinic 6136 Licensed 1255704094 PT38216 Y
21 SJC- MHS
CYS Katie A
Services Sailaja Allanki CYS Katie A Services 9020 Licensed 1306897723 138838 Psychiatrist Y
Kristina Birch CYS Katie A Services 9020 Waivered 1366874844 1809 APCC Y
Maria Boklund CYS Katie A Services 9020 Licensed 1396157061 48496 LMFT Y
Linda Brett CYS Katie A Services 9020 Licensed 1295853299 523914 RN Y
Renessa Castaneda-Jensen CYS Katie A Services 9020 Licensed 1376664862 81528 LMFT Y
Maria Gamino CYS Katie A Services 9020 Waivered 1710386453 73292 ASW N
Shabneet Hira Brar CYS Katie A Services 9020 Licensed 1851598452 A112447 Psychiatrist Y
Catherine Navarrete CYS Katie A Services 9020 Waivered 1619456076 105076 Marriage amp Family Therapist Y
Leora Pollock CYS Katie A Services 9020 Licensed 1245663426 75192 LCSW Y
Kim Saing CYS Katie A Services 9020 Licensed 1982722666 51242 LMFT Y
Anastacia Stanley CYS Katie A Services 9020 Licensed 1528299724 87417 LMFT N
Patricia Young CYS Katie A Services 9020 Waivered 1780051375 94965 ASSOCIATE MARRIAGE amp FAMILY THERAPIST Y
22
Transcultural
Clinic (TCC) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
23 Southeast
Asian Recovery
Services
(SEARS) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
CONTRACT ORGANIZATIONAL PROVIDERS
24 Anka Lodi (
was Mourfield
House) Meloney West Anka Lodi AMFT 1649523283 Y
Eon Lawrence Losefa Anka Lodi LMFT 1982898276 104807 Y
Aaron Fett Anka Lodi Psychology Intern 1932352424 Y
25 ASPIRAnet Courtney Warfield-Gibbs ASPIRAnet Waivered 1285958520 ACSW 70918 Y
Melissa Wimer ASPIRAnet Licensed 1467946301 LMFT 81226 Y
Patricia A Jackson ASPIRAnet Waivered 1780848853 AMFT 73975 Y
Vijai Pandey ASPIRAnet Waivered 1710497938 AMFT 70416 Y
Amir Siddiqui ASPIRAnet Waivered 1336617844 APCC 5341 N
26 Bright
House Robert Lee Majors Bright House LMFT 1780692806 49236 Y
27 Casa Pacifica - OUT OF COUNTY PROVIDER
28 CBIS (University of the Pacific)- NON LICENSED STAFF ONLY
29 Chamberlains Children Center Inc -OUT OF COUNTY PROVIDER
30 Charis Youth Center- OUT OF COUNTY PROVIDER
31 Child Abuse
Prevention
Council Roger Duke Child Abuse Prevention Council LMFT 1992861082 79588 Y
Cassandra Lowe Child Abuse Prevention Council AMFT 1205278694 75983 Y
Stacey Tidwell Child Abuse Prevention Council ACSW 1790189413 72578 Y
Nazia Khan Child Abuse Prevention Council AMFT 1508227158 81499 Y
Lisa Aguilar Child Abuse Prevention Council ACSW 1417401035 73365 Y
Anabel Montejano Child Abuse Prevention Council ACSW 1740656636 78974 Y
Catherine Thiel Child Abuse Prevention Council LCSW 1134569791 82263 Y
Michelle Nelson Child Abuse Prevention Council AMFT 1891173357 94133 Y
Maria Cardoza Child Abuse Prevention Council AMFT 1467861252 87554 Y
Thear Chum Child Abuse Prevention Council ACSW 1134648231 83947 Y
Kaitlyn Reilly Child Abuse Prevention Council ACSW 1205381613 83651 Y
Laura Rodriguez Child Abuse Prevention Council ACSW 1316498892 78113 Y
Diana Strimling Child Abuse Prevention Council AMFT 1316221765 104452 Y
32 Community Re-Entry Program (CRP)- NON LICENSED STAFF ONLY
33 Crestwood Solano (PHF)- Out of County Provider
34 Crittenton Services For Children and Families -OUT OF COUNTY PROVIDER
35 Edgewood Center for Children and Families- OUT OF COUNTY PROVIDER
36 Fred Finch Youth Center- OUT OF COUNTY PROVIDER
37 Grant
House Meloney West Grant House AMFT 1649523283 Y
JoAnn Marie Cornelius Grant House LPT 1205877727 35804 Y
Melinda Carchidi Grant House Psychology Intern 1609151653 Y
38 Latino
Behavioral
Health and
Recovery
Services Alexander Largaespada Latino Behavioral Health AMFT 181902161 AMFT 93473 Y
Maria De La Luz Torres Latino Behavioral Health ACSW 1003323361 ASW80844 N
Lynn Tarrant Latino Behavioral Health Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
39 Martin Gipson Socialization Center- NON LICENSED STAFF ONLY
40 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
41 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
42 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
43 Mountain Valley Child and Family Services Inc- OUT OF COUNTY PROVIDER
44 Phoenix House of Los Angeles Inc- OUT OF COUNTY PROVIDER
45 Rebekah
Childrens
Home Bhatti Moeen Rebekah Childrens Home licensed 1205023736 A 100193 Physician amp SurgeonMD DEA FB4071332 Y
Cervantes Priscilla Rebekah Childrens Home licensed 1679081582 693037 LVN N
Delgado Melissa Rebekah Childrens Home licensed 1881002186 105380 LMFT Y
Downey Ruth Rebekah Childrens Home licensed 1790161339 100524 LMFT Y
Machuca Lopez Cynthia Rebekah Childrens Home waivered 1386053817 74884 ACSW Y
Moeller Ryan Rebekah Childrens Home waivered 1316303803 91385 AMFT Y
Vaca-Preez Alejandra Rebekah Childrens Home waivered 1629418876 36752 ACSW Y
Vargas-Gladen Rosalva Rebekah Childrens Home licensed 1326114372 46940 LMFT Y
46 Sacramento Childrens Home- OUT OF COUNTY PROVIDER
47 San Gabriel Childrens Center Out Patient- OUT OF COUNTY PROVIDER
48 Star View Adolescent Center OP- OUT OF COUNTY PROVIDER
49 Summitview Child Treatment Center- OUT OF COUNTY PROVIDER
50 Telecare
(aka Jeremy
House) Jessica Reiland Telecare- Jeremy House ASW (waived) Clinician 1003154634 70377 Y
Thuy Huynh Telecare- Jeremy House LPT Nurse 1033485495 36454 Y
Shannan Taylor Telecare- Jeremy House LMFT Regional Director 1528074770 LMFT46081 Y
51 Telecare
Early
Intervention
Recovery
Services (TEIRS) Melissa Planas ` LCSW 1679807994 LCSW66499 Y
Holli Hoffman TEIRS DNP 1144380940 2005000091 Y
Oshalique Bass TEIRS PCCI Waived 1477811677 5490 Y
Tran tran TEIRS LVN 1477084671 VN 275938 Y
Jennifer Miles TEIRS MD 1275541641 G83528 Y
Shannan Taylor TEIRS LMFT 1528074770 LMFT46081 Y
52 TLC Child and Family Services- OUT OF COUNTY PROVIDER
53 Valley
Community
Counseling
Services (VCCS)
(Manteca) 9040 Muhammad Kamran VCCS Manteca 9040 Licensed 1811051337 C53847 Psychiatrist Y
Patricia Goodman VCCS Manteca 9040 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Manteca 9040 Clinician 1578734687 AMFT 80527 Y
Alisha Sweyd VCCS Manteca 9040 Clinician 1689059941 AMFT 96911 Y
Teresa Viles-Reed VCCS Manteca 9040 Clinician 1386762623 PhD PSY14848 Y
54 Valley
Community
Counseling
Services (VCCS)
(School Based
Program-
Stockton) 9042 Cynthia Aguilera VCCS Stockton 9042 Clinician 1003326182 AMFT 102123 Y
Melanie Almada VCCS Stockton 9042 Clinician 1912396532 AMFT 92167 Y
Arica Arucan VCCS Stockton 9042 Clinician 1215258280 LCSW 72691 Y
Megan Bassi VCCS Stockton 9042 Clinician 1669833885 AMFT 91956 Y
Manjit Belanger VCCS Stockton 9042 Clinician 1255780771 AMFT 100537 Y
Ana De Trinidad VCCS Stockton 9042 Clinician 1043501570 AMFT 95408 Y
Tiffany Drake VCCS Stockton 9042 Clinician 1417456617 AMFT 103265 Y
Sarah Gard VCCS Stockton 9042 Clinician 1477966265 LMFT 106055 Y
Patricia Goodman VCCS Stockton 9042 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Stockton 9042 Clinician 1578734687 AMFT 80527 Y
Alicia Jackson VCCS Stockton 9042 Clinician 1912386525 AMFT 93526 Y
Naomi Jimenez VCCS Stockton 9042 Clinician 1669927828 AMFT 80527 Y
Leonard Lippert VCCS Stockton 9042 Clinician 1154691137 AMFT 101758 Y
Sandra McBride VCCS Stockton 9042 Clinician 1033467030 AMFT 75525 Y
Monika Muy VCCS Stockton 9042 Clinician 1982008603 ACSW 67390 Y
Desiree Nease VCCS Stockton 9042 Clinician 1447703491 ACSW 71196 Y
Katelyn Nelson VCCS Stockton 9042 Clinician 1669998290 ACSW 77372 Y
Elaine Pike VCCS Stockton 9042 Clinician 1508875055 LMFT 45258 Y
Cristal Rodriguez VCCS Stockton 9042 Clinician 1760938740 AMFT 93861 Y
Reshma Roy VCCS Stockton 9042 Clinician 1073061784 ACSW 66474 Y
Belem Ruiz VCCS Stockton 9042 Clinician 1508380411 AMFT 100924 Y
Jenna Santoyo VCCS Stockton 9042 Clinician 1457584567 LCSW 29827 Y
Riah Skrinnik VCCS Stockton 9042 Clinician 1295275592 APCC 3532 Y
Kristyn Towers VCCS Stockton 9042 Clinician 1942671052 AMFT 89172 Y
Alexsandra Trejo VCCS Stockton 9042 Clinician 1750837985 AMFT 92738 Y
Vichra You VCCS Stockton 9042 Clinician 1013437714 AMFT 99071 Y
55 Valley
Community
Counseling
Services (VCCS)
(Tracy) 9041 Muhammad Kamran VCCS Tracy 9041 Licensed 1811051337 C53847 Psychiatrist Y
Rosemary Cervantes VCCS Tracy 9041 Clinician 1407299738 AMFT 72397 Y
Laura Strickland VCCS Tracy 9041 Clinician 1538354543 2012633 Y
Lani Westervelt VCCS Tracy 9041 Clinician 1629191366 LMFT 38654 Y
56 Victor
Community
Services and
Support
Stockton
(VCSS) 9063 Loiuse Cerna VCSS Stockton 9063 MFTI 1346794690 92730 - Marriage and Fmily Therapist Intern Y
Aziza Citi VCSS Stockton 9063 LMFT 1831510650 96329 - Licensed Marriage and Family Therapist Y
Melissa Colon VCSS Stockton 9063 MFTI 1871663351 77340 - Marriage and Family Therapist Intern Y
Itzia Cruz VCSS Stockton 9063 ACSW 1639533987 80056 - Associate Clinical Social Worker Y
Tracy Cutino VCSS Stockton 9063 LMFT 1740297902 47897 - Licensed Marriage and Family Therapist Y
Betia Dadkhah VCSS Stockton 9063 LMFT 1083709380 44160 - Licensed Marriage and Family Therapist Y
Mark Edelstein VCSS Stockton 9063 MD 1972516714 C41340 - Physician amp Surgeon Y
Sharee Esparza VCSS Stockton 9063 MFTI 1982145504 102079 - Marriage and Family Therapist Intern Y
Tanner Hickman VCSS Stockton 9063 ACSW 1194272146 78099 - Associate Clinical Social Worker Y
Courtney Ivy VCSS Stockton 9063 MFTI 1679959217 71048 - Marriage and Family Therapist Intern Y
Giana Kooger VCSS Stockton 9063 LMFT 1720318132 86206 - Licensed Marriage and Family Therapist Y
Sheree Lozano VCSS Stockton 9063 MFTI 1538523501 88637 - Marriage and Family Therapist Intern Y
Christina Lopez VCSS Stockton 9063 MFTI 1265705727 102443 - Marriage and Family Therapist Intern Y
Koryn Marshall VCSS Stockton 9063 LMFT 1962881870 86263 - Licensed Marriage and Family Therapist Y
Adrianna Martinez VCSS Stockton 9063 MFTI 1851831242 107761 - Marriage and Family Therapist Intern Y
Laura Rodriguez VCSS Stockton 9063 ACSW 1316498892 78113 - Associate Clinical Social Worker Y
Jacquelyn Seefeldt VCSS Stockton 9063 MFTI 1124250204 74064 - Marriage and Family Therapist Intern Y
Heather Taylor VCSS Stockton 9063 LMFT 1265514251 44021 - Licensed Marriage and Family Therapist Y
Palei Triguero VCSS Stockton 9063 MFTI 1871994285 86335 - Marriage and Family Therapist Intern Y
Wendy True VCSS Stockton 9063 LMFT 1750476438 44262 - Licensed Marriage and Family Therapist Y
Jennifer Tutt VCSS Stockton 9063 LCSW 1316134091 27530 - Licensed Clinical Social Worker Y
Sarah Voss VCSS Stockton 9063 LMFT 1275602914 51406 - Licensed Marriage and Family Therapist Y
Michelle Zuckerman VCSS Stockton 9063 LMFT 1891948691 84298 - Licensed Marriage and Family Therapist Y
57 Victor Treatment Center - Santa Rosa- OUT OF COUNTY PROVIDER
58 Victor Youth Services (North Valley Schools)- OUT OF COUNTY PROVIDER
59 Womens Center- Family and Youth Services httpswwwwomenscenteryfsorgindexphpget-helptherapy-services
CONTRACT PSYCHIATRIC HOSPITALS
60 BHC Heritage Oaks Hospital - Out of County Hospital
61 BHC Sierra Vista Hospital - Out of County Hospital
62 St Helena Hospital Center for Behavioral Health - Out of County Hospital
63 John Muir Behavioral Health Center - Out of County Hospital
64 Sutter Center for Psychiatry - Out of County Hospital
65 Fremont Hospital - Alka Aneja Fremont Hospital ChildAdolescent MD 1619031317 A112029BA9881017 Y
Harmohinder Athwal Fremont Hospital ChildAdolescent MD 1740298256 A81841BA8179473 Y
Kamaljeet Boora Fremont Hospital Psychiatry MD 1356587711 102846FB0978823 N
Vikas Duvvuri Fremont Hospital EDO MD 1255470480 A99706FD0242064 Y
Trevor Fooks Fremont Hospital Psychiatry MD 1730267535 G63964BF1543695 Y
Ravinder Kahlon Fremont Hospital NeuroPsych MD 1386741320 A50823BK2018934 N
Vasdeep Kahlon Fremont Hospital Psychiatry MD 1497852446 A51243BK2742535 N
Padmavathi Kudaravalli Fremont Hospital Internal Medicine MD 1144221953 A67964BK6574974 Y
Pradeep Kumar Fremont Hospital Psychiatry MD 1023188935 A52032BK4202177 N
Deepak Kumar Fremont Hospital Psychiatry MD 1306257910 A130068FK4574299 Y
Sudha Manjunath Fremont Hospital ChildAdolescent MD 1801826797 A87131BM8982818 Y
Syed Munir Fremont Hospital ChildAdolescent MD 1790718815 C55029BM3999553 Y
Nanda Nayak Fremont Hospital Psychiatry MD 1477656262 A43182BN0687597 N
Falguni Patel Fremont Hospital ChildAdolescent MD 1548414337 A105594FP1152949 Y
Surender Punia Fremont Hospital Psychiatry MD 1376589663 A77004BP6477497 Y
Divya Reddy Fremont Hospital Psychiatry MD 1518120211 A103547FR1100306 Y
Devindar Singh Fremont Hospital Internal Medicine MD 1447294624 A48148BS2303422 N
Sunpreet Singh Fremont Hospital Psychiatry MD 1326464462 A132932FS5027087 Y
Bhupinder Waraich Fremont Hospital Psychiatry MD 1689869547 A53968BW4473346 Y
Jaap Kaur Waraich Fremont Hospital Psychiatry MD 1316132285 G67904BW2368391 Y
Nicholas Phillips Fremont Hospital Family Medicine MD 1255727293 A153125FP7288841 N
Harleen Dyal Fremont Hospital Family Medicine MD 1225424327 A153255FD7288839 N
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake Unit-Referrals to Licensed Staff
67 Chemical
Dependency
Counseling
Center ( CDCC) Tyler Moran Chemical Dependency Counseling Center 390002DNAMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Chemical Dependency Counseling Center 390002DNMFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Chemical Dependency Counseling Center 390002DNPsychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Chemical Dependency Counseling Center 390002DNPsychiatrist 1710094057 A72805 Y
68 Alcohol amp Drug Alternative Program (ADAP)-Referrals to Licensed Staff
69 Family Ties Tyler Moran Family Ties 390002EN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Family Ties 390002EN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Family Ties 390002EN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Family Ties 390002EN Psychiatrist 1710094057 A72805 Y
70 Recovery
House Tyler Moran Recovery House 390002AN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Recovery House 390002AN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Recovery House 390002AN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Recovery House 390002AN Psychiatrist 1710094057 A72805 Y
71 Adolescent Co- Occurring Treatment Program (ACT) Childrens Behavioral Health Services- Referrals to Licensed Staff
72 Prevention Services- Referrals to Licensed Staff
NARCOTIC TREATMENT PROGRAMSMEDICATION ASSISTED TREATMENT
73 Aegis
Treatment
Center Dr Randall Paul Aegis Treatment Center Medical License 1912061045 A26361 Y
Linda Beccerra Aegis Treatment Center Vocation Nurse VN 183039 Y
Dora Berry Aegis Treatment Center Vocation Nurse VN 689493 Y
Jeannette Carter-Camp Aegis Treatment Center Vocation Nurse 1740480342 NP 7506 Y
Francisca Marquez Aegis Treatment Center Vocation Nurse VN 287402 Y
74 5th Street
Medical Clinic
Stockton Dr Michael Fox 5th Street Medical Clinic Medical License 1212069758 G53561 Y
Melissa Whitworth 5th Street Medical Clinic Vocation Nurse RN 541037 Y
Divina Palafox 5th Street Medical Clinic Vocation Nurse 1912061995 VN 17300 Y
Divna Lu 5th Street Medical Clinic Vocation Nurse VN 183039 Y
Jeannette Carter-Camp 5th Street Medical Clinic Vocation Nurse 1740480342 NP 7506 Y
75 Aegis
Treatment
CenterHealthy
Connections
(California St)
Stockton Dr Michael Fox Aegis Treatment CenterHealthy ConnectionsMedical License 1212069758 G53561 Y
Melissa Whitworth Aegis Treatment CenterHealthy ConnectionsVocation Nurse RN 541037 Y
Dr Brian Talleur Aegis Treatment CenterHealthy ConnectionsMedical License 1659791101 A154190 Y
Alvin Goat Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 20473 Y
Crystal August Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 695962 Y
Rosenah Durago Aegis Treatment CenterHealthy ConnectionsVocation Nurse 1841629185 VN 235553 Y
Maria Garsuta Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 235825 Y
76 Healthy
Connections
Lodi Clinic Melissa Whitworth Healthy Connections Lodi Clinic Vocation Nurse RN 541037 Y
Dr Brian Talleur Healthy Connections Lodi Clinic Medical License 1659791101 A154190 Y
Angeles Alfaro Healthy Connections Lodi Clinic Vocation Nurse 1649669979 VN 689129 Y
John Campos Healthy Connections Lodi Clinic Vocation Nurse 1407192297 VN 260740 Y
Prabhjot Kaur Healthy Connections Lodi Clinic Vocation Nurse VN 698775 Y
Meenal Prasad Healthy Connections Lodi Clinic Vocation Nurse 1114407368 VN 287331 Y
77 Manteca
Healthy
Connections Dr Michael Fox Manteca Healthy Connections Medical License 1212069758 G53561 Y
Melissa Whitworth Manteca Healthy Connections Vocation Nurse RN 541037 Y
Dr Randall Paul Manteca Healthy Connections Medical License 1912061045 A26361 Y
Mary Jane Davis Manteca Healthy Connections Vocation Nurse 1861822744 VN 72342 Y
Christine Falcon Manteca Healthy Connections Vocation Nurse VN 175628 YDourine Iqiel Manteca Healthy Connections Vocation Nurse 1477008506 VN281162 YRebecca Mohr Manteca Healthy Connections Psyciatric Technician LPT 26531 Y
78 MedMark Treatment Center httpsmedmarkcommedmark-treatment-centers-stockton
LANGUAGE ASSISTANCE
English
ATTENTION If you speak another language language assistance services free of charge are available to you Call 1-888-468-9370 (TTY 1-866-735-2922 )ATTENTION Auxiliary aids and services including but not limited to large print documents and alternative formats are available to you free of charge upon request Call 1-888-468-9370
Espantildeol (Spanish)
ATENCIOacuteN Si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-888-468-9370 (TTY 1-866-735-2922 )
Tiếng Việt (Vietnamese)
CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-888-468-9370 (TTY 1-866-735-2922 )
Services may be delivered by an individual provider or a team of providers who is working under the direction of a licensed practitioner operating within their scope of practice Only licensed
waivered or registered mental health providers and licensed substance use disorder services providers are listed on the Plans provider directory
Tagalog (Tagalog Filipino)
PAUNAWA Kung nagsasalita ka ng Tagalog maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-888-468-9370 (TTY 1-866-735-2922 )한국어 (Korean)주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수 있습니다 1-888-468-9370 (TTY 1-866-735-2922 ) 번으로 전화해 주십시오繁體中文繁體中文繁體中文繁體中文(Chinese)注意如果您使用繁體中文您可以免費獲得語言援助服務請致電1-888-468-9370 (TTY 1-866-735-2922 )ՀայերենՀայերենՀայերենՀայերեն (Armenian)
ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ Զանգահարեք 1-888-468-9370 (TTY 1-866-735-2
Русский (Russian)
ВНИМАНИЕ Если вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-888-468-9370 (TTY 1-866-735-2922 )
(Farsi) فارسیتوجه اگر به زبان فارسی گفتگو می کنيد تسهيلات زبانی بصورت رايگان برای شما
日本語日本語日本語日本語 (Japanese)注意事項日本語を話される場合無料の言語支援をご利用いただけます1-888-468-9370فراهم می باشد با 1 (TTY 1-866-735-2922 ) までお電話にてご連絡くださいHmoob (Hmong)
LUS CEEV Yog tias koj hais lus Hmoob cov kev pab txog lus muaj kev pab dawb rau koj Hu rau 1-888-468-9370 (TTY 1-866-735-2922 )
ਪਜਾਬੀ (Punjabi)
ਿਧਆਨ ਿਦਓ ਜ ਤਸੀ ਪਜਾਬੀ ਬਲਦ ਹ ਤਾ ਭਾਸ਼ਾ ਿਵਚ ਸਹਾਇਤਾ ਸਵਾ ਤਹਾਡ ਲਈ ਮਫਤ ਉਪਲਬਧ ਹ 1-888-468-9370 (TTY 1-866-735-2922) ਤ ਕਾਲ ਕਰ
(Arabic) العربيةملحوظة إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغوية تتوافر لك بالمجان
हिदी (Hindi)
द यदि आप हिदी बोलत ह तो आपक लिए मफत म भाषा सहायता सवाए उपलबध ह [1-888-468-9370 (TTY 1-866-735-2922) पर कॉल कर
ภาษาไทย (Thai)
เรยน ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร 1-888-468-9370 (TTY 1-866-735-2922) धयान
ែខរ (Cambodian)
បយត ររ េស នអកនយ ែខ រសជនយមននក េយមនគត នគចនស ររ អេ នក ច ទ សព+1-888-468-9370 (TTY 1-866-735-2922)
ພາສາລາວ (Lao)
ໂປດຊາບ ຖາວາ ທານເວາພາສາ ລາວ ການບລການຊວຍເຫອດານພາສາໂດຍບເສຽຄາ ແມນມພອມໃຫທານ ໂທຣ 1-888-468-9370 (TTY 1-866-735-2922)
- 18-Font English Medi-Cal Provider Directory(Word Doc) 12-2018 English
- Medi-Cal Directory Provider Staff Listing 18 font English 12-2018
-
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 2 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
2Children and
Youth Services
Stockton Clinic
(CYS)
3915
1414 N California
Street
Stockton CA
95202
(209) 468-2385
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Children
and
Youth
Spanish
Russian
Ukran-
ian
Hindi
Urdu
Comprehensive
mental health services
for children youth
and their families
living in Central
County area Services
include individual and
group therapy case
management
psychiatric
assessment and
medication support
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 3 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
3Children and
Youth Services -
Foster Youth Full
Service Partnership
(MHSA)
9096
1414 N California
Street
Stockton CA
95202
(209) 468-2385
httpswwwsjg
ovorgmhs
M-F 8 am- 5 pm
Children
and
Youth
Spanish
Tagalog
Urdu
Punjabi
Hindi
Mental Health
Services Act (MHSA)
program focused on
children and youth in
the Foster Care
system
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 4 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
4Children and
Youth Services -
Juvenile Justice Full
Service Partnership
(MHSA)
9095
1414 N California
Street
Stockton CA
95202
(209) 468-2385
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Children
and
Youth
Cambo-
dian
Spanish
Hmong
Mental Health
Services Act
program focused on
children and youth in
the Juvenile Justice
system
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 5 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
5Community
Adult Treatment
Services (CATS -
Teams A B C and
D)
9069
1212 N California
Street
Stockton CA
95202
(209) 468-8842
(209) 468-8862
(209) 468-8881
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Canton-
ese
Tagalog
Comprehensive
Mental Health
Services for adults
(18
60) Services
include psychiatric
assessment
medication support
group individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 6 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
6Community
Corrections
Partnership
9039AP
1212 N California
Street
Stockton CA
95202
(209) 468-9373
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Serve clients under
AB-109
community
supervision with
Probation to reduce
recidivism
promote wellness
and
recovery and
increase safety for
our community
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 7 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
7Crisis
Community
Response Team
(CCRT)
9088
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
Crisis
Community
Response Team
(CCRT)Mobile
Crisis Support
Team (MCST)
12-830 pm
7 days a week
Adult
Children
Youth
Older
Adult
Spanish
Mobile multi-
disciplinary crisis
team for community
adult mental health
outreach early
intervention and
joint field response
with law
enforcement for
crisis 5150 detention
evaluations
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 8 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
8Crisis
Intervention
Services
9011
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
24 hours
Adult
Children
Youth
Older
Adult
Spanish
24-Hour evaluation
services including
assessment for
psychiatric
emergencies crisis
counseling
outpatient and
community referrals
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
9Crisis
Stabilization
Units (CSU)
9032
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
24 hours
Adult
Adol-
escents
Older
Adult
Spanish
Cambo-
dian
Vietna-
mese
23-Hour psychiatric
assessment and
stabilization unit
Resources and
Referrals are
provided during
admission
Crisis Stabilization UC
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 9 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
10Forensic Court
Full Service
Partnership
(MHSA)
9091
1212 N California
Street Stockton CA
95202
(209) 468-8786
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Provides
comprehensive
psychiatric and
integrative services
to address the needs
of Mentally Ill
Offenders
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 10 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
11Gaining Older
Adult Life Skills
(GOALS) Full
Service Partnership
(MHSA)
9093
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Full Service
Partnership with the
emphasis on outreach
to the underserved
older adult
population ages
(60+)
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 11 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
12InSPIRE
(MHSA)
39AN
1212 N California
Street
Stockton CA
95202
(209) 468-8880
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Cambo-
dian Viet-
namese
MHSA innovation
component
providing learning
community
opportunities to
specialized cohorts
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 12 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
13La Familia
Clinic Full
Service
Partnership
(MHSA)
9092
1149 N El Dorado
Street
Stockton CA
95202
(209) 468-2335
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
Latino
out-
reach
and
access
Spanish
Psychiatric
assessment case
management
medication support
individual and group
therapy with a
special emphasis on
serving Spanish-
speaking persons
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
14Mary Graham
Childrens Shelter
9008
6861 Mary Graham
Lane
French Camp CA
95231
(209) 468-6966
httpwww
marygrahamfou
ndationorg
24 Hours
Children
and
Youth
Provides outpatient
mental health
services to residents
of Mary Graham
Childrens Shelter
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
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Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services)
Include-
ing ASL
YesNo YesNo YesNo
15MHSA TAY
FSP
39B1
1212 N California
Street Stockton
CA 95202
(209) 468-8862
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adults
Full service
partnership providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
16Older Adult
Services (OAS)
3980
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Cambo-
dian Viet-
namese
Comprehensive
Behavioral Health
Services for older
adults (60+) provided
by a multidisciplinary
team Services
include psychiatric
assessment
medication
support group
individual therapy
and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Website
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services
Includin
g ASL
YesNo YesNo YesNo
17 Peterson
Hall
9009
535 W Matthews
Rd French Camp
CA 95231
(209) 468-4240
hiipswwwsjg
ovorgmhs
M-F 8 am- 8
pm SatSun 10-
7 pm
Children
and
Youth
Cambo-
dian
Spanish
Provides outpatient
mental health services
to youth detained at
Peterson Hall
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
18Psychiatric
Health
Facility (PHF)
3976
1212 N California
Street Stockton
CA 95202
(209) 468-8686
httpswwwsjg
ovorgmhs 24
hours
Adult Spanish
24-hour inpatient
hospitalization
services
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
19San Joaquin
County MH
Services Lodi Clinic
3924
1209 W Tokay
Street
Suites 1 3 5 7 9
12 14 and 16
Lodi CA 95240
(209) 331-2070
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Children
Youth
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
North
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
20San Joaquin
County MH
Services Tracy
Clinic
9048
220 W Eleventh
Street
Tracy CA 95376
(209) 831-5941
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
South
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Provider Numbers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
21SJC-MHS
CYS Katie A
Services
9020
333 E Washington
Street
Stockton CA
95202
(209) 468-1547
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Children
and
Youth
Spanish
Hmong
Japanese
Provides in-home
and in-community
outpatient mental
health services to
WampI Code 300
dependent SJC
children
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 20 of 66
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition to
free Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
22Transcultural
Clinic
(TCC) - full range
of specialty mental
health services and
intensive case
management
program
9014
4422 N Pershing
Ave
Suites D1-D4
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available
in Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 21 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
23Southeast
Asian Recovery
Services (SEARS)
for the Southeast
Asian population-
Full Service
Partnership
(MHSA)
9094
4422 N Pershing
Avenue Suite D2
D3 D4 D5 D6
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available in
Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
CONTRACT ORGANIZATIONAL PROVIDERS
24Anka Lodi (was
Mourfield House)
9075
458 Almond Drive
Lodi CA 95240
(209) 982-4697
wwwankabhior
g M-F 8am-5pm
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 22 of 66
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
25ASPIRAnet
39AR
6 S El Dorado
Street Suite 510
Stockton CA
95202
(209) 478-9862
wwwaspiranet
Org
M-F 8 am- 5
pm
Children
and
Youth
Provides
Therapeutic
Behavioral Services
(TBS) and crisis
stabilization services
as an alternative to
psychiatric
hospitalization
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
26Bright House
9047
8210 Bright Road
French Camp CA
95231
(209) 982-1235
wwwankabhior
g 24 hours
Adult
Adult Transitional
Residential
Treatment Program
Medication Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
27Casa Pacifica
39AB
1722 S Lewis Road
Camarrillo CA
93012
(805) 981-1422
wwwcaspacific
aorg
M-F 8 am- 6 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
28CBIS
(University of the
Pacific)
39A1
405 E Pine Street
Stockton CA
95204
(209) 476-1959
wwwcommunit
yre-
entryprogramco
m M-F 8am-430
pm
Adult
Spanish
Behavioral
Intervention Services
Mental Health Services
Intensive Home Based
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
29Chamberlains
Children Center
Inc
39B4
1850 San Benito
Street
Hollister CA
95023
(831) 636-2121
wwwchamberla
inccorg
M-F 8 am- 5 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
30Charis Youth
Center
9057
714 W Main Street
Grass Valley CA
95945
(530) 477-9800
wwwcharisyout
hcenterorg
M-F 830 am-
430 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
31Child Abuse
Prevention Council
39A8
540 N California
Street
Stockton CA
95202
(209) 644-5311
wwwnochildab
useorg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health services
utilizing
strengthening family
approach
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
32Community
Re- Entry
Program (CRP)
9044
405 E Pine Street
Stockton CA
95204
(209) 946-2132
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
independent living
skills training and
rehabilitation
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
33Crestwood
Solano
(PHF)
39A8
2201 Tuolumne
Street Suite B
Vallejo CA 94589
(707) 558-1777
wwwcrestwood
behavioralhealth
com
24
hours
Adult
24-hour
inpatient
hospitalization
services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
34Crittenton
Services For
Children And
Families
39B3
100 E Valley View
Drive Fullerton CA
92832
(714) 680-8268
wwwcrittentons
ocalorg
M-F 830 am- 5
pm
Children
and
Youth
Residential
facility providing
mental health
treatment to youth
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS)
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
35Edgewood
Center for
Children and
Families
39AV
1801 Vincente
Street San
Francisco CA
94116
(415) 681-3211
wwwedgewood
org
24
Hrs
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 30 of 66
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Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
36Fred Finch
Youth
Center
39AY
3800 Coolidge
AvenueOakland
CA 94602
(510) 482-2244
wwwfredfinch
Org
M-F 830 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
37Grant House
9064
1117 S Grant
Street Stockton
CA 95206
(209) 461-6500
wwwankabhior
g 24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
38Latino
Behavioral Health
and Recovery
Services
9067
445 N San Joaquin
Street
Stockton CA
95202
(209) 444-8910
wwwelconcilio
Org
M-F 8 am- 5 pm
Adult
Spanish
Provides Culturally
Competent
Services to Latinos
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
39Martin Gipson
Socialization Center
9043
405 E Pine Street
Stockton CA
95204
(209) 464-5519
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
socialization
vocational and
educational
opportunities for
Adult Mentally
ill consumers
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 33 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
40Mountain
Valley Child and
Family Services
Inc
9039
24077 Highway 49
Nevada City CA
95959
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Therapeutic
Behavioral Services
(TBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 34 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
41Mountain
Valley Child and
Family Services
Inc
39A4
7818 Bar Du Lane
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 35 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
42Mountain
Valley Child and
Family Services
Inc
39A3
6171 Bradshaw Rd
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 36 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
43Mountain
Valley Child and
Family Services
Inc
39A2
9200 Sweet Acacia
Way Sacramento
CA 95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 37 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
44Phoenix House
of
Los Angeles Inc
39B6
1600 Eldrige
Avenue Lake View
Terrace CA 91342
(818) 686-3000
wwwphoenixho
useorg
M-F 8 am- 530
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 38 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
45Rebekah
Childrenrsquos
Home
39AU
290 IOOF Avenue
Gilroy CA 95020
(408) 846-2100
wwwrcskidsor
g
M-F 8 am- 530
pm
Children
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 39 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
46Sacramento
Childrens Home
9076
2750 Sutterville
Road Sacramento
CA 95820
(916) 452-3981
wwwkidshome
Org
M-F 830 am - 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 40 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
47San Gabriel
Childrens Center
Out Patient
39B7
4740 N Grand
Avenue Covina CA
91724
(626) 859-2089
wwwsangabriel
childcom
M-F 8 am- 5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 41 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
48Star View
Adolescent Center
OP
39BB
4025 West 226th
Street
Torrance CA
90505
(310)373-4556
wwwstarsincco
m 24 hours
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 42 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
49Summitview
Child Treatment
Center
9061
670 Placerville Dr
2 Placerville CA
95667
(530) 644-2412
wwwsummitvie
wtreatmentorg
M-F 8 am-5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 43 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
50Telecare (aka
Jeremy House)
39AX
5634 Jeremy Way
Stockton CA
95212
(209) 888-4969
wwwtelecareco
rpcom
24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
51Telecare Early
Intervention
Recovery Services
(TEIRS)
39B2
4545 Georgetown
Place Suite A3
Stockton CA
95207
(209) 715-3754
wwwtelecareco
rpcom
M-F 8 am- 5 pm
Adult
Spanish
Provides outpatient
mental health services
for children and
adults
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 44 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
52TLC Child and
Family Services
39A9
1800 Gravenstein
Hwy North Suite A
Sebastopol CA
95472
(707) 823-7300
httpwwwtlc4
kidsorg
M-F 8 am- 430
pm
Children
and
Youth
Community-based
program
providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 45 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
53Valley
Community
Counseling Services
(VCCS) (Manteca)
9040
129 E Center
Street Suite 3
Manteca CA
95336
(209) 239-5553
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health
services for children
and youth in South
County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 46 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
54Valley
Community
Counseling Services
(VCCS) (School
Based Program -
Stockton)
9042
6707 Embarcadero
Drive Suite A
Stockton CA
95219
(209) 956-4240
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Outpatient mental
health services
provided at various
schools in
Stockton Manteca
and Lodi
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 47 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
55Valley
Community
Counseling Services
(VCCS) (Tracy)
9041
19 East 6th Street
Tracy CA 95378
(209) 835-8583
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health services
for children and youth
in South County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 48 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
56Victor
Community
Services and
Support Stockton
(VCSS)
9063
2495 W March
Lane Suite 125
Stockton CA
25207
(209) 465-1080
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services in-home and
in community
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 49 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
57Victor
Treatment
Center - Santa Rosa
9083
3164 Condo Court
Santa Rosa CA
95403
(707) 523-2334
wwwvictororg
M-F 810 am- 4
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 50 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
58Victor
Youth Services
(North Valley
Schools)
39AC
855 Canyon Road
Redding CA
96001
(530) 378-1855
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 51 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
59Womens
Center- Family
and Youth
Services
39B6
729 N California
Street Stockton
CA 95202
(209) 929-6700
wwwwomensce
nteryfsorg
M-F 830 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
CONTRACT PSYCHIATRIC HOSPITALS
60BHC Heritage
Oaks
Hospital
4250 Auburn
Boulevard
(916) 489-3336
wwwheritageoa
kshospitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 52 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
61BHC Sierra
Vista
Hospital
8001 Bruceville
Road
(916) 423-2000
wwwsierravista
hospitalcom
24 hours
All ages
Yes
Yes
Yes
62St Helena
Hospital Center for
Behavioral Health
525 Oregon Street
(707) 648-2200
wwwadventisth
ealthorg
24 hours
All ages
Yes
Yes
Yes
63John Muir
Behavioral Health
Center
2740 Grant Street
(925) 680-6500
wwwjohnmuirh
ealthcom
24 hours
All ages
Yes
Yes
Yes
64Sutter Center for
Psychiatry
7700 Folsom
Boulevard
(916) 388-3045
wwwsuttermedi
calcenterorg
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 53 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
65Fremont
Hospital
39001 Sundale
Drive
(510) 796-1100
wwwfremontho
spitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 54 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake
Unit
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-9600
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Substance Use Disorder
Assessment for
Outpatient amp Inpatient
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 55 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
67 Chemical
Dependency
Counseling Center
(CDCC)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-3720
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Youth
Adult
Perinatal
Spanish
Mon Wed and Fri
8am-5pm
Closed Holidays
Outpatient Treatment
Perinatal Component
Intensive Outpatient
Youth Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 56 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
68 Alcohol amp Drug
Alternative Program
(ADAP)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-6840
Fax (209)468-
8640
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon Wed and Fri
8am-5pm
Tue And Thur
8am-7pm
Closed Holidays
Outpatient Court
Monitoring Education
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 57 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
69 Family Ties
500 W Hospital Rd
French Camp CA
95231
(209) 468-6208
Fax (209)468-
7032
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Adult
Perinatal
Spanish
24 Hour Services
Inpatient Treatment
Perinatal Component
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 58 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
70 Recovery House
500 W Hospital Rd
French Camp CA
95231
(209) 468-6857
Fax (209)468-
6739
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
24 Hour Services
Inpatient Treatment
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 59 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
71 Adolescent Co-
Occurring Treatment
Program (ACT)
Childrens Behavioral
Health Services
1414 N California
St 2nd Floor
Stockton CA 95202
(209) 468-2385
Fax (209)468-
8024
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Individual amp group
counseling and
education in conjunction
with the adolescentrsquos
mental health services a
partnership with Mental
Health Services and
Substance Abuse
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 60 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
72 Prevention
Services
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-2005
Fax (209)468-
2251
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Youth Services Parenting
Students In Prevention
(SIP)
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 61 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
73 Aegis
Treatment Center
8626 N Lower
Sacramento Road
Suite 41 Stockton
CA 95209
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1230pm
Sat Sun and
Holidays
6am-1030am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 62 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
74 5th Street
Medical Clinic
Stockton
1839 S El Dorado
St Stockton CA
95206
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 63 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
75 Aegis
Treatment Center
Healthy Connections
(California St)
Stockton
1947 N California
St Suites B and C
Stockton CA 95210
(209) 463-0870
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 64 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
76 Healthy
Connections Lodi
Clinic
441 South Ham
Lane Suite A
Lodi CA 95242
(209) 224-8490
httpsaegistreat
mentcenterscom
clinicaegis-
lodi-california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
7am-12 noon
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 65 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
77 Manteca
Healthy Connections
Center Street
955 W Center St
Suites 12A amp 14
Manteca CA 95337
(209) 239-9600
httpsaegistreat
mentcenterscom
clinicaegis-
manteca-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
8am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 66 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
78 MedMark
Treatment Center
1111 N El Dorado
St Stockton CA
95202
(209) 938-0228
httpmedmark
commedmark-
treatment-
centers-
stockton
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
Provider Name Facility NameID
Type of Practioner (licensed
amp Waivered)
National
Provider
Identifier
number California license number type of license
Cultu
ral
Comp
etenc
e
Traini
ng
(YN)1 Black
Awaremenss
Community
Outreach
ProgramMulti
cultural
Services Amarpreet Singh BHS BACOPMC Psychiatrist (Locum) 1235182916 Physician and Surgeon N
Aravind Pai BHS BACOPMC Psychiatrist (Locum) 1629076088 Physician and Surgeon A30319 N
Donna Bickham BHS BACOPMC Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Donnelle Tamayo BHS BACOPMC Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS BACOPMC Staff Nurse III 1104375724 Registered Nurse 723203 Y
Kathleen Wilson-Parish BHS BACOPMC Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS BACOPMC MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Nancy Nelson BHS BACOPMC Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Paul Wallace BHS BACOPMC Chief Psychiatric Tech 1114044799 Licensed Psychiatric Technician PT26296 Y
Quynh-Chi Nguyen BHS BACOPMC Staff Nurse III 1417371014 Registered Nurse 845080 Y
Scott Harrison BHS BACOPMC Clinician II 1518089317 Marriage and Family Therapist Intern IMF75861 Y
Shirley Hollowell BHS BACOPMC Registered Nurse 1124143474 Registered Nurse 352081 Y
2 Children and
Youth Services
Stockton Clinic Ganiya (Iyabo) Adediran
Childrens and Youth Services- Stockton
3915 Waivered 1881148690 81666 AMFT Y
Provider Staff Listing
Benjamin Alban
Childrens and Youth Services- Stockton
3915 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Stockton
3915 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Stockton
3915 Licensed 1821294455 105923 Psychiatrist Y
Valentin Avramov
Childrens and Youth Services- Stockton
3915 Licensed 1053488767 109609 Psychiatrist Y
Kristina Birch
Childrens and Youth Services- Stockton
3915 Waivered 1366874844 1809 APCC Y
Linda Brett
Childrens and Youth Services- Stockton
3915 Licensed 1295853299 523914 RN Y
Donna Cassettari
Childrens and Youth Services- Stockton
3915 Licensed 1497887699 43173 LMFT Y
Renessa Castaneda-Jensen
Childrens and Youth Services- Stockton
3915 Licensed 1376664862 81528 LMFT Y
Jacqueline Coulter
Childrens and Youth Services- Stockton
3915 Licensed 1720184765 41366LMFT Y
Courtney Flores
Childrens and Youth Services- Stockton
3915 Licensed 1851437735 29811 LCSQW Y
Maria Garcia
Childrens and Youth Services- Stockton
3915 Licensed 1235400557 80425 LCSW Y
Ikesha Goodwin
Childrens and Youth Services- Stockton
3915 Waivered 1104279728 101632 IMF Y
Kelsey Guidicatti
Childrens and Youth Services- Stockton
3915 Waivered 1245783687 93458 AMFT Y
Antonio Gutierrez
Childrens and Youth Services- Stockton
3915 Licensed 1023473469 71535 LCSW Y
Victoria Hall
Childrens and Youth Services- Stockton
3915 Licensed 1437464179 91065 LMFT Y
Nicole Hodgson
Childrens and Youth Services- Stockton
3915 Licensed 1962727792 85491 LMFT Y
Hudson Mark Hudson
Childrens and Youth Services- Stockton
3915 Licensed 1528190725 78609 LMFT Y
Shadai Lescale Huante
Childrens and Youth Services- Stockton
3915 Waivered 1528340320 59764 ACSW Y
Genevieve Lisenbey
Childrens and Youth Services- Stockton
3915 Waivered 1265698104 80465 AMFT Y
Sharon Lizotte
Childrens and Youth Services- Stockton
3915 Waivered 1851820708 101863 AMFT Y
Angie Nicholas
Childrens and Youth Services- Stockton
3915 Licensed 1679713796 52080 LMFT Y
Shiella Pablico
Childrens and Youth Services- Stockton
3915 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Sheilena Payne
Childrens and Youth Services- Stockton
3915 Licensed 1336437656 94571 LMFT N
Timothy Quinn
Childrens and Youth Services- Stockton
3915 Waivered 1316322381 79556 Marriage amp Family Therapist Intern Y
Joann Rihad
Childrens and Youth Services- Stockton
3915 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet
Childrens and Youth Services- Stockton
3915 Licensed 1366468555 C53401 Psychiatrist Y
Jacqueline Salgado
Childrens and Youth Services- Stockton
3915 Licensed 1043661903 95452 Marriage amp Family Therapist Y
Kristen Schneider
Childrens and Youth Services- Stockton
3915 Waivered 1578963591 72071 ACSW Y
Carla Simien
Childrens and Youth Services- Stockton
3915 Licensed 1629564000 40771 Licensed Psychiatric Technician N
Tamra Smith
Childrens and Youth Services- Stockton
3915 Licensed 1336267608 76975 LCSW Y
Maribel Vargas
Childrens and Youth Services- Stockton
3915 Waivered 1821247149 35622 ACSW Y
J Watkins
Childrens and Youth Services- Stockton
3915 Licensed 1043797871 4200 LPCC Y
Tamara Weber
Childrens and Youth Services- Stockton
3915 Licensed 1992101497 105926 LMFT Y
Amanda Yocham
Childrens and Youth Services- Stockton
3915 Licensed 1326103516 79068 LMFT Y
Nikki Young
Childrens and Youth Services- Stockton
3915 Waivered 1841692159 88891 AMFT Y
3 Children and
Youth Services-
Foster Youth
Full Service
Partnership Benjamin Alban
Childrens and Youth Services- Foster
Youth 9096 Licensed 1932227295 26094 LCSW Y
Maria Garcia
Childrens and Youth Services- Foster
Youth 9096 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Foster
Youth 9096 Licensed 1023473469 71535 LCSW Y
4 Children and
Youth Services-
Juvenile Justice
Full Srvice
Partnership Benjamin Alban
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1821294455 105923 Psychiatrist Y
Maria Garcia
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1023473469 71535 LCSW Y
Shabneet Hira Brar
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1851598452 A112447 Psychiatrist Y
Sheilena Payne
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1336437656 94571 LMFT N
5 Community
Adult
Treatment
Services Amanda Hurlock CATS OUTPATIENT 1836 Waivered 1205369899 AMFT 100834 Y
Adeline Mendez CATS OUTPATIENT 1836 Licensed 1255453353 PT 25868 Y
Anna Perez Testo CATS OUTPATIENT 1836 Licensed 1740309889 LMFT 52444 Y
Angelo Pasa CATS OUTPATIENT 1836 Licensed 1689874125 RN 691250 Y
Beverly Thompson CATS OUTPATIENT 1836 Waivered 1528311230 ACSW 70671 Y
Carolyn Walters CATS OUTPATIENT 1836 Licensed 1891815155 LMFT 43069 Y
Debra Baker CATS OUTPATIENT 1836 Waivered 1740610229 AMFT 95836 Y
Eloisa Velasco CATS OUTPATIENT 1836 Licensed 1740797976 PT 40651 Y
Francisco Arreola CATS OUTPATIENT 1836 waivered 1417359027 AMF 87821 Y
Heidi McHenry CATS OUTPATIENT 1836 Licensed 1861763294 PT 35949 Y
Helen Sprague CATS OUTPATIENT 1836 Waivered 1710325642 AMFT 75120 Y
Jane Sanchez CATS OUTPATIENT 1836 Licensed 1346406824 LMFT 50808 Y
Jannelle Heard CATS OUTPATIENT 1836 Waivered 1467813568 AMFT 95836 Y
Kara Herrick CATS OUTPATIENT 1836 Licensed 1518191659 LMFT 43283 Y
Keith Amador CATS OUTPATIENT 1836 Licensed 1891127403 LMFT 102725 Y
Cynthia Morishige CATS OUTPATIENT 1836 Licensed 1649396045 LCSW 13592 Y
Remedios Wallace CATS OUTPATIENT 1836 Licensed 1639294341 PT 24227 Y
Luis Garcia CATS OUTPATIENT 1836 Licensed 1346599677 LMFT 10398 Y
Maria Ayala CATS OUTPATIENT 1836 Waivered 1174991129 APCCI 3382 Y
Marie Daguman CATS OUTPATIENT 1836 Waivered 1619483237 ACSW 79980 Y
Mary Montgomery CATS OUTPATIENT 1836 Licensed 1538281183 LCSW82129 Y
Megan Curtiss CATS OUTPATIENT 1836 Waivered 1265836027 AMFT 107915 Y
Priscilla Kavanagh CATS OUTPATIENT 1836 Waivered 1528429057 APCC2122 Y
Elizabeth DeGravio CATS OUTPATIENT 1836 Licensed 1497167530 PT 37500 Y
Ramil Doronio CATS OUTPATIENT 1836 Licensed 1871767376 RN 555151 Y
Ronee Martin CATS OUTPATIENT 1836 Waivered 1932644796 AMFT 84987 Y
Sasha Jackson CATS OUTPATIENT 1836 Waivered 1295181295 ACSW 79996 Y
Sherri Helsby CATS OUTPATIENT 1836 Licensed 1669893764 LCSW 29248 Y
Teri Jorgensen CATS OUTPATIENT 1836 Licensed 1295071363 RN 469034 Y
Tiffany DeWitte CATS OUTPATIENT 1836 Licensed 1023143245 LCSW 29826 Y
Valerie-Ann Garcia CATS OUTPATIENT 1836 Licensed 1770606386 RN 704233 Y
Savoeun Phal CATS OUTPATIENT 1836 Waivered 1821513946 APCC 5278 Y
Joshua Merrill CATS OUTPATIENT 1836 Waivered 1114463957 AMFT 102798 Y
Gerado Manansala CATS OUTPATIENT 1836 Licensed 1215195813 A 102439 Y
Paul Mascovich CATS OUTPATIENT 1836 Licensed 1215921184 G 33950 Y
Jin Soofi CATS OUTPATIENT 1836 Licensed 1972592939 G 86240 Y
Sheril Keys CATS OUTPATIENT 1836 Licensed 1942664875 PT 38333 Y
Thomas Firnberg CATS OUTPATIENT 1836 Licensed 1164597472 A 040218 Y
Mohammad Jahangiri CATS OUTPATIENT 1836 Licensed 1720266760 A 56400 Y
Fouad Saddik CATS OUTPATIENT 1836 Licensed 1437254117 A 44865 Y
Kellie Salazar CATS OUTPATIENT 1836 Licensed 1295273654 PT 40326 Y
Suryabamu Javeed CATS OUTPATIENT 1836 Licensed 1568567105 A 56307 Y
Robert Graff CATS OUTPATIENT 1836 Licensed 1366560112 G 70479 Y
Chestermagno De La Cruz CATS OUTPATIENT 1836 Licensed 1619476637 PT40672 Y
6 Community
Corrections
Partnership Rico Molina AB10920 licensed 1255454203 LCSW25450 Y
Lawrence Shaddix AB10920 licensed 1508282286 IMF84560 Y
Randolph Herrington AB10920 licensed 1114141173 LMFT48970 Y
7 Crisis
Community
Response Team
(CCRT) Williams Wendy CCRT
MHC III
1265554638 LMFT 84045
Y
Ballesteros Patricia CCRT MHC 1790058352 LMFT 108455 Y
8 Crisis
Intervention
Services Graff Robert Crisis
MD
1366560112 G70479
Y
Gill Paramijit Crisis MD 1073629218 A49224 Y
Firnberg Thomas Crisis MD 1164597472 A040218 Y
Singh Karamjit Crisis MD 1083930440 A132050 N
Singh Amanpreet Crisis MD 1235182916 A78414 N
Lee Catherine Crisis MHC III 1073729646 LMFT 44225 Y
Saleem Noshela Crisis MHC III 1255585584 LCSW 67154 Y
Williams Wendy Crisis MHC III 1265554638 LMFT 84045 Y
Galindo Teresa Crisis MHC III 1700119369 LCSW 69736 Y
Molina-Eliab Sonya Crisis MHC 1497878482 AMFT 99087 Y
Tran Michelle Crisis MHC 1366642068 LCSW 81278 Y
Figueroa Carlos Crisis MHC 1306193933 LMFT 102315 Y
Ballesteros Patricia Crisis MHC 1790058352 LMFT 108455 Y
Nobles Shannon Crisis MHC 1457699720 AMFT 101531 Y
Saelee Cindy Crisis MHC 1255511614 LCSW 82456 Y
Maney Stephen Crisis MHC 1083985998 ASW 78482 Y
Lewman Brenda Crisis MHC 1821477035 LMFT106905 Y
Morales Leonardo Crisis MHC 1962822643 ASW 72730 Y
Grant Anika Crisis MHC 1649697137 AMFT 104116 Y
Sullivan Aisha Crisis MHC 1861772253 LCSW 75323 Y
Hodge Lewie Crisis MHC 1477044931 ASW 80338 N
Donato Imelda Crisis MHC 1194278085 APCC 2409 N
Redoblado Sheryl Crisis MHC 1871731513 LCSW 75136 Y
Walter Taffie Crisis CPT 1083735096 PT 32090 Y
DeJesus Carolyn Crisis CPT 1861650228 PT 34221 Y
McArthur Milagros Crisis PT 1477809929 PT 36471 Y
Olsen Chandra Crisis PT 1770914061 PT 37210 Y
Isham Loni Crisis PT 1891145033 PT 38233 Y
Bazua Melissa Crisis PT 1972944072 PT 36496 Y
Wright-Freeman Cody Crisis PT 1538584859 PT 37819 Y
Bareng Jeff Crisis PT 1043753478 PT 40284 Y
Gill Sandeep Crisis PT 1871852673 PT 34942 Y
Quitoriano Stephanie Crisis PT 1659798130 PT 37033 Y
Otero Luis Crisis PT 1487015582 PT 38229 Y
Price Jennifer Crisis PT 1932621893 PT 40662 Y
Kemp Sydney Crisis PT 1902383623 PT 34601 Y
9 Crisis
Stabilization
Units (CSU) Graff Robert CSU
MD
1366560112 G70479
Y
Allanki Sailaja CSU MD 1306897723 C138838 Y
Singh Karamjit CSU MD 1083930440 A132050 N
Brown Brandi CSU RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth CSU RN 1255459061 RN 488617 Y
Seraypheap Arunny CSU RN 1013037274 RN 547944 Y
Limas Deborah CSU RN 1073631727 RN 526984 Y
Winck Angela CSU RN 1083002992 RN 701021 Y
Cabrera Gilbert CSU RN 1679693766 RN 565185 Y
Mendoza Michelle CSU RN 1477951812 RN 797022 Y
Blackman Demerica CSU RN 1932619517 RN 850647 Y
Laizer Gloria CSU RN 1255706479 RN 764452 Y
Odametey Ama CSU RN 1700366358 RN 835504 N
Hawkins Lynnetta CSU MHC III 1437436938 LMFT 93110 Y
Lambert Rekha CSU MHC 1164647525 LMFT 10386 Y
Nguyen Thao CSU MHC 1912214065 LMFT 88176 Y
Navarro Grace CSU MHC 1083737753 ASW 72678 Y
Limas Stephanie CSU MHC 1053433748 LMFT 99397 Y
Little Christy CSU PT 1497978795 PT 28731 Y
Abundez Jesse CSU CPT 1841413036 PT 29162 Y
Montantes Michael CSU CPT 1780018390 PT 37071 Y
DeJesus Carolyn CSU CPT 1861650228 PT 34221 Y
Arriola Eulalie CSU CPT 1255573044 PT 34426 Y
Hardy Denise CSU PT 1912202813 PT 33714 Y
Harbin Toni CSU PT 1639475049 PT 28726 Y
Fortes Catherine CSU PT 1346681442 PT 36982 Y
Mocko James CSU PT 1558726224 PT 38249 Y
Menius Victoria CSU PT 1487074258 PT 37534 Y
Brown Kristaline CSU PT 1750723821 PT 32575 Y
Thorpe William CSU PT 1326599770 PT 40154 Y
Look Jasmin CSU PT 1194143198 PT 37492 Y
Mariano Joseph CSU PT 1609208172 PT 36968 Y
Marglin Lisa CSU PT 1558733576 PT 38247 Y
Clutario Dindo CSU PT 1164664512 PT 34295 Y
Ripoyla Jerral CSU PT 1821511700 PT 40644 Y
Varquez Sharon CSU PT 1366682387 PT 34435 Y
Holmes Sherronya CSU PT 1205214228 PT 37605 Y
Duncan Deanna CSU PT 1043674963 PT 38260 Y
Vang Mai CSU PT 1982103081 PT 40697 Y
Vong Tharith CSU PT 1134624802 PT 40678 N
Ridad Anthony CSU PT 1659887750 PT 40713 Y
Hill Brandon CSU PT 1053803890 PT 40412 Y
Singh Jasvir CSU PT 1477833911 PT 36007 Y
Kottke Marline CSU LVN 1891223111 LVN 198957 Y
10 Forensic
Court Full
Service
Partnership Edward Olpin BHSJDDSAS licensed 1477687077 LCSW24055 Y
Betsey McCall-Salerno BHSJDDSAS licensed 1740574672 LMFT42444 Y
Isabella Padilla Pereira Forensic74 licensed 1174871818 LMFT97934 Y
Alexander Anderson Forensic MCST74 licensed 1417183385 ASW70838 Y
Joseph Zummo Forensic74 licensed 1497927487 AMFT105417 Y
11 Gaining
Older Adult Life
Skills
(GOALS) Full
Service
Partnership
(MHSA) Crystal Thao GOALS 7523 Waivered 1609183748 ACSW 35249 Y
Jessica Preston GOALS 7523 Waivered 1649727066 ACSW 79154 Y
Karla Romero GOALS 7523 Waivered 1083133276 AMFT 100573 Y
Tracy House GOALS 7523 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi GOALS 7523 Licensed 1093911224 LMFT 40177 Y
Sue Gruber GOALS 7523 Licensed 1811014780 LCSW 29008 Y
Christine Blue GOALS 7523 Licensed 1093786683 A 10733 Y
Katheine Hedrick GOALS 7523 Licensed 1043699333 RN 683243 Y
Cynthia Resendez GOALS 7523 Licensed 1780877845 A84098 Y
12 InSpire
(MHSA) Debra Baker InSprire 7023 Waivered 1740610229 AMFT 95836 Y
Elizabeth DeGravio InSprire 7023 Licensed 1497167530 PT 37500 Y
13 La Familia
Clinic Full
Service
Partnership Nancy Nelson BHS La Familia Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Jane Fernandez BHS La Familia Psychiatrist 1194799395 Physician and Surgeon A93060 Y
Pamela Smith BHS La Familia Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Aravind Pai BHS La Familia Psychiatrist (Locum) 1235182916 Physician and Surgeon A30319 N
Cynthia Resendez BHS La Familia Psychiatrist 1780877845 Physician and Surgeon A84098 Y
Donna Bickham BHS La Familia Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS La Familia Registered Nurse 1124143474 Registered Nurse 352081 Y
Kathleen Wilson-Parish BHS La Familia Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS La Familia MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Alexander Largaespada BHS La Familia Clinician 1881902161 Marriage and Family Therapist Intern IMF93473 Y
Lynn Tarrant BHS La Familia Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
Adriana Cruz BHS La Familia Clinician II 1871612697 Licensed Clinical Social Worker LCSW81643 Y
Scarlette Aranda BHS La Familia Clinician I 1295929529 Associate Clinical Social Worker 83748 Y
Donnelle Tamayo BHS La Familia Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS La Familia Staff Nurse III 1104375724 Registered Nurse 723203 Y
14 Mary
Graham
Childrens
Shelter Renessa Castaneda-Jensen Mary Graham Childrens Shelter 9008 Licensed 1376664862 81528 LMFT Y
15 MHSA TAY
FSP Heidi McHenry TAY FSP Licensed 1861763294 PT 35949 Y
Jannelle Heard TAY FSP Waivered 1467813568 AMFT 95836 Y
Ronee Martin TAY FSP Waivered 1932644796 AMFT 84987 Y
Sasha Jackson TAY FSP Waivered 1295181295 ACSW 79996 Y
16 Older Adult
Services (OAS) Crystal Thao OAS 8236 Waivered 1609183748 ACSW 35249 Y
Jessica Preston OAS 8236 Waivered 1649727066 ACSW 79154 Y
Karla Romero OAS 8236 Waivered 1083133276 AMFT 100573 Y
Tracy House OAS 8236 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi OAS 8236 Licensed 1093911224 LMFT 40177 Y
Sue Gruber OAS 8236 Licensed 1811014780 LCSW 29008 Y
Christine Blue OAS 8236 Licensed 1093786683 A 10733 Y
Katheine Hedrick OAS 8236 Licensed 1043699333 RN 683243 Y
Cynthia Resendez OAS 8236 Licensed 1780877845 A84098 Y
17 Peterson
Hall Jennifer Domingo Peterson Hall 9009 Licensed 1104097286 50961 LMFT Y
Shabneet Hira Brar Peterson Hall 9009 Licensed 1851598452 A112447 Psychiatrist Y
Karina Jimenez Peterson Hall 9009 Waivered 1477891679 78261 AMFT Y
Helan Nguyen Peterson Hall 9009 Waivered 1801135876 85251 AMFT Y
Shiella Pablico Peterson Hall 9009 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Joann Ridad Peterson Hall 9009 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet Peterson Hall 9009 Licensed 1366468555 C53401 Psychiatrist Y
Carla Simien Peterson Hall 9009 Licensed 1629564000 40771 Licensed Psychiatric Technician Y
Fay Vieira Peterson Hall 9009 Licensed 1982815684 50276 LMFT Y
18 Psychiatric
Health Facility
(PHF)
Gill Paramijit
PHF
MD
1073629218 A49224
Y
Hart Robert PHF MD 1477660074 C38923 Y
Silver Hilary PHF MD 1720201221 C33442 Y
Brown Brandi PHF RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth PHF RN 1255459061 RN 488617 Y
Seraypheap Arunny PHF RN 1013037274 RN 547944 Y
Limas Deborah PHF RN 1073631727 RN 526984 Y
Winck Angela PHF RN 1083002992 RN 701021 Y
Cabrera Gilbert PHF RN 1679693766 RN 565185 Y
Mendoza Michelle PHF RN 1477951812 RN 797022 Y
Blackman Demerica PHF RN 1932619517 RN 850647 Y
Laizer Gloria PHF RN 1255706479 RN 764452 Y
Odametey Ama PHF RN 1700366358 RN 835504 N
Camello Bena PHF MHC 1053581116 LCSW 65302 Y
Shah Mamoona PHF MHC 1407978471 Waivered Y
Mills Rachelle PHF MHC 1326169350 LMFT 81070 Y
Little Christy PHF PT 1497978795 PT 28731 Y
Bomar Dolfa PHF CPT 1881817567 PT 31571 Y
DeJesus Carolyn PHF CPT 1861650228 PT 34221 Y
Varquez Sharon PHF PT 1366682387 PT 34435 Y
Pot Sambo PHF PT 1104378827 PT 33626 Y
Bou Jennifer PHF PT 1033652466 PT40281 Y
Sesante Maria PHF PT 1851515720 PT 30936 Y
Ota Robert PHF PT 1578786554 PT 33792 Y
Pinano Paolo PHF PT 1245352616 PT 33726 Y
Ruiz Ronald PHF PT 1700907094 PT 27494 Y
Villasenor Kendra PHF PT 1447518204 PT 36449 Y
Deol Sukhvinder PHF PT 1508988593 PT 30288 Y
Bokelman Roy PHF PT 1114040003 PT 32628 Y
Seba Vicki PHF PT 1639291636 PT 31714 Y
Siador Jill PHF PT 1366884058 PT 36818 Y
Polk Rhonda PHF PT 1316160146 PT 20798 Y
Zorea Dylan PHF PT 1467573766 PT28206 Y
Chapin Larry PHF PT 1528200169 PT 26162 Y
19 San Joaquin
County MH
Services Lodi
Clinic Ruth Johnson Lodi Outpatient 6036 Licensed 1265535538 LCSW 15213 Y
Judith Dolyniuk Lodi Outpatient 6036 Licensed 1518182534 LMFT 97680 Y
Amy Massie Lodi Outpatient 6036 Waivered 1356798391 AMFT 100785 Y
Shayne Maniti Lodi Outpatient 6036 Licensed 1689854093 PT 33732 Y
Saba Rizvi Lodi Outpatient 6036 Licensed 1619190501 A 95786 Y
Avramov Valentin Lodi Outpatient 6036 Licensed 1053488767 109609 Psychiatrist Y
Hill Patricia Lodi Outpatient 6036 Licensed 1902926231 23764 LCSW Y
Mann Bhupinderpreet Lodi Outpatient 6036 Waivered 1174603039 80464 AMFT Y
20 San Joaquin
County MH
Services Tracy
Clinic Ashley Smerdon Tracy Clinic 6136 Waivered 1265713929 MFT87560 Y
Jennifer Spruill Tracy Clinic 6136 Licensed 1518232321 LCSW 69544 Y
Simone Litsch Tracy Clinic 6136 Licensed 1598882599 A 89254 Y
Aravind Pai Tracy Clinic 6136 Licensed 1629076088 A30319 N
Gabriel Holguin Tracy Clinic 6136 Licensed 1255704094 PT38216 Y
21 SJC- MHS
CYS Katie A
Services Sailaja Allanki CYS Katie A Services 9020 Licensed 1306897723 138838 Psychiatrist Y
Kristina Birch CYS Katie A Services 9020 Waivered 1366874844 1809 APCC Y
Maria Boklund CYS Katie A Services 9020 Licensed 1396157061 48496 LMFT Y
Linda Brett CYS Katie A Services 9020 Licensed 1295853299 523914 RN Y
Renessa Castaneda-Jensen CYS Katie A Services 9020 Licensed 1376664862 81528 LMFT Y
Maria Gamino CYS Katie A Services 9020 Waivered 1710386453 73292 ASW N
Shabneet Hira Brar CYS Katie A Services 9020 Licensed 1851598452 A112447 Psychiatrist Y
Catherine Navarrete CYS Katie A Services 9020 Waivered 1619456076 105076 Marriage amp Family Therapist Y
Leora Pollock CYS Katie A Services 9020 Licensed 1245663426 75192 LCSW Y
Kim Saing CYS Katie A Services 9020 Licensed 1982722666 51242 LMFT Y
Anastacia Stanley CYS Katie A Services 9020 Licensed 1528299724 87417 LMFT N
Patricia Young CYS Katie A Services 9020 Waivered 1780051375 94965 ASSOCIATE MARRIAGE amp FAMILY THERAPIST Y
22
Transcultural
Clinic (TCC) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
23 Southeast
Asian Recovery
Services
(SEARS) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
CONTRACT ORGANIZATIONAL PROVIDERS
24 Anka Lodi (
was Mourfield
House) Meloney West Anka Lodi AMFT 1649523283 Y
Eon Lawrence Losefa Anka Lodi LMFT 1982898276 104807 Y
Aaron Fett Anka Lodi Psychology Intern 1932352424 Y
25 ASPIRAnet Courtney Warfield-Gibbs ASPIRAnet Waivered 1285958520 ACSW 70918 Y
Melissa Wimer ASPIRAnet Licensed 1467946301 LMFT 81226 Y
Patricia A Jackson ASPIRAnet Waivered 1780848853 AMFT 73975 Y
Vijai Pandey ASPIRAnet Waivered 1710497938 AMFT 70416 Y
Amir Siddiqui ASPIRAnet Waivered 1336617844 APCC 5341 N
26 Bright
House Robert Lee Majors Bright House LMFT 1780692806 49236 Y
27 Casa Pacifica - OUT OF COUNTY PROVIDER
28 CBIS (University of the Pacific)- NON LICENSED STAFF ONLY
29 Chamberlains Children Center Inc -OUT OF COUNTY PROVIDER
30 Charis Youth Center- OUT OF COUNTY PROVIDER
31 Child Abuse
Prevention
Council Roger Duke Child Abuse Prevention Council LMFT 1992861082 79588 Y
Cassandra Lowe Child Abuse Prevention Council AMFT 1205278694 75983 Y
Stacey Tidwell Child Abuse Prevention Council ACSW 1790189413 72578 Y
Nazia Khan Child Abuse Prevention Council AMFT 1508227158 81499 Y
Lisa Aguilar Child Abuse Prevention Council ACSW 1417401035 73365 Y
Anabel Montejano Child Abuse Prevention Council ACSW 1740656636 78974 Y
Catherine Thiel Child Abuse Prevention Council LCSW 1134569791 82263 Y
Michelle Nelson Child Abuse Prevention Council AMFT 1891173357 94133 Y
Maria Cardoza Child Abuse Prevention Council AMFT 1467861252 87554 Y
Thear Chum Child Abuse Prevention Council ACSW 1134648231 83947 Y
Kaitlyn Reilly Child Abuse Prevention Council ACSW 1205381613 83651 Y
Laura Rodriguez Child Abuse Prevention Council ACSW 1316498892 78113 Y
Diana Strimling Child Abuse Prevention Council AMFT 1316221765 104452 Y
32 Community Re-Entry Program (CRP)- NON LICENSED STAFF ONLY
33 Crestwood Solano (PHF)- Out of County Provider
34 Crittenton Services For Children and Families -OUT OF COUNTY PROVIDER
35 Edgewood Center for Children and Families- OUT OF COUNTY PROVIDER
36 Fred Finch Youth Center- OUT OF COUNTY PROVIDER
37 Grant
House Meloney West Grant House AMFT 1649523283 Y
JoAnn Marie Cornelius Grant House LPT 1205877727 35804 Y
Melinda Carchidi Grant House Psychology Intern 1609151653 Y
38 Latino
Behavioral
Health and
Recovery
Services Alexander Largaespada Latino Behavioral Health AMFT 181902161 AMFT 93473 Y
Maria De La Luz Torres Latino Behavioral Health ACSW 1003323361 ASW80844 N
Lynn Tarrant Latino Behavioral Health Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
39 Martin Gipson Socialization Center- NON LICENSED STAFF ONLY
40 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
41 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
42 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
43 Mountain Valley Child and Family Services Inc- OUT OF COUNTY PROVIDER
44 Phoenix House of Los Angeles Inc- OUT OF COUNTY PROVIDER
45 Rebekah
Childrens
Home Bhatti Moeen Rebekah Childrens Home licensed 1205023736 A 100193 Physician amp SurgeonMD DEA FB4071332 Y
Cervantes Priscilla Rebekah Childrens Home licensed 1679081582 693037 LVN N
Delgado Melissa Rebekah Childrens Home licensed 1881002186 105380 LMFT Y
Downey Ruth Rebekah Childrens Home licensed 1790161339 100524 LMFT Y
Machuca Lopez Cynthia Rebekah Childrens Home waivered 1386053817 74884 ACSW Y
Moeller Ryan Rebekah Childrens Home waivered 1316303803 91385 AMFT Y
Vaca-Preez Alejandra Rebekah Childrens Home waivered 1629418876 36752 ACSW Y
Vargas-Gladen Rosalva Rebekah Childrens Home licensed 1326114372 46940 LMFT Y
46 Sacramento Childrens Home- OUT OF COUNTY PROVIDER
47 San Gabriel Childrens Center Out Patient- OUT OF COUNTY PROVIDER
48 Star View Adolescent Center OP- OUT OF COUNTY PROVIDER
49 Summitview Child Treatment Center- OUT OF COUNTY PROVIDER
50 Telecare
(aka Jeremy
House) Jessica Reiland Telecare- Jeremy House ASW (waived) Clinician 1003154634 70377 Y
Thuy Huynh Telecare- Jeremy House LPT Nurse 1033485495 36454 Y
Shannan Taylor Telecare- Jeremy House LMFT Regional Director 1528074770 LMFT46081 Y
51 Telecare
Early
Intervention
Recovery
Services (TEIRS) Melissa Planas ` LCSW 1679807994 LCSW66499 Y
Holli Hoffman TEIRS DNP 1144380940 2005000091 Y
Oshalique Bass TEIRS PCCI Waived 1477811677 5490 Y
Tran tran TEIRS LVN 1477084671 VN 275938 Y
Jennifer Miles TEIRS MD 1275541641 G83528 Y
Shannan Taylor TEIRS LMFT 1528074770 LMFT46081 Y
52 TLC Child and Family Services- OUT OF COUNTY PROVIDER
53 Valley
Community
Counseling
Services (VCCS)
(Manteca) 9040 Muhammad Kamran VCCS Manteca 9040 Licensed 1811051337 C53847 Psychiatrist Y
Patricia Goodman VCCS Manteca 9040 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Manteca 9040 Clinician 1578734687 AMFT 80527 Y
Alisha Sweyd VCCS Manteca 9040 Clinician 1689059941 AMFT 96911 Y
Teresa Viles-Reed VCCS Manteca 9040 Clinician 1386762623 PhD PSY14848 Y
54 Valley
Community
Counseling
Services (VCCS)
(School Based
Program-
Stockton) 9042 Cynthia Aguilera VCCS Stockton 9042 Clinician 1003326182 AMFT 102123 Y
Melanie Almada VCCS Stockton 9042 Clinician 1912396532 AMFT 92167 Y
Arica Arucan VCCS Stockton 9042 Clinician 1215258280 LCSW 72691 Y
Megan Bassi VCCS Stockton 9042 Clinician 1669833885 AMFT 91956 Y
Manjit Belanger VCCS Stockton 9042 Clinician 1255780771 AMFT 100537 Y
Ana De Trinidad VCCS Stockton 9042 Clinician 1043501570 AMFT 95408 Y
Tiffany Drake VCCS Stockton 9042 Clinician 1417456617 AMFT 103265 Y
Sarah Gard VCCS Stockton 9042 Clinician 1477966265 LMFT 106055 Y
Patricia Goodman VCCS Stockton 9042 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Stockton 9042 Clinician 1578734687 AMFT 80527 Y
Alicia Jackson VCCS Stockton 9042 Clinician 1912386525 AMFT 93526 Y
Naomi Jimenez VCCS Stockton 9042 Clinician 1669927828 AMFT 80527 Y
Leonard Lippert VCCS Stockton 9042 Clinician 1154691137 AMFT 101758 Y
Sandra McBride VCCS Stockton 9042 Clinician 1033467030 AMFT 75525 Y
Monika Muy VCCS Stockton 9042 Clinician 1982008603 ACSW 67390 Y
Desiree Nease VCCS Stockton 9042 Clinician 1447703491 ACSW 71196 Y
Katelyn Nelson VCCS Stockton 9042 Clinician 1669998290 ACSW 77372 Y
Elaine Pike VCCS Stockton 9042 Clinician 1508875055 LMFT 45258 Y
Cristal Rodriguez VCCS Stockton 9042 Clinician 1760938740 AMFT 93861 Y
Reshma Roy VCCS Stockton 9042 Clinician 1073061784 ACSW 66474 Y
Belem Ruiz VCCS Stockton 9042 Clinician 1508380411 AMFT 100924 Y
Jenna Santoyo VCCS Stockton 9042 Clinician 1457584567 LCSW 29827 Y
Riah Skrinnik VCCS Stockton 9042 Clinician 1295275592 APCC 3532 Y
Kristyn Towers VCCS Stockton 9042 Clinician 1942671052 AMFT 89172 Y
Alexsandra Trejo VCCS Stockton 9042 Clinician 1750837985 AMFT 92738 Y
Vichra You VCCS Stockton 9042 Clinician 1013437714 AMFT 99071 Y
55 Valley
Community
Counseling
Services (VCCS)
(Tracy) 9041 Muhammad Kamran VCCS Tracy 9041 Licensed 1811051337 C53847 Psychiatrist Y
Rosemary Cervantes VCCS Tracy 9041 Clinician 1407299738 AMFT 72397 Y
Laura Strickland VCCS Tracy 9041 Clinician 1538354543 2012633 Y
Lani Westervelt VCCS Tracy 9041 Clinician 1629191366 LMFT 38654 Y
56 Victor
Community
Services and
Support
Stockton
(VCSS) 9063 Loiuse Cerna VCSS Stockton 9063 MFTI 1346794690 92730 - Marriage and Fmily Therapist Intern Y
Aziza Citi VCSS Stockton 9063 LMFT 1831510650 96329 - Licensed Marriage and Family Therapist Y
Melissa Colon VCSS Stockton 9063 MFTI 1871663351 77340 - Marriage and Family Therapist Intern Y
Itzia Cruz VCSS Stockton 9063 ACSW 1639533987 80056 - Associate Clinical Social Worker Y
Tracy Cutino VCSS Stockton 9063 LMFT 1740297902 47897 - Licensed Marriage and Family Therapist Y
Betia Dadkhah VCSS Stockton 9063 LMFT 1083709380 44160 - Licensed Marriage and Family Therapist Y
Mark Edelstein VCSS Stockton 9063 MD 1972516714 C41340 - Physician amp Surgeon Y
Sharee Esparza VCSS Stockton 9063 MFTI 1982145504 102079 - Marriage and Family Therapist Intern Y
Tanner Hickman VCSS Stockton 9063 ACSW 1194272146 78099 - Associate Clinical Social Worker Y
Courtney Ivy VCSS Stockton 9063 MFTI 1679959217 71048 - Marriage and Family Therapist Intern Y
Giana Kooger VCSS Stockton 9063 LMFT 1720318132 86206 - Licensed Marriage and Family Therapist Y
Sheree Lozano VCSS Stockton 9063 MFTI 1538523501 88637 - Marriage and Family Therapist Intern Y
Christina Lopez VCSS Stockton 9063 MFTI 1265705727 102443 - Marriage and Family Therapist Intern Y
Koryn Marshall VCSS Stockton 9063 LMFT 1962881870 86263 - Licensed Marriage and Family Therapist Y
Adrianna Martinez VCSS Stockton 9063 MFTI 1851831242 107761 - Marriage and Family Therapist Intern Y
Laura Rodriguez VCSS Stockton 9063 ACSW 1316498892 78113 - Associate Clinical Social Worker Y
Jacquelyn Seefeldt VCSS Stockton 9063 MFTI 1124250204 74064 - Marriage and Family Therapist Intern Y
Heather Taylor VCSS Stockton 9063 LMFT 1265514251 44021 - Licensed Marriage and Family Therapist Y
Palei Triguero VCSS Stockton 9063 MFTI 1871994285 86335 - Marriage and Family Therapist Intern Y
Wendy True VCSS Stockton 9063 LMFT 1750476438 44262 - Licensed Marriage and Family Therapist Y
Jennifer Tutt VCSS Stockton 9063 LCSW 1316134091 27530 - Licensed Clinical Social Worker Y
Sarah Voss VCSS Stockton 9063 LMFT 1275602914 51406 - Licensed Marriage and Family Therapist Y
Michelle Zuckerman VCSS Stockton 9063 LMFT 1891948691 84298 - Licensed Marriage and Family Therapist Y
57 Victor Treatment Center - Santa Rosa- OUT OF COUNTY PROVIDER
58 Victor Youth Services (North Valley Schools)- OUT OF COUNTY PROVIDER
59 Womens Center- Family and Youth Services httpswwwwomenscenteryfsorgindexphpget-helptherapy-services
CONTRACT PSYCHIATRIC HOSPITALS
60 BHC Heritage Oaks Hospital - Out of County Hospital
61 BHC Sierra Vista Hospital - Out of County Hospital
62 St Helena Hospital Center for Behavioral Health - Out of County Hospital
63 John Muir Behavioral Health Center - Out of County Hospital
64 Sutter Center for Psychiatry - Out of County Hospital
65 Fremont Hospital - Alka Aneja Fremont Hospital ChildAdolescent MD 1619031317 A112029BA9881017 Y
Harmohinder Athwal Fremont Hospital ChildAdolescent MD 1740298256 A81841BA8179473 Y
Kamaljeet Boora Fremont Hospital Psychiatry MD 1356587711 102846FB0978823 N
Vikas Duvvuri Fremont Hospital EDO MD 1255470480 A99706FD0242064 Y
Trevor Fooks Fremont Hospital Psychiatry MD 1730267535 G63964BF1543695 Y
Ravinder Kahlon Fremont Hospital NeuroPsych MD 1386741320 A50823BK2018934 N
Vasdeep Kahlon Fremont Hospital Psychiatry MD 1497852446 A51243BK2742535 N
Padmavathi Kudaravalli Fremont Hospital Internal Medicine MD 1144221953 A67964BK6574974 Y
Pradeep Kumar Fremont Hospital Psychiatry MD 1023188935 A52032BK4202177 N
Deepak Kumar Fremont Hospital Psychiatry MD 1306257910 A130068FK4574299 Y
Sudha Manjunath Fremont Hospital ChildAdolescent MD 1801826797 A87131BM8982818 Y
Syed Munir Fremont Hospital ChildAdolescent MD 1790718815 C55029BM3999553 Y
Nanda Nayak Fremont Hospital Psychiatry MD 1477656262 A43182BN0687597 N
Falguni Patel Fremont Hospital ChildAdolescent MD 1548414337 A105594FP1152949 Y
Surender Punia Fremont Hospital Psychiatry MD 1376589663 A77004BP6477497 Y
Divya Reddy Fremont Hospital Psychiatry MD 1518120211 A103547FR1100306 Y
Devindar Singh Fremont Hospital Internal Medicine MD 1447294624 A48148BS2303422 N
Sunpreet Singh Fremont Hospital Psychiatry MD 1326464462 A132932FS5027087 Y
Bhupinder Waraich Fremont Hospital Psychiatry MD 1689869547 A53968BW4473346 Y
Jaap Kaur Waraich Fremont Hospital Psychiatry MD 1316132285 G67904BW2368391 Y
Nicholas Phillips Fremont Hospital Family Medicine MD 1255727293 A153125FP7288841 N
Harleen Dyal Fremont Hospital Family Medicine MD 1225424327 A153255FD7288839 N
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake Unit-Referrals to Licensed Staff
67 Chemical
Dependency
Counseling
Center ( CDCC) Tyler Moran Chemical Dependency Counseling Center 390002DNAMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Chemical Dependency Counseling Center 390002DNMFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Chemical Dependency Counseling Center 390002DNPsychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Chemical Dependency Counseling Center 390002DNPsychiatrist 1710094057 A72805 Y
68 Alcohol amp Drug Alternative Program (ADAP)-Referrals to Licensed Staff
69 Family Ties Tyler Moran Family Ties 390002EN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Family Ties 390002EN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Family Ties 390002EN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Family Ties 390002EN Psychiatrist 1710094057 A72805 Y
70 Recovery
House Tyler Moran Recovery House 390002AN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Recovery House 390002AN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Recovery House 390002AN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Recovery House 390002AN Psychiatrist 1710094057 A72805 Y
71 Adolescent Co- Occurring Treatment Program (ACT) Childrens Behavioral Health Services- Referrals to Licensed Staff
72 Prevention Services- Referrals to Licensed Staff
NARCOTIC TREATMENT PROGRAMSMEDICATION ASSISTED TREATMENT
73 Aegis
Treatment
Center Dr Randall Paul Aegis Treatment Center Medical License 1912061045 A26361 Y
Linda Beccerra Aegis Treatment Center Vocation Nurse VN 183039 Y
Dora Berry Aegis Treatment Center Vocation Nurse VN 689493 Y
Jeannette Carter-Camp Aegis Treatment Center Vocation Nurse 1740480342 NP 7506 Y
Francisca Marquez Aegis Treatment Center Vocation Nurse VN 287402 Y
74 5th Street
Medical Clinic
Stockton Dr Michael Fox 5th Street Medical Clinic Medical License 1212069758 G53561 Y
Melissa Whitworth 5th Street Medical Clinic Vocation Nurse RN 541037 Y
Divina Palafox 5th Street Medical Clinic Vocation Nurse 1912061995 VN 17300 Y
Divna Lu 5th Street Medical Clinic Vocation Nurse VN 183039 Y
Jeannette Carter-Camp 5th Street Medical Clinic Vocation Nurse 1740480342 NP 7506 Y
75 Aegis
Treatment
CenterHealthy
Connections
(California St)
Stockton Dr Michael Fox Aegis Treatment CenterHealthy ConnectionsMedical License 1212069758 G53561 Y
Melissa Whitworth Aegis Treatment CenterHealthy ConnectionsVocation Nurse RN 541037 Y
Dr Brian Talleur Aegis Treatment CenterHealthy ConnectionsMedical License 1659791101 A154190 Y
Alvin Goat Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 20473 Y
Crystal August Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 695962 Y
Rosenah Durago Aegis Treatment CenterHealthy ConnectionsVocation Nurse 1841629185 VN 235553 Y
Maria Garsuta Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 235825 Y
76 Healthy
Connections
Lodi Clinic Melissa Whitworth Healthy Connections Lodi Clinic Vocation Nurse RN 541037 Y
Dr Brian Talleur Healthy Connections Lodi Clinic Medical License 1659791101 A154190 Y
Angeles Alfaro Healthy Connections Lodi Clinic Vocation Nurse 1649669979 VN 689129 Y
John Campos Healthy Connections Lodi Clinic Vocation Nurse 1407192297 VN 260740 Y
Prabhjot Kaur Healthy Connections Lodi Clinic Vocation Nurse VN 698775 Y
Meenal Prasad Healthy Connections Lodi Clinic Vocation Nurse 1114407368 VN 287331 Y
77 Manteca
Healthy
Connections Dr Michael Fox Manteca Healthy Connections Medical License 1212069758 G53561 Y
Melissa Whitworth Manteca Healthy Connections Vocation Nurse RN 541037 Y
Dr Randall Paul Manteca Healthy Connections Medical License 1912061045 A26361 Y
Mary Jane Davis Manteca Healthy Connections Vocation Nurse 1861822744 VN 72342 Y
Christine Falcon Manteca Healthy Connections Vocation Nurse VN 175628 YDourine Iqiel Manteca Healthy Connections Vocation Nurse 1477008506 VN281162 YRebecca Mohr Manteca Healthy Connections Psyciatric Technician LPT 26531 Y
78 MedMark Treatment Center httpsmedmarkcommedmark-treatment-centers-stockton
LANGUAGE ASSISTANCE
English
ATTENTION If you speak another language language assistance services free of charge are available to you Call 1-888-468-9370 (TTY 1-866-735-2922 )ATTENTION Auxiliary aids and services including but not limited to large print documents and alternative formats are available to you free of charge upon request Call 1-888-468-9370
Espantildeol (Spanish)
ATENCIOacuteN Si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-888-468-9370 (TTY 1-866-735-2922 )
Tiếng Việt (Vietnamese)
CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-888-468-9370 (TTY 1-866-735-2922 )
Services may be delivered by an individual provider or a team of providers who is working under the direction of a licensed practitioner operating within their scope of practice Only licensed
waivered or registered mental health providers and licensed substance use disorder services providers are listed on the Plans provider directory
Tagalog (Tagalog Filipino)
PAUNAWA Kung nagsasalita ka ng Tagalog maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-888-468-9370 (TTY 1-866-735-2922 )한국어 (Korean)주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수 있습니다 1-888-468-9370 (TTY 1-866-735-2922 ) 번으로 전화해 주십시오繁體中文繁體中文繁體中文繁體中文(Chinese)注意如果您使用繁體中文您可以免費獲得語言援助服務請致電1-888-468-9370 (TTY 1-866-735-2922 )ՀայերենՀայերենՀայերենՀայերեն (Armenian)
ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ Զանգահարեք 1-888-468-9370 (TTY 1-866-735-2
Русский (Russian)
ВНИМАНИЕ Если вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-888-468-9370 (TTY 1-866-735-2922 )
(Farsi) فارسیتوجه اگر به زبان فارسی گفتگو می کنيد تسهيلات زبانی بصورت رايگان برای شما
日本語日本語日本語日本語 (Japanese)注意事項日本語を話される場合無料の言語支援をご利用いただけます1-888-468-9370فراهم می باشد با 1 (TTY 1-866-735-2922 ) までお電話にてご連絡くださいHmoob (Hmong)
LUS CEEV Yog tias koj hais lus Hmoob cov kev pab txog lus muaj kev pab dawb rau koj Hu rau 1-888-468-9370 (TTY 1-866-735-2922 )
ਪਜਾਬੀ (Punjabi)
ਿਧਆਨ ਿਦਓ ਜ ਤਸੀ ਪਜਾਬੀ ਬਲਦ ਹ ਤਾ ਭਾਸ਼ਾ ਿਵਚ ਸਹਾਇਤਾ ਸਵਾ ਤਹਾਡ ਲਈ ਮਫਤ ਉਪਲਬਧ ਹ 1-888-468-9370 (TTY 1-866-735-2922) ਤ ਕਾਲ ਕਰ
(Arabic) العربيةملحوظة إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغوية تتوافر لك بالمجان
हिदी (Hindi)
द यदि आप हिदी बोलत ह तो आपक लिए मफत म भाषा सहायता सवाए उपलबध ह [1-888-468-9370 (TTY 1-866-735-2922) पर कॉल कर
ภาษาไทย (Thai)
เรยน ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร 1-888-468-9370 (TTY 1-866-735-2922) धयान
ែខរ (Cambodian)
បយត ររ េស នអកនយ ែខ រសជនយមននក េយមនគត នគចនស ររ អេ នក ច ទ សព+1-888-468-9370 (TTY 1-866-735-2922)
ພາສາລາວ (Lao)
ໂປດຊາບ ຖາວາ ທານເວາພາສາ ລາວ ການບລການຊວຍເຫອດານພາສາໂດຍບເສຽຄາ ແມນມພອມໃຫທານ ໂທຣ 1-888-468-9370 (TTY 1-866-735-2922)
- 18-Font English Medi-Cal Provider Directory(Word Doc) 12-2018 English
- Medi-Cal Directory Provider Staff Listing 18 font English 12-2018
-
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 3 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
3Children and
Youth Services -
Foster Youth Full
Service Partnership
(MHSA)
9096
1414 N California
Street
Stockton CA
95202
(209) 468-2385
httpswwwsjg
ovorgmhs
M-F 8 am- 5 pm
Children
and
Youth
Spanish
Tagalog
Urdu
Punjabi
Hindi
Mental Health
Services Act (MHSA)
program focused on
children and youth in
the Foster Care
system
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 4 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
4Children and
Youth Services -
Juvenile Justice Full
Service Partnership
(MHSA)
9095
1414 N California
Street
Stockton CA
95202
(209) 468-2385
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Children
and
Youth
Cambo-
dian
Spanish
Hmong
Mental Health
Services Act
program focused on
children and youth in
the Juvenile Justice
system
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 5 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
5Community
Adult Treatment
Services (CATS -
Teams A B C and
D)
9069
1212 N California
Street
Stockton CA
95202
(209) 468-8842
(209) 468-8862
(209) 468-8881
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Canton-
ese
Tagalog
Comprehensive
Mental Health
Services for adults
(18
60) Services
include psychiatric
assessment
medication support
group individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 6 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
6Community
Corrections
Partnership
9039AP
1212 N California
Street
Stockton CA
95202
(209) 468-9373
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Serve clients under
AB-109
community
supervision with
Probation to reduce
recidivism
promote wellness
and
recovery and
increase safety for
our community
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 7 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
7Crisis
Community
Response Team
(CCRT)
9088
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
Crisis
Community
Response Team
(CCRT)Mobile
Crisis Support
Team (MCST)
12-830 pm
7 days a week
Adult
Children
Youth
Older
Adult
Spanish
Mobile multi-
disciplinary crisis
team for community
adult mental health
outreach early
intervention and
joint field response
with law
enforcement for
crisis 5150 detention
evaluations
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 8 of 66
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
8Crisis
Intervention
Services
9011
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
24 hours
Adult
Children
Youth
Older
Adult
Spanish
24-Hour evaluation
services including
assessment for
psychiatric
emergencies crisis
counseling
outpatient and
community referrals
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
9Crisis
Stabilization
Units (CSU)
9032
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
24 hours
Adult
Adol-
escents
Older
Adult
Spanish
Cambo-
dian
Vietna-
mese
23-Hour psychiatric
assessment and
stabilization unit
Resources and
Referrals are
provided during
admission
Crisis Stabilization UC
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 9 of 66
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Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
10Forensic Court
Full Service
Partnership
(MHSA)
9091
1212 N California
Street Stockton CA
95202
(209) 468-8786
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Provides
comprehensive
psychiatric and
integrative services
to address the needs
of Mentally Ill
Offenders
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 10 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
11Gaining Older
Adult Life Skills
(GOALS) Full
Service Partnership
(MHSA)
9093
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Full Service
Partnership with the
emphasis on outreach
to the underserved
older adult
population ages
(60+)
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 11 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
12InSPIRE
(MHSA)
39AN
1212 N California
Street
Stockton CA
95202
(209) 468-8880
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Cambo-
dian Viet-
namese
MHSA innovation
component
providing learning
community
opportunities to
specialized cohorts
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 12 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
13La Familia
Clinic Full
Service
Partnership
(MHSA)
9092
1149 N El Dorado
Street
Stockton CA
95202
(209) 468-2335
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
Latino
out-
reach
and
access
Spanish
Psychiatric
assessment case
management
medication support
individual and group
therapy with a
special emphasis on
serving Spanish-
speaking persons
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 13 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
14Mary Graham
Childrens Shelter
9008
6861 Mary Graham
Lane
French Camp CA
95231
(209) 468-6966
httpwww
marygrahamfou
ndationorg
24 Hours
Children
and
Youth
Provides outpatient
mental health
services to residents
of Mary Graham
Childrens Shelter
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 14 of 66
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Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services)
Include-
ing ASL
YesNo YesNo YesNo
15MHSA TAY
FSP
39B1
1212 N California
Street Stockton
CA 95202
(209) 468-8862
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adults
Full service
partnership providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 15 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
16Older Adult
Services (OAS)
3980
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Cambo-
dian Viet-
namese
Comprehensive
Behavioral Health
Services for older
adults (60+) provided
by a multidisciplinary
team Services
include psychiatric
assessment
medication
support group
individual therapy
and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 16 of 66
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Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services
Includin
g ASL
YesNo YesNo YesNo
17 Peterson
Hall
9009
535 W Matthews
Rd French Camp
CA 95231
(209) 468-4240
hiipswwwsjg
ovorgmhs
M-F 8 am- 8
pm SatSun 10-
7 pm
Children
and
Youth
Cambo-
dian
Spanish
Provides outpatient
mental health services
to youth detained at
Peterson Hall
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
18Psychiatric
Health
Facility (PHF)
3976
1212 N California
Street Stockton
CA 95202
(209) 468-8686
httpswwwsjg
ovorgmhs 24
hours
Adult Spanish
24-hour inpatient
hospitalization
services
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
19San Joaquin
County MH
Services Lodi Clinic
3924
1209 W Tokay
Street
Suites 1 3 5 7 9
12 14 and 16
Lodi CA 95240
(209) 331-2070
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Children
Youth
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
North
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 18 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
20San Joaquin
County MH
Services Tracy
Clinic
9048
220 W Eleventh
Street
Tracy CA 95376
(209) 831-5941
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
South
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 19 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
21SJC-MHS
CYS Katie A
Services
9020
333 E Washington
Street
Stockton CA
95202
(209) 468-1547
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Children
and
Youth
Spanish
Hmong
Japanese
Provides in-home
and in-community
outpatient mental
health services to
WampI Code 300
dependent SJC
children
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 20 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition to
free Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
22Transcultural
Clinic
(TCC) - full range
of specialty mental
health services and
intensive case
management
program
9014
4422 N Pershing
Ave
Suites D1-D4
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available
in Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 21 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
23Southeast
Asian Recovery
Services (SEARS)
for the Southeast
Asian population-
Full Service
Partnership
(MHSA)
9094
4422 N Pershing
Avenue Suite D2
D3 D4 D5 D6
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available in
Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
CONTRACT ORGANIZATIONAL PROVIDERS
24Anka Lodi (was
Mourfield House)
9075
458 Almond Drive
Lodi CA 95240
(209) 982-4697
wwwankabhior
g M-F 8am-5pm
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 22 of 66
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
25ASPIRAnet
39AR
6 S El Dorado
Street Suite 510
Stockton CA
95202
(209) 478-9862
wwwaspiranet
Org
M-F 8 am- 5
pm
Children
and
Youth
Provides
Therapeutic
Behavioral Services
(TBS) and crisis
stabilization services
as an alternative to
psychiatric
hospitalization
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
26Bright House
9047
8210 Bright Road
French Camp CA
95231
(209) 982-1235
wwwankabhior
g 24 hours
Adult
Adult Transitional
Residential
Treatment Program
Medication Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
27Casa Pacifica
39AB
1722 S Lewis Road
Camarrillo CA
93012
(805) 981-1422
wwwcaspacific
aorg
M-F 8 am- 6 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
28CBIS
(University of the
Pacific)
39A1
405 E Pine Street
Stockton CA
95204
(209) 476-1959
wwwcommunit
yre-
entryprogramco
m M-F 8am-430
pm
Adult
Spanish
Behavioral
Intervention Services
Mental Health Services
Intensive Home Based
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
29Chamberlains
Children Center
Inc
39B4
1850 San Benito
Street
Hollister CA
95023
(831) 636-2121
wwwchamberla
inccorg
M-F 8 am- 5 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
30Charis Youth
Center
9057
714 W Main Street
Grass Valley CA
95945
(530) 477-9800
wwwcharisyout
hcenterorg
M-F 830 am-
430 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
31Child Abuse
Prevention Council
39A8
540 N California
Street
Stockton CA
95202
(209) 644-5311
wwwnochildab
useorg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health services
utilizing
strengthening family
approach
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
32Community
Re- Entry
Program (CRP)
9044
405 E Pine Street
Stockton CA
95204
(209) 946-2132
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
independent living
skills training and
rehabilitation
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
33Crestwood
Solano
(PHF)
39A8
2201 Tuolumne
Street Suite B
Vallejo CA 94589
(707) 558-1777
wwwcrestwood
behavioralhealth
com
24
hours
Adult
24-hour
inpatient
hospitalization
services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
34Crittenton
Services For
Children And
Families
39B3
100 E Valley View
Drive Fullerton CA
92832
(714) 680-8268
wwwcrittentons
ocalorg
M-F 830 am- 5
pm
Children
and
Youth
Residential
facility providing
mental health
treatment to youth
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS)
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
35Edgewood
Center for
Children and
Families
39AV
1801 Vincente
Street San
Francisco CA
94116
(415) 681-3211
wwwedgewood
org
24
Hrs
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
36Fred Finch
Youth
Center
39AY
3800 Coolidge
AvenueOakland
CA 94602
(510) 482-2244
wwwfredfinch
Org
M-F 830 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
37Grant House
9064
1117 S Grant
Street Stockton
CA 95206
(209) 461-6500
wwwankabhior
g 24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
38Latino
Behavioral Health
and Recovery
Services
9067
445 N San Joaquin
Street
Stockton CA
95202
(209) 444-8910
wwwelconcilio
Org
M-F 8 am- 5 pm
Adult
Spanish
Provides Culturally
Competent
Services to Latinos
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
39Martin Gipson
Socialization Center
9043
405 E Pine Street
Stockton CA
95204
(209) 464-5519
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
socialization
vocational and
educational
opportunities for
Adult Mentally
ill consumers
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 33 of 66
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
40Mountain
Valley Child and
Family Services
Inc
9039
24077 Highway 49
Nevada City CA
95959
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Therapeutic
Behavioral Services
(TBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 34 of 66
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
41Mountain
Valley Child and
Family Services
Inc
39A4
7818 Bar Du Lane
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
42Mountain
Valley Child and
Family Services
Inc
39A3
6171 Bradshaw Rd
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 36 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
43Mountain
Valley Child and
Family Services
Inc
39A2
9200 Sweet Acacia
Way Sacramento
CA 95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
44Phoenix House
of
Los Angeles Inc
39B6
1600 Eldrige
Avenue Lake View
Terrace CA 91342
(818) 686-3000
wwwphoenixho
useorg
M-F 8 am- 530
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
45Rebekah
Childrenrsquos
Home
39AU
290 IOOF Avenue
Gilroy CA 95020
(408) 846-2100
wwwrcskidsor
g
M-F 8 am- 530
pm
Children
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 39 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
46Sacramento
Childrens Home
9076
2750 Sutterville
Road Sacramento
CA 95820
(916) 452-3981
wwwkidshome
Org
M-F 830 am - 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 40 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
47San Gabriel
Childrens Center
Out Patient
39B7
4740 N Grand
Avenue Covina CA
91724
(626) 859-2089
wwwsangabriel
childcom
M-F 8 am- 5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
48Star View
Adolescent Center
OP
39BB
4025 West 226th
Street
Torrance CA
90505
(310)373-4556
wwwstarsincco
m 24 hours
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 42 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
49Summitview
Child Treatment
Center
9061
670 Placerville Dr
2 Placerville CA
95667
(530) 644-2412
wwwsummitvie
wtreatmentorg
M-F 8 am-5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 43 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
50Telecare (aka
Jeremy House)
39AX
5634 Jeremy Way
Stockton CA
95212
(209) 888-4969
wwwtelecareco
rpcom
24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
51Telecare Early
Intervention
Recovery Services
(TEIRS)
39B2
4545 Georgetown
Place Suite A3
Stockton CA
95207
(209) 715-3754
wwwtelecareco
rpcom
M-F 8 am- 5 pm
Adult
Spanish
Provides outpatient
mental health services
for children and
adults
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 44 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
52TLC Child and
Family Services
39A9
1800 Gravenstein
Hwy North Suite A
Sebastopol CA
95472
(707) 823-7300
httpwwwtlc4
kidsorg
M-F 8 am- 430
pm
Children
and
Youth
Community-based
program
providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 45 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
53Valley
Community
Counseling Services
(VCCS) (Manteca)
9040
129 E Center
Street Suite 3
Manteca CA
95336
(209) 239-5553
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health
services for children
and youth in South
County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 46 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
54Valley
Community
Counseling Services
(VCCS) (School
Based Program -
Stockton)
9042
6707 Embarcadero
Drive Suite A
Stockton CA
95219
(209) 956-4240
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Outpatient mental
health services
provided at various
schools in
Stockton Manteca
and Lodi
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 47 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
55Valley
Community
Counseling Services
(VCCS) (Tracy)
9041
19 East 6th Street
Tracy CA 95378
(209) 835-8583
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health services
for children and youth
in South County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 48 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
56Victor
Community
Services and
Support Stockton
(VCSS)
9063
2495 W March
Lane Suite 125
Stockton CA
25207
(209) 465-1080
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services in-home and
in community
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 49 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
57Victor
Treatment
Center - Santa Rosa
9083
3164 Condo Court
Santa Rosa CA
95403
(707) 523-2334
wwwvictororg
M-F 810 am- 4
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 50 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
58Victor
Youth Services
(North Valley
Schools)
39AC
855 Canyon Road
Redding CA
96001
(530) 378-1855
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 51 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
59Womens
Center- Family
and Youth
Services
39B6
729 N California
Street Stockton
CA 95202
(209) 929-6700
wwwwomensce
nteryfsorg
M-F 830 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
CONTRACT PSYCHIATRIC HOSPITALS
60BHC Heritage
Oaks
Hospital
4250 Auburn
Boulevard
(916) 489-3336
wwwheritageoa
kshospitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 52 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
61BHC Sierra
Vista
Hospital
8001 Bruceville
Road
(916) 423-2000
wwwsierravista
hospitalcom
24 hours
All ages
Yes
Yes
Yes
62St Helena
Hospital Center for
Behavioral Health
525 Oregon Street
(707) 648-2200
wwwadventisth
ealthorg
24 hours
All ages
Yes
Yes
Yes
63John Muir
Behavioral Health
Center
2740 Grant Street
(925) 680-6500
wwwjohnmuirh
ealthcom
24 hours
All ages
Yes
Yes
Yes
64Sutter Center for
Psychiatry
7700 Folsom
Boulevard
(916) 388-3045
wwwsuttermedi
calcenterorg
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 53 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
65Fremont
Hospital
39001 Sundale
Drive
(510) 796-1100
wwwfremontho
spitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 54 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake
Unit
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-9600
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Substance Use Disorder
Assessment for
Outpatient amp Inpatient
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 55 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
67 Chemical
Dependency
Counseling Center
(CDCC)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-3720
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Youth
Adult
Perinatal
Spanish
Mon Wed and Fri
8am-5pm
Closed Holidays
Outpatient Treatment
Perinatal Component
Intensive Outpatient
Youth Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 56 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
68 Alcohol amp Drug
Alternative Program
(ADAP)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-6840
Fax (209)468-
8640
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon Wed and Fri
8am-5pm
Tue And Thur
8am-7pm
Closed Holidays
Outpatient Court
Monitoring Education
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 57 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
69 Family Ties
500 W Hospital Rd
French Camp CA
95231
(209) 468-6208
Fax (209)468-
7032
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Adult
Perinatal
Spanish
24 Hour Services
Inpatient Treatment
Perinatal Component
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 58 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
70 Recovery House
500 W Hospital Rd
French Camp CA
95231
(209) 468-6857
Fax (209)468-
6739
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
24 Hour Services
Inpatient Treatment
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 59 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
71 Adolescent Co-
Occurring Treatment
Program (ACT)
Childrens Behavioral
Health Services
1414 N California
St 2nd Floor
Stockton CA 95202
(209) 468-2385
Fax (209)468-
8024
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Individual amp group
counseling and
education in conjunction
with the adolescentrsquos
mental health services a
partnership with Mental
Health Services and
Substance Abuse
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 60 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
72 Prevention
Services
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-2005
Fax (209)468-
2251
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Youth Services Parenting
Students In Prevention
(SIP)
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 61 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
73 Aegis
Treatment Center
8626 N Lower
Sacramento Road
Suite 41 Stockton
CA 95209
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1230pm
Sat Sun and
Holidays
6am-1030am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 62 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
74 5th Street
Medical Clinic
Stockton
1839 S El Dorado
St Stockton CA
95206
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 63 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
75 Aegis
Treatment Center
Healthy Connections
(California St)
Stockton
1947 N California
St Suites B and C
Stockton CA 95210
(209) 463-0870
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 64 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
76 Healthy
Connections Lodi
Clinic
441 South Ham
Lane Suite A
Lodi CA 95242
(209) 224-8490
httpsaegistreat
mentcenterscom
clinicaegis-
lodi-california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
7am-12 noon
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 65 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
77 Manteca
Healthy Connections
Center Street
955 W Center St
Suites 12A amp 14
Manteca CA 95337
(209) 239-9600
httpsaegistreat
mentcenterscom
clinicaegis-
manteca-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
8am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 66 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
78 MedMark
Treatment Center
1111 N El Dorado
St Stockton CA
95202
(209) 938-0228
httpmedmark
commedmark-
treatment-
centers-
stockton
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
Provider Name Facility NameID
Type of Practioner (licensed
amp Waivered)
National
Provider
Identifier
number California license number type of license
Cultu
ral
Comp
etenc
e
Traini
ng
(YN)1 Black
Awaremenss
Community
Outreach
ProgramMulti
cultural
Services Amarpreet Singh BHS BACOPMC Psychiatrist (Locum) 1235182916 Physician and Surgeon N
Aravind Pai BHS BACOPMC Psychiatrist (Locum) 1629076088 Physician and Surgeon A30319 N
Donna Bickham BHS BACOPMC Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Donnelle Tamayo BHS BACOPMC Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS BACOPMC Staff Nurse III 1104375724 Registered Nurse 723203 Y
Kathleen Wilson-Parish BHS BACOPMC Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS BACOPMC MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Nancy Nelson BHS BACOPMC Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Paul Wallace BHS BACOPMC Chief Psychiatric Tech 1114044799 Licensed Psychiatric Technician PT26296 Y
Quynh-Chi Nguyen BHS BACOPMC Staff Nurse III 1417371014 Registered Nurse 845080 Y
Scott Harrison BHS BACOPMC Clinician II 1518089317 Marriage and Family Therapist Intern IMF75861 Y
Shirley Hollowell BHS BACOPMC Registered Nurse 1124143474 Registered Nurse 352081 Y
2 Children and
Youth Services
Stockton Clinic Ganiya (Iyabo) Adediran
Childrens and Youth Services- Stockton
3915 Waivered 1881148690 81666 AMFT Y
Provider Staff Listing
Benjamin Alban
Childrens and Youth Services- Stockton
3915 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Stockton
3915 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Stockton
3915 Licensed 1821294455 105923 Psychiatrist Y
Valentin Avramov
Childrens and Youth Services- Stockton
3915 Licensed 1053488767 109609 Psychiatrist Y
Kristina Birch
Childrens and Youth Services- Stockton
3915 Waivered 1366874844 1809 APCC Y
Linda Brett
Childrens and Youth Services- Stockton
3915 Licensed 1295853299 523914 RN Y
Donna Cassettari
Childrens and Youth Services- Stockton
3915 Licensed 1497887699 43173 LMFT Y
Renessa Castaneda-Jensen
Childrens and Youth Services- Stockton
3915 Licensed 1376664862 81528 LMFT Y
Jacqueline Coulter
Childrens and Youth Services- Stockton
3915 Licensed 1720184765 41366LMFT Y
Courtney Flores
Childrens and Youth Services- Stockton
3915 Licensed 1851437735 29811 LCSQW Y
Maria Garcia
Childrens and Youth Services- Stockton
3915 Licensed 1235400557 80425 LCSW Y
Ikesha Goodwin
Childrens and Youth Services- Stockton
3915 Waivered 1104279728 101632 IMF Y
Kelsey Guidicatti
Childrens and Youth Services- Stockton
3915 Waivered 1245783687 93458 AMFT Y
Antonio Gutierrez
Childrens and Youth Services- Stockton
3915 Licensed 1023473469 71535 LCSW Y
Victoria Hall
Childrens and Youth Services- Stockton
3915 Licensed 1437464179 91065 LMFT Y
Nicole Hodgson
Childrens and Youth Services- Stockton
3915 Licensed 1962727792 85491 LMFT Y
Hudson Mark Hudson
Childrens and Youth Services- Stockton
3915 Licensed 1528190725 78609 LMFT Y
Shadai Lescale Huante
Childrens and Youth Services- Stockton
3915 Waivered 1528340320 59764 ACSW Y
Genevieve Lisenbey
Childrens and Youth Services- Stockton
3915 Waivered 1265698104 80465 AMFT Y
Sharon Lizotte
Childrens and Youth Services- Stockton
3915 Waivered 1851820708 101863 AMFT Y
Angie Nicholas
Childrens and Youth Services- Stockton
3915 Licensed 1679713796 52080 LMFT Y
Shiella Pablico
Childrens and Youth Services- Stockton
3915 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Sheilena Payne
Childrens and Youth Services- Stockton
3915 Licensed 1336437656 94571 LMFT N
Timothy Quinn
Childrens and Youth Services- Stockton
3915 Waivered 1316322381 79556 Marriage amp Family Therapist Intern Y
Joann Rihad
Childrens and Youth Services- Stockton
3915 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet
Childrens and Youth Services- Stockton
3915 Licensed 1366468555 C53401 Psychiatrist Y
Jacqueline Salgado
Childrens and Youth Services- Stockton
3915 Licensed 1043661903 95452 Marriage amp Family Therapist Y
Kristen Schneider
Childrens and Youth Services- Stockton
3915 Waivered 1578963591 72071 ACSW Y
Carla Simien
Childrens and Youth Services- Stockton
3915 Licensed 1629564000 40771 Licensed Psychiatric Technician N
Tamra Smith
Childrens and Youth Services- Stockton
3915 Licensed 1336267608 76975 LCSW Y
Maribel Vargas
Childrens and Youth Services- Stockton
3915 Waivered 1821247149 35622 ACSW Y
J Watkins
Childrens and Youth Services- Stockton
3915 Licensed 1043797871 4200 LPCC Y
Tamara Weber
Childrens and Youth Services- Stockton
3915 Licensed 1992101497 105926 LMFT Y
Amanda Yocham
Childrens and Youth Services- Stockton
3915 Licensed 1326103516 79068 LMFT Y
Nikki Young
Childrens and Youth Services- Stockton
3915 Waivered 1841692159 88891 AMFT Y
3 Children and
Youth Services-
Foster Youth
Full Service
Partnership Benjamin Alban
Childrens and Youth Services- Foster
Youth 9096 Licensed 1932227295 26094 LCSW Y
Maria Garcia
Childrens and Youth Services- Foster
Youth 9096 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Foster
Youth 9096 Licensed 1023473469 71535 LCSW Y
4 Children and
Youth Services-
Juvenile Justice
Full Srvice
Partnership Benjamin Alban
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1821294455 105923 Psychiatrist Y
Maria Garcia
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1023473469 71535 LCSW Y
Shabneet Hira Brar
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1851598452 A112447 Psychiatrist Y
Sheilena Payne
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1336437656 94571 LMFT N
5 Community
Adult
Treatment
Services Amanda Hurlock CATS OUTPATIENT 1836 Waivered 1205369899 AMFT 100834 Y
Adeline Mendez CATS OUTPATIENT 1836 Licensed 1255453353 PT 25868 Y
Anna Perez Testo CATS OUTPATIENT 1836 Licensed 1740309889 LMFT 52444 Y
Angelo Pasa CATS OUTPATIENT 1836 Licensed 1689874125 RN 691250 Y
Beverly Thompson CATS OUTPATIENT 1836 Waivered 1528311230 ACSW 70671 Y
Carolyn Walters CATS OUTPATIENT 1836 Licensed 1891815155 LMFT 43069 Y
Debra Baker CATS OUTPATIENT 1836 Waivered 1740610229 AMFT 95836 Y
Eloisa Velasco CATS OUTPATIENT 1836 Licensed 1740797976 PT 40651 Y
Francisco Arreola CATS OUTPATIENT 1836 waivered 1417359027 AMF 87821 Y
Heidi McHenry CATS OUTPATIENT 1836 Licensed 1861763294 PT 35949 Y
Helen Sprague CATS OUTPATIENT 1836 Waivered 1710325642 AMFT 75120 Y
Jane Sanchez CATS OUTPATIENT 1836 Licensed 1346406824 LMFT 50808 Y
Jannelle Heard CATS OUTPATIENT 1836 Waivered 1467813568 AMFT 95836 Y
Kara Herrick CATS OUTPATIENT 1836 Licensed 1518191659 LMFT 43283 Y
Keith Amador CATS OUTPATIENT 1836 Licensed 1891127403 LMFT 102725 Y
Cynthia Morishige CATS OUTPATIENT 1836 Licensed 1649396045 LCSW 13592 Y
Remedios Wallace CATS OUTPATIENT 1836 Licensed 1639294341 PT 24227 Y
Luis Garcia CATS OUTPATIENT 1836 Licensed 1346599677 LMFT 10398 Y
Maria Ayala CATS OUTPATIENT 1836 Waivered 1174991129 APCCI 3382 Y
Marie Daguman CATS OUTPATIENT 1836 Waivered 1619483237 ACSW 79980 Y
Mary Montgomery CATS OUTPATIENT 1836 Licensed 1538281183 LCSW82129 Y
Megan Curtiss CATS OUTPATIENT 1836 Waivered 1265836027 AMFT 107915 Y
Priscilla Kavanagh CATS OUTPATIENT 1836 Waivered 1528429057 APCC2122 Y
Elizabeth DeGravio CATS OUTPATIENT 1836 Licensed 1497167530 PT 37500 Y
Ramil Doronio CATS OUTPATIENT 1836 Licensed 1871767376 RN 555151 Y
Ronee Martin CATS OUTPATIENT 1836 Waivered 1932644796 AMFT 84987 Y
Sasha Jackson CATS OUTPATIENT 1836 Waivered 1295181295 ACSW 79996 Y
Sherri Helsby CATS OUTPATIENT 1836 Licensed 1669893764 LCSW 29248 Y
Teri Jorgensen CATS OUTPATIENT 1836 Licensed 1295071363 RN 469034 Y
Tiffany DeWitte CATS OUTPATIENT 1836 Licensed 1023143245 LCSW 29826 Y
Valerie-Ann Garcia CATS OUTPATIENT 1836 Licensed 1770606386 RN 704233 Y
Savoeun Phal CATS OUTPATIENT 1836 Waivered 1821513946 APCC 5278 Y
Joshua Merrill CATS OUTPATIENT 1836 Waivered 1114463957 AMFT 102798 Y
Gerado Manansala CATS OUTPATIENT 1836 Licensed 1215195813 A 102439 Y
Paul Mascovich CATS OUTPATIENT 1836 Licensed 1215921184 G 33950 Y
Jin Soofi CATS OUTPATIENT 1836 Licensed 1972592939 G 86240 Y
Sheril Keys CATS OUTPATIENT 1836 Licensed 1942664875 PT 38333 Y
Thomas Firnberg CATS OUTPATIENT 1836 Licensed 1164597472 A 040218 Y
Mohammad Jahangiri CATS OUTPATIENT 1836 Licensed 1720266760 A 56400 Y
Fouad Saddik CATS OUTPATIENT 1836 Licensed 1437254117 A 44865 Y
Kellie Salazar CATS OUTPATIENT 1836 Licensed 1295273654 PT 40326 Y
Suryabamu Javeed CATS OUTPATIENT 1836 Licensed 1568567105 A 56307 Y
Robert Graff CATS OUTPATIENT 1836 Licensed 1366560112 G 70479 Y
Chestermagno De La Cruz CATS OUTPATIENT 1836 Licensed 1619476637 PT40672 Y
6 Community
Corrections
Partnership Rico Molina AB10920 licensed 1255454203 LCSW25450 Y
Lawrence Shaddix AB10920 licensed 1508282286 IMF84560 Y
Randolph Herrington AB10920 licensed 1114141173 LMFT48970 Y
7 Crisis
Community
Response Team
(CCRT) Williams Wendy CCRT
MHC III
1265554638 LMFT 84045
Y
Ballesteros Patricia CCRT MHC 1790058352 LMFT 108455 Y
8 Crisis
Intervention
Services Graff Robert Crisis
MD
1366560112 G70479
Y
Gill Paramijit Crisis MD 1073629218 A49224 Y
Firnberg Thomas Crisis MD 1164597472 A040218 Y
Singh Karamjit Crisis MD 1083930440 A132050 N
Singh Amanpreet Crisis MD 1235182916 A78414 N
Lee Catherine Crisis MHC III 1073729646 LMFT 44225 Y
Saleem Noshela Crisis MHC III 1255585584 LCSW 67154 Y
Williams Wendy Crisis MHC III 1265554638 LMFT 84045 Y
Galindo Teresa Crisis MHC III 1700119369 LCSW 69736 Y
Molina-Eliab Sonya Crisis MHC 1497878482 AMFT 99087 Y
Tran Michelle Crisis MHC 1366642068 LCSW 81278 Y
Figueroa Carlos Crisis MHC 1306193933 LMFT 102315 Y
Ballesteros Patricia Crisis MHC 1790058352 LMFT 108455 Y
Nobles Shannon Crisis MHC 1457699720 AMFT 101531 Y
Saelee Cindy Crisis MHC 1255511614 LCSW 82456 Y
Maney Stephen Crisis MHC 1083985998 ASW 78482 Y
Lewman Brenda Crisis MHC 1821477035 LMFT106905 Y
Morales Leonardo Crisis MHC 1962822643 ASW 72730 Y
Grant Anika Crisis MHC 1649697137 AMFT 104116 Y
Sullivan Aisha Crisis MHC 1861772253 LCSW 75323 Y
Hodge Lewie Crisis MHC 1477044931 ASW 80338 N
Donato Imelda Crisis MHC 1194278085 APCC 2409 N
Redoblado Sheryl Crisis MHC 1871731513 LCSW 75136 Y
Walter Taffie Crisis CPT 1083735096 PT 32090 Y
DeJesus Carolyn Crisis CPT 1861650228 PT 34221 Y
McArthur Milagros Crisis PT 1477809929 PT 36471 Y
Olsen Chandra Crisis PT 1770914061 PT 37210 Y
Isham Loni Crisis PT 1891145033 PT 38233 Y
Bazua Melissa Crisis PT 1972944072 PT 36496 Y
Wright-Freeman Cody Crisis PT 1538584859 PT 37819 Y
Bareng Jeff Crisis PT 1043753478 PT 40284 Y
Gill Sandeep Crisis PT 1871852673 PT 34942 Y
Quitoriano Stephanie Crisis PT 1659798130 PT 37033 Y
Otero Luis Crisis PT 1487015582 PT 38229 Y
Price Jennifer Crisis PT 1932621893 PT 40662 Y
Kemp Sydney Crisis PT 1902383623 PT 34601 Y
9 Crisis
Stabilization
Units (CSU) Graff Robert CSU
MD
1366560112 G70479
Y
Allanki Sailaja CSU MD 1306897723 C138838 Y
Singh Karamjit CSU MD 1083930440 A132050 N
Brown Brandi CSU RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth CSU RN 1255459061 RN 488617 Y
Seraypheap Arunny CSU RN 1013037274 RN 547944 Y
Limas Deborah CSU RN 1073631727 RN 526984 Y
Winck Angela CSU RN 1083002992 RN 701021 Y
Cabrera Gilbert CSU RN 1679693766 RN 565185 Y
Mendoza Michelle CSU RN 1477951812 RN 797022 Y
Blackman Demerica CSU RN 1932619517 RN 850647 Y
Laizer Gloria CSU RN 1255706479 RN 764452 Y
Odametey Ama CSU RN 1700366358 RN 835504 N
Hawkins Lynnetta CSU MHC III 1437436938 LMFT 93110 Y
Lambert Rekha CSU MHC 1164647525 LMFT 10386 Y
Nguyen Thao CSU MHC 1912214065 LMFT 88176 Y
Navarro Grace CSU MHC 1083737753 ASW 72678 Y
Limas Stephanie CSU MHC 1053433748 LMFT 99397 Y
Little Christy CSU PT 1497978795 PT 28731 Y
Abundez Jesse CSU CPT 1841413036 PT 29162 Y
Montantes Michael CSU CPT 1780018390 PT 37071 Y
DeJesus Carolyn CSU CPT 1861650228 PT 34221 Y
Arriola Eulalie CSU CPT 1255573044 PT 34426 Y
Hardy Denise CSU PT 1912202813 PT 33714 Y
Harbin Toni CSU PT 1639475049 PT 28726 Y
Fortes Catherine CSU PT 1346681442 PT 36982 Y
Mocko James CSU PT 1558726224 PT 38249 Y
Menius Victoria CSU PT 1487074258 PT 37534 Y
Brown Kristaline CSU PT 1750723821 PT 32575 Y
Thorpe William CSU PT 1326599770 PT 40154 Y
Look Jasmin CSU PT 1194143198 PT 37492 Y
Mariano Joseph CSU PT 1609208172 PT 36968 Y
Marglin Lisa CSU PT 1558733576 PT 38247 Y
Clutario Dindo CSU PT 1164664512 PT 34295 Y
Ripoyla Jerral CSU PT 1821511700 PT 40644 Y
Varquez Sharon CSU PT 1366682387 PT 34435 Y
Holmes Sherronya CSU PT 1205214228 PT 37605 Y
Duncan Deanna CSU PT 1043674963 PT 38260 Y
Vang Mai CSU PT 1982103081 PT 40697 Y
Vong Tharith CSU PT 1134624802 PT 40678 N
Ridad Anthony CSU PT 1659887750 PT 40713 Y
Hill Brandon CSU PT 1053803890 PT 40412 Y
Singh Jasvir CSU PT 1477833911 PT 36007 Y
Kottke Marline CSU LVN 1891223111 LVN 198957 Y
10 Forensic
Court Full
Service
Partnership Edward Olpin BHSJDDSAS licensed 1477687077 LCSW24055 Y
Betsey McCall-Salerno BHSJDDSAS licensed 1740574672 LMFT42444 Y
Isabella Padilla Pereira Forensic74 licensed 1174871818 LMFT97934 Y
Alexander Anderson Forensic MCST74 licensed 1417183385 ASW70838 Y
Joseph Zummo Forensic74 licensed 1497927487 AMFT105417 Y
11 Gaining
Older Adult Life
Skills
(GOALS) Full
Service
Partnership
(MHSA) Crystal Thao GOALS 7523 Waivered 1609183748 ACSW 35249 Y
Jessica Preston GOALS 7523 Waivered 1649727066 ACSW 79154 Y
Karla Romero GOALS 7523 Waivered 1083133276 AMFT 100573 Y
Tracy House GOALS 7523 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi GOALS 7523 Licensed 1093911224 LMFT 40177 Y
Sue Gruber GOALS 7523 Licensed 1811014780 LCSW 29008 Y
Christine Blue GOALS 7523 Licensed 1093786683 A 10733 Y
Katheine Hedrick GOALS 7523 Licensed 1043699333 RN 683243 Y
Cynthia Resendez GOALS 7523 Licensed 1780877845 A84098 Y
12 InSpire
(MHSA) Debra Baker InSprire 7023 Waivered 1740610229 AMFT 95836 Y
Elizabeth DeGravio InSprire 7023 Licensed 1497167530 PT 37500 Y
13 La Familia
Clinic Full
Service
Partnership Nancy Nelson BHS La Familia Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Jane Fernandez BHS La Familia Psychiatrist 1194799395 Physician and Surgeon A93060 Y
Pamela Smith BHS La Familia Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Aravind Pai BHS La Familia Psychiatrist (Locum) 1235182916 Physician and Surgeon A30319 N
Cynthia Resendez BHS La Familia Psychiatrist 1780877845 Physician and Surgeon A84098 Y
Donna Bickham BHS La Familia Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS La Familia Registered Nurse 1124143474 Registered Nurse 352081 Y
Kathleen Wilson-Parish BHS La Familia Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS La Familia MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Alexander Largaespada BHS La Familia Clinician 1881902161 Marriage and Family Therapist Intern IMF93473 Y
Lynn Tarrant BHS La Familia Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
Adriana Cruz BHS La Familia Clinician II 1871612697 Licensed Clinical Social Worker LCSW81643 Y
Scarlette Aranda BHS La Familia Clinician I 1295929529 Associate Clinical Social Worker 83748 Y
Donnelle Tamayo BHS La Familia Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS La Familia Staff Nurse III 1104375724 Registered Nurse 723203 Y
14 Mary
Graham
Childrens
Shelter Renessa Castaneda-Jensen Mary Graham Childrens Shelter 9008 Licensed 1376664862 81528 LMFT Y
15 MHSA TAY
FSP Heidi McHenry TAY FSP Licensed 1861763294 PT 35949 Y
Jannelle Heard TAY FSP Waivered 1467813568 AMFT 95836 Y
Ronee Martin TAY FSP Waivered 1932644796 AMFT 84987 Y
Sasha Jackson TAY FSP Waivered 1295181295 ACSW 79996 Y
16 Older Adult
Services (OAS) Crystal Thao OAS 8236 Waivered 1609183748 ACSW 35249 Y
Jessica Preston OAS 8236 Waivered 1649727066 ACSW 79154 Y
Karla Romero OAS 8236 Waivered 1083133276 AMFT 100573 Y
Tracy House OAS 8236 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi OAS 8236 Licensed 1093911224 LMFT 40177 Y
Sue Gruber OAS 8236 Licensed 1811014780 LCSW 29008 Y
Christine Blue OAS 8236 Licensed 1093786683 A 10733 Y
Katheine Hedrick OAS 8236 Licensed 1043699333 RN 683243 Y
Cynthia Resendez OAS 8236 Licensed 1780877845 A84098 Y
17 Peterson
Hall Jennifer Domingo Peterson Hall 9009 Licensed 1104097286 50961 LMFT Y
Shabneet Hira Brar Peterson Hall 9009 Licensed 1851598452 A112447 Psychiatrist Y
Karina Jimenez Peterson Hall 9009 Waivered 1477891679 78261 AMFT Y
Helan Nguyen Peterson Hall 9009 Waivered 1801135876 85251 AMFT Y
Shiella Pablico Peterson Hall 9009 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Joann Ridad Peterson Hall 9009 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet Peterson Hall 9009 Licensed 1366468555 C53401 Psychiatrist Y
Carla Simien Peterson Hall 9009 Licensed 1629564000 40771 Licensed Psychiatric Technician Y
Fay Vieira Peterson Hall 9009 Licensed 1982815684 50276 LMFT Y
18 Psychiatric
Health Facility
(PHF)
Gill Paramijit
PHF
MD
1073629218 A49224
Y
Hart Robert PHF MD 1477660074 C38923 Y
Silver Hilary PHF MD 1720201221 C33442 Y
Brown Brandi PHF RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth PHF RN 1255459061 RN 488617 Y
Seraypheap Arunny PHF RN 1013037274 RN 547944 Y
Limas Deborah PHF RN 1073631727 RN 526984 Y
Winck Angela PHF RN 1083002992 RN 701021 Y
Cabrera Gilbert PHF RN 1679693766 RN 565185 Y
Mendoza Michelle PHF RN 1477951812 RN 797022 Y
Blackman Demerica PHF RN 1932619517 RN 850647 Y
Laizer Gloria PHF RN 1255706479 RN 764452 Y
Odametey Ama PHF RN 1700366358 RN 835504 N
Camello Bena PHF MHC 1053581116 LCSW 65302 Y
Shah Mamoona PHF MHC 1407978471 Waivered Y
Mills Rachelle PHF MHC 1326169350 LMFT 81070 Y
Little Christy PHF PT 1497978795 PT 28731 Y
Bomar Dolfa PHF CPT 1881817567 PT 31571 Y
DeJesus Carolyn PHF CPT 1861650228 PT 34221 Y
Varquez Sharon PHF PT 1366682387 PT 34435 Y
Pot Sambo PHF PT 1104378827 PT 33626 Y
Bou Jennifer PHF PT 1033652466 PT40281 Y
Sesante Maria PHF PT 1851515720 PT 30936 Y
Ota Robert PHF PT 1578786554 PT 33792 Y
Pinano Paolo PHF PT 1245352616 PT 33726 Y
Ruiz Ronald PHF PT 1700907094 PT 27494 Y
Villasenor Kendra PHF PT 1447518204 PT 36449 Y
Deol Sukhvinder PHF PT 1508988593 PT 30288 Y
Bokelman Roy PHF PT 1114040003 PT 32628 Y
Seba Vicki PHF PT 1639291636 PT 31714 Y
Siador Jill PHF PT 1366884058 PT 36818 Y
Polk Rhonda PHF PT 1316160146 PT 20798 Y
Zorea Dylan PHF PT 1467573766 PT28206 Y
Chapin Larry PHF PT 1528200169 PT 26162 Y
19 San Joaquin
County MH
Services Lodi
Clinic Ruth Johnson Lodi Outpatient 6036 Licensed 1265535538 LCSW 15213 Y
Judith Dolyniuk Lodi Outpatient 6036 Licensed 1518182534 LMFT 97680 Y
Amy Massie Lodi Outpatient 6036 Waivered 1356798391 AMFT 100785 Y
Shayne Maniti Lodi Outpatient 6036 Licensed 1689854093 PT 33732 Y
Saba Rizvi Lodi Outpatient 6036 Licensed 1619190501 A 95786 Y
Avramov Valentin Lodi Outpatient 6036 Licensed 1053488767 109609 Psychiatrist Y
Hill Patricia Lodi Outpatient 6036 Licensed 1902926231 23764 LCSW Y
Mann Bhupinderpreet Lodi Outpatient 6036 Waivered 1174603039 80464 AMFT Y
20 San Joaquin
County MH
Services Tracy
Clinic Ashley Smerdon Tracy Clinic 6136 Waivered 1265713929 MFT87560 Y
Jennifer Spruill Tracy Clinic 6136 Licensed 1518232321 LCSW 69544 Y
Simone Litsch Tracy Clinic 6136 Licensed 1598882599 A 89254 Y
Aravind Pai Tracy Clinic 6136 Licensed 1629076088 A30319 N
Gabriel Holguin Tracy Clinic 6136 Licensed 1255704094 PT38216 Y
21 SJC- MHS
CYS Katie A
Services Sailaja Allanki CYS Katie A Services 9020 Licensed 1306897723 138838 Psychiatrist Y
Kristina Birch CYS Katie A Services 9020 Waivered 1366874844 1809 APCC Y
Maria Boklund CYS Katie A Services 9020 Licensed 1396157061 48496 LMFT Y
Linda Brett CYS Katie A Services 9020 Licensed 1295853299 523914 RN Y
Renessa Castaneda-Jensen CYS Katie A Services 9020 Licensed 1376664862 81528 LMFT Y
Maria Gamino CYS Katie A Services 9020 Waivered 1710386453 73292 ASW N
Shabneet Hira Brar CYS Katie A Services 9020 Licensed 1851598452 A112447 Psychiatrist Y
Catherine Navarrete CYS Katie A Services 9020 Waivered 1619456076 105076 Marriage amp Family Therapist Y
Leora Pollock CYS Katie A Services 9020 Licensed 1245663426 75192 LCSW Y
Kim Saing CYS Katie A Services 9020 Licensed 1982722666 51242 LMFT Y
Anastacia Stanley CYS Katie A Services 9020 Licensed 1528299724 87417 LMFT N
Patricia Young CYS Katie A Services 9020 Waivered 1780051375 94965 ASSOCIATE MARRIAGE amp FAMILY THERAPIST Y
22
Transcultural
Clinic (TCC) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
23 Southeast
Asian Recovery
Services
(SEARS) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
CONTRACT ORGANIZATIONAL PROVIDERS
24 Anka Lodi (
was Mourfield
House) Meloney West Anka Lodi AMFT 1649523283 Y
Eon Lawrence Losefa Anka Lodi LMFT 1982898276 104807 Y
Aaron Fett Anka Lodi Psychology Intern 1932352424 Y
25 ASPIRAnet Courtney Warfield-Gibbs ASPIRAnet Waivered 1285958520 ACSW 70918 Y
Melissa Wimer ASPIRAnet Licensed 1467946301 LMFT 81226 Y
Patricia A Jackson ASPIRAnet Waivered 1780848853 AMFT 73975 Y
Vijai Pandey ASPIRAnet Waivered 1710497938 AMFT 70416 Y
Amir Siddiqui ASPIRAnet Waivered 1336617844 APCC 5341 N
26 Bright
House Robert Lee Majors Bright House LMFT 1780692806 49236 Y
27 Casa Pacifica - OUT OF COUNTY PROVIDER
28 CBIS (University of the Pacific)- NON LICENSED STAFF ONLY
29 Chamberlains Children Center Inc -OUT OF COUNTY PROVIDER
30 Charis Youth Center- OUT OF COUNTY PROVIDER
31 Child Abuse
Prevention
Council Roger Duke Child Abuse Prevention Council LMFT 1992861082 79588 Y
Cassandra Lowe Child Abuse Prevention Council AMFT 1205278694 75983 Y
Stacey Tidwell Child Abuse Prevention Council ACSW 1790189413 72578 Y
Nazia Khan Child Abuse Prevention Council AMFT 1508227158 81499 Y
Lisa Aguilar Child Abuse Prevention Council ACSW 1417401035 73365 Y
Anabel Montejano Child Abuse Prevention Council ACSW 1740656636 78974 Y
Catherine Thiel Child Abuse Prevention Council LCSW 1134569791 82263 Y
Michelle Nelson Child Abuse Prevention Council AMFT 1891173357 94133 Y
Maria Cardoza Child Abuse Prevention Council AMFT 1467861252 87554 Y
Thear Chum Child Abuse Prevention Council ACSW 1134648231 83947 Y
Kaitlyn Reilly Child Abuse Prevention Council ACSW 1205381613 83651 Y
Laura Rodriguez Child Abuse Prevention Council ACSW 1316498892 78113 Y
Diana Strimling Child Abuse Prevention Council AMFT 1316221765 104452 Y
32 Community Re-Entry Program (CRP)- NON LICENSED STAFF ONLY
33 Crestwood Solano (PHF)- Out of County Provider
34 Crittenton Services For Children and Families -OUT OF COUNTY PROVIDER
35 Edgewood Center for Children and Families- OUT OF COUNTY PROVIDER
36 Fred Finch Youth Center- OUT OF COUNTY PROVIDER
37 Grant
House Meloney West Grant House AMFT 1649523283 Y
JoAnn Marie Cornelius Grant House LPT 1205877727 35804 Y
Melinda Carchidi Grant House Psychology Intern 1609151653 Y
38 Latino
Behavioral
Health and
Recovery
Services Alexander Largaespada Latino Behavioral Health AMFT 181902161 AMFT 93473 Y
Maria De La Luz Torres Latino Behavioral Health ACSW 1003323361 ASW80844 N
Lynn Tarrant Latino Behavioral Health Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
39 Martin Gipson Socialization Center- NON LICENSED STAFF ONLY
40 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
41 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
42 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
43 Mountain Valley Child and Family Services Inc- OUT OF COUNTY PROVIDER
44 Phoenix House of Los Angeles Inc- OUT OF COUNTY PROVIDER
45 Rebekah
Childrens
Home Bhatti Moeen Rebekah Childrens Home licensed 1205023736 A 100193 Physician amp SurgeonMD DEA FB4071332 Y
Cervantes Priscilla Rebekah Childrens Home licensed 1679081582 693037 LVN N
Delgado Melissa Rebekah Childrens Home licensed 1881002186 105380 LMFT Y
Downey Ruth Rebekah Childrens Home licensed 1790161339 100524 LMFT Y
Machuca Lopez Cynthia Rebekah Childrens Home waivered 1386053817 74884 ACSW Y
Moeller Ryan Rebekah Childrens Home waivered 1316303803 91385 AMFT Y
Vaca-Preez Alejandra Rebekah Childrens Home waivered 1629418876 36752 ACSW Y
Vargas-Gladen Rosalva Rebekah Childrens Home licensed 1326114372 46940 LMFT Y
46 Sacramento Childrens Home- OUT OF COUNTY PROVIDER
47 San Gabriel Childrens Center Out Patient- OUT OF COUNTY PROVIDER
48 Star View Adolescent Center OP- OUT OF COUNTY PROVIDER
49 Summitview Child Treatment Center- OUT OF COUNTY PROVIDER
50 Telecare
(aka Jeremy
House) Jessica Reiland Telecare- Jeremy House ASW (waived) Clinician 1003154634 70377 Y
Thuy Huynh Telecare- Jeremy House LPT Nurse 1033485495 36454 Y
Shannan Taylor Telecare- Jeremy House LMFT Regional Director 1528074770 LMFT46081 Y
51 Telecare
Early
Intervention
Recovery
Services (TEIRS) Melissa Planas ` LCSW 1679807994 LCSW66499 Y
Holli Hoffman TEIRS DNP 1144380940 2005000091 Y
Oshalique Bass TEIRS PCCI Waived 1477811677 5490 Y
Tran tran TEIRS LVN 1477084671 VN 275938 Y
Jennifer Miles TEIRS MD 1275541641 G83528 Y
Shannan Taylor TEIRS LMFT 1528074770 LMFT46081 Y
52 TLC Child and Family Services- OUT OF COUNTY PROVIDER
53 Valley
Community
Counseling
Services (VCCS)
(Manteca) 9040 Muhammad Kamran VCCS Manteca 9040 Licensed 1811051337 C53847 Psychiatrist Y
Patricia Goodman VCCS Manteca 9040 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Manteca 9040 Clinician 1578734687 AMFT 80527 Y
Alisha Sweyd VCCS Manteca 9040 Clinician 1689059941 AMFT 96911 Y
Teresa Viles-Reed VCCS Manteca 9040 Clinician 1386762623 PhD PSY14848 Y
54 Valley
Community
Counseling
Services (VCCS)
(School Based
Program-
Stockton) 9042 Cynthia Aguilera VCCS Stockton 9042 Clinician 1003326182 AMFT 102123 Y
Melanie Almada VCCS Stockton 9042 Clinician 1912396532 AMFT 92167 Y
Arica Arucan VCCS Stockton 9042 Clinician 1215258280 LCSW 72691 Y
Megan Bassi VCCS Stockton 9042 Clinician 1669833885 AMFT 91956 Y
Manjit Belanger VCCS Stockton 9042 Clinician 1255780771 AMFT 100537 Y
Ana De Trinidad VCCS Stockton 9042 Clinician 1043501570 AMFT 95408 Y
Tiffany Drake VCCS Stockton 9042 Clinician 1417456617 AMFT 103265 Y
Sarah Gard VCCS Stockton 9042 Clinician 1477966265 LMFT 106055 Y
Patricia Goodman VCCS Stockton 9042 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Stockton 9042 Clinician 1578734687 AMFT 80527 Y
Alicia Jackson VCCS Stockton 9042 Clinician 1912386525 AMFT 93526 Y
Naomi Jimenez VCCS Stockton 9042 Clinician 1669927828 AMFT 80527 Y
Leonard Lippert VCCS Stockton 9042 Clinician 1154691137 AMFT 101758 Y
Sandra McBride VCCS Stockton 9042 Clinician 1033467030 AMFT 75525 Y
Monika Muy VCCS Stockton 9042 Clinician 1982008603 ACSW 67390 Y
Desiree Nease VCCS Stockton 9042 Clinician 1447703491 ACSW 71196 Y
Katelyn Nelson VCCS Stockton 9042 Clinician 1669998290 ACSW 77372 Y
Elaine Pike VCCS Stockton 9042 Clinician 1508875055 LMFT 45258 Y
Cristal Rodriguez VCCS Stockton 9042 Clinician 1760938740 AMFT 93861 Y
Reshma Roy VCCS Stockton 9042 Clinician 1073061784 ACSW 66474 Y
Belem Ruiz VCCS Stockton 9042 Clinician 1508380411 AMFT 100924 Y
Jenna Santoyo VCCS Stockton 9042 Clinician 1457584567 LCSW 29827 Y
Riah Skrinnik VCCS Stockton 9042 Clinician 1295275592 APCC 3532 Y
Kristyn Towers VCCS Stockton 9042 Clinician 1942671052 AMFT 89172 Y
Alexsandra Trejo VCCS Stockton 9042 Clinician 1750837985 AMFT 92738 Y
Vichra You VCCS Stockton 9042 Clinician 1013437714 AMFT 99071 Y
55 Valley
Community
Counseling
Services (VCCS)
(Tracy) 9041 Muhammad Kamran VCCS Tracy 9041 Licensed 1811051337 C53847 Psychiatrist Y
Rosemary Cervantes VCCS Tracy 9041 Clinician 1407299738 AMFT 72397 Y
Laura Strickland VCCS Tracy 9041 Clinician 1538354543 2012633 Y
Lani Westervelt VCCS Tracy 9041 Clinician 1629191366 LMFT 38654 Y
56 Victor
Community
Services and
Support
Stockton
(VCSS) 9063 Loiuse Cerna VCSS Stockton 9063 MFTI 1346794690 92730 - Marriage and Fmily Therapist Intern Y
Aziza Citi VCSS Stockton 9063 LMFT 1831510650 96329 - Licensed Marriage and Family Therapist Y
Melissa Colon VCSS Stockton 9063 MFTI 1871663351 77340 - Marriage and Family Therapist Intern Y
Itzia Cruz VCSS Stockton 9063 ACSW 1639533987 80056 - Associate Clinical Social Worker Y
Tracy Cutino VCSS Stockton 9063 LMFT 1740297902 47897 - Licensed Marriage and Family Therapist Y
Betia Dadkhah VCSS Stockton 9063 LMFT 1083709380 44160 - Licensed Marriage and Family Therapist Y
Mark Edelstein VCSS Stockton 9063 MD 1972516714 C41340 - Physician amp Surgeon Y
Sharee Esparza VCSS Stockton 9063 MFTI 1982145504 102079 - Marriage and Family Therapist Intern Y
Tanner Hickman VCSS Stockton 9063 ACSW 1194272146 78099 - Associate Clinical Social Worker Y
Courtney Ivy VCSS Stockton 9063 MFTI 1679959217 71048 - Marriage and Family Therapist Intern Y
Giana Kooger VCSS Stockton 9063 LMFT 1720318132 86206 - Licensed Marriage and Family Therapist Y
Sheree Lozano VCSS Stockton 9063 MFTI 1538523501 88637 - Marriage and Family Therapist Intern Y
Christina Lopez VCSS Stockton 9063 MFTI 1265705727 102443 - Marriage and Family Therapist Intern Y
Koryn Marshall VCSS Stockton 9063 LMFT 1962881870 86263 - Licensed Marriage and Family Therapist Y
Adrianna Martinez VCSS Stockton 9063 MFTI 1851831242 107761 - Marriage and Family Therapist Intern Y
Laura Rodriguez VCSS Stockton 9063 ACSW 1316498892 78113 - Associate Clinical Social Worker Y
Jacquelyn Seefeldt VCSS Stockton 9063 MFTI 1124250204 74064 - Marriage and Family Therapist Intern Y
Heather Taylor VCSS Stockton 9063 LMFT 1265514251 44021 - Licensed Marriage and Family Therapist Y
Palei Triguero VCSS Stockton 9063 MFTI 1871994285 86335 - Marriage and Family Therapist Intern Y
Wendy True VCSS Stockton 9063 LMFT 1750476438 44262 - Licensed Marriage and Family Therapist Y
Jennifer Tutt VCSS Stockton 9063 LCSW 1316134091 27530 - Licensed Clinical Social Worker Y
Sarah Voss VCSS Stockton 9063 LMFT 1275602914 51406 - Licensed Marriage and Family Therapist Y
Michelle Zuckerman VCSS Stockton 9063 LMFT 1891948691 84298 - Licensed Marriage and Family Therapist Y
57 Victor Treatment Center - Santa Rosa- OUT OF COUNTY PROVIDER
58 Victor Youth Services (North Valley Schools)- OUT OF COUNTY PROVIDER
59 Womens Center- Family and Youth Services httpswwwwomenscenteryfsorgindexphpget-helptherapy-services
CONTRACT PSYCHIATRIC HOSPITALS
60 BHC Heritage Oaks Hospital - Out of County Hospital
61 BHC Sierra Vista Hospital - Out of County Hospital
62 St Helena Hospital Center for Behavioral Health - Out of County Hospital
63 John Muir Behavioral Health Center - Out of County Hospital
64 Sutter Center for Psychiatry - Out of County Hospital
65 Fremont Hospital - Alka Aneja Fremont Hospital ChildAdolescent MD 1619031317 A112029BA9881017 Y
Harmohinder Athwal Fremont Hospital ChildAdolescent MD 1740298256 A81841BA8179473 Y
Kamaljeet Boora Fremont Hospital Psychiatry MD 1356587711 102846FB0978823 N
Vikas Duvvuri Fremont Hospital EDO MD 1255470480 A99706FD0242064 Y
Trevor Fooks Fremont Hospital Psychiatry MD 1730267535 G63964BF1543695 Y
Ravinder Kahlon Fremont Hospital NeuroPsych MD 1386741320 A50823BK2018934 N
Vasdeep Kahlon Fremont Hospital Psychiatry MD 1497852446 A51243BK2742535 N
Padmavathi Kudaravalli Fremont Hospital Internal Medicine MD 1144221953 A67964BK6574974 Y
Pradeep Kumar Fremont Hospital Psychiatry MD 1023188935 A52032BK4202177 N
Deepak Kumar Fremont Hospital Psychiatry MD 1306257910 A130068FK4574299 Y
Sudha Manjunath Fremont Hospital ChildAdolescent MD 1801826797 A87131BM8982818 Y
Syed Munir Fremont Hospital ChildAdolescent MD 1790718815 C55029BM3999553 Y
Nanda Nayak Fremont Hospital Psychiatry MD 1477656262 A43182BN0687597 N
Falguni Patel Fremont Hospital ChildAdolescent MD 1548414337 A105594FP1152949 Y
Surender Punia Fremont Hospital Psychiatry MD 1376589663 A77004BP6477497 Y
Divya Reddy Fremont Hospital Psychiatry MD 1518120211 A103547FR1100306 Y
Devindar Singh Fremont Hospital Internal Medicine MD 1447294624 A48148BS2303422 N
Sunpreet Singh Fremont Hospital Psychiatry MD 1326464462 A132932FS5027087 Y
Bhupinder Waraich Fremont Hospital Psychiatry MD 1689869547 A53968BW4473346 Y
Jaap Kaur Waraich Fremont Hospital Psychiatry MD 1316132285 G67904BW2368391 Y
Nicholas Phillips Fremont Hospital Family Medicine MD 1255727293 A153125FP7288841 N
Harleen Dyal Fremont Hospital Family Medicine MD 1225424327 A153255FD7288839 N
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake Unit-Referrals to Licensed Staff
67 Chemical
Dependency
Counseling
Center ( CDCC) Tyler Moran Chemical Dependency Counseling Center 390002DNAMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Chemical Dependency Counseling Center 390002DNMFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Chemical Dependency Counseling Center 390002DNPsychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Chemical Dependency Counseling Center 390002DNPsychiatrist 1710094057 A72805 Y
68 Alcohol amp Drug Alternative Program (ADAP)-Referrals to Licensed Staff
69 Family Ties Tyler Moran Family Ties 390002EN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Family Ties 390002EN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Family Ties 390002EN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Family Ties 390002EN Psychiatrist 1710094057 A72805 Y
70 Recovery
House Tyler Moran Recovery House 390002AN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Recovery House 390002AN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Recovery House 390002AN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Recovery House 390002AN Psychiatrist 1710094057 A72805 Y
71 Adolescent Co- Occurring Treatment Program (ACT) Childrens Behavioral Health Services- Referrals to Licensed Staff
72 Prevention Services- Referrals to Licensed Staff
NARCOTIC TREATMENT PROGRAMSMEDICATION ASSISTED TREATMENT
73 Aegis
Treatment
Center Dr Randall Paul Aegis Treatment Center Medical License 1912061045 A26361 Y
Linda Beccerra Aegis Treatment Center Vocation Nurse VN 183039 Y
Dora Berry Aegis Treatment Center Vocation Nurse VN 689493 Y
Jeannette Carter-Camp Aegis Treatment Center Vocation Nurse 1740480342 NP 7506 Y
Francisca Marquez Aegis Treatment Center Vocation Nurse VN 287402 Y
74 5th Street
Medical Clinic
Stockton Dr Michael Fox 5th Street Medical Clinic Medical License 1212069758 G53561 Y
Melissa Whitworth 5th Street Medical Clinic Vocation Nurse RN 541037 Y
Divina Palafox 5th Street Medical Clinic Vocation Nurse 1912061995 VN 17300 Y
Divna Lu 5th Street Medical Clinic Vocation Nurse VN 183039 Y
Jeannette Carter-Camp 5th Street Medical Clinic Vocation Nurse 1740480342 NP 7506 Y
75 Aegis
Treatment
CenterHealthy
Connections
(California St)
Stockton Dr Michael Fox Aegis Treatment CenterHealthy ConnectionsMedical License 1212069758 G53561 Y
Melissa Whitworth Aegis Treatment CenterHealthy ConnectionsVocation Nurse RN 541037 Y
Dr Brian Talleur Aegis Treatment CenterHealthy ConnectionsMedical License 1659791101 A154190 Y
Alvin Goat Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 20473 Y
Crystal August Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 695962 Y
Rosenah Durago Aegis Treatment CenterHealthy ConnectionsVocation Nurse 1841629185 VN 235553 Y
Maria Garsuta Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 235825 Y
76 Healthy
Connections
Lodi Clinic Melissa Whitworth Healthy Connections Lodi Clinic Vocation Nurse RN 541037 Y
Dr Brian Talleur Healthy Connections Lodi Clinic Medical License 1659791101 A154190 Y
Angeles Alfaro Healthy Connections Lodi Clinic Vocation Nurse 1649669979 VN 689129 Y
John Campos Healthy Connections Lodi Clinic Vocation Nurse 1407192297 VN 260740 Y
Prabhjot Kaur Healthy Connections Lodi Clinic Vocation Nurse VN 698775 Y
Meenal Prasad Healthy Connections Lodi Clinic Vocation Nurse 1114407368 VN 287331 Y
77 Manteca
Healthy
Connections Dr Michael Fox Manteca Healthy Connections Medical License 1212069758 G53561 Y
Melissa Whitworth Manteca Healthy Connections Vocation Nurse RN 541037 Y
Dr Randall Paul Manteca Healthy Connections Medical License 1912061045 A26361 Y
Mary Jane Davis Manteca Healthy Connections Vocation Nurse 1861822744 VN 72342 Y
Christine Falcon Manteca Healthy Connections Vocation Nurse VN 175628 YDourine Iqiel Manteca Healthy Connections Vocation Nurse 1477008506 VN281162 YRebecca Mohr Manteca Healthy Connections Psyciatric Technician LPT 26531 Y
78 MedMark Treatment Center httpsmedmarkcommedmark-treatment-centers-stockton
LANGUAGE ASSISTANCE
English
ATTENTION If you speak another language language assistance services free of charge are available to you Call 1-888-468-9370 (TTY 1-866-735-2922 )ATTENTION Auxiliary aids and services including but not limited to large print documents and alternative formats are available to you free of charge upon request Call 1-888-468-9370
Espantildeol (Spanish)
ATENCIOacuteN Si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-888-468-9370 (TTY 1-866-735-2922 )
Tiếng Việt (Vietnamese)
CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-888-468-9370 (TTY 1-866-735-2922 )
Services may be delivered by an individual provider or a team of providers who is working under the direction of a licensed practitioner operating within their scope of practice Only licensed
waivered or registered mental health providers and licensed substance use disorder services providers are listed on the Plans provider directory
Tagalog (Tagalog Filipino)
PAUNAWA Kung nagsasalita ka ng Tagalog maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-888-468-9370 (TTY 1-866-735-2922 )한국어 (Korean)주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수 있습니다 1-888-468-9370 (TTY 1-866-735-2922 ) 번으로 전화해 주십시오繁體中文繁體中文繁體中文繁體中文(Chinese)注意如果您使用繁體中文您可以免費獲得語言援助服務請致電1-888-468-9370 (TTY 1-866-735-2922 )ՀայերենՀայերենՀայերենՀայերեն (Armenian)
ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ Զանգահարեք 1-888-468-9370 (TTY 1-866-735-2
Русский (Russian)
ВНИМАНИЕ Если вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-888-468-9370 (TTY 1-866-735-2922 )
(Farsi) فارسیتوجه اگر به زبان فارسی گفتگو می کنيد تسهيلات زبانی بصورت رايگان برای شما
日本語日本語日本語日本語 (Japanese)注意事項日本語を話される場合無料の言語支援をご利用いただけます1-888-468-9370فراهم می باشد با 1 (TTY 1-866-735-2922 ) までお電話にてご連絡くださいHmoob (Hmong)
LUS CEEV Yog tias koj hais lus Hmoob cov kev pab txog lus muaj kev pab dawb rau koj Hu rau 1-888-468-9370 (TTY 1-866-735-2922 )
ਪਜਾਬੀ (Punjabi)
ਿਧਆਨ ਿਦਓ ਜ ਤਸੀ ਪਜਾਬੀ ਬਲਦ ਹ ਤਾ ਭਾਸ਼ਾ ਿਵਚ ਸਹਾਇਤਾ ਸਵਾ ਤਹਾਡ ਲਈ ਮਫਤ ਉਪਲਬਧ ਹ 1-888-468-9370 (TTY 1-866-735-2922) ਤ ਕਾਲ ਕਰ
(Arabic) العربيةملحوظة إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغوية تتوافر لك بالمجان
हिदी (Hindi)
द यदि आप हिदी बोलत ह तो आपक लिए मफत म भाषा सहायता सवाए उपलबध ह [1-888-468-9370 (TTY 1-866-735-2922) पर कॉल कर
ภาษาไทย (Thai)
เรยน ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร 1-888-468-9370 (TTY 1-866-735-2922) धयान
ែខរ (Cambodian)
បយត ររ េស នអកនយ ែខ រសជនយមននក េយមនគត នគចនស ររ អេ នក ច ទ សព+1-888-468-9370 (TTY 1-866-735-2922)
ພາສາລາວ (Lao)
ໂປດຊາບ ຖາວາ ທານເວາພາສາ ລາວ ການບລການຊວຍເຫອດານພາສາໂດຍບເສຽຄາ ແມນມພອມໃຫທານ ໂທຣ 1-888-468-9370 (TTY 1-866-735-2922)
- 18-Font English Medi-Cal Provider Directory(Word Doc) 12-2018 English
- Medi-Cal Directory Provider Staff Listing 18 font English 12-2018
-
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 4 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
4Children and
Youth Services -
Juvenile Justice Full
Service Partnership
(MHSA)
9095
1414 N California
Street
Stockton CA
95202
(209) 468-2385
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Children
and
Youth
Cambo-
dian
Spanish
Hmong
Mental Health
Services Act
program focused on
children and youth in
the Juvenile Justice
system
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 5 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
5Community
Adult Treatment
Services (CATS -
Teams A B C and
D)
9069
1212 N California
Street
Stockton CA
95202
(209) 468-8842
(209) 468-8862
(209) 468-8881
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Canton-
ese
Tagalog
Comprehensive
Mental Health
Services for adults
(18
60) Services
include psychiatric
assessment
medication support
group individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 6 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
6Community
Corrections
Partnership
9039AP
1212 N California
Street
Stockton CA
95202
(209) 468-9373
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Serve clients under
AB-109
community
supervision with
Probation to reduce
recidivism
promote wellness
and
recovery and
increase safety for
our community
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 7 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
7Crisis
Community
Response Team
(CCRT)
9088
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
Crisis
Community
Response Team
(CCRT)Mobile
Crisis Support
Team (MCST)
12-830 pm
7 days a week
Adult
Children
Youth
Older
Adult
Spanish
Mobile multi-
disciplinary crisis
team for community
adult mental health
outreach early
intervention and
joint field response
with law
enforcement for
crisis 5150 detention
evaluations
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 8 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
8Crisis
Intervention
Services
9011
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
24 hours
Adult
Children
Youth
Older
Adult
Spanish
24-Hour evaluation
services including
assessment for
psychiatric
emergencies crisis
counseling
outpatient and
community referrals
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
9Crisis
Stabilization
Units (CSU)
9032
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
24 hours
Adult
Adol-
escents
Older
Adult
Spanish
Cambo-
dian
Vietna-
mese
23-Hour psychiatric
assessment and
stabilization unit
Resources and
Referrals are
provided during
admission
Crisis Stabilization UC
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 9 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
10Forensic Court
Full Service
Partnership
(MHSA)
9091
1212 N California
Street Stockton CA
95202
(209) 468-8786
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Provides
comprehensive
psychiatric and
integrative services
to address the needs
of Mentally Ill
Offenders
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 10 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
11Gaining Older
Adult Life Skills
(GOALS) Full
Service Partnership
(MHSA)
9093
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Full Service
Partnership with the
emphasis on outreach
to the underserved
older adult
population ages
(60+)
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 11 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
12InSPIRE
(MHSA)
39AN
1212 N California
Street
Stockton CA
95202
(209) 468-8880
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Cambo-
dian Viet-
namese
MHSA innovation
component
providing learning
community
opportunities to
specialized cohorts
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 12 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
13La Familia
Clinic Full
Service
Partnership
(MHSA)
9092
1149 N El Dorado
Street
Stockton CA
95202
(209) 468-2335
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
Latino
out-
reach
and
access
Spanish
Psychiatric
assessment case
management
medication support
individual and group
therapy with a
special emphasis on
serving Spanish-
speaking persons
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 13 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
14Mary Graham
Childrens Shelter
9008
6861 Mary Graham
Lane
French Camp CA
95231
(209) 468-6966
httpwww
marygrahamfou
ndationorg
24 Hours
Children
and
Youth
Provides outpatient
mental health
services to residents
of Mary Graham
Childrens Shelter
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 14 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services)
Include-
ing ASL
YesNo YesNo YesNo
15MHSA TAY
FSP
39B1
1212 N California
Street Stockton
CA 95202
(209) 468-8862
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adults
Full service
partnership providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 15 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
16Older Adult
Services (OAS)
3980
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Cambo-
dian Viet-
namese
Comprehensive
Behavioral Health
Services for older
adults (60+) provided
by a multidisciplinary
team Services
include psychiatric
assessment
medication
support group
individual therapy
and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 16 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services
Includin
g ASL
YesNo YesNo YesNo
17 Peterson
Hall
9009
535 W Matthews
Rd French Camp
CA 95231
(209) 468-4240
hiipswwwsjg
ovorgmhs
M-F 8 am- 8
pm SatSun 10-
7 pm
Children
and
Youth
Cambo-
dian
Spanish
Provides outpatient
mental health services
to youth detained at
Peterson Hall
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
18Psychiatric
Health
Facility (PHF)
3976
1212 N California
Street Stockton
CA 95202
(209) 468-8686
httpswwwsjg
ovorgmhs 24
hours
Adult Spanish
24-hour inpatient
hospitalization
services
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 17 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
19San Joaquin
County MH
Services Lodi Clinic
3924
1209 W Tokay
Street
Suites 1 3 5 7 9
12 14 and 16
Lodi CA 95240
(209) 331-2070
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Children
Youth
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
North
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 18 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
20San Joaquin
County MH
Services Tracy
Clinic
9048
220 W Eleventh
Street
Tracy CA 95376
(209) 831-5941
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
South
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 19 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
21SJC-MHS
CYS Katie A
Services
9020
333 E Washington
Street
Stockton CA
95202
(209) 468-1547
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Children
and
Youth
Spanish
Hmong
Japanese
Provides in-home
and in-community
outpatient mental
health services to
WampI Code 300
dependent SJC
children
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 20 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition to
free Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
22Transcultural
Clinic
(TCC) - full range
of specialty mental
health services and
intensive case
management
program
9014
4422 N Pershing
Ave
Suites D1-D4
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available
in Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
23Southeast
Asian Recovery
Services (SEARS)
for the Southeast
Asian population-
Full Service
Partnership
(MHSA)
9094
4422 N Pershing
Avenue Suite D2
D3 D4 D5 D6
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available in
Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
CONTRACT ORGANIZATIONAL PROVIDERS
24Anka Lodi (was
Mourfield House)
9075
458 Almond Drive
Lodi CA 95240
(209) 982-4697
wwwankabhior
g M-F 8am-5pm
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
25ASPIRAnet
39AR
6 S El Dorado
Street Suite 510
Stockton CA
95202
(209) 478-9862
wwwaspiranet
Org
M-F 8 am- 5
pm
Children
and
Youth
Provides
Therapeutic
Behavioral Services
(TBS) and crisis
stabilization services
as an alternative to
psychiatric
hospitalization
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
26Bright House
9047
8210 Bright Road
French Camp CA
95231
(209) 982-1235
wwwankabhior
g 24 hours
Adult
Adult Transitional
Residential
Treatment Program
Medication Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
27Casa Pacifica
39AB
1722 S Lewis Road
Camarrillo CA
93012
(805) 981-1422
wwwcaspacific
aorg
M-F 8 am- 6 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
28CBIS
(University of the
Pacific)
39A1
405 E Pine Street
Stockton CA
95204
(209) 476-1959
wwwcommunit
yre-
entryprogramco
m M-F 8am-430
pm
Adult
Spanish
Behavioral
Intervention Services
Mental Health Services
Intensive Home Based
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
29Chamberlains
Children Center
Inc
39B4
1850 San Benito
Street
Hollister CA
95023
(831) 636-2121
wwwchamberla
inccorg
M-F 8 am- 5 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Providers
Provider Numbers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
30Charis Youth
Center
9057
714 W Main Street
Grass Valley CA
95945
(530) 477-9800
wwwcharisyout
hcenterorg
M-F 830 am-
430 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
31Child Abuse
Prevention Council
39A8
540 N California
Street
Stockton CA
95202
(209) 644-5311
wwwnochildab
useorg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health services
utilizing
strengthening family
approach
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
32Community
Re- Entry
Program (CRP)
9044
405 E Pine Street
Stockton CA
95204
(209) 946-2132
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
independent living
skills training and
rehabilitation
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
33Crestwood
Solano
(PHF)
39A8
2201 Tuolumne
Street Suite B
Vallejo CA 94589
(707) 558-1777
wwwcrestwood
behavioralhealth
com
24
hours
Adult
24-hour
inpatient
hospitalization
services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
34Crittenton
Services For
Children And
Families
39B3
100 E Valley View
Drive Fullerton CA
92832
(714) 680-8268
wwwcrittentons
ocalorg
M-F 830 am- 5
pm
Children
and
Youth
Residential
facility providing
mental health
treatment to youth
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS)
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
35Edgewood
Center for
Children and
Families
39AV
1801 Vincente
Street San
Francisco CA
94116
(415) 681-3211
wwwedgewood
org
24
Hrs
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
36Fred Finch
Youth
Center
39AY
3800 Coolidge
AvenueOakland
CA 94602
(510) 482-2244
wwwfredfinch
Org
M-F 830 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
37Grant House
9064
1117 S Grant
Street Stockton
CA 95206
(209) 461-6500
wwwankabhior
g 24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
38Latino
Behavioral Health
and Recovery
Services
9067
445 N San Joaquin
Street
Stockton CA
95202
(209) 444-8910
wwwelconcilio
Org
M-F 8 am- 5 pm
Adult
Spanish
Provides Culturally
Competent
Services to Latinos
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Providers
Provider Numbers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
39Martin Gipson
Socialization Center
9043
405 E Pine Street
Stockton CA
95204
(209) 464-5519
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
socialization
vocational and
educational
opportunities for
Adult Mentally
ill consumers
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
40Mountain
Valley Child and
Family Services
Inc
9039
24077 Highway 49
Nevada City CA
95959
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Therapeutic
Behavioral Services
(TBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
41Mountain
Valley Child and
Family Services
Inc
39A4
7818 Bar Du Lane
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
42Mountain
Valley Child and
Family Services
Inc
39A3
6171 Bradshaw Rd
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
43Mountain
Valley Child and
Family Services
Inc
39A2
9200 Sweet Acacia
Way Sacramento
CA 95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
44Phoenix House
of
Los Angeles Inc
39B6
1600 Eldrige
Avenue Lake View
Terrace CA 91342
(818) 686-3000
wwwphoenixho
useorg
M-F 8 am- 530
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
45Rebekah
Childrenrsquos
Home
39AU
290 IOOF Avenue
Gilroy CA 95020
(408) 846-2100
wwwrcskidsor
g
M-F 8 am- 530
pm
Children
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
46Sacramento
Childrens Home
9076
2750 Sutterville
Road Sacramento
CA 95820
(916) 452-3981
wwwkidshome
Org
M-F 830 am - 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
47San Gabriel
Childrens Center
Out Patient
39B7
4740 N Grand
Avenue Covina CA
91724
(626) 859-2089
wwwsangabriel
childcom
M-F 8 am- 5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
48Star View
Adolescent Center
OP
39BB
4025 West 226th
Street
Torrance CA
90505
(310)373-4556
wwwstarsincco
m 24 hours
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
49Summitview
Child Treatment
Center
9061
670 Placerville Dr
2 Placerville CA
95667
(530) 644-2412
wwwsummitvie
wtreatmentorg
M-F 8 am-5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
50Telecare (aka
Jeremy House)
39AX
5634 Jeremy Way
Stockton CA
95212
(209) 888-4969
wwwtelecareco
rpcom
24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
51Telecare Early
Intervention
Recovery Services
(TEIRS)
39B2
4545 Georgetown
Place Suite A3
Stockton CA
95207
(209) 715-3754
wwwtelecareco
rpcom
M-F 8 am- 5 pm
Adult
Spanish
Provides outpatient
mental health services
for children and
adults
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 44 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
52TLC Child and
Family Services
39A9
1800 Gravenstein
Hwy North Suite A
Sebastopol CA
95472
(707) 823-7300
httpwwwtlc4
kidsorg
M-F 8 am- 430
pm
Children
and
Youth
Community-based
program
providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
53Valley
Community
Counseling Services
(VCCS) (Manteca)
9040
129 E Center
Street Suite 3
Manteca CA
95336
(209) 239-5553
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health
services for children
and youth in South
County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
54Valley
Community
Counseling Services
(VCCS) (School
Based Program -
Stockton)
9042
6707 Embarcadero
Drive Suite A
Stockton CA
95219
(209) 956-4240
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Outpatient mental
health services
provided at various
schools in
Stockton Manteca
and Lodi
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
55Valley
Community
Counseling Services
(VCCS) (Tracy)
9041
19 East 6th Street
Tracy CA 95378
(209) 835-8583
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health services
for children and youth
in South County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
56Victor
Community
Services and
Support Stockton
(VCSS)
9063
2495 W March
Lane Suite 125
Stockton CA
25207
(209) 465-1080
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services in-home and
in community
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
57Victor
Treatment
Center - Santa Rosa
9083
3164 Condo Court
Santa Rosa CA
95403
(707) 523-2334
wwwvictororg
M-F 810 am- 4
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
58Victor
Youth Services
(North Valley
Schools)
39AC
855 Canyon Road
Redding CA
96001
(530) 378-1855
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
59Womens
Center- Family
and Youth
Services
39B6
729 N California
Street Stockton
CA 95202
(209) 929-6700
wwwwomensce
nteryfsorg
M-F 830 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
CONTRACT PSYCHIATRIC HOSPITALS
60BHC Heritage
Oaks
Hospital
4250 Auburn
Boulevard
(916) 489-3336
wwwheritageoa
kshospitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
61BHC Sierra
Vista
Hospital
8001 Bruceville
Road
(916) 423-2000
wwwsierravista
hospitalcom
24 hours
All ages
Yes
Yes
Yes
62St Helena
Hospital Center for
Behavioral Health
525 Oregon Street
(707) 648-2200
wwwadventisth
ealthorg
24 hours
All ages
Yes
Yes
Yes
63John Muir
Behavioral Health
Center
2740 Grant Street
(925) 680-6500
wwwjohnmuirh
ealthcom
24 hours
All ages
Yes
Yes
Yes
64Sutter Center for
Psychiatry
7700 Folsom
Boulevard
(916) 388-3045
wwwsuttermedi
calcenterorg
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
65Fremont
Hospital
39001 Sundale
Drive
(510) 796-1100
wwwfremontho
spitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake
Unit
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-9600
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Substance Use Disorder
Assessment for
Outpatient amp Inpatient
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
67 Chemical
Dependency
Counseling Center
(CDCC)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-3720
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Youth
Adult
Perinatal
Spanish
Mon Wed and Fri
8am-5pm
Closed Holidays
Outpatient Treatment
Perinatal Component
Intensive Outpatient
Youth Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
68 Alcohol amp Drug
Alternative Program
(ADAP)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-6840
Fax (209)468-
8640
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon Wed and Fri
8am-5pm
Tue And Thur
8am-7pm
Closed Holidays
Outpatient Court
Monitoring Education
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
69 Family Ties
500 W Hospital Rd
French Camp CA
95231
(209) 468-6208
Fax (209)468-
7032
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Adult
Perinatal
Spanish
24 Hour Services
Inpatient Treatment
Perinatal Component
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
70 Recovery House
500 W Hospital Rd
French Camp CA
95231
(209) 468-6857
Fax (209)468-
6739
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
24 Hour Services
Inpatient Treatment
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 59 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
71 Adolescent Co-
Occurring Treatment
Program (ACT)
Childrens Behavioral
Health Services
1414 N California
St 2nd Floor
Stockton CA 95202
(209) 468-2385
Fax (209)468-
8024
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Individual amp group
counseling and
education in conjunction
with the adolescentrsquos
mental health services a
partnership with Mental
Health Services and
Substance Abuse
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 60 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
72 Prevention
Services
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-2005
Fax (209)468-
2251
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Youth Services Parenting
Students In Prevention
(SIP)
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 61 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
73 Aegis
Treatment Center
8626 N Lower
Sacramento Road
Suite 41 Stockton
CA 95209
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1230pm
Sat Sun and
Holidays
6am-1030am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 62 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
74 5th Street
Medical Clinic
Stockton
1839 S El Dorado
St Stockton CA
95206
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 63 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
75 Aegis
Treatment Center
Healthy Connections
(California St)
Stockton
1947 N California
St Suites B and C
Stockton CA 95210
(209) 463-0870
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 64 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
76 Healthy
Connections Lodi
Clinic
441 South Ham
Lane Suite A
Lodi CA 95242
(209) 224-8490
httpsaegistreat
mentcenterscom
clinicaegis-
lodi-california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
7am-12 noon
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 65 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
77 Manteca
Healthy Connections
Center Street
955 W Center St
Suites 12A amp 14
Manteca CA 95337
(209) 239-9600
httpsaegistreat
mentcenterscom
clinicaegis-
manteca-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
8am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 66 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
78 MedMark
Treatment Center
1111 N El Dorado
St Stockton CA
95202
(209) 938-0228
httpmedmark
commedmark-
treatment-
centers-
stockton
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
Provider Name Facility NameID
Type of Practioner (licensed
amp Waivered)
National
Provider
Identifier
number California license number type of license
Cultu
ral
Comp
etenc
e
Traini
ng
(YN)1 Black
Awaremenss
Community
Outreach
ProgramMulti
cultural
Services Amarpreet Singh BHS BACOPMC Psychiatrist (Locum) 1235182916 Physician and Surgeon N
Aravind Pai BHS BACOPMC Psychiatrist (Locum) 1629076088 Physician and Surgeon A30319 N
Donna Bickham BHS BACOPMC Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Donnelle Tamayo BHS BACOPMC Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS BACOPMC Staff Nurse III 1104375724 Registered Nurse 723203 Y
Kathleen Wilson-Parish BHS BACOPMC Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS BACOPMC MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Nancy Nelson BHS BACOPMC Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Paul Wallace BHS BACOPMC Chief Psychiatric Tech 1114044799 Licensed Psychiatric Technician PT26296 Y
Quynh-Chi Nguyen BHS BACOPMC Staff Nurse III 1417371014 Registered Nurse 845080 Y
Scott Harrison BHS BACOPMC Clinician II 1518089317 Marriage and Family Therapist Intern IMF75861 Y
Shirley Hollowell BHS BACOPMC Registered Nurse 1124143474 Registered Nurse 352081 Y
2 Children and
Youth Services
Stockton Clinic Ganiya (Iyabo) Adediran
Childrens and Youth Services- Stockton
3915 Waivered 1881148690 81666 AMFT Y
Provider Staff Listing
Benjamin Alban
Childrens and Youth Services- Stockton
3915 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Stockton
3915 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Stockton
3915 Licensed 1821294455 105923 Psychiatrist Y
Valentin Avramov
Childrens and Youth Services- Stockton
3915 Licensed 1053488767 109609 Psychiatrist Y
Kristina Birch
Childrens and Youth Services- Stockton
3915 Waivered 1366874844 1809 APCC Y
Linda Brett
Childrens and Youth Services- Stockton
3915 Licensed 1295853299 523914 RN Y
Donna Cassettari
Childrens and Youth Services- Stockton
3915 Licensed 1497887699 43173 LMFT Y
Renessa Castaneda-Jensen
Childrens and Youth Services- Stockton
3915 Licensed 1376664862 81528 LMFT Y
Jacqueline Coulter
Childrens and Youth Services- Stockton
3915 Licensed 1720184765 41366LMFT Y
Courtney Flores
Childrens and Youth Services- Stockton
3915 Licensed 1851437735 29811 LCSQW Y
Maria Garcia
Childrens and Youth Services- Stockton
3915 Licensed 1235400557 80425 LCSW Y
Ikesha Goodwin
Childrens and Youth Services- Stockton
3915 Waivered 1104279728 101632 IMF Y
Kelsey Guidicatti
Childrens and Youth Services- Stockton
3915 Waivered 1245783687 93458 AMFT Y
Antonio Gutierrez
Childrens and Youth Services- Stockton
3915 Licensed 1023473469 71535 LCSW Y
Victoria Hall
Childrens and Youth Services- Stockton
3915 Licensed 1437464179 91065 LMFT Y
Nicole Hodgson
Childrens and Youth Services- Stockton
3915 Licensed 1962727792 85491 LMFT Y
Hudson Mark Hudson
Childrens and Youth Services- Stockton
3915 Licensed 1528190725 78609 LMFT Y
Shadai Lescale Huante
Childrens and Youth Services- Stockton
3915 Waivered 1528340320 59764 ACSW Y
Genevieve Lisenbey
Childrens and Youth Services- Stockton
3915 Waivered 1265698104 80465 AMFT Y
Sharon Lizotte
Childrens and Youth Services- Stockton
3915 Waivered 1851820708 101863 AMFT Y
Angie Nicholas
Childrens and Youth Services- Stockton
3915 Licensed 1679713796 52080 LMFT Y
Shiella Pablico
Childrens and Youth Services- Stockton
3915 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Sheilena Payne
Childrens and Youth Services- Stockton
3915 Licensed 1336437656 94571 LMFT N
Timothy Quinn
Childrens and Youth Services- Stockton
3915 Waivered 1316322381 79556 Marriage amp Family Therapist Intern Y
Joann Rihad
Childrens and Youth Services- Stockton
3915 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet
Childrens and Youth Services- Stockton
3915 Licensed 1366468555 C53401 Psychiatrist Y
Jacqueline Salgado
Childrens and Youth Services- Stockton
3915 Licensed 1043661903 95452 Marriage amp Family Therapist Y
Kristen Schneider
Childrens and Youth Services- Stockton
3915 Waivered 1578963591 72071 ACSW Y
Carla Simien
Childrens and Youth Services- Stockton
3915 Licensed 1629564000 40771 Licensed Psychiatric Technician N
Tamra Smith
Childrens and Youth Services- Stockton
3915 Licensed 1336267608 76975 LCSW Y
Maribel Vargas
Childrens and Youth Services- Stockton
3915 Waivered 1821247149 35622 ACSW Y
J Watkins
Childrens and Youth Services- Stockton
3915 Licensed 1043797871 4200 LPCC Y
Tamara Weber
Childrens and Youth Services- Stockton
3915 Licensed 1992101497 105926 LMFT Y
Amanda Yocham
Childrens and Youth Services- Stockton
3915 Licensed 1326103516 79068 LMFT Y
Nikki Young
Childrens and Youth Services- Stockton
3915 Waivered 1841692159 88891 AMFT Y
3 Children and
Youth Services-
Foster Youth
Full Service
Partnership Benjamin Alban
Childrens and Youth Services- Foster
Youth 9096 Licensed 1932227295 26094 LCSW Y
Maria Garcia
Childrens and Youth Services- Foster
Youth 9096 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Foster
Youth 9096 Licensed 1023473469 71535 LCSW Y
4 Children and
Youth Services-
Juvenile Justice
Full Srvice
Partnership Benjamin Alban
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1821294455 105923 Psychiatrist Y
Maria Garcia
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1023473469 71535 LCSW Y
Shabneet Hira Brar
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1851598452 A112447 Psychiatrist Y
Sheilena Payne
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1336437656 94571 LMFT N
5 Community
Adult
Treatment
Services Amanda Hurlock CATS OUTPATIENT 1836 Waivered 1205369899 AMFT 100834 Y
Adeline Mendez CATS OUTPATIENT 1836 Licensed 1255453353 PT 25868 Y
Anna Perez Testo CATS OUTPATIENT 1836 Licensed 1740309889 LMFT 52444 Y
Angelo Pasa CATS OUTPATIENT 1836 Licensed 1689874125 RN 691250 Y
Beverly Thompson CATS OUTPATIENT 1836 Waivered 1528311230 ACSW 70671 Y
Carolyn Walters CATS OUTPATIENT 1836 Licensed 1891815155 LMFT 43069 Y
Debra Baker CATS OUTPATIENT 1836 Waivered 1740610229 AMFT 95836 Y
Eloisa Velasco CATS OUTPATIENT 1836 Licensed 1740797976 PT 40651 Y
Francisco Arreola CATS OUTPATIENT 1836 waivered 1417359027 AMF 87821 Y
Heidi McHenry CATS OUTPATIENT 1836 Licensed 1861763294 PT 35949 Y
Helen Sprague CATS OUTPATIENT 1836 Waivered 1710325642 AMFT 75120 Y
Jane Sanchez CATS OUTPATIENT 1836 Licensed 1346406824 LMFT 50808 Y
Jannelle Heard CATS OUTPATIENT 1836 Waivered 1467813568 AMFT 95836 Y
Kara Herrick CATS OUTPATIENT 1836 Licensed 1518191659 LMFT 43283 Y
Keith Amador CATS OUTPATIENT 1836 Licensed 1891127403 LMFT 102725 Y
Cynthia Morishige CATS OUTPATIENT 1836 Licensed 1649396045 LCSW 13592 Y
Remedios Wallace CATS OUTPATIENT 1836 Licensed 1639294341 PT 24227 Y
Luis Garcia CATS OUTPATIENT 1836 Licensed 1346599677 LMFT 10398 Y
Maria Ayala CATS OUTPATIENT 1836 Waivered 1174991129 APCCI 3382 Y
Marie Daguman CATS OUTPATIENT 1836 Waivered 1619483237 ACSW 79980 Y
Mary Montgomery CATS OUTPATIENT 1836 Licensed 1538281183 LCSW82129 Y
Megan Curtiss CATS OUTPATIENT 1836 Waivered 1265836027 AMFT 107915 Y
Priscilla Kavanagh CATS OUTPATIENT 1836 Waivered 1528429057 APCC2122 Y
Elizabeth DeGravio CATS OUTPATIENT 1836 Licensed 1497167530 PT 37500 Y
Ramil Doronio CATS OUTPATIENT 1836 Licensed 1871767376 RN 555151 Y
Ronee Martin CATS OUTPATIENT 1836 Waivered 1932644796 AMFT 84987 Y
Sasha Jackson CATS OUTPATIENT 1836 Waivered 1295181295 ACSW 79996 Y
Sherri Helsby CATS OUTPATIENT 1836 Licensed 1669893764 LCSW 29248 Y
Teri Jorgensen CATS OUTPATIENT 1836 Licensed 1295071363 RN 469034 Y
Tiffany DeWitte CATS OUTPATIENT 1836 Licensed 1023143245 LCSW 29826 Y
Valerie-Ann Garcia CATS OUTPATIENT 1836 Licensed 1770606386 RN 704233 Y
Savoeun Phal CATS OUTPATIENT 1836 Waivered 1821513946 APCC 5278 Y
Joshua Merrill CATS OUTPATIENT 1836 Waivered 1114463957 AMFT 102798 Y
Gerado Manansala CATS OUTPATIENT 1836 Licensed 1215195813 A 102439 Y
Paul Mascovich CATS OUTPATIENT 1836 Licensed 1215921184 G 33950 Y
Jin Soofi CATS OUTPATIENT 1836 Licensed 1972592939 G 86240 Y
Sheril Keys CATS OUTPATIENT 1836 Licensed 1942664875 PT 38333 Y
Thomas Firnberg CATS OUTPATIENT 1836 Licensed 1164597472 A 040218 Y
Mohammad Jahangiri CATS OUTPATIENT 1836 Licensed 1720266760 A 56400 Y
Fouad Saddik CATS OUTPATIENT 1836 Licensed 1437254117 A 44865 Y
Kellie Salazar CATS OUTPATIENT 1836 Licensed 1295273654 PT 40326 Y
Suryabamu Javeed CATS OUTPATIENT 1836 Licensed 1568567105 A 56307 Y
Robert Graff CATS OUTPATIENT 1836 Licensed 1366560112 G 70479 Y
Chestermagno De La Cruz CATS OUTPATIENT 1836 Licensed 1619476637 PT40672 Y
6 Community
Corrections
Partnership Rico Molina AB10920 licensed 1255454203 LCSW25450 Y
Lawrence Shaddix AB10920 licensed 1508282286 IMF84560 Y
Randolph Herrington AB10920 licensed 1114141173 LMFT48970 Y
7 Crisis
Community
Response Team
(CCRT) Williams Wendy CCRT
MHC III
1265554638 LMFT 84045
Y
Ballesteros Patricia CCRT MHC 1790058352 LMFT 108455 Y
8 Crisis
Intervention
Services Graff Robert Crisis
MD
1366560112 G70479
Y
Gill Paramijit Crisis MD 1073629218 A49224 Y
Firnberg Thomas Crisis MD 1164597472 A040218 Y
Singh Karamjit Crisis MD 1083930440 A132050 N
Singh Amanpreet Crisis MD 1235182916 A78414 N
Lee Catherine Crisis MHC III 1073729646 LMFT 44225 Y
Saleem Noshela Crisis MHC III 1255585584 LCSW 67154 Y
Williams Wendy Crisis MHC III 1265554638 LMFT 84045 Y
Galindo Teresa Crisis MHC III 1700119369 LCSW 69736 Y
Molina-Eliab Sonya Crisis MHC 1497878482 AMFT 99087 Y
Tran Michelle Crisis MHC 1366642068 LCSW 81278 Y
Figueroa Carlos Crisis MHC 1306193933 LMFT 102315 Y
Ballesteros Patricia Crisis MHC 1790058352 LMFT 108455 Y
Nobles Shannon Crisis MHC 1457699720 AMFT 101531 Y
Saelee Cindy Crisis MHC 1255511614 LCSW 82456 Y
Maney Stephen Crisis MHC 1083985998 ASW 78482 Y
Lewman Brenda Crisis MHC 1821477035 LMFT106905 Y
Morales Leonardo Crisis MHC 1962822643 ASW 72730 Y
Grant Anika Crisis MHC 1649697137 AMFT 104116 Y
Sullivan Aisha Crisis MHC 1861772253 LCSW 75323 Y
Hodge Lewie Crisis MHC 1477044931 ASW 80338 N
Donato Imelda Crisis MHC 1194278085 APCC 2409 N
Redoblado Sheryl Crisis MHC 1871731513 LCSW 75136 Y
Walter Taffie Crisis CPT 1083735096 PT 32090 Y
DeJesus Carolyn Crisis CPT 1861650228 PT 34221 Y
McArthur Milagros Crisis PT 1477809929 PT 36471 Y
Olsen Chandra Crisis PT 1770914061 PT 37210 Y
Isham Loni Crisis PT 1891145033 PT 38233 Y
Bazua Melissa Crisis PT 1972944072 PT 36496 Y
Wright-Freeman Cody Crisis PT 1538584859 PT 37819 Y
Bareng Jeff Crisis PT 1043753478 PT 40284 Y
Gill Sandeep Crisis PT 1871852673 PT 34942 Y
Quitoriano Stephanie Crisis PT 1659798130 PT 37033 Y
Otero Luis Crisis PT 1487015582 PT 38229 Y
Price Jennifer Crisis PT 1932621893 PT 40662 Y
Kemp Sydney Crisis PT 1902383623 PT 34601 Y
9 Crisis
Stabilization
Units (CSU) Graff Robert CSU
MD
1366560112 G70479
Y
Allanki Sailaja CSU MD 1306897723 C138838 Y
Singh Karamjit CSU MD 1083930440 A132050 N
Brown Brandi CSU RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth CSU RN 1255459061 RN 488617 Y
Seraypheap Arunny CSU RN 1013037274 RN 547944 Y
Limas Deborah CSU RN 1073631727 RN 526984 Y
Winck Angela CSU RN 1083002992 RN 701021 Y
Cabrera Gilbert CSU RN 1679693766 RN 565185 Y
Mendoza Michelle CSU RN 1477951812 RN 797022 Y
Blackman Demerica CSU RN 1932619517 RN 850647 Y
Laizer Gloria CSU RN 1255706479 RN 764452 Y
Odametey Ama CSU RN 1700366358 RN 835504 N
Hawkins Lynnetta CSU MHC III 1437436938 LMFT 93110 Y
Lambert Rekha CSU MHC 1164647525 LMFT 10386 Y
Nguyen Thao CSU MHC 1912214065 LMFT 88176 Y
Navarro Grace CSU MHC 1083737753 ASW 72678 Y
Limas Stephanie CSU MHC 1053433748 LMFT 99397 Y
Little Christy CSU PT 1497978795 PT 28731 Y
Abundez Jesse CSU CPT 1841413036 PT 29162 Y
Montantes Michael CSU CPT 1780018390 PT 37071 Y
DeJesus Carolyn CSU CPT 1861650228 PT 34221 Y
Arriola Eulalie CSU CPT 1255573044 PT 34426 Y
Hardy Denise CSU PT 1912202813 PT 33714 Y
Harbin Toni CSU PT 1639475049 PT 28726 Y
Fortes Catherine CSU PT 1346681442 PT 36982 Y
Mocko James CSU PT 1558726224 PT 38249 Y
Menius Victoria CSU PT 1487074258 PT 37534 Y
Brown Kristaline CSU PT 1750723821 PT 32575 Y
Thorpe William CSU PT 1326599770 PT 40154 Y
Look Jasmin CSU PT 1194143198 PT 37492 Y
Mariano Joseph CSU PT 1609208172 PT 36968 Y
Marglin Lisa CSU PT 1558733576 PT 38247 Y
Clutario Dindo CSU PT 1164664512 PT 34295 Y
Ripoyla Jerral CSU PT 1821511700 PT 40644 Y
Varquez Sharon CSU PT 1366682387 PT 34435 Y
Holmes Sherronya CSU PT 1205214228 PT 37605 Y
Duncan Deanna CSU PT 1043674963 PT 38260 Y
Vang Mai CSU PT 1982103081 PT 40697 Y
Vong Tharith CSU PT 1134624802 PT 40678 N
Ridad Anthony CSU PT 1659887750 PT 40713 Y
Hill Brandon CSU PT 1053803890 PT 40412 Y
Singh Jasvir CSU PT 1477833911 PT 36007 Y
Kottke Marline CSU LVN 1891223111 LVN 198957 Y
10 Forensic
Court Full
Service
Partnership Edward Olpin BHSJDDSAS licensed 1477687077 LCSW24055 Y
Betsey McCall-Salerno BHSJDDSAS licensed 1740574672 LMFT42444 Y
Isabella Padilla Pereira Forensic74 licensed 1174871818 LMFT97934 Y
Alexander Anderson Forensic MCST74 licensed 1417183385 ASW70838 Y
Joseph Zummo Forensic74 licensed 1497927487 AMFT105417 Y
11 Gaining
Older Adult Life
Skills
(GOALS) Full
Service
Partnership
(MHSA) Crystal Thao GOALS 7523 Waivered 1609183748 ACSW 35249 Y
Jessica Preston GOALS 7523 Waivered 1649727066 ACSW 79154 Y
Karla Romero GOALS 7523 Waivered 1083133276 AMFT 100573 Y
Tracy House GOALS 7523 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi GOALS 7523 Licensed 1093911224 LMFT 40177 Y
Sue Gruber GOALS 7523 Licensed 1811014780 LCSW 29008 Y
Christine Blue GOALS 7523 Licensed 1093786683 A 10733 Y
Katheine Hedrick GOALS 7523 Licensed 1043699333 RN 683243 Y
Cynthia Resendez GOALS 7523 Licensed 1780877845 A84098 Y
12 InSpire
(MHSA) Debra Baker InSprire 7023 Waivered 1740610229 AMFT 95836 Y
Elizabeth DeGravio InSprire 7023 Licensed 1497167530 PT 37500 Y
13 La Familia
Clinic Full
Service
Partnership Nancy Nelson BHS La Familia Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Jane Fernandez BHS La Familia Psychiatrist 1194799395 Physician and Surgeon A93060 Y
Pamela Smith BHS La Familia Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Aravind Pai BHS La Familia Psychiatrist (Locum) 1235182916 Physician and Surgeon A30319 N
Cynthia Resendez BHS La Familia Psychiatrist 1780877845 Physician and Surgeon A84098 Y
Donna Bickham BHS La Familia Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS La Familia Registered Nurse 1124143474 Registered Nurse 352081 Y
Kathleen Wilson-Parish BHS La Familia Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS La Familia MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Alexander Largaespada BHS La Familia Clinician 1881902161 Marriage and Family Therapist Intern IMF93473 Y
Lynn Tarrant BHS La Familia Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
Adriana Cruz BHS La Familia Clinician II 1871612697 Licensed Clinical Social Worker LCSW81643 Y
Scarlette Aranda BHS La Familia Clinician I 1295929529 Associate Clinical Social Worker 83748 Y
Donnelle Tamayo BHS La Familia Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS La Familia Staff Nurse III 1104375724 Registered Nurse 723203 Y
14 Mary
Graham
Childrens
Shelter Renessa Castaneda-Jensen Mary Graham Childrens Shelter 9008 Licensed 1376664862 81528 LMFT Y
15 MHSA TAY
FSP Heidi McHenry TAY FSP Licensed 1861763294 PT 35949 Y
Jannelle Heard TAY FSP Waivered 1467813568 AMFT 95836 Y
Ronee Martin TAY FSP Waivered 1932644796 AMFT 84987 Y
Sasha Jackson TAY FSP Waivered 1295181295 ACSW 79996 Y
16 Older Adult
Services (OAS) Crystal Thao OAS 8236 Waivered 1609183748 ACSW 35249 Y
Jessica Preston OAS 8236 Waivered 1649727066 ACSW 79154 Y
Karla Romero OAS 8236 Waivered 1083133276 AMFT 100573 Y
Tracy House OAS 8236 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi OAS 8236 Licensed 1093911224 LMFT 40177 Y
Sue Gruber OAS 8236 Licensed 1811014780 LCSW 29008 Y
Christine Blue OAS 8236 Licensed 1093786683 A 10733 Y
Katheine Hedrick OAS 8236 Licensed 1043699333 RN 683243 Y
Cynthia Resendez OAS 8236 Licensed 1780877845 A84098 Y
17 Peterson
Hall Jennifer Domingo Peterson Hall 9009 Licensed 1104097286 50961 LMFT Y
Shabneet Hira Brar Peterson Hall 9009 Licensed 1851598452 A112447 Psychiatrist Y
Karina Jimenez Peterson Hall 9009 Waivered 1477891679 78261 AMFT Y
Helan Nguyen Peterson Hall 9009 Waivered 1801135876 85251 AMFT Y
Shiella Pablico Peterson Hall 9009 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Joann Ridad Peterson Hall 9009 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet Peterson Hall 9009 Licensed 1366468555 C53401 Psychiatrist Y
Carla Simien Peterson Hall 9009 Licensed 1629564000 40771 Licensed Psychiatric Technician Y
Fay Vieira Peterson Hall 9009 Licensed 1982815684 50276 LMFT Y
18 Psychiatric
Health Facility
(PHF)
Gill Paramijit
PHF
MD
1073629218 A49224
Y
Hart Robert PHF MD 1477660074 C38923 Y
Silver Hilary PHF MD 1720201221 C33442 Y
Brown Brandi PHF RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth PHF RN 1255459061 RN 488617 Y
Seraypheap Arunny PHF RN 1013037274 RN 547944 Y
Limas Deborah PHF RN 1073631727 RN 526984 Y
Winck Angela PHF RN 1083002992 RN 701021 Y
Cabrera Gilbert PHF RN 1679693766 RN 565185 Y
Mendoza Michelle PHF RN 1477951812 RN 797022 Y
Blackman Demerica PHF RN 1932619517 RN 850647 Y
Laizer Gloria PHF RN 1255706479 RN 764452 Y
Odametey Ama PHF RN 1700366358 RN 835504 N
Camello Bena PHF MHC 1053581116 LCSW 65302 Y
Shah Mamoona PHF MHC 1407978471 Waivered Y
Mills Rachelle PHF MHC 1326169350 LMFT 81070 Y
Little Christy PHF PT 1497978795 PT 28731 Y
Bomar Dolfa PHF CPT 1881817567 PT 31571 Y
DeJesus Carolyn PHF CPT 1861650228 PT 34221 Y
Varquez Sharon PHF PT 1366682387 PT 34435 Y
Pot Sambo PHF PT 1104378827 PT 33626 Y
Bou Jennifer PHF PT 1033652466 PT40281 Y
Sesante Maria PHF PT 1851515720 PT 30936 Y
Ota Robert PHF PT 1578786554 PT 33792 Y
Pinano Paolo PHF PT 1245352616 PT 33726 Y
Ruiz Ronald PHF PT 1700907094 PT 27494 Y
Villasenor Kendra PHF PT 1447518204 PT 36449 Y
Deol Sukhvinder PHF PT 1508988593 PT 30288 Y
Bokelman Roy PHF PT 1114040003 PT 32628 Y
Seba Vicki PHF PT 1639291636 PT 31714 Y
Siador Jill PHF PT 1366884058 PT 36818 Y
Polk Rhonda PHF PT 1316160146 PT 20798 Y
Zorea Dylan PHF PT 1467573766 PT28206 Y
Chapin Larry PHF PT 1528200169 PT 26162 Y
19 San Joaquin
County MH
Services Lodi
Clinic Ruth Johnson Lodi Outpatient 6036 Licensed 1265535538 LCSW 15213 Y
Judith Dolyniuk Lodi Outpatient 6036 Licensed 1518182534 LMFT 97680 Y
Amy Massie Lodi Outpatient 6036 Waivered 1356798391 AMFT 100785 Y
Shayne Maniti Lodi Outpatient 6036 Licensed 1689854093 PT 33732 Y
Saba Rizvi Lodi Outpatient 6036 Licensed 1619190501 A 95786 Y
Avramov Valentin Lodi Outpatient 6036 Licensed 1053488767 109609 Psychiatrist Y
Hill Patricia Lodi Outpatient 6036 Licensed 1902926231 23764 LCSW Y
Mann Bhupinderpreet Lodi Outpatient 6036 Waivered 1174603039 80464 AMFT Y
20 San Joaquin
County MH
Services Tracy
Clinic Ashley Smerdon Tracy Clinic 6136 Waivered 1265713929 MFT87560 Y
Jennifer Spruill Tracy Clinic 6136 Licensed 1518232321 LCSW 69544 Y
Simone Litsch Tracy Clinic 6136 Licensed 1598882599 A 89254 Y
Aravind Pai Tracy Clinic 6136 Licensed 1629076088 A30319 N
Gabriel Holguin Tracy Clinic 6136 Licensed 1255704094 PT38216 Y
21 SJC- MHS
CYS Katie A
Services Sailaja Allanki CYS Katie A Services 9020 Licensed 1306897723 138838 Psychiatrist Y
Kristina Birch CYS Katie A Services 9020 Waivered 1366874844 1809 APCC Y
Maria Boklund CYS Katie A Services 9020 Licensed 1396157061 48496 LMFT Y
Linda Brett CYS Katie A Services 9020 Licensed 1295853299 523914 RN Y
Renessa Castaneda-Jensen CYS Katie A Services 9020 Licensed 1376664862 81528 LMFT Y
Maria Gamino CYS Katie A Services 9020 Waivered 1710386453 73292 ASW N
Shabneet Hira Brar CYS Katie A Services 9020 Licensed 1851598452 A112447 Psychiatrist Y
Catherine Navarrete CYS Katie A Services 9020 Waivered 1619456076 105076 Marriage amp Family Therapist Y
Leora Pollock CYS Katie A Services 9020 Licensed 1245663426 75192 LCSW Y
Kim Saing CYS Katie A Services 9020 Licensed 1982722666 51242 LMFT Y
Anastacia Stanley CYS Katie A Services 9020 Licensed 1528299724 87417 LMFT N
Patricia Young CYS Katie A Services 9020 Waivered 1780051375 94965 ASSOCIATE MARRIAGE amp FAMILY THERAPIST Y
22
Transcultural
Clinic (TCC) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
23 Southeast
Asian Recovery
Services
(SEARS) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
CONTRACT ORGANIZATIONAL PROVIDERS
24 Anka Lodi (
was Mourfield
House) Meloney West Anka Lodi AMFT 1649523283 Y
Eon Lawrence Losefa Anka Lodi LMFT 1982898276 104807 Y
Aaron Fett Anka Lodi Psychology Intern 1932352424 Y
25 ASPIRAnet Courtney Warfield-Gibbs ASPIRAnet Waivered 1285958520 ACSW 70918 Y
Melissa Wimer ASPIRAnet Licensed 1467946301 LMFT 81226 Y
Patricia A Jackson ASPIRAnet Waivered 1780848853 AMFT 73975 Y
Vijai Pandey ASPIRAnet Waivered 1710497938 AMFT 70416 Y
Amir Siddiqui ASPIRAnet Waivered 1336617844 APCC 5341 N
26 Bright
House Robert Lee Majors Bright House LMFT 1780692806 49236 Y
27 Casa Pacifica - OUT OF COUNTY PROVIDER
28 CBIS (University of the Pacific)- NON LICENSED STAFF ONLY
29 Chamberlains Children Center Inc -OUT OF COUNTY PROVIDER
30 Charis Youth Center- OUT OF COUNTY PROVIDER
31 Child Abuse
Prevention
Council Roger Duke Child Abuse Prevention Council LMFT 1992861082 79588 Y
Cassandra Lowe Child Abuse Prevention Council AMFT 1205278694 75983 Y
Stacey Tidwell Child Abuse Prevention Council ACSW 1790189413 72578 Y
Nazia Khan Child Abuse Prevention Council AMFT 1508227158 81499 Y
Lisa Aguilar Child Abuse Prevention Council ACSW 1417401035 73365 Y
Anabel Montejano Child Abuse Prevention Council ACSW 1740656636 78974 Y
Catherine Thiel Child Abuse Prevention Council LCSW 1134569791 82263 Y
Michelle Nelson Child Abuse Prevention Council AMFT 1891173357 94133 Y
Maria Cardoza Child Abuse Prevention Council AMFT 1467861252 87554 Y
Thear Chum Child Abuse Prevention Council ACSW 1134648231 83947 Y
Kaitlyn Reilly Child Abuse Prevention Council ACSW 1205381613 83651 Y
Laura Rodriguez Child Abuse Prevention Council ACSW 1316498892 78113 Y
Diana Strimling Child Abuse Prevention Council AMFT 1316221765 104452 Y
32 Community Re-Entry Program (CRP)- NON LICENSED STAFF ONLY
33 Crestwood Solano (PHF)- Out of County Provider
34 Crittenton Services For Children and Families -OUT OF COUNTY PROVIDER
35 Edgewood Center for Children and Families- OUT OF COUNTY PROVIDER
36 Fred Finch Youth Center- OUT OF COUNTY PROVIDER
37 Grant
House Meloney West Grant House AMFT 1649523283 Y
JoAnn Marie Cornelius Grant House LPT 1205877727 35804 Y
Melinda Carchidi Grant House Psychology Intern 1609151653 Y
38 Latino
Behavioral
Health and
Recovery
Services Alexander Largaespada Latino Behavioral Health AMFT 181902161 AMFT 93473 Y
Maria De La Luz Torres Latino Behavioral Health ACSW 1003323361 ASW80844 N
Lynn Tarrant Latino Behavioral Health Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
39 Martin Gipson Socialization Center- NON LICENSED STAFF ONLY
40 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
41 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
42 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
43 Mountain Valley Child and Family Services Inc- OUT OF COUNTY PROVIDER
44 Phoenix House of Los Angeles Inc- OUT OF COUNTY PROVIDER
45 Rebekah
Childrens
Home Bhatti Moeen Rebekah Childrens Home licensed 1205023736 A 100193 Physician amp SurgeonMD DEA FB4071332 Y
Cervantes Priscilla Rebekah Childrens Home licensed 1679081582 693037 LVN N
Delgado Melissa Rebekah Childrens Home licensed 1881002186 105380 LMFT Y
Downey Ruth Rebekah Childrens Home licensed 1790161339 100524 LMFT Y
Machuca Lopez Cynthia Rebekah Childrens Home waivered 1386053817 74884 ACSW Y
Moeller Ryan Rebekah Childrens Home waivered 1316303803 91385 AMFT Y
Vaca-Preez Alejandra Rebekah Childrens Home waivered 1629418876 36752 ACSW Y
Vargas-Gladen Rosalva Rebekah Childrens Home licensed 1326114372 46940 LMFT Y
46 Sacramento Childrens Home- OUT OF COUNTY PROVIDER
47 San Gabriel Childrens Center Out Patient- OUT OF COUNTY PROVIDER
48 Star View Adolescent Center OP- OUT OF COUNTY PROVIDER
49 Summitview Child Treatment Center- OUT OF COUNTY PROVIDER
50 Telecare
(aka Jeremy
House) Jessica Reiland Telecare- Jeremy House ASW (waived) Clinician 1003154634 70377 Y
Thuy Huynh Telecare- Jeremy House LPT Nurse 1033485495 36454 Y
Shannan Taylor Telecare- Jeremy House LMFT Regional Director 1528074770 LMFT46081 Y
51 Telecare
Early
Intervention
Recovery
Services (TEIRS) Melissa Planas ` LCSW 1679807994 LCSW66499 Y
Holli Hoffman TEIRS DNP 1144380940 2005000091 Y
Oshalique Bass TEIRS PCCI Waived 1477811677 5490 Y
Tran tran TEIRS LVN 1477084671 VN 275938 Y
Jennifer Miles TEIRS MD 1275541641 G83528 Y
Shannan Taylor TEIRS LMFT 1528074770 LMFT46081 Y
52 TLC Child and Family Services- OUT OF COUNTY PROVIDER
53 Valley
Community
Counseling
Services (VCCS)
(Manteca) 9040 Muhammad Kamran VCCS Manteca 9040 Licensed 1811051337 C53847 Psychiatrist Y
Patricia Goodman VCCS Manteca 9040 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Manteca 9040 Clinician 1578734687 AMFT 80527 Y
Alisha Sweyd VCCS Manteca 9040 Clinician 1689059941 AMFT 96911 Y
Teresa Viles-Reed VCCS Manteca 9040 Clinician 1386762623 PhD PSY14848 Y
54 Valley
Community
Counseling
Services (VCCS)
(School Based
Program-
Stockton) 9042 Cynthia Aguilera VCCS Stockton 9042 Clinician 1003326182 AMFT 102123 Y
Melanie Almada VCCS Stockton 9042 Clinician 1912396532 AMFT 92167 Y
Arica Arucan VCCS Stockton 9042 Clinician 1215258280 LCSW 72691 Y
Megan Bassi VCCS Stockton 9042 Clinician 1669833885 AMFT 91956 Y
Manjit Belanger VCCS Stockton 9042 Clinician 1255780771 AMFT 100537 Y
Ana De Trinidad VCCS Stockton 9042 Clinician 1043501570 AMFT 95408 Y
Tiffany Drake VCCS Stockton 9042 Clinician 1417456617 AMFT 103265 Y
Sarah Gard VCCS Stockton 9042 Clinician 1477966265 LMFT 106055 Y
Patricia Goodman VCCS Stockton 9042 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Stockton 9042 Clinician 1578734687 AMFT 80527 Y
Alicia Jackson VCCS Stockton 9042 Clinician 1912386525 AMFT 93526 Y
Naomi Jimenez VCCS Stockton 9042 Clinician 1669927828 AMFT 80527 Y
Leonard Lippert VCCS Stockton 9042 Clinician 1154691137 AMFT 101758 Y
Sandra McBride VCCS Stockton 9042 Clinician 1033467030 AMFT 75525 Y
Monika Muy VCCS Stockton 9042 Clinician 1982008603 ACSW 67390 Y
Desiree Nease VCCS Stockton 9042 Clinician 1447703491 ACSW 71196 Y
Katelyn Nelson VCCS Stockton 9042 Clinician 1669998290 ACSW 77372 Y
Elaine Pike VCCS Stockton 9042 Clinician 1508875055 LMFT 45258 Y
Cristal Rodriguez VCCS Stockton 9042 Clinician 1760938740 AMFT 93861 Y
Reshma Roy VCCS Stockton 9042 Clinician 1073061784 ACSW 66474 Y
Belem Ruiz VCCS Stockton 9042 Clinician 1508380411 AMFT 100924 Y
Jenna Santoyo VCCS Stockton 9042 Clinician 1457584567 LCSW 29827 Y
Riah Skrinnik VCCS Stockton 9042 Clinician 1295275592 APCC 3532 Y
Kristyn Towers VCCS Stockton 9042 Clinician 1942671052 AMFT 89172 Y
Alexsandra Trejo VCCS Stockton 9042 Clinician 1750837985 AMFT 92738 Y
Vichra You VCCS Stockton 9042 Clinician 1013437714 AMFT 99071 Y
55 Valley
Community
Counseling
Services (VCCS)
(Tracy) 9041 Muhammad Kamran VCCS Tracy 9041 Licensed 1811051337 C53847 Psychiatrist Y
Rosemary Cervantes VCCS Tracy 9041 Clinician 1407299738 AMFT 72397 Y
Laura Strickland VCCS Tracy 9041 Clinician 1538354543 2012633 Y
Lani Westervelt VCCS Tracy 9041 Clinician 1629191366 LMFT 38654 Y
56 Victor
Community
Services and
Support
Stockton
(VCSS) 9063 Loiuse Cerna VCSS Stockton 9063 MFTI 1346794690 92730 - Marriage and Fmily Therapist Intern Y
Aziza Citi VCSS Stockton 9063 LMFT 1831510650 96329 - Licensed Marriage and Family Therapist Y
Melissa Colon VCSS Stockton 9063 MFTI 1871663351 77340 - Marriage and Family Therapist Intern Y
Itzia Cruz VCSS Stockton 9063 ACSW 1639533987 80056 - Associate Clinical Social Worker Y
Tracy Cutino VCSS Stockton 9063 LMFT 1740297902 47897 - Licensed Marriage and Family Therapist Y
Betia Dadkhah VCSS Stockton 9063 LMFT 1083709380 44160 - Licensed Marriage and Family Therapist Y
Mark Edelstein VCSS Stockton 9063 MD 1972516714 C41340 - Physician amp Surgeon Y
Sharee Esparza VCSS Stockton 9063 MFTI 1982145504 102079 - Marriage and Family Therapist Intern Y
Tanner Hickman VCSS Stockton 9063 ACSW 1194272146 78099 - Associate Clinical Social Worker Y
Courtney Ivy VCSS Stockton 9063 MFTI 1679959217 71048 - Marriage and Family Therapist Intern Y
Giana Kooger VCSS Stockton 9063 LMFT 1720318132 86206 - Licensed Marriage and Family Therapist Y
Sheree Lozano VCSS Stockton 9063 MFTI 1538523501 88637 - Marriage and Family Therapist Intern Y
Christina Lopez VCSS Stockton 9063 MFTI 1265705727 102443 - Marriage and Family Therapist Intern Y
Koryn Marshall VCSS Stockton 9063 LMFT 1962881870 86263 - Licensed Marriage and Family Therapist Y
Adrianna Martinez VCSS Stockton 9063 MFTI 1851831242 107761 - Marriage and Family Therapist Intern Y
Laura Rodriguez VCSS Stockton 9063 ACSW 1316498892 78113 - Associate Clinical Social Worker Y
Jacquelyn Seefeldt VCSS Stockton 9063 MFTI 1124250204 74064 - Marriage and Family Therapist Intern Y
Heather Taylor VCSS Stockton 9063 LMFT 1265514251 44021 - Licensed Marriage and Family Therapist Y
Palei Triguero VCSS Stockton 9063 MFTI 1871994285 86335 - Marriage and Family Therapist Intern Y
Wendy True VCSS Stockton 9063 LMFT 1750476438 44262 - Licensed Marriage and Family Therapist Y
Jennifer Tutt VCSS Stockton 9063 LCSW 1316134091 27530 - Licensed Clinical Social Worker Y
Sarah Voss VCSS Stockton 9063 LMFT 1275602914 51406 - Licensed Marriage and Family Therapist Y
Michelle Zuckerman VCSS Stockton 9063 LMFT 1891948691 84298 - Licensed Marriage and Family Therapist Y
57 Victor Treatment Center - Santa Rosa- OUT OF COUNTY PROVIDER
58 Victor Youth Services (North Valley Schools)- OUT OF COUNTY PROVIDER
59 Womens Center- Family and Youth Services httpswwwwomenscenteryfsorgindexphpget-helptherapy-services
CONTRACT PSYCHIATRIC HOSPITALS
60 BHC Heritage Oaks Hospital - Out of County Hospital
61 BHC Sierra Vista Hospital - Out of County Hospital
62 St Helena Hospital Center for Behavioral Health - Out of County Hospital
63 John Muir Behavioral Health Center - Out of County Hospital
64 Sutter Center for Psychiatry - Out of County Hospital
65 Fremont Hospital - Alka Aneja Fremont Hospital ChildAdolescent MD 1619031317 A112029BA9881017 Y
Harmohinder Athwal Fremont Hospital ChildAdolescent MD 1740298256 A81841BA8179473 Y
Kamaljeet Boora Fremont Hospital Psychiatry MD 1356587711 102846FB0978823 N
Vikas Duvvuri Fremont Hospital EDO MD 1255470480 A99706FD0242064 Y
Trevor Fooks Fremont Hospital Psychiatry MD 1730267535 G63964BF1543695 Y
Ravinder Kahlon Fremont Hospital NeuroPsych MD 1386741320 A50823BK2018934 N
Vasdeep Kahlon Fremont Hospital Psychiatry MD 1497852446 A51243BK2742535 N
Padmavathi Kudaravalli Fremont Hospital Internal Medicine MD 1144221953 A67964BK6574974 Y
Pradeep Kumar Fremont Hospital Psychiatry MD 1023188935 A52032BK4202177 N
Deepak Kumar Fremont Hospital Psychiatry MD 1306257910 A130068FK4574299 Y
Sudha Manjunath Fremont Hospital ChildAdolescent MD 1801826797 A87131BM8982818 Y
Syed Munir Fremont Hospital ChildAdolescent MD 1790718815 C55029BM3999553 Y
Nanda Nayak Fremont Hospital Psychiatry MD 1477656262 A43182BN0687597 N
Falguni Patel Fremont Hospital ChildAdolescent MD 1548414337 A105594FP1152949 Y
Surender Punia Fremont Hospital Psychiatry MD 1376589663 A77004BP6477497 Y
Divya Reddy Fremont Hospital Psychiatry MD 1518120211 A103547FR1100306 Y
Devindar Singh Fremont Hospital Internal Medicine MD 1447294624 A48148BS2303422 N
Sunpreet Singh Fremont Hospital Psychiatry MD 1326464462 A132932FS5027087 Y
Bhupinder Waraich Fremont Hospital Psychiatry MD 1689869547 A53968BW4473346 Y
Jaap Kaur Waraich Fremont Hospital Psychiatry MD 1316132285 G67904BW2368391 Y
Nicholas Phillips Fremont Hospital Family Medicine MD 1255727293 A153125FP7288841 N
Harleen Dyal Fremont Hospital Family Medicine MD 1225424327 A153255FD7288839 N
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake Unit-Referrals to Licensed Staff
67 Chemical
Dependency
Counseling
Center ( CDCC) Tyler Moran Chemical Dependency Counseling Center 390002DNAMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Chemical Dependency Counseling Center 390002DNMFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Chemical Dependency Counseling Center 390002DNPsychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Chemical Dependency Counseling Center 390002DNPsychiatrist 1710094057 A72805 Y
68 Alcohol amp Drug Alternative Program (ADAP)-Referrals to Licensed Staff
69 Family Ties Tyler Moran Family Ties 390002EN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Family Ties 390002EN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Family Ties 390002EN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Family Ties 390002EN Psychiatrist 1710094057 A72805 Y
70 Recovery
House Tyler Moran Recovery House 390002AN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Recovery House 390002AN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Recovery House 390002AN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Recovery House 390002AN Psychiatrist 1710094057 A72805 Y
71 Adolescent Co- Occurring Treatment Program (ACT) Childrens Behavioral Health Services- Referrals to Licensed Staff
72 Prevention Services- Referrals to Licensed Staff
NARCOTIC TREATMENT PROGRAMSMEDICATION ASSISTED TREATMENT
73 Aegis
Treatment
Center Dr Randall Paul Aegis Treatment Center Medical License 1912061045 A26361 Y
Linda Beccerra Aegis Treatment Center Vocation Nurse VN 183039 Y
Dora Berry Aegis Treatment Center Vocation Nurse VN 689493 Y
Jeannette Carter-Camp Aegis Treatment Center Vocation Nurse 1740480342 NP 7506 Y
Francisca Marquez Aegis Treatment Center Vocation Nurse VN 287402 Y
74 5th Street
Medical Clinic
Stockton Dr Michael Fox 5th Street Medical Clinic Medical License 1212069758 G53561 Y
Melissa Whitworth 5th Street Medical Clinic Vocation Nurse RN 541037 Y
Divina Palafox 5th Street Medical Clinic Vocation Nurse 1912061995 VN 17300 Y
Divna Lu 5th Street Medical Clinic Vocation Nurse VN 183039 Y
Jeannette Carter-Camp 5th Street Medical Clinic Vocation Nurse 1740480342 NP 7506 Y
75 Aegis
Treatment
CenterHealthy
Connections
(California St)
Stockton Dr Michael Fox Aegis Treatment CenterHealthy ConnectionsMedical License 1212069758 G53561 Y
Melissa Whitworth Aegis Treatment CenterHealthy ConnectionsVocation Nurse RN 541037 Y
Dr Brian Talleur Aegis Treatment CenterHealthy ConnectionsMedical License 1659791101 A154190 Y
Alvin Goat Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 20473 Y
Crystal August Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 695962 Y
Rosenah Durago Aegis Treatment CenterHealthy ConnectionsVocation Nurse 1841629185 VN 235553 Y
Maria Garsuta Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 235825 Y
76 Healthy
Connections
Lodi Clinic Melissa Whitworth Healthy Connections Lodi Clinic Vocation Nurse RN 541037 Y
Dr Brian Talleur Healthy Connections Lodi Clinic Medical License 1659791101 A154190 Y
Angeles Alfaro Healthy Connections Lodi Clinic Vocation Nurse 1649669979 VN 689129 Y
John Campos Healthy Connections Lodi Clinic Vocation Nurse 1407192297 VN 260740 Y
Prabhjot Kaur Healthy Connections Lodi Clinic Vocation Nurse VN 698775 Y
Meenal Prasad Healthy Connections Lodi Clinic Vocation Nurse 1114407368 VN 287331 Y
77 Manteca
Healthy
Connections Dr Michael Fox Manteca Healthy Connections Medical License 1212069758 G53561 Y
Melissa Whitworth Manteca Healthy Connections Vocation Nurse RN 541037 Y
Dr Randall Paul Manteca Healthy Connections Medical License 1912061045 A26361 Y
Mary Jane Davis Manteca Healthy Connections Vocation Nurse 1861822744 VN 72342 Y
Christine Falcon Manteca Healthy Connections Vocation Nurse VN 175628 YDourine Iqiel Manteca Healthy Connections Vocation Nurse 1477008506 VN281162 YRebecca Mohr Manteca Healthy Connections Psyciatric Technician LPT 26531 Y
78 MedMark Treatment Center httpsmedmarkcommedmark-treatment-centers-stockton
LANGUAGE ASSISTANCE
English
ATTENTION If you speak another language language assistance services free of charge are available to you Call 1-888-468-9370 (TTY 1-866-735-2922 )ATTENTION Auxiliary aids and services including but not limited to large print documents and alternative formats are available to you free of charge upon request Call 1-888-468-9370
Espantildeol (Spanish)
ATENCIOacuteN Si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-888-468-9370 (TTY 1-866-735-2922 )
Tiếng Việt (Vietnamese)
CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-888-468-9370 (TTY 1-866-735-2922 )
Services may be delivered by an individual provider or a team of providers who is working under the direction of a licensed practitioner operating within their scope of practice Only licensed
waivered or registered mental health providers and licensed substance use disorder services providers are listed on the Plans provider directory
Tagalog (Tagalog Filipino)
PAUNAWA Kung nagsasalita ka ng Tagalog maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-888-468-9370 (TTY 1-866-735-2922 )한국어 (Korean)주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수 있습니다 1-888-468-9370 (TTY 1-866-735-2922 ) 번으로 전화해 주십시오繁體中文繁體中文繁體中文繁體中文(Chinese)注意如果您使用繁體中文您可以免費獲得語言援助服務請致電1-888-468-9370 (TTY 1-866-735-2922 )ՀայերենՀայերենՀայերենՀայերեն (Armenian)
ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ Զանգահարեք 1-888-468-9370 (TTY 1-866-735-2
Русский (Russian)
ВНИМАНИЕ Если вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-888-468-9370 (TTY 1-866-735-2922 )
(Farsi) فارسیتوجه اگر به زبان فارسی گفتگو می کنيد تسهيلات زبانی بصورت رايگان برای شما
日本語日本語日本語日本語 (Japanese)注意事項日本語を話される場合無料の言語支援をご利用いただけます1-888-468-9370فراهم می باشد با 1 (TTY 1-866-735-2922 ) までお電話にてご連絡くださいHmoob (Hmong)
LUS CEEV Yog tias koj hais lus Hmoob cov kev pab txog lus muaj kev pab dawb rau koj Hu rau 1-888-468-9370 (TTY 1-866-735-2922 )
ਪਜਾਬੀ (Punjabi)
ਿਧਆਨ ਿਦਓ ਜ ਤਸੀ ਪਜਾਬੀ ਬਲਦ ਹ ਤਾ ਭਾਸ਼ਾ ਿਵਚ ਸਹਾਇਤਾ ਸਵਾ ਤਹਾਡ ਲਈ ਮਫਤ ਉਪਲਬਧ ਹ 1-888-468-9370 (TTY 1-866-735-2922) ਤ ਕਾਲ ਕਰ
(Arabic) العربيةملحوظة إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغوية تتوافر لك بالمجان
हिदी (Hindi)
द यदि आप हिदी बोलत ह तो आपक लिए मफत म भाषा सहायता सवाए उपलबध ह [1-888-468-9370 (TTY 1-866-735-2922) पर कॉल कर
ภาษาไทย (Thai)
เรยน ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร 1-888-468-9370 (TTY 1-866-735-2922) धयान
ែខរ (Cambodian)
បយត ររ េស នអកនយ ែខ រសជនយមននក េយមនគត នគចនស ររ អេ នក ច ទ សព+1-888-468-9370 (TTY 1-866-735-2922)
ພາສາລາວ (Lao)
ໂປດຊາບ ຖາວາ ທານເວາພາສາ ລາວ ການບລການຊວຍເຫອດານພາສາໂດຍບເສຽຄາ ແມນມພອມໃຫທານ ໂທຣ 1-888-468-9370 (TTY 1-866-735-2922)
- 18-Font English Medi-Cal Provider Directory(Word Doc) 12-2018 English
- Medi-Cal Directory Provider Staff Listing 18 font English 12-2018
-
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 5 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
5Community
Adult Treatment
Services (CATS -
Teams A B C and
D)
9069
1212 N California
Street
Stockton CA
95202
(209) 468-8842
(209) 468-8862
(209) 468-8881
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Canton-
ese
Tagalog
Comprehensive
Mental Health
Services for adults
(18
60) Services
include psychiatric
assessment
medication support
group individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 6 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
6Community
Corrections
Partnership
9039AP
1212 N California
Street
Stockton CA
95202
(209) 468-9373
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Serve clients under
AB-109
community
supervision with
Probation to reduce
recidivism
promote wellness
and
recovery and
increase safety for
our community
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 7 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
7Crisis
Community
Response Team
(CCRT)
9088
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
Crisis
Community
Response Team
(CCRT)Mobile
Crisis Support
Team (MCST)
12-830 pm
7 days a week
Adult
Children
Youth
Older
Adult
Spanish
Mobile multi-
disciplinary crisis
team for community
adult mental health
outreach early
intervention and
joint field response
with law
enforcement for
crisis 5150 detention
evaluations
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 8 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
8Crisis
Intervention
Services
9011
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
24 hours
Adult
Children
Youth
Older
Adult
Spanish
24-Hour evaluation
services including
assessment for
psychiatric
emergencies crisis
counseling
outpatient and
community referrals
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
9Crisis
Stabilization
Units (CSU)
9032
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
24 hours
Adult
Adol-
escents
Older
Adult
Spanish
Cambo-
dian
Vietna-
mese
23-Hour psychiatric
assessment and
stabilization unit
Resources and
Referrals are
provided during
admission
Crisis Stabilization UC
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 9 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
10Forensic Court
Full Service
Partnership
(MHSA)
9091
1212 N California
Street Stockton CA
95202
(209) 468-8786
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Provides
comprehensive
psychiatric and
integrative services
to address the needs
of Mentally Ill
Offenders
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 10 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
11Gaining Older
Adult Life Skills
(GOALS) Full
Service Partnership
(MHSA)
9093
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Full Service
Partnership with the
emphasis on outreach
to the underserved
older adult
population ages
(60+)
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 11 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
12InSPIRE
(MHSA)
39AN
1212 N California
Street
Stockton CA
95202
(209) 468-8880
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Cambo-
dian Viet-
namese
MHSA innovation
component
providing learning
community
opportunities to
specialized cohorts
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 12 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
13La Familia
Clinic Full
Service
Partnership
(MHSA)
9092
1149 N El Dorado
Street
Stockton CA
95202
(209) 468-2335
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
Latino
out-
reach
and
access
Spanish
Psychiatric
assessment case
management
medication support
individual and group
therapy with a
special emphasis on
serving Spanish-
speaking persons
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 13 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
14Mary Graham
Childrens Shelter
9008
6861 Mary Graham
Lane
French Camp CA
95231
(209) 468-6966
httpwww
marygrahamfou
ndationorg
24 Hours
Children
and
Youth
Provides outpatient
mental health
services to residents
of Mary Graham
Childrens Shelter
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 14 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services)
Include-
ing ASL
YesNo YesNo YesNo
15MHSA TAY
FSP
39B1
1212 N California
Street Stockton
CA 95202
(209) 468-8862
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adults
Full service
partnership providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 15 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
16Older Adult
Services (OAS)
3980
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Cambo-
dian Viet-
namese
Comprehensive
Behavioral Health
Services for older
adults (60+) provided
by a multidisciplinary
team Services
include psychiatric
assessment
medication
support group
individual therapy
and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 16 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services
Includin
g ASL
YesNo YesNo YesNo
17 Peterson
Hall
9009
535 W Matthews
Rd French Camp
CA 95231
(209) 468-4240
hiipswwwsjg
ovorgmhs
M-F 8 am- 8
pm SatSun 10-
7 pm
Children
and
Youth
Cambo-
dian
Spanish
Provides outpatient
mental health services
to youth detained at
Peterson Hall
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
18Psychiatric
Health
Facility (PHF)
3976
1212 N California
Street Stockton
CA 95202
(209) 468-8686
httpswwwsjg
ovorgmhs 24
hours
Adult Spanish
24-hour inpatient
hospitalization
services
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 17 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
19San Joaquin
County MH
Services Lodi Clinic
3924
1209 W Tokay
Street
Suites 1 3 5 7 9
12 14 and 16
Lodi CA 95240
(209) 331-2070
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Children
Youth
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
North
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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uages (in
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Service Categories
Accept-
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Com-
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Cultural
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tency
Training
Accommo-
dations for
people
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abilities
YesNo
YesNo
YesNo
20San Joaquin
County MH
Services Tracy
Clinic
9048
220 W Eleventh
Street
Tracy CA 95376
(209) 831-5941
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
South
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
21SJC-MHS
CYS Katie A
Services
9020
333 E Washington
Street
Stockton CA
95202
(209) 468-1547
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Children
and
Youth
Spanish
Hmong
Japanese
Provides in-home
and in-community
outpatient mental
health services to
WampI Code 300
dependent SJC
children
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 20 of 66
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Operation
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lations
Served
Non-
English
Lang-
uages (in
addition to
free Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
22Transcultural
Clinic
(TCC) - full range
of specialty mental
health services and
intensive case
management
program
9014
4422 N Pershing
Ave
Suites D1-D4
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available
in Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
23Southeast
Asian Recovery
Services (SEARS)
for the Southeast
Asian population-
Full Service
Partnership
(MHSA)
9094
4422 N Pershing
Avenue Suite D2
D3 D4 D5 D6
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available in
Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
CONTRACT ORGANIZATIONAL PROVIDERS
24Anka Lodi (was
Mourfield House)
9075
458 Almond Drive
Lodi CA 95240
(209) 982-4697
wwwankabhior
g M-F 8am-5pm
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
25ASPIRAnet
39AR
6 S El Dorado
Street Suite 510
Stockton CA
95202
(209) 478-9862
wwwaspiranet
Org
M-F 8 am- 5
pm
Children
and
Youth
Provides
Therapeutic
Behavioral Services
(TBS) and crisis
stabilization services
as an alternative to
psychiatric
hospitalization
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
26Bright House
9047
8210 Bright Road
French Camp CA
95231
(209) 982-1235
wwwankabhior
g 24 hours
Adult
Adult Transitional
Residential
Treatment Program
Medication Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
27Casa Pacifica
39AB
1722 S Lewis Road
Camarrillo CA
93012
(805) 981-1422
wwwcaspacific
aorg
M-F 8 am- 6 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
28CBIS
(University of the
Pacific)
39A1
405 E Pine Street
Stockton CA
95204
(209) 476-1959
wwwcommunit
yre-
entryprogramco
m M-F 8am-430
pm
Adult
Spanish
Behavioral
Intervention Services
Mental Health Services
Intensive Home Based
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
29Chamberlains
Children Center
Inc
39B4
1850 San Benito
Street
Hollister CA
95023
(831) 636-2121
wwwchamberla
inccorg
M-F 8 am- 5 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
30Charis Youth
Center
9057
714 W Main Street
Grass Valley CA
95945
(530) 477-9800
wwwcharisyout
hcenterorg
M-F 830 am-
430 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
31Child Abuse
Prevention Council
39A8
540 N California
Street
Stockton CA
95202
(209) 644-5311
wwwnochildab
useorg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health services
utilizing
strengthening family
approach
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
32Community
Re- Entry
Program (CRP)
9044
405 E Pine Street
Stockton CA
95204
(209) 946-2132
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
independent living
skills training and
rehabilitation
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
33Crestwood
Solano
(PHF)
39A8
2201 Tuolumne
Street Suite B
Vallejo CA 94589
(707) 558-1777
wwwcrestwood
behavioralhealth
com
24
hours
Adult
24-hour
inpatient
hospitalization
services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
34Crittenton
Services For
Children And
Families
39B3
100 E Valley View
Drive Fullerton CA
92832
(714) 680-8268
wwwcrittentons
ocalorg
M-F 830 am- 5
pm
Children
and
Youth
Residential
facility providing
mental health
treatment to youth
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS)
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
35Edgewood
Center for
Children and
Families
39AV
1801 Vincente
Street San
Francisco CA
94116
(415) 681-3211
wwwedgewood
org
24
Hrs
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
36Fred Finch
Youth
Center
39AY
3800 Coolidge
AvenueOakland
CA 94602
(510) 482-2244
wwwfredfinch
Org
M-F 830 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
37Grant House
9064
1117 S Grant
Street Stockton
CA 95206
(209) 461-6500
wwwankabhior
g 24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
38Latino
Behavioral Health
and Recovery
Services
9067
445 N San Joaquin
Street
Stockton CA
95202
(209) 444-8910
wwwelconcilio
Org
M-F 8 am- 5 pm
Adult
Spanish
Provides Culturally
Competent
Services to Latinos
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
39Martin Gipson
Socialization Center
9043
405 E Pine Street
Stockton CA
95204
(209) 464-5519
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
socialization
vocational and
educational
opportunities for
Adult Mentally
ill consumers
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
40Mountain
Valley Child and
Family Services
Inc
9039
24077 Highway 49
Nevada City CA
95959
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Therapeutic
Behavioral Services
(TBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
41Mountain
Valley Child and
Family Services
Inc
39A4
7818 Bar Du Lane
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
42Mountain
Valley Child and
Family Services
Inc
39A3
6171 Bradshaw Rd
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 36 of 66
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
43Mountain
Valley Child and
Family Services
Inc
39A2
9200 Sweet Acacia
Way Sacramento
CA 95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
44Phoenix House
of
Los Angeles Inc
39B6
1600 Eldrige
Avenue Lake View
Terrace CA 91342
(818) 686-3000
wwwphoenixho
useorg
M-F 8 am- 530
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
45Rebekah
Childrenrsquos
Home
39AU
290 IOOF Avenue
Gilroy CA 95020
(408) 846-2100
wwwrcskidsor
g
M-F 8 am- 530
pm
Children
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 39 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
46Sacramento
Childrens Home
9076
2750 Sutterville
Road Sacramento
CA 95820
(916) 452-3981
wwwkidshome
Org
M-F 830 am - 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 40 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
47San Gabriel
Childrens Center
Out Patient
39B7
4740 N Grand
Avenue Covina CA
91724
(626) 859-2089
wwwsangabriel
childcom
M-F 8 am- 5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 41 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
48Star View
Adolescent Center
OP
39BB
4025 West 226th
Street
Torrance CA
90505
(310)373-4556
wwwstarsincco
m 24 hours
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
49Summitview
Child Treatment
Center
9061
670 Placerville Dr
2 Placerville CA
95667
(530) 644-2412
wwwsummitvie
wtreatmentorg
M-F 8 am-5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
50Telecare (aka
Jeremy House)
39AX
5634 Jeremy Way
Stockton CA
95212
(209) 888-4969
wwwtelecareco
rpcom
24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
51Telecare Early
Intervention
Recovery Services
(TEIRS)
39B2
4545 Georgetown
Place Suite A3
Stockton CA
95207
(209) 715-3754
wwwtelecareco
rpcom
M-F 8 am- 5 pm
Adult
Spanish
Provides outpatient
mental health services
for children and
adults
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 44 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
52TLC Child and
Family Services
39A9
1800 Gravenstein
Hwy North Suite A
Sebastopol CA
95472
(707) 823-7300
httpwwwtlc4
kidsorg
M-F 8 am- 430
pm
Children
and
Youth
Community-based
program
providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 45 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
53Valley
Community
Counseling Services
(VCCS) (Manteca)
9040
129 E Center
Street Suite 3
Manteca CA
95336
(209) 239-5553
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health
services for children
and youth in South
County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 46 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
54Valley
Community
Counseling Services
(VCCS) (School
Based Program -
Stockton)
9042
6707 Embarcadero
Drive Suite A
Stockton CA
95219
(209) 956-4240
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Outpatient mental
health services
provided at various
schools in
Stockton Manteca
and Lodi
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 47 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
55Valley
Community
Counseling Services
(VCCS) (Tracy)
9041
19 East 6th Street
Tracy CA 95378
(209) 835-8583
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health services
for children and youth
in South County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 48 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
56Victor
Community
Services and
Support Stockton
(VCSS)
9063
2495 W March
Lane Suite 125
Stockton CA
25207
(209) 465-1080
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services in-home and
in community
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 49 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
57Victor
Treatment
Center - Santa Rosa
9083
3164 Condo Court
Santa Rosa CA
95403
(707) 523-2334
wwwvictororg
M-F 810 am- 4
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 50 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
58Victor
Youth Services
(North Valley
Schools)
39AC
855 Canyon Road
Redding CA
96001
(530) 378-1855
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 51 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
59Womens
Center- Family
and Youth
Services
39B6
729 N California
Street Stockton
CA 95202
(209) 929-6700
wwwwomensce
nteryfsorg
M-F 830 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
CONTRACT PSYCHIATRIC HOSPITALS
60BHC Heritage
Oaks
Hospital
4250 Auburn
Boulevard
(916) 489-3336
wwwheritageoa
kshospitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 52 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
61BHC Sierra
Vista
Hospital
8001 Bruceville
Road
(916) 423-2000
wwwsierravista
hospitalcom
24 hours
All ages
Yes
Yes
Yes
62St Helena
Hospital Center for
Behavioral Health
525 Oregon Street
(707) 648-2200
wwwadventisth
ealthorg
24 hours
All ages
Yes
Yes
Yes
63John Muir
Behavioral Health
Center
2740 Grant Street
(925) 680-6500
wwwjohnmuirh
ealthcom
24 hours
All ages
Yes
Yes
Yes
64Sutter Center for
Psychiatry
7700 Folsom
Boulevard
(916) 388-3045
wwwsuttermedi
calcenterorg
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 53 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
65Fremont
Hospital
39001 Sundale
Drive
(510) 796-1100
wwwfremontho
spitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake
Unit
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-9600
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Substance Use Disorder
Assessment for
Outpatient amp Inpatient
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
67 Chemical
Dependency
Counseling Center
(CDCC)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-3720
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Youth
Adult
Perinatal
Spanish
Mon Wed and Fri
8am-5pm
Closed Holidays
Outpatient Treatment
Perinatal Component
Intensive Outpatient
Youth Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 56 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
68 Alcohol amp Drug
Alternative Program
(ADAP)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-6840
Fax (209)468-
8640
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon Wed and Fri
8am-5pm
Tue And Thur
8am-7pm
Closed Holidays
Outpatient Court
Monitoring Education
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 57 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
69 Family Ties
500 W Hospital Rd
French Camp CA
95231
(209) 468-6208
Fax (209)468-
7032
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Adult
Perinatal
Spanish
24 Hour Services
Inpatient Treatment
Perinatal Component
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 58 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
70 Recovery House
500 W Hospital Rd
French Camp CA
95231
(209) 468-6857
Fax (209)468-
6739
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
24 Hour Services
Inpatient Treatment
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 59 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
71 Adolescent Co-
Occurring Treatment
Program (ACT)
Childrens Behavioral
Health Services
1414 N California
St 2nd Floor
Stockton CA 95202
(209) 468-2385
Fax (209)468-
8024
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Individual amp group
counseling and
education in conjunction
with the adolescentrsquos
mental health services a
partnership with Mental
Health Services and
Substance Abuse
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 60 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
72 Prevention
Services
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-2005
Fax (209)468-
2251
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Youth Services Parenting
Students In Prevention
(SIP)
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 61 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
73 Aegis
Treatment Center
8626 N Lower
Sacramento Road
Suite 41 Stockton
CA 95209
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1230pm
Sat Sun and
Holidays
6am-1030am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 62 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
74 5th Street
Medical Clinic
Stockton
1839 S El Dorado
St Stockton CA
95206
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 63 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
75 Aegis
Treatment Center
Healthy Connections
(California St)
Stockton
1947 N California
St Suites B and C
Stockton CA 95210
(209) 463-0870
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 64 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
76 Healthy
Connections Lodi
Clinic
441 South Ham
Lane Suite A
Lodi CA 95242
(209) 224-8490
httpsaegistreat
mentcenterscom
clinicaegis-
lodi-california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
7am-12 noon
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 65 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
77 Manteca
Healthy Connections
Center Street
955 W Center St
Suites 12A amp 14
Manteca CA 95337
(209) 239-9600
httpsaegistreat
mentcenterscom
clinicaegis-
manteca-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
8am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 66 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
78 MedMark
Treatment Center
1111 N El Dorado
St Stockton CA
95202
(209) 938-0228
httpmedmark
commedmark-
treatment-
centers-
stockton
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
Provider Name Facility NameID
Type of Practioner (licensed
amp Waivered)
National
Provider
Identifier
number California license number type of license
Cultu
ral
Comp
etenc
e
Traini
ng
(YN)1 Black
Awaremenss
Community
Outreach
ProgramMulti
cultural
Services Amarpreet Singh BHS BACOPMC Psychiatrist (Locum) 1235182916 Physician and Surgeon N
Aravind Pai BHS BACOPMC Psychiatrist (Locum) 1629076088 Physician and Surgeon A30319 N
Donna Bickham BHS BACOPMC Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Donnelle Tamayo BHS BACOPMC Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS BACOPMC Staff Nurse III 1104375724 Registered Nurse 723203 Y
Kathleen Wilson-Parish BHS BACOPMC Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS BACOPMC MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Nancy Nelson BHS BACOPMC Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Paul Wallace BHS BACOPMC Chief Psychiatric Tech 1114044799 Licensed Psychiatric Technician PT26296 Y
Quynh-Chi Nguyen BHS BACOPMC Staff Nurse III 1417371014 Registered Nurse 845080 Y
Scott Harrison BHS BACOPMC Clinician II 1518089317 Marriage and Family Therapist Intern IMF75861 Y
Shirley Hollowell BHS BACOPMC Registered Nurse 1124143474 Registered Nurse 352081 Y
2 Children and
Youth Services
Stockton Clinic Ganiya (Iyabo) Adediran
Childrens and Youth Services- Stockton
3915 Waivered 1881148690 81666 AMFT Y
Provider Staff Listing
Benjamin Alban
Childrens and Youth Services- Stockton
3915 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Stockton
3915 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Stockton
3915 Licensed 1821294455 105923 Psychiatrist Y
Valentin Avramov
Childrens and Youth Services- Stockton
3915 Licensed 1053488767 109609 Psychiatrist Y
Kristina Birch
Childrens and Youth Services- Stockton
3915 Waivered 1366874844 1809 APCC Y
Linda Brett
Childrens and Youth Services- Stockton
3915 Licensed 1295853299 523914 RN Y
Donna Cassettari
Childrens and Youth Services- Stockton
3915 Licensed 1497887699 43173 LMFT Y
Renessa Castaneda-Jensen
Childrens and Youth Services- Stockton
3915 Licensed 1376664862 81528 LMFT Y
Jacqueline Coulter
Childrens and Youth Services- Stockton
3915 Licensed 1720184765 41366LMFT Y
Courtney Flores
Childrens and Youth Services- Stockton
3915 Licensed 1851437735 29811 LCSQW Y
Maria Garcia
Childrens and Youth Services- Stockton
3915 Licensed 1235400557 80425 LCSW Y
Ikesha Goodwin
Childrens and Youth Services- Stockton
3915 Waivered 1104279728 101632 IMF Y
Kelsey Guidicatti
Childrens and Youth Services- Stockton
3915 Waivered 1245783687 93458 AMFT Y
Antonio Gutierrez
Childrens and Youth Services- Stockton
3915 Licensed 1023473469 71535 LCSW Y
Victoria Hall
Childrens and Youth Services- Stockton
3915 Licensed 1437464179 91065 LMFT Y
Nicole Hodgson
Childrens and Youth Services- Stockton
3915 Licensed 1962727792 85491 LMFT Y
Hudson Mark Hudson
Childrens and Youth Services- Stockton
3915 Licensed 1528190725 78609 LMFT Y
Shadai Lescale Huante
Childrens and Youth Services- Stockton
3915 Waivered 1528340320 59764 ACSW Y
Genevieve Lisenbey
Childrens and Youth Services- Stockton
3915 Waivered 1265698104 80465 AMFT Y
Sharon Lizotte
Childrens and Youth Services- Stockton
3915 Waivered 1851820708 101863 AMFT Y
Angie Nicholas
Childrens and Youth Services- Stockton
3915 Licensed 1679713796 52080 LMFT Y
Shiella Pablico
Childrens and Youth Services- Stockton
3915 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Sheilena Payne
Childrens and Youth Services- Stockton
3915 Licensed 1336437656 94571 LMFT N
Timothy Quinn
Childrens and Youth Services- Stockton
3915 Waivered 1316322381 79556 Marriage amp Family Therapist Intern Y
Joann Rihad
Childrens and Youth Services- Stockton
3915 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet
Childrens and Youth Services- Stockton
3915 Licensed 1366468555 C53401 Psychiatrist Y
Jacqueline Salgado
Childrens and Youth Services- Stockton
3915 Licensed 1043661903 95452 Marriage amp Family Therapist Y
Kristen Schneider
Childrens and Youth Services- Stockton
3915 Waivered 1578963591 72071 ACSW Y
Carla Simien
Childrens and Youth Services- Stockton
3915 Licensed 1629564000 40771 Licensed Psychiatric Technician N
Tamra Smith
Childrens and Youth Services- Stockton
3915 Licensed 1336267608 76975 LCSW Y
Maribel Vargas
Childrens and Youth Services- Stockton
3915 Waivered 1821247149 35622 ACSW Y
J Watkins
Childrens and Youth Services- Stockton
3915 Licensed 1043797871 4200 LPCC Y
Tamara Weber
Childrens and Youth Services- Stockton
3915 Licensed 1992101497 105926 LMFT Y
Amanda Yocham
Childrens and Youth Services- Stockton
3915 Licensed 1326103516 79068 LMFT Y
Nikki Young
Childrens and Youth Services- Stockton
3915 Waivered 1841692159 88891 AMFT Y
3 Children and
Youth Services-
Foster Youth
Full Service
Partnership Benjamin Alban
Childrens and Youth Services- Foster
Youth 9096 Licensed 1932227295 26094 LCSW Y
Maria Garcia
Childrens and Youth Services- Foster
Youth 9096 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Foster
Youth 9096 Licensed 1023473469 71535 LCSW Y
4 Children and
Youth Services-
Juvenile Justice
Full Srvice
Partnership Benjamin Alban
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1821294455 105923 Psychiatrist Y
Maria Garcia
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1023473469 71535 LCSW Y
Shabneet Hira Brar
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1851598452 A112447 Psychiatrist Y
Sheilena Payne
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1336437656 94571 LMFT N
5 Community
Adult
Treatment
Services Amanda Hurlock CATS OUTPATIENT 1836 Waivered 1205369899 AMFT 100834 Y
Adeline Mendez CATS OUTPATIENT 1836 Licensed 1255453353 PT 25868 Y
Anna Perez Testo CATS OUTPATIENT 1836 Licensed 1740309889 LMFT 52444 Y
Angelo Pasa CATS OUTPATIENT 1836 Licensed 1689874125 RN 691250 Y
Beverly Thompson CATS OUTPATIENT 1836 Waivered 1528311230 ACSW 70671 Y
Carolyn Walters CATS OUTPATIENT 1836 Licensed 1891815155 LMFT 43069 Y
Debra Baker CATS OUTPATIENT 1836 Waivered 1740610229 AMFT 95836 Y
Eloisa Velasco CATS OUTPATIENT 1836 Licensed 1740797976 PT 40651 Y
Francisco Arreola CATS OUTPATIENT 1836 waivered 1417359027 AMF 87821 Y
Heidi McHenry CATS OUTPATIENT 1836 Licensed 1861763294 PT 35949 Y
Helen Sprague CATS OUTPATIENT 1836 Waivered 1710325642 AMFT 75120 Y
Jane Sanchez CATS OUTPATIENT 1836 Licensed 1346406824 LMFT 50808 Y
Jannelle Heard CATS OUTPATIENT 1836 Waivered 1467813568 AMFT 95836 Y
Kara Herrick CATS OUTPATIENT 1836 Licensed 1518191659 LMFT 43283 Y
Keith Amador CATS OUTPATIENT 1836 Licensed 1891127403 LMFT 102725 Y
Cynthia Morishige CATS OUTPATIENT 1836 Licensed 1649396045 LCSW 13592 Y
Remedios Wallace CATS OUTPATIENT 1836 Licensed 1639294341 PT 24227 Y
Luis Garcia CATS OUTPATIENT 1836 Licensed 1346599677 LMFT 10398 Y
Maria Ayala CATS OUTPATIENT 1836 Waivered 1174991129 APCCI 3382 Y
Marie Daguman CATS OUTPATIENT 1836 Waivered 1619483237 ACSW 79980 Y
Mary Montgomery CATS OUTPATIENT 1836 Licensed 1538281183 LCSW82129 Y
Megan Curtiss CATS OUTPATIENT 1836 Waivered 1265836027 AMFT 107915 Y
Priscilla Kavanagh CATS OUTPATIENT 1836 Waivered 1528429057 APCC2122 Y
Elizabeth DeGravio CATS OUTPATIENT 1836 Licensed 1497167530 PT 37500 Y
Ramil Doronio CATS OUTPATIENT 1836 Licensed 1871767376 RN 555151 Y
Ronee Martin CATS OUTPATIENT 1836 Waivered 1932644796 AMFT 84987 Y
Sasha Jackson CATS OUTPATIENT 1836 Waivered 1295181295 ACSW 79996 Y
Sherri Helsby CATS OUTPATIENT 1836 Licensed 1669893764 LCSW 29248 Y
Teri Jorgensen CATS OUTPATIENT 1836 Licensed 1295071363 RN 469034 Y
Tiffany DeWitte CATS OUTPATIENT 1836 Licensed 1023143245 LCSW 29826 Y
Valerie-Ann Garcia CATS OUTPATIENT 1836 Licensed 1770606386 RN 704233 Y
Savoeun Phal CATS OUTPATIENT 1836 Waivered 1821513946 APCC 5278 Y
Joshua Merrill CATS OUTPATIENT 1836 Waivered 1114463957 AMFT 102798 Y
Gerado Manansala CATS OUTPATIENT 1836 Licensed 1215195813 A 102439 Y
Paul Mascovich CATS OUTPATIENT 1836 Licensed 1215921184 G 33950 Y
Jin Soofi CATS OUTPATIENT 1836 Licensed 1972592939 G 86240 Y
Sheril Keys CATS OUTPATIENT 1836 Licensed 1942664875 PT 38333 Y
Thomas Firnberg CATS OUTPATIENT 1836 Licensed 1164597472 A 040218 Y
Mohammad Jahangiri CATS OUTPATIENT 1836 Licensed 1720266760 A 56400 Y
Fouad Saddik CATS OUTPATIENT 1836 Licensed 1437254117 A 44865 Y
Kellie Salazar CATS OUTPATIENT 1836 Licensed 1295273654 PT 40326 Y
Suryabamu Javeed CATS OUTPATIENT 1836 Licensed 1568567105 A 56307 Y
Robert Graff CATS OUTPATIENT 1836 Licensed 1366560112 G 70479 Y
Chestermagno De La Cruz CATS OUTPATIENT 1836 Licensed 1619476637 PT40672 Y
6 Community
Corrections
Partnership Rico Molina AB10920 licensed 1255454203 LCSW25450 Y
Lawrence Shaddix AB10920 licensed 1508282286 IMF84560 Y
Randolph Herrington AB10920 licensed 1114141173 LMFT48970 Y
7 Crisis
Community
Response Team
(CCRT) Williams Wendy CCRT
MHC III
1265554638 LMFT 84045
Y
Ballesteros Patricia CCRT MHC 1790058352 LMFT 108455 Y
8 Crisis
Intervention
Services Graff Robert Crisis
MD
1366560112 G70479
Y
Gill Paramijit Crisis MD 1073629218 A49224 Y
Firnberg Thomas Crisis MD 1164597472 A040218 Y
Singh Karamjit Crisis MD 1083930440 A132050 N
Singh Amanpreet Crisis MD 1235182916 A78414 N
Lee Catherine Crisis MHC III 1073729646 LMFT 44225 Y
Saleem Noshela Crisis MHC III 1255585584 LCSW 67154 Y
Williams Wendy Crisis MHC III 1265554638 LMFT 84045 Y
Galindo Teresa Crisis MHC III 1700119369 LCSW 69736 Y
Molina-Eliab Sonya Crisis MHC 1497878482 AMFT 99087 Y
Tran Michelle Crisis MHC 1366642068 LCSW 81278 Y
Figueroa Carlos Crisis MHC 1306193933 LMFT 102315 Y
Ballesteros Patricia Crisis MHC 1790058352 LMFT 108455 Y
Nobles Shannon Crisis MHC 1457699720 AMFT 101531 Y
Saelee Cindy Crisis MHC 1255511614 LCSW 82456 Y
Maney Stephen Crisis MHC 1083985998 ASW 78482 Y
Lewman Brenda Crisis MHC 1821477035 LMFT106905 Y
Morales Leonardo Crisis MHC 1962822643 ASW 72730 Y
Grant Anika Crisis MHC 1649697137 AMFT 104116 Y
Sullivan Aisha Crisis MHC 1861772253 LCSW 75323 Y
Hodge Lewie Crisis MHC 1477044931 ASW 80338 N
Donato Imelda Crisis MHC 1194278085 APCC 2409 N
Redoblado Sheryl Crisis MHC 1871731513 LCSW 75136 Y
Walter Taffie Crisis CPT 1083735096 PT 32090 Y
DeJesus Carolyn Crisis CPT 1861650228 PT 34221 Y
McArthur Milagros Crisis PT 1477809929 PT 36471 Y
Olsen Chandra Crisis PT 1770914061 PT 37210 Y
Isham Loni Crisis PT 1891145033 PT 38233 Y
Bazua Melissa Crisis PT 1972944072 PT 36496 Y
Wright-Freeman Cody Crisis PT 1538584859 PT 37819 Y
Bareng Jeff Crisis PT 1043753478 PT 40284 Y
Gill Sandeep Crisis PT 1871852673 PT 34942 Y
Quitoriano Stephanie Crisis PT 1659798130 PT 37033 Y
Otero Luis Crisis PT 1487015582 PT 38229 Y
Price Jennifer Crisis PT 1932621893 PT 40662 Y
Kemp Sydney Crisis PT 1902383623 PT 34601 Y
9 Crisis
Stabilization
Units (CSU) Graff Robert CSU
MD
1366560112 G70479
Y
Allanki Sailaja CSU MD 1306897723 C138838 Y
Singh Karamjit CSU MD 1083930440 A132050 N
Brown Brandi CSU RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth CSU RN 1255459061 RN 488617 Y
Seraypheap Arunny CSU RN 1013037274 RN 547944 Y
Limas Deborah CSU RN 1073631727 RN 526984 Y
Winck Angela CSU RN 1083002992 RN 701021 Y
Cabrera Gilbert CSU RN 1679693766 RN 565185 Y
Mendoza Michelle CSU RN 1477951812 RN 797022 Y
Blackman Demerica CSU RN 1932619517 RN 850647 Y
Laizer Gloria CSU RN 1255706479 RN 764452 Y
Odametey Ama CSU RN 1700366358 RN 835504 N
Hawkins Lynnetta CSU MHC III 1437436938 LMFT 93110 Y
Lambert Rekha CSU MHC 1164647525 LMFT 10386 Y
Nguyen Thao CSU MHC 1912214065 LMFT 88176 Y
Navarro Grace CSU MHC 1083737753 ASW 72678 Y
Limas Stephanie CSU MHC 1053433748 LMFT 99397 Y
Little Christy CSU PT 1497978795 PT 28731 Y
Abundez Jesse CSU CPT 1841413036 PT 29162 Y
Montantes Michael CSU CPT 1780018390 PT 37071 Y
DeJesus Carolyn CSU CPT 1861650228 PT 34221 Y
Arriola Eulalie CSU CPT 1255573044 PT 34426 Y
Hardy Denise CSU PT 1912202813 PT 33714 Y
Harbin Toni CSU PT 1639475049 PT 28726 Y
Fortes Catherine CSU PT 1346681442 PT 36982 Y
Mocko James CSU PT 1558726224 PT 38249 Y
Menius Victoria CSU PT 1487074258 PT 37534 Y
Brown Kristaline CSU PT 1750723821 PT 32575 Y
Thorpe William CSU PT 1326599770 PT 40154 Y
Look Jasmin CSU PT 1194143198 PT 37492 Y
Mariano Joseph CSU PT 1609208172 PT 36968 Y
Marglin Lisa CSU PT 1558733576 PT 38247 Y
Clutario Dindo CSU PT 1164664512 PT 34295 Y
Ripoyla Jerral CSU PT 1821511700 PT 40644 Y
Varquez Sharon CSU PT 1366682387 PT 34435 Y
Holmes Sherronya CSU PT 1205214228 PT 37605 Y
Duncan Deanna CSU PT 1043674963 PT 38260 Y
Vang Mai CSU PT 1982103081 PT 40697 Y
Vong Tharith CSU PT 1134624802 PT 40678 N
Ridad Anthony CSU PT 1659887750 PT 40713 Y
Hill Brandon CSU PT 1053803890 PT 40412 Y
Singh Jasvir CSU PT 1477833911 PT 36007 Y
Kottke Marline CSU LVN 1891223111 LVN 198957 Y
10 Forensic
Court Full
Service
Partnership Edward Olpin BHSJDDSAS licensed 1477687077 LCSW24055 Y
Betsey McCall-Salerno BHSJDDSAS licensed 1740574672 LMFT42444 Y
Isabella Padilla Pereira Forensic74 licensed 1174871818 LMFT97934 Y
Alexander Anderson Forensic MCST74 licensed 1417183385 ASW70838 Y
Joseph Zummo Forensic74 licensed 1497927487 AMFT105417 Y
11 Gaining
Older Adult Life
Skills
(GOALS) Full
Service
Partnership
(MHSA) Crystal Thao GOALS 7523 Waivered 1609183748 ACSW 35249 Y
Jessica Preston GOALS 7523 Waivered 1649727066 ACSW 79154 Y
Karla Romero GOALS 7523 Waivered 1083133276 AMFT 100573 Y
Tracy House GOALS 7523 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi GOALS 7523 Licensed 1093911224 LMFT 40177 Y
Sue Gruber GOALS 7523 Licensed 1811014780 LCSW 29008 Y
Christine Blue GOALS 7523 Licensed 1093786683 A 10733 Y
Katheine Hedrick GOALS 7523 Licensed 1043699333 RN 683243 Y
Cynthia Resendez GOALS 7523 Licensed 1780877845 A84098 Y
12 InSpire
(MHSA) Debra Baker InSprire 7023 Waivered 1740610229 AMFT 95836 Y
Elizabeth DeGravio InSprire 7023 Licensed 1497167530 PT 37500 Y
13 La Familia
Clinic Full
Service
Partnership Nancy Nelson BHS La Familia Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Jane Fernandez BHS La Familia Psychiatrist 1194799395 Physician and Surgeon A93060 Y
Pamela Smith BHS La Familia Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Aravind Pai BHS La Familia Psychiatrist (Locum) 1235182916 Physician and Surgeon A30319 N
Cynthia Resendez BHS La Familia Psychiatrist 1780877845 Physician and Surgeon A84098 Y
Donna Bickham BHS La Familia Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS La Familia Registered Nurse 1124143474 Registered Nurse 352081 Y
Kathleen Wilson-Parish BHS La Familia Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS La Familia MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Alexander Largaespada BHS La Familia Clinician 1881902161 Marriage and Family Therapist Intern IMF93473 Y
Lynn Tarrant BHS La Familia Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
Adriana Cruz BHS La Familia Clinician II 1871612697 Licensed Clinical Social Worker LCSW81643 Y
Scarlette Aranda BHS La Familia Clinician I 1295929529 Associate Clinical Social Worker 83748 Y
Donnelle Tamayo BHS La Familia Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS La Familia Staff Nurse III 1104375724 Registered Nurse 723203 Y
14 Mary
Graham
Childrens
Shelter Renessa Castaneda-Jensen Mary Graham Childrens Shelter 9008 Licensed 1376664862 81528 LMFT Y
15 MHSA TAY
FSP Heidi McHenry TAY FSP Licensed 1861763294 PT 35949 Y
Jannelle Heard TAY FSP Waivered 1467813568 AMFT 95836 Y
Ronee Martin TAY FSP Waivered 1932644796 AMFT 84987 Y
Sasha Jackson TAY FSP Waivered 1295181295 ACSW 79996 Y
16 Older Adult
Services (OAS) Crystal Thao OAS 8236 Waivered 1609183748 ACSW 35249 Y
Jessica Preston OAS 8236 Waivered 1649727066 ACSW 79154 Y
Karla Romero OAS 8236 Waivered 1083133276 AMFT 100573 Y
Tracy House OAS 8236 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi OAS 8236 Licensed 1093911224 LMFT 40177 Y
Sue Gruber OAS 8236 Licensed 1811014780 LCSW 29008 Y
Christine Blue OAS 8236 Licensed 1093786683 A 10733 Y
Katheine Hedrick OAS 8236 Licensed 1043699333 RN 683243 Y
Cynthia Resendez OAS 8236 Licensed 1780877845 A84098 Y
17 Peterson
Hall Jennifer Domingo Peterson Hall 9009 Licensed 1104097286 50961 LMFT Y
Shabneet Hira Brar Peterson Hall 9009 Licensed 1851598452 A112447 Psychiatrist Y
Karina Jimenez Peterson Hall 9009 Waivered 1477891679 78261 AMFT Y
Helan Nguyen Peterson Hall 9009 Waivered 1801135876 85251 AMFT Y
Shiella Pablico Peterson Hall 9009 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Joann Ridad Peterson Hall 9009 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet Peterson Hall 9009 Licensed 1366468555 C53401 Psychiatrist Y
Carla Simien Peterson Hall 9009 Licensed 1629564000 40771 Licensed Psychiatric Technician Y
Fay Vieira Peterson Hall 9009 Licensed 1982815684 50276 LMFT Y
18 Psychiatric
Health Facility
(PHF)
Gill Paramijit
PHF
MD
1073629218 A49224
Y
Hart Robert PHF MD 1477660074 C38923 Y
Silver Hilary PHF MD 1720201221 C33442 Y
Brown Brandi PHF RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth PHF RN 1255459061 RN 488617 Y
Seraypheap Arunny PHF RN 1013037274 RN 547944 Y
Limas Deborah PHF RN 1073631727 RN 526984 Y
Winck Angela PHF RN 1083002992 RN 701021 Y
Cabrera Gilbert PHF RN 1679693766 RN 565185 Y
Mendoza Michelle PHF RN 1477951812 RN 797022 Y
Blackman Demerica PHF RN 1932619517 RN 850647 Y
Laizer Gloria PHF RN 1255706479 RN 764452 Y
Odametey Ama PHF RN 1700366358 RN 835504 N
Camello Bena PHF MHC 1053581116 LCSW 65302 Y
Shah Mamoona PHF MHC 1407978471 Waivered Y
Mills Rachelle PHF MHC 1326169350 LMFT 81070 Y
Little Christy PHF PT 1497978795 PT 28731 Y
Bomar Dolfa PHF CPT 1881817567 PT 31571 Y
DeJesus Carolyn PHF CPT 1861650228 PT 34221 Y
Varquez Sharon PHF PT 1366682387 PT 34435 Y
Pot Sambo PHF PT 1104378827 PT 33626 Y
Bou Jennifer PHF PT 1033652466 PT40281 Y
Sesante Maria PHF PT 1851515720 PT 30936 Y
Ota Robert PHF PT 1578786554 PT 33792 Y
Pinano Paolo PHF PT 1245352616 PT 33726 Y
Ruiz Ronald PHF PT 1700907094 PT 27494 Y
Villasenor Kendra PHF PT 1447518204 PT 36449 Y
Deol Sukhvinder PHF PT 1508988593 PT 30288 Y
Bokelman Roy PHF PT 1114040003 PT 32628 Y
Seba Vicki PHF PT 1639291636 PT 31714 Y
Siador Jill PHF PT 1366884058 PT 36818 Y
Polk Rhonda PHF PT 1316160146 PT 20798 Y
Zorea Dylan PHF PT 1467573766 PT28206 Y
Chapin Larry PHF PT 1528200169 PT 26162 Y
19 San Joaquin
County MH
Services Lodi
Clinic Ruth Johnson Lodi Outpatient 6036 Licensed 1265535538 LCSW 15213 Y
Judith Dolyniuk Lodi Outpatient 6036 Licensed 1518182534 LMFT 97680 Y
Amy Massie Lodi Outpatient 6036 Waivered 1356798391 AMFT 100785 Y
Shayne Maniti Lodi Outpatient 6036 Licensed 1689854093 PT 33732 Y
Saba Rizvi Lodi Outpatient 6036 Licensed 1619190501 A 95786 Y
Avramov Valentin Lodi Outpatient 6036 Licensed 1053488767 109609 Psychiatrist Y
Hill Patricia Lodi Outpatient 6036 Licensed 1902926231 23764 LCSW Y
Mann Bhupinderpreet Lodi Outpatient 6036 Waivered 1174603039 80464 AMFT Y
20 San Joaquin
County MH
Services Tracy
Clinic Ashley Smerdon Tracy Clinic 6136 Waivered 1265713929 MFT87560 Y
Jennifer Spruill Tracy Clinic 6136 Licensed 1518232321 LCSW 69544 Y
Simone Litsch Tracy Clinic 6136 Licensed 1598882599 A 89254 Y
Aravind Pai Tracy Clinic 6136 Licensed 1629076088 A30319 N
Gabriel Holguin Tracy Clinic 6136 Licensed 1255704094 PT38216 Y
21 SJC- MHS
CYS Katie A
Services Sailaja Allanki CYS Katie A Services 9020 Licensed 1306897723 138838 Psychiatrist Y
Kristina Birch CYS Katie A Services 9020 Waivered 1366874844 1809 APCC Y
Maria Boklund CYS Katie A Services 9020 Licensed 1396157061 48496 LMFT Y
Linda Brett CYS Katie A Services 9020 Licensed 1295853299 523914 RN Y
Renessa Castaneda-Jensen CYS Katie A Services 9020 Licensed 1376664862 81528 LMFT Y
Maria Gamino CYS Katie A Services 9020 Waivered 1710386453 73292 ASW N
Shabneet Hira Brar CYS Katie A Services 9020 Licensed 1851598452 A112447 Psychiatrist Y
Catherine Navarrete CYS Katie A Services 9020 Waivered 1619456076 105076 Marriage amp Family Therapist Y
Leora Pollock CYS Katie A Services 9020 Licensed 1245663426 75192 LCSW Y
Kim Saing CYS Katie A Services 9020 Licensed 1982722666 51242 LMFT Y
Anastacia Stanley CYS Katie A Services 9020 Licensed 1528299724 87417 LMFT N
Patricia Young CYS Katie A Services 9020 Waivered 1780051375 94965 ASSOCIATE MARRIAGE amp FAMILY THERAPIST Y
22
Transcultural
Clinic (TCC) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
23 Southeast
Asian Recovery
Services
(SEARS) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
CONTRACT ORGANIZATIONAL PROVIDERS
24 Anka Lodi (
was Mourfield
House) Meloney West Anka Lodi AMFT 1649523283 Y
Eon Lawrence Losefa Anka Lodi LMFT 1982898276 104807 Y
Aaron Fett Anka Lodi Psychology Intern 1932352424 Y
25 ASPIRAnet Courtney Warfield-Gibbs ASPIRAnet Waivered 1285958520 ACSW 70918 Y
Melissa Wimer ASPIRAnet Licensed 1467946301 LMFT 81226 Y
Patricia A Jackson ASPIRAnet Waivered 1780848853 AMFT 73975 Y
Vijai Pandey ASPIRAnet Waivered 1710497938 AMFT 70416 Y
Amir Siddiqui ASPIRAnet Waivered 1336617844 APCC 5341 N
26 Bright
House Robert Lee Majors Bright House LMFT 1780692806 49236 Y
27 Casa Pacifica - OUT OF COUNTY PROVIDER
28 CBIS (University of the Pacific)- NON LICENSED STAFF ONLY
29 Chamberlains Children Center Inc -OUT OF COUNTY PROVIDER
30 Charis Youth Center- OUT OF COUNTY PROVIDER
31 Child Abuse
Prevention
Council Roger Duke Child Abuse Prevention Council LMFT 1992861082 79588 Y
Cassandra Lowe Child Abuse Prevention Council AMFT 1205278694 75983 Y
Stacey Tidwell Child Abuse Prevention Council ACSW 1790189413 72578 Y
Nazia Khan Child Abuse Prevention Council AMFT 1508227158 81499 Y
Lisa Aguilar Child Abuse Prevention Council ACSW 1417401035 73365 Y
Anabel Montejano Child Abuse Prevention Council ACSW 1740656636 78974 Y
Catherine Thiel Child Abuse Prevention Council LCSW 1134569791 82263 Y
Michelle Nelson Child Abuse Prevention Council AMFT 1891173357 94133 Y
Maria Cardoza Child Abuse Prevention Council AMFT 1467861252 87554 Y
Thear Chum Child Abuse Prevention Council ACSW 1134648231 83947 Y
Kaitlyn Reilly Child Abuse Prevention Council ACSW 1205381613 83651 Y
Laura Rodriguez Child Abuse Prevention Council ACSW 1316498892 78113 Y
Diana Strimling Child Abuse Prevention Council AMFT 1316221765 104452 Y
32 Community Re-Entry Program (CRP)- NON LICENSED STAFF ONLY
33 Crestwood Solano (PHF)- Out of County Provider
34 Crittenton Services For Children and Families -OUT OF COUNTY PROVIDER
35 Edgewood Center for Children and Families- OUT OF COUNTY PROVIDER
36 Fred Finch Youth Center- OUT OF COUNTY PROVIDER
37 Grant
House Meloney West Grant House AMFT 1649523283 Y
JoAnn Marie Cornelius Grant House LPT 1205877727 35804 Y
Melinda Carchidi Grant House Psychology Intern 1609151653 Y
38 Latino
Behavioral
Health and
Recovery
Services Alexander Largaespada Latino Behavioral Health AMFT 181902161 AMFT 93473 Y
Maria De La Luz Torres Latino Behavioral Health ACSW 1003323361 ASW80844 N
Lynn Tarrant Latino Behavioral Health Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
39 Martin Gipson Socialization Center- NON LICENSED STAFF ONLY
40 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
41 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
42 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
43 Mountain Valley Child and Family Services Inc- OUT OF COUNTY PROVIDER
44 Phoenix House of Los Angeles Inc- OUT OF COUNTY PROVIDER
45 Rebekah
Childrens
Home Bhatti Moeen Rebekah Childrens Home licensed 1205023736 A 100193 Physician amp SurgeonMD DEA FB4071332 Y
Cervantes Priscilla Rebekah Childrens Home licensed 1679081582 693037 LVN N
Delgado Melissa Rebekah Childrens Home licensed 1881002186 105380 LMFT Y
Downey Ruth Rebekah Childrens Home licensed 1790161339 100524 LMFT Y
Machuca Lopez Cynthia Rebekah Childrens Home waivered 1386053817 74884 ACSW Y
Moeller Ryan Rebekah Childrens Home waivered 1316303803 91385 AMFT Y
Vaca-Preez Alejandra Rebekah Childrens Home waivered 1629418876 36752 ACSW Y
Vargas-Gladen Rosalva Rebekah Childrens Home licensed 1326114372 46940 LMFT Y
46 Sacramento Childrens Home- OUT OF COUNTY PROVIDER
47 San Gabriel Childrens Center Out Patient- OUT OF COUNTY PROVIDER
48 Star View Adolescent Center OP- OUT OF COUNTY PROVIDER
49 Summitview Child Treatment Center- OUT OF COUNTY PROVIDER
50 Telecare
(aka Jeremy
House) Jessica Reiland Telecare- Jeremy House ASW (waived) Clinician 1003154634 70377 Y
Thuy Huynh Telecare- Jeremy House LPT Nurse 1033485495 36454 Y
Shannan Taylor Telecare- Jeremy House LMFT Regional Director 1528074770 LMFT46081 Y
51 Telecare
Early
Intervention
Recovery
Services (TEIRS) Melissa Planas ` LCSW 1679807994 LCSW66499 Y
Holli Hoffman TEIRS DNP 1144380940 2005000091 Y
Oshalique Bass TEIRS PCCI Waived 1477811677 5490 Y
Tran tran TEIRS LVN 1477084671 VN 275938 Y
Jennifer Miles TEIRS MD 1275541641 G83528 Y
Shannan Taylor TEIRS LMFT 1528074770 LMFT46081 Y
52 TLC Child and Family Services- OUT OF COUNTY PROVIDER
53 Valley
Community
Counseling
Services (VCCS)
(Manteca) 9040 Muhammad Kamran VCCS Manteca 9040 Licensed 1811051337 C53847 Psychiatrist Y
Patricia Goodman VCCS Manteca 9040 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Manteca 9040 Clinician 1578734687 AMFT 80527 Y
Alisha Sweyd VCCS Manteca 9040 Clinician 1689059941 AMFT 96911 Y
Teresa Viles-Reed VCCS Manteca 9040 Clinician 1386762623 PhD PSY14848 Y
54 Valley
Community
Counseling
Services (VCCS)
(School Based
Program-
Stockton) 9042 Cynthia Aguilera VCCS Stockton 9042 Clinician 1003326182 AMFT 102123 Y
Melanie Almada VCCS Stockton 9042 Clinician 1912396532 AMFT 92167 Y
Arica Arucan VCCS Stockton 9042 Clinician 1215258280 LCSW 72691 Y
Megan Bassi VCCS Stockton 9042 Clinician 1669833885 AMFT 91956 Y
Manjit Belanger VCCS Stockton 9042 Clinician 1255780771 AMFT 100537 Y
Ana De Trinidad VCCS Stockton 9042 Clinician 1043501570 AMFT 95408 Y
Tiffany Drake VCCS Stockton 9042 Clinician 1417456617 AMFT 103265 Y
Sarah Gard VCCS Stockton 9042 Clinician 1477966265 LMFT 106055 Y
Patricia Goodman VCCS Stockton 9042 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Stockton 9042 Clinician 1578734687 AMFT 80527 Y
Alicia Jackson VCCS Stockton 9042 Clinician 1912386525 AMFT 93526 Y
Naomi Jimenez VCCS Stockton 9042 Clinician 1669927828 AMFT 80527 Y
Leonard Lippert VCCS Stockton 9042 Clinician 1154691137 AMFT 101758 Y
Sandra McBride VCCS Stockton 9042 Clinician 1033467030 AMFT 75525 Y
Monika Muy VCCS Stockton 9042 Clinician 1982008603 ACSW 67390 Y
Desiree Nease VCCS Stockton 9042 Clinician 1447703491 ACSW 71196 Y
Katelyn Nelson VCCS Stockton 9042 Clinician 1669998290 ACSW 77372 Y
Elaine Pike VCCS Stockton 9042 Clinician 1508875055 LMFT 45258 Y
Cristal Rodriguez VCCS Stockton 9042 Clinician 1760938740 AMFT 93861 Y
Reshma Roy VCCS Stockton 9042 Clinician 1073061784 ACSW 66474 Y
Belem Ruiz VCCS Stockton 9042 Clinician 1508380411 AMFT 100924 Y
Jenna Santoyo VCCS Stockton 9042 Clinician 1457584567 LCSW 29827 Y
Riah Skrinnik VCCS Stockton 9042 Clinician 1295275592 APCC 3532 Y
Kristyn Towers VCCS Stockton 9042 Clinician 1942671052 AMFT 89172 Y
Alexsandra Trejo VCCS Stockton 9042 Clinician 1750837985 AMFT 92738 Y
Vichra You VCCS Stockton 9042 Clinician 1013437714 AMFT 99071 Y
55 Valley
Community
Counseling
Services (VCCS)
(Tracy) 9041 Muhammad Kamran VCCS Tracy 9041 Licensed 1811051337 C53847 Psychiatrist Y
Rosemary Cervantes VCCS Tracy 9041 Clinician 1407299738 AMFT 72397 Y
Laura Strickland VCCS Tracy 9041 Clinician 1538354543 2012633 Y
Lani Westervelt VCCS Tracy 9041 Clinician 1629191366 LMFT 38654 Y
56 Victor
Community
Services and
Support
Stockton
(VCSS) 9063 Loiuse Cerna VCSS Stockton 9063 MFTI 1346794690 92730 - Marriage and Fmily Therapist Intern Y
Aziza Citi VCSS Stockton 9063 LMFT 1831510650 96329 - Licensed Marriage and Family Therapist Y
Melissa Colon VCSS Stockton 9063 MFTI 1871663351 77340 - Marriage and Family Therapist Intern Y
Itzia Cruz VCSS Stockton 9063 ACSW 1639533987 80056 - Associate Clinical Social Worker Y
Tracy Cutino VCSS Stockton 9063 LMFT 1740297902 47897 - Licensed Marriage and Family Therapist Y
Betia Dadkhah VCSS Stockton 9063 LMFT 1083709380 44160 - Licensed Marriage and Family Therapist Y
Mark Edelstein VCSS Stockton 9063 MD 1972516714 C41340 - Physician amp Surgeon Y
Sharee Esparza VCSS Stockton 9063 MFTI 1982145504 102079 - Marriage and Family Therapist Intern Y
Tanner Hickman VCSS Stockton 9063 ACSW 1194272146 78099 - Associate Clinical Social Worker Y
Courtney Ivy VCSS Stockton 9063 MFTI 1679959217 71048 - Marriage and Family Therapist Intern Y
Giana Kooger VCSS Stockton 9063 LMFT 1720318132 86206 - Licensed Marriage and Family Therapist Y
Sheree Lozano VCSS Stockton 9063 MFTI 1538523501 88637 - Marriage and Family Therapist Intern Y
Christina Lopez VCSS Stockton 9063 MFTI 1265705727 102443 - Marriage and Family Therapist Intern Y
Koryn Marshall VCSS Stockton 9063 LMFT 1962881870 86263 - Licensed Marriage and Family Therapist Y
Adrianna Martinez VCSS Stockton 9063 MFTI 1851831242 107761 - Marriage and Family Therapist Intern Y
Laura Rodriguez VCSS Stockton 9063 ACSW 1316498892 78113 - Associate Clinical Social Worker Y
Jacquelyn Seefeldt VCSS Stockton 9063 MFTI 1124250204 74064 - Marriage and Family Therapist Intern Y
Heather Taylor VCSS Stockton 9063 LMFT 1265514251 44021 - Licensed Marriage and Family Therapist Y
Palei Triguero VCSS Stockton 9063 MFTI 1871994285 86335 - Marriage and Family Therapist Intern Y
Wendy True VCSS Stockton 9063 LMFT 1750476438 44262 - Licensed Marriage and Family Therapist Y
Jennifer Tutt VCSS Stockton 9063 LCSW 1316134091 27530 - Licensed Clinical Social Worker Y
Sarah Voss VCSS Stockton 9063 LMFT 1275602914 51406 - Licensed Marriage and Family Therapist Y
Michelle Zuckerman VCSS Stockton 9063 LMFT 1891948691 84298 - Licensed Marriage and Family Therapist Y
57 Victor Treatment Center - Santa Rosa- OUT OF COUNTY PROVIDER
58 Victor Youth Services (North Valley Schools)- OUT OF COUNTY PROVIDER
59 Womens Center- Family and Youth Services httpswwwwomenscenteryfsorgindexphpget-helptherapy-services
CONTRACT PSYCHIATRIC HOSPITALS
60 BHC Heritage Oaks Hospital - Out of County Hospital
61 BHC Sierra Vista Hospital - Out of County Hospital
62 St Helena Hospital Center for Behavioral Health - Out of County Hospital
63 John Muir Behavioral Health Center - Out of County Hospital
64 Sutter Center for Psychiatry - Out of County Hospital
65 Fremont Hospital - Alka Aneja Fremont Hospital ChildAdolescent MD 1619031317 A112029BA9881017 Y
Harmohinder Athwal Fremont Hospital ChildAdolescent MD 1740298256 A81841BA8179473 Y
Kamaljeet Boora Fremont Hospital Psychiatry MD 1356587711 102846FB0978823 N
Vikas Duvvuri Fremont Hospital EDO MD 1255470480 A99706FD0242064 Y
Trevor Fooks Fremont Hospital Psychiatry MD 1730267535 G63964BF1543695 Y
Ravinder Kahlon Fremont Hospital NeuroPsych MD 1386741320 A50823BK2018934 N
Vasdeep Kahlon Fremont Hospital Psychiatry MD 1497852446 A51243BK2742535 N
Padmavathi Kudaravalli Fremont Hospital Internal Medicine MD 1144221953 A67964BK6574974 Y
Pradeep Kumar Fremont Hospital Psychiatry MD 1023188935 A52032BK4202177 N
Deepak Kumar Fremont Hospital Psychiatry MD 1306257910 A130068FK4574299 Y
Sudha Manjunath Fremont Hospital ChildAdolescent MD 1801826797 A87131BM8982818 Y
Syed Munir Fremont Hospital ChildAdolescent MD 1790718815 C55029BM3999553 Y
Nanda Nayak Fremont Hospital Psychiatry MD 1477656262 A43182BN0687597 N
Falguni Patel Fremont Hospital ChildAdolescent MD 1548414337 A105594FP1152949 Y
Surender Punia Fremont Hospital Psychiatry MD 1376589663 A77004BP6477497 Y
Divya Reddy Fremont Hospital Psychiatry MD 1518120211 A103547FR1100306 Y
Devindar Singh Fremont Hospital Internal Medicine MD 1447294624 A48148BS2303422 N
Sunpreet Singh Fremont Hospital Psychiatry MD 1326464462 A132932FS5027087 Y
Bhupinder Waraich Fremont Hospital Psychiatry MD 1689869547 A53968BW4473346 Y
Jaap Kaur Waraich Fremont Hospital Psychiatry MD 1316132285 G67904BW2368391 Y
Nicholas Phillips Fremont Hospital Family Medicine MD 1255727293 A153125FP7288841 N
Harleen Dyal Fremont Hospital Family Medicine MD 1225424327 A153255FD7288839 N
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake Unit-Referrals to Licensed Staff
67 Chemical
Dependency
Counseling
Center ( CDCC) Tyler Moran Chemical Dependency Counseling Center 390002DNAMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Chemical Dependency Counseling Center 390002DNMFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Chemical Dependency Counseling Center 390002DNPsychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Chemical Dependency Counseling Center 390002DNPsychiatrist 1710094057 A72805 Y
68 Alcohol amp Drug Alternative Program (ADAP)-Referrals to Licensed Staff
69 Family Ties Tyler Moran Family Ties 390002EN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Family Ties 390002EN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Family Ties 390002EN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Family Ties 390002EN Psychiatrist 1710094057 A72805 Y
70 Recovery
House Tyler Moran Recovery House 390002AN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Recovery House 390002AN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Recovery House 390002AN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Recovery House 390002AN Psychiatrist 1710094057 A72805 Y
71 Adolescent Co- Occurring Treatment Program (ACT) Childrens Behavioral Health Services- Referrals to Licensed Staff
72 Prevention Services- Referrals to Licensed Staff
NARCOTIC TREATMENT PROGRAMSMEDICATION ASSISTED TREATMENT
73 Aegis
Treatment
Center Dr Randall Paul Aegis Treatment Center Medical License 1912061045 A26361 Y
Linda Beccerra Aegis Treatment Center Vocation Nurse VN 183039 Y
Dora Berry Aegis Treatment Center Vocation Nurse VN 689493 Y
Jeannette Carter-Camp Aegis Treatment Center Vocation Nurse 1740480342 NP 7506 Y
Francisca Marquez Aegis Treatment Center Vocation Nurse VN 287402 Y
74 5th Street
Medical Clinic
Stockton Dr Michael Fox 5th Street Medical Clinic Medical License 1212069758 G53561 Y
Melissa Whitworth 5th Street Medical Clinic Vocation Nurse RN 541037 Y
Divina Palafox 5th Street Medical Clinic Vocation Nurse 1912061995 VN 17300 Y
Divna Lu 5th Street Medical Clinic Vocation Nurse VN 183039 Y
Jeannette Carter-Camp 5th Street Medical Clinic Vocation Nurse 1740480342 NP 7506 Y
75 Aegis
Treatment
CenterHealthy
Connections
(California St)
Stockton Dr Michael Fox Aegis Treatment CenterHealthy ConnectionsMedical License 1212069758 G53561 Y
Melissa Whitworth Aegis Treatment CenterHealthy ConnectionsVocation Nurse RN 541037 Y
Dr Brian Talleur Aegis Treatment CenterHealthy ConnectionsMedical License 1659791101 A154190 Y
Alvin Goat Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 20473 Y
Crystal August Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 695962 Y
Rosenah Durago Aegis Treatment CenterHealthy ConnectionsVocation Nurse 1841629185 VN 235553 Y
Maria Garsuta Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 235825 Y
76 Healthy
Connections
Lodi Clinic Melissa Whitworth Healthy Connections Lodi Clinic Vocation Nurse RN 541037 Y
Dr Brian Talleur Healthy Connections Lodi Clinic Medical License 1659791101 A154190 Y
Angeles Alfaro Healthy Connections Lodi Clinic Vocation Nurse 1649669979 VN 689129 Y
John Campos Healthy Connections Lodi Clinic Vocation Nurse 1407192297 VN 260740 Y
Prabhjot Kaur Healthy Connections Lodi Clinic Vocation Nurse VN 698775 Y
Meenal Prasad Healthy Connections Lodi Clinic Vocation Nurse 1114407368 VN 287331 Y
77 Manteca
Healthy
Connections Dr Michael Fox Manteca Healthy Connections Medical License 1212069758 G53561 Y
Melissa Whitworth Manteca Healthy Connections Vocation Nurse RN 541037 Y
Dr Randall Paul Manteca Healthy Connections Medical License 1912061045 A26361 Y
Mary Jane Davis Manteca Healthy Connections Vocation Nurse 1861822744 VN 72342 Y
Christine Falcon Manteca Healthy Connections Vocation Nurse VN 175628 YDourine Iqiel Manteca Healthy Connections Vocation Nurse 1477008506 VN281162 YRebecca Mohr Manteca Healthy Connections Psyciatric Technician LPT 26531 Y
78 MedMark Treatment Center httpsmedmarkcommedmark-treatment-centers-stockton
LANGUAGE ASSISTANCE
English
ATTENTION If you speak another language language assistance services free of charge are available to you Call 1-888-468-9370 (TTY 1-866-735-2922 )ATTENTION Auxiliary aids and services including but not limited to large print documents and alternative formats are available to you free of charge upon request Call 1-888-468-9370
Espantildeol (Spanish)
ATENCIOacuteN Si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-888-468-9370 (TTY 1-866-735-2922 )
Tiếng Việt (Vietnamese)
CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-888-468-9370 (TTY 1-866-735-2922 )
Services may be delivered by an individual provider or a team of providers who is working under the direction of a licensed practitioner operating within their scope of practice Only licensed
waivered or registered mental health providers and licensed substance use disorder services providers are listed on the Plans provider directory
Tagalog (Tagalog Filipino)
PAUNAWA Kung nagsasalita ka ng Tagalog maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-888-468-9370 (TTY 1-866-735-2922 )한국어 (Korean)주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수 있습니다 1-888-468-9370 (TTY 1-866-735-2922 ) 번으로 전화해 주십시오繁體中文繁體中文繁體中文繁體中文(Chinese)注意如果您使用繁體中文您可以免費獲得語言援助服務請致電1-888-468-9370 (TTY 1-866-735-2922 )ՀայերենՀայերենՀայերենՀայերեն (Armenian)
ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ Զանգահարեք 1-888-468-9370 (TTY 1-866-735-2
Русский (Russian)
ВНИМАНИЕ Если вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-888-468-9370 (TTY 1-866-735-2922 )
(Farsi) فارسیتوجه اگر به زبان فارسی گفتگو می کنيد تسهيلات زبانی بصورت رايگان برای شما
日本語日本語日本語日本語 (Japanese)注意事項日本語を話される場合無料の言語支援をご利用いただけます1-888-468-9370فراهم می باشد با 1 (TTY 1-866-735-2922 ) までお電話にてご連絡くださいHmoob (Hmong)
LUS CEEV Yog tias koj hais lus Hmoob cov kev pab txog lus muaj kev pab dawb rau koj Hu rau 1-888-468-9370 (TTY 1-866-735-2922 )
ਪਜਾਬੀ (Punjabi)
ਿਧਆਨ ਿਦਓ ਜ ਤਸੀ ਪਜਾਬੀ ਬਲਦ ਹ ਤਾ ਭਾਸ਼ਾ ਿਵਚ ਸਹਾਇਤਾ ਸਵਾ ਤਹਾਡ ਲਈ ਮਫਤ ਉਪਲਬਧ ਹ 1-888-468-9370 (TTY 1-866-735-2922) ਤ ਕਾਲ ਕਰ
(Arabic) العربيةملحوظة إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغوية تتوافر لك بالمجان
हिदी (Hindi)
द यदि आप हिदी बोलत ह तो आपक लिए मफत म भाषा सहायता सवाए उपलबध ह [1-888-468-9370 (TTY 1-866-735-2922) पर कॉल कर
ภาษาไทย (Thai)
เรยน ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร 1-888-468-9370 (TTY 1-866-735-2922) धयान
ែខរ (Cambodian)
បយត ររ េស នអកនយ ែខ រសជនយមននក េយមនគត នគចនស ររ អេ នក ច ទ សព+1-888-468-9370 (TTY 1-866-735-2922)
ພາສາລາວ (Lao)
ໂປດຊາບ ຖາວາ ທານເວາພາສາ ລາວ ການບລການຊວຍເຫອດານພາສາໂດຍບເສຽຄາ ແມນມພອມໃຫທານ ໂທຣ 1-888-468-9370 (TTY 1-866-735-2922)
- 18-Font English Medi-Cal Provider Directory(Word Doc) 12-2018 English
- Medi-Cal Directory Provider Staff Listing 18 font English 12-2018
-
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 6 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
6Community
Corrections
Partnership
9039AP
1212 N California
Street
Stockton CA
95202
(209) 468-9373
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Serve clients under
AB-109
community
supervision with
Probation to reduce
recidivism
promote wellness
and
recovery and
increase safety for
our community
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 7 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
7Crisis
Community
Response Team
(CCRT)
9088
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
Crisis
Community
Response Team
(CCRT)Mobile
Crisis Support
Team (MCST)
12-830 pm
7 days a week
Adult
Children
Youth
Older
Adult
Spanish
Mobile multi-
disciplinary crisis
team for community
adult mental health
outreach early
intervention and
joint field response
with law
enforcement for
crisis 5150 detention
evaluations
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 8 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
8Crisis
Intervention
Services
9011
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
24 hours
Adult
Children
Youth
Older
Adult
Spanish
24-Hour evaluation
services including
assessment for
psychiatric
emergencies crisis
counseling
outpatient and
community referrals
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
9Crisis
Stabilization
Units (CSU)
9032
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
24 hours
Adult
Adol-
escents
Older
Adult
Spanish
Cambo-
dian
Vietna-
mese
23-Hour psychiatric
assessment and
stabilization unit
Resources and
Referrals are
provided during
admission
Crisis Stabilization UC
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 9 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
10Forensic Court
Full Service
Partnership
(MHSA)
9091
1212 N California
Street Stockton CA
95202
(209) 468-8786
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Provides
comprehensive
psychiatric and
integrative services
to address the needs
of Mentally Ill
Offenders
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 10 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
11Gaining Older
Adult Life Skills
(GOALS) Full
Service Partnership
(MHSA)
9093
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Full Service
Partnership with the
emphasis on outreach
to the underserved
older adult
population ages
(60+)
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 11 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
12InSPIRE
(MHSA)
39AN
1212 N California
Street
Stockton CA
95202
(209) 468-8880
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Cambo-
dian Viet-
namese
MHSA innovation
component
providing learning
community
opportunities to
specialized cohorts
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 12 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
13La Familia
Clinic Full
Service
Partnership
(MHSA)
9092
1149 N El Dorado
Street
Stockton CA
95202
(209) 468-2335
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
Latino
out-
reach
and
access
Spanish
Psychiatric
assessment case
management
medication support
individual and group
therapy with a
special emphasis on
serving Spanish-
speaking persons
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 13 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
14Mary Graham
Childrens Shelter
9008
6861 Mary Graham
Lane
French Camp CA
95231
(209) 468-6966
httpwww
marygrahamfou
ndationorg
24 Hours
Children
and
Youth
Provides outpatient
mental health
services to residents
of Mary Graham
Childrens Shelter
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 14 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services)
Include-
ing ASL
YesNo YesNo YesNo
15MHSA TAY
FSP
39B1
1212 N California
Street Stockton
CA 95202
(209) 468-8862
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adults
Full service
partnership providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 15 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
16Older Adult
Services (OAS)
3980
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Cambo-
dian Viet-
namese
Comprehensive
Behavioral Health
Services for older
adults (60+) provided
by a multidisciplinary
team Services
include psychiatric
assessment
medication
support group
individual therapy
and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 16 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services
Includin
g ASL
YesNo YesNo YesNo
17 Peterson
Hall
9009
535 W Matthews
Rd French Camp
CA 95231
(209) 468-4240
hiipswwwsjg
ovorgmhs
M-F 8 am- 8
pm SatSun 10-
7 pm
Children
and
Youth
Cambo-
dian
Spanish
Provides outpatient
mental health services
to youth detained at
Peterson Hall
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
18Psychiatric
Health
Facility (PHF)
3976
1212 N California
Street Stockton
CA 95202
(209) 468-8686
httpswwwsjg
ovorgmhs 24
hours
Adult Spanish
24-hour inpatient
hospitalization
services
Yes Yes Yes
San Joaquin County Behavioral Health Services
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lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
19San Joaquin
County MH
Services Lodi Clinic
3924
1209 W Tokay
Street
Suites 1 3 5 7 9
12 14 and 16
Lodi CA 95240
(209) 331-2070
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Children
Youth
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
North
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
20San Joaquin
County MH
Services Tracy
Clinic
9048
220 W Eleventh
Street
Tracy CA 95376
(209) 831-5941
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
South
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
21SJC-MHS
CYS Katie A
Services
9020
333 E Washington
Street
Stockton CA
95202
(209) 468-1547
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Children
and
Youth
Spanish
Hmong
Japanese
Provides in-home
and in-community
outpatient mental
health services to
WampI Code 300
dependent SJC
children
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition to
free Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
22Transcultural
Clinic
(TCC) - full range
of specialty mental
health services and
intensive case
management
program
9014
4422 N Pershing
Ave
Suites D1-D4
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available
in Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
23Southeast
Asian Recovery
Services (SEARS)
for the Southeast
Asian population-
Full Service
Partnership
(MHSA)
9094
4422 N Pershing
Avenue Suite D2
D3 D4 D5 D6
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available in
Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
CONTRACT ORGANIZATIONAL PROVIDERS
24Anka Lodi (was
Mourfield House)
9075
458 Almond Drive
Lodi CA 95240
(209) 982-4697
wwwankabhior
g M-F 8am-5pm
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
25ASPIRAnet
39AR
6 S El Dorado
Street Suite 510
Stockton CA
95202
(209) 478-9862
wwwaspiranet
Org
M-F 8 am- 5
pm
Children
and
Youth
Provides
Therapeutic
Behavioral Services
(TBS) and crisis
stabilization services
as an alternative to
psychiatric
hospitalization
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
26Bright House
9047
8210 Bright Road
French Camp CA
95231
(209) 982-1235
wwwankabhior
g 24 hours
Adult
Adult Transitional
Residential
Treatment Program
Medication Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
27Casa Pacifica
39AB
1722 S Lewis Road
Camarrillo CA
93012
(805) 981-1422
wwwcaspacific
aorg
M-F 8 am- 6 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
28CBIS
(University of the
Pacific)
39A1
405 E Pine Street
Stockton CA
95204
(209) 476-1959
wwwcommunit
yre-
entryprogramco
m M-F 8am-430
pm
Adult
Spanish
Behavioral
Intervention Services
Mental Health Services
Intensive Home Based
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
29Chamberlains
Children Center
Inc
39B4
1850 San Benito
Street
Hollister CA
95023
(831) 636-2121
wwwchamberla
inccorg
M-F 8 am- 5 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
30Charis Youth
Center
9057
714 W Main Street
Grass Valley CA
95945
(530) 477-9800
wwwcharisyout
hcenterorg
M-F 830 am-
430 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
31Child Abuse
Prevention Council
39A8
540 N California
Street
Stockton CA
95202
(209) 644-5311
wwwnochildab
useorg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health services
utilizing
strengthening family
approach
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
32Community
Re- Entry
Program (CRP)
9044
405 E Pine Street
Stockton CA
95204
(209) 946-2132
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
independent living
skills training and
rehabilitation
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
33Crestwood
Solano
(PHF)
39A8
2201 Tuolumne
Street Suite B
Vallejo CA 94589
(707) 558-1777
wwwcrestwood
behavioralhealth
com
24
hours
Adult
24-hour
inpatient
hospitalization
services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
34Crittenton
Services For
Children And
Families
39B3
100 E Valley View
Drive Fullerton CA
92832
(714) 680-8268
wwwcrittentons
ocalorg
M-F 830 am- 5
pm
Children
and
Youth
Residential
facility providing
mental health
treatment to youth
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS)
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
35Edgewood
Center for
Children and
Families
39AV
1801 Vincente
Street San
Francisco CA
94116
(415) 681-3211
wwwedgewood
org
24
Hrs
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
36Fred Finch
Youth
Center
39AY
3800 Coolidge
AvenueOakland
CA 94602
(510) 482-2244
wwwfredfinch
Org
M-F 830 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
37Grant House
9064
1117 S Grant
Street Stockton
CA 95206
(209) 461-6500
wwwankabhior
g 24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
38Latino
Behavioral Health
and Recovery
Services
9067
445 N San Joaquin
Street
Stockton CA
95202
(209) 444-8910
wwwelconcilio
Org
M-F 8 am- 5 pm
Adult
Spanish
Provides Culturally
Competent
Services to Latinos
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
39Martin Gipson
Socialization Center
9043
405 E Pine Street
Stockton CA
95204
(209) 464-5519
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
socialization
vocational and
educational
opportunities for
Adult Mentally
ill consumers
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
40Mountain
Valley Child and
Family Services
Inc
9039
24077 Highway 49
Nevada City CA
95959
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Therapeutic
Behavioral Services
(TBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 34 of 66
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
41Mountain
Valley Child and
Family Services
Inc
39A4
7818 Bar Du Lane
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 35 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
42Mountain
Valley Child and
Family Services
Inc
39A3
6171 Bradshaw Rd
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 36 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
43Mountain
Valley Child and
Family Services
Inc
39A2
9200 Sweet Acacia
Way Sacramento
CA 95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 37 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
44Phoenix House
of
Los Angeles Inc
39B6
1600 Eldrige
Avenue Lake View
Terrace CA 91342
(818) 686-3000
wwwphoenixho
useorg
M-F 8 am- 530
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 38 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
45Rebekah
Childrenrsquos
Home
39AU
290 IOOF Avenue
Gilroy CA 95020
(408) 846-2100
wwwrcskidsor
g
M-F 8 am- 530
pm
Children
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 39 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
46Sacramento
Childrens Home
9076
2750 Sutterville
Road Sacramento
CA 95820
(916) 452-3981
wwwkidshome
Org
M-F 830 am - 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 40 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
47San Gabriel
Childrens Center
Out Patient
39B7
4740 N Grand
Avenue Covina CA
91724
(626) 859-2089
wwwsangabriel
childcom
M-F 8 am- 5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 41 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
48Star View
Adolescent Center
OP
39BB
4025 West 226th
Street
Torrance CA
90505
(310)373-4556
wwwstarsincco
m 24 hours
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 42 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
49Summitview
Child Treatment
Center
9061
670 Placerville Dr
2 Placerville CA
95667
(530) 644-2412
wwwsummitvie
wtreatmentorg
M-F 8 am-5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 43 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
50Telecare (aka
Jeremy House)
39AX
5634 Jeremy Way
Stockton CA
95212
(209) 888-4969
wwwtelecareco
rpcom
24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
51Telecare Early
Intervention
Recovery Services
(TEIRS)
39B2
4545 Georgetown
Place Suite A3
Stockton CA
95207
(209) 715-3754
wwwtelecareco
rpcom
M-F 8 am- 5 pm
Adult
Spanish
Provides outpatient
mental health services
for children and
adults
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 44 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
52TLC Child and
Family Services
39A9
1800 Gravenstein
Hwy North Suite A
Sebastopol CA
95472
(707) 823-7300
httpwwwtlc4
kidsorg
M-F 8 am- 430
pm
Children
and
Youth
Community-based
program
providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 45 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
53Valley
Community
Counseling Services
(VCCS) (Manteca)
9040
129 E Center
Street Suite 3
Manteca CA
95336
(209) 239-5553
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health
services for children
and youth in South
County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 46 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
54Valley
Community
Counseling Services
(VCCS) (School
Based Program -
Stockton)
9042
6707 Embarcadero
Drive Suite A
Stockton CA
95219
(209) 956-4240
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Outpatient mental
health services
provided at various
schools in
Stockton Manteca
and Lodi
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 47 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
55Valley
Community
Counseling Services
(VCCS) (Tracy)
9041
19 East 6th Street
Tracy CA 95378
(209) 835-8583
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health services
for children and youth
in South County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 48 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
56Victor
Community
Services and
Support Stockton
(VCSS)
9063
2495 W March
Lane Suite 125
Stockton CA
25207
(209) 465-1080
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services in-home and
in community
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 49 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
57Victor
Treatment
Center - Santa Rosa
9083
3164 Condo Court
Santa Rosa CA
95403
(707) 523-2334
wwwvictororg
M-F 810 am- 4
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 50 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
58Victor
Youth Services
(North Valley
Schools)
39AC
855 Canyon Road
Redding CA
96001
(530) 378-1855
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 51 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
59Womens
Center- Family
and Youth
Services
39B6
729 N California
Street Stockton
CA 95202
(209) 929-6700
wwwwomensce
nteryfsorg
M-F 830 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
CONTRACT PSYCHIATRIC HOSPITALS
60BHC Heritage
Oaks
Hospital
4250 Auburn
Boulevard
(916) 489-3336
wwwheritageoa
kshospitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 52 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
61BHC Sierra
Vista
Hospital
8001 Bruceville
Road
(916) 423-2000
wwwsierravista
hospitalcom
24 hours
All ages
Yes
Yes
Yes
62St Helena
Hospital Center for
Behavioral Health
525 Oregon Street
(707) 648-2200
wwwadventisth
ealthorg
24 hours
All ages
Yes
Yes
Yes
63John Muir
Behavioral Health
Center
2740 Grant Street
(925) 680-6500
wwwjohnmuirh
ealthcom
24 hours
All ages
Yes
Yes
Yes
64Sutter Center for
Psychiatry
7700 Folsom
Boulevard
(916) 388-3045
wwwsuttermedi
calcenterorg
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 53 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
65Fremont
Hospital
39001 Sundale
Drive
(510) 796-1100
wwwfremontho
spitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 54 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake
Unit
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-9600
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Substance Use Disorder
Assessment for
Outpatient amp Inpatient
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 55 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
67 Chemical
Dependency
Counseling Center
(CDCC)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-3720
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Youth
Adult
Perinatal
Spanish
Mon Wed and Fri
8am-5pm
Closed Holidays
Outpatient Treatment
Perinatal Component
Intensive Outpatient
Youth Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 56 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
68 Alcohol amp Drug
Alternative Program
(ADAP)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-6840
Fax (209)468-
8640
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon Wed and Fri
8am-5pm
Tue And Thur
8am-7pm
Closed Holidays
Outpatient Court
Monitoring Education
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 57 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
69 Family Ties
500 W Hospital Rd
French Camp CA
95231
(209) 468-6208
Fax (209)468-
7032
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Adult
Perinatal
Spanish
24 Hour Services
Inpatient Treatment
Perinatal Component
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 58 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
70 Recovery House
500 W Hospital Rd
French Camp CA
95231
(209) 468-6857
Fax (209)468-
6739
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
24 Hour Services
Inpatient Treatment
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 59 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
71 Adolescent Co-
Occurring Treatment
Program (ACT)
Childrens Behavioral
Health Services
1414 N California
St 2nd Floor
Stockton CA 95202
(209) 468-2385
Fax (209)468-
8024
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Individual amp group
counseling and
education in conjunction
with the adolescentrsquos
mental health services a
partnership with Mental
Health Services and
Substance Abuse
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 60 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
72 Prevention
Services
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-2005
Fax (209)468-
2251
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Youth Services Parenting
Students In Prevention
(SIP)
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 61 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
73 Aegis
Treatment Center
8626 N Lower
Sacramento Road
Suite 41 Stockton
CA 95209
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1230pm
Sat Sun and
Holidays
6am-1030am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 62 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
74 5th Street
Medical Clinic
Stockton
1839 S El Dorado
St Stockton CA
95206
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 63 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
75 Aegis
Treatment Center
Healthy Connections
(California St)
Stockton
1947 N California
St Suites B and C
Stockton CA 95210
(209) 463-0870
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 64 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
76 Healthy
Connections Lodi
Clinic
441 South Ham
Lane Suite A
Lodi CA 95242
(209) 224-8490
httpsaegistreat
mentcenterscom
clinicaegis-
lodi-california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
7am-12 noon
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 65 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
77 Manteca
Healthy Connections
Center Street
955 W Center St
Suites 12A amp 14
Manteca CA 95337
(209) 239-9600
httpsaegistreat
mentcenterscom
clinicaegis-
manteca-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
8am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 66 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
78 MedMark
Treatment Center
1111 N El Dorado
St Stockton CA
95202
(209) 938-0228
httpmedmark
commedmark-
treatment-
centers-
stockton
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
Provider Name Facility NameID
Type of Practioner (licensed
amp Waivered)
National
Provider
Identifier
number California license number type of license
Cultu
ral
Comp
etenc
e
Traini
ng
(YN)1 Black
Awaremenss
Community
Outreach
ProgramMulti
cultural
Services Amarpreet Singh BHS BACOPMC Psychiatrist (Locum) 1235182916 Physician and Surgeon N
Aravind Pai BHS BACOPMC Psychiatrist (Locum) 1629076088 Physician and Surgeon A30319 N
Donna Bickham BHS BACOPMC Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Donnelle Tamayo BHS BACOPMC Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS BACOPMC Staff Nurse III 1104375724 Registered Nurse 723203 Y
Kathleen Wilson-Parish BHS BACOPMC Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS BACOPMC MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Nancy Nelson BHS BACOPMC Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Paul Wallace BHS BACOPMC Chief Psychiatric Tech 1114044799 Licensed Psychiatric Technician PT26296 Y
Quynh-Chi Nguyen BHS BACOPMC Staff Nurse III 1417371014 Registered Nurse 845080 Y
Scott Harrison BHS BACOPMC Clinician II 1518089317 Marriage and Family Therapist Intern IMF75861 Y
Shirley Hollowell BHS BACOPMC Registered Nurse 1124143474 Registered Nurse 352081 Y
2 Children and
Youth Services
Stockton Clinic Ganiya (Iyabo) Adediran
Childrens and Youth Services- Stockton
3915 Waivered 1881148690 81666 AMFT Y
Provider Staff Listing
Benjamin Alban
Childrens and Youth Services- Stockton
3915 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Stockton
3915 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Stockton
3915 Licensed 1821294455 105923 Psychiatrist Y
Valentin Avramov
Childrens and Youth Services- Stockton
3915 Licensed 1053488767 109609 Psychiatrist Y
Kristina Birch
Childrens and Youth Services- Stockton
3915 Waivered 1366874844 1809 APCC Y
Linda Brett
Childrens and Youth Services- Stockton
3915 Licensed 1295853299 523914 RN Y
Donna Cassettari
Childrens and Youth Services- Stockton
3915 Licensed 1497887699 43173 LMFT Y
Renessa Castaneda-Jensen
Childrens and Youth Services- Stockton
3915 Licensed 1376664862 81528 LMFT Y
Jacqueline Coulter
Childrens and Youth Services- Stockton
3915 Licensed 1720184765 41366LMFT Y
Courtney Flores
Childrens and Youth Services- Stockton
3915 Licensed 1851437735 29811 LCSQW Y
Maria Garcia
Childrens and Youth Services- Stockton
3915 Licensed 1235400557 80425 LCSW Y
Ikesha Goodwin
Childrens and Youth Services- Stockton
3915 Waivered 1104279728 101632 IMF Y
Kelsey Guidicatti
Childrens and Youth Services- Stockton
3915 Waivered 1245783687 93458 AMFT Y
Antonio Gutierrez
Childrens and Youth Services- Stockton
3915 Licensed 1023473469 71535 LCSW Y
Victoria Hall
Childrens and Youth Services- Stockton
3915 Licensed 1437464179 91065 LMFT Y
Nicole Hodgson
Childrens and Youth Services- Stockton
3915 Licensed 1962727792 85491 LMFT Y
Hudson Mark Hudson
Childrens and Youth Services- Stockton
3915 Licensed 1528190725 78609 LMFT Y
Shadai Lescale Huante
Childrens and Youth Services- Stockton
3915 Waivered 1528340320 59764 ACSW Y
Genevieve Lisenbey
Childrens and Youth Services- Stockton
3915 Waivered 1265698104 80465 AMFT Y
Sharon Lizotte
Childrens and Youth Services- Stockton
3915 Waivered 1851820708 101863 AMFT Y
Angie Nicholas
Childrens and Youth Services- Stockton
3915 Licensed 1679713796 52080 LMFT Y
Shiella Pablico
Childrens and Youth Services- Stockton
3915 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Sheilena Payne
Childrens and Youth Services- Stockton
3915 Licensed 1336437656 94571 LMFT N
Timothy Quinn
Childrens and Youth Services- Stockton
3915 Waivered 1316322381 79556 Marriage amp Family Therapist Intern Y
Joann Rihad
Childrens and Youth Services- Stockton
3915 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet
Childrens and Youth Services- Stockton
3915 Licensed 1366468555 C53401 Psychiatrist Y
Jacqueline Salgado
Childrens and Youth Services- Stockton
3915 Licensed 1043661903 95452 Marriage amp Family Therapist Y
Kristen Schneider
Childrens and Youth Services- Stockton
3915 Waivered 1578963591 72071 ACSW Y
Carla Simien
Childrens and Youth Services- Stockton
3915 Licensed 1629564000 40771 Licensed Psychiatric Technician N
Tamra Smith
Childrens and Youth Services- Stockton
3915 Licensed 1336267608 76975 LCSW Y
Maribel Vargas
Childrens and Youth Services- Stockton
3915 Waivered 1821247149 35622 ACSW Y
J Watkins
Childrens and Youth Services- Stockton
3915 Licensed 1043797871 4200 LPCC Y
Tamara Weber
Childrens and Youth Services- Stockton
3915 Licensed 1992101497 105926 LMFT Y
Amanda Yocham
Childrens and Youth Services- Stockton
3915 Licensed 1326103516 79068 LMFT Y
Nikki Young
Childrens and Youth Services- Stockton
3915 Waivered 1841692159 88891 AMFT Y
3 Children and
Youth Services-
Foster Youth
Full Service
Partnership Benjamin Alban
Childrens and Youth Services- Foster
Youth 9096 Licensed 1932227295 26094 LCSW Y
Maria Garcia
Childrens and Youth Services- Foster
Youth 9096 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Foster
Youth 9096 Licensed 1023473469 71535 LCSW Y
4 Children and
Youth Services-
Juvenile Justice
Full Srvice
Partnership Benjamin Alban
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1821294455 105923 Psychiatrist Y
Maria Garcia
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1023473469 71535 LCSW Y
Shabneet Hira Brar
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1851598452 A112447 Psychiatrist Y
Sheilena Payne
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1336437656 94571 LMFT N
5 Community
Adult
Treatment
Services Amanda Hurlock CATS OUTPATIENT 1836 Waivered 1205369899 AMFT 100834 Y
Adeline Mendez CATS OUTPATIENT 1836 Licensed 1255453353 PT 25868 Y
Anna Perez Testo CATS OUTPATIENT 1836 Licensed 1740309889 LMFT 52444 Y
Angelo Pasa CATS OUTPATIENT 1836 Licensed 1689874125 RN 691250 Y
Beverly Thompson CATS OUTPATIENT 1836 Waivered 1528311230 ACSW 70671 Y
Carolyn Walters CATS OUTPATIENT 1836 Licensed 1891815155 LMFT 43069 Y
Debra Baker CATS OUTPATIENT 1836 Waivered 1740610229 AMFT 95836 Y
Eloisa Velasco CATS OUTPATIENT 1836 Licensed 1740797976 PT 40651 Y
Francisco Arreola CATS OUTPATIENT 1836 waivered 1417359027 AMF 87821 Y
Heidi McHenry CATS OUTPATIENT 1836 Licensed 1861763294 PT 35949 Y
Helen Sprague CATS OUTPATIENT 1836 Waivered 1710325642 AMFT 75120 Y
Jane Sanchez CATS OUTPATIENT 1836 Licensed 1346406824 LMFT 50808 Y
Jannelle Heard CATS OUTPATIENT 1836 Waivered 1467813568 AMFT 95836 Y
Kara Herrick CATS OUTPATIENT 1836 Licensed 1518191659 LMFT 43283 Y
Keith Amador CATS OUTPATIENT 1836 Licensed 1891127403 LMFT 102725 Y
Cynthia Morishige CATS OUTPATIENT 1836 Licensed 1649396045 LCSW 13592 Y
Remedios Wallace CATS OUTPATIENT 1836 Licensed 1639294341 PT 24227 Y
Luis Garcia CATS OUTPATIENT 1836 Licensed 1346599677 LMFT 10398 Y
Maria Ayala CATS OUTPATIENT 1836 Waivered 1174991129 APCCI 3382 Y
Marie Daguman CATS OUTPATIENT 1836 Waivered 1619483237 ACSW 79980 Y
Mary Montgomery CATS OUTPATIENT 1836 Licensed 1538281183 LCSW82129 Y
Megan Curtiss CATS OUTPATIENT 1836 Waivered 1265836027 AMFT 107915 Y
Priscilla Kavanagh CATS OUTPATIENT 1836 Waivered 1528429057 APCC2122 Y
Elizabeth DeGravio CATS OUTPATIENT 1836 Licensed 1497167530 PT 37500 Y
Ramil Doronio CATS OUTPATIENT 1836 Licensed 1871767376 RN 555151 Y
Ronee Martin CATS OUTPATIENT 1836 Waivered 1932644796 AMFT 84987 Y
Sasha Jackson CATS OUTPATIENT 1836 Waivered 1295181295 ACSW 79996 Y
Sherri Helsby CATS OUTPATIENT 1836 Licensed 1669893764 LCSW 29248 Y
Teri Jorgensen CATS OUTPATIENT 1836 Licensed 1295071363 RN 469034 Y
Tiffany DeWitte CATS OUTPATIENT 1836 Licensed 1023143245 LCSW 29826 Y
Valerie-Ann Garcia CATS OUTPATIENT 1836 Licensed 1770606386 RN 704233 Y
Savoeun Phal CATS OUTPATIENT 1836 Waivered 1821513946 APCC 5278 Y
Joshua Merrill CATS OUTPATIENT 1836 Waivered 1114463957 AMFT 102798 Y
Gerado Manansala CATS OUTPATIENT 1836 Licensed 1215195813 A 102439 Y
Paul Mascovich CATS OUTPATIENT 1836 Licensed 1215921184 G 33950 Y
Jin Soofi CATS OUTPATIENT 1836 Licensed 1972592939 G 86240 Y
Sheril Keys CATS OUTPATIENT 1836 Licensed 1942664875 PT 38333 Y
Thomas Firnberg CATS OUTPATIENT 1836 Licensed 1164597472 A 040218 Y
Mohammad Jahangiri CATS OUTPATIENT 1836 Licensed 1720266760 A 56400 Y
Fouad Saddik CATS OUTPATIENT 1836 Licensed 1437254117 A 44865 Y
Kellie Salazar CATS OUTPATIENT 1836 Licensed 1295273654 PT 40326 Y
Suryabamu Javeed CATS OUTPATIENT 1836 Licensed 1568567105 A 56307 Y
Robert Graff CATS OUTPATIENT 1836 Licensed 1366560112 G 70479 Y
Chestermagno De La Cruz CATS OUTPATIENT 1836 Licensed 1619476637 PT40672 Y
6 Community
Corrections
Partnership Rico Molina AB10920 licensed 1255454203 LCSW25450 Y
Lawrence Shaddix AB10920 licensed 1508282286 IMF84560 Y
Randolph Herrington AB10920 licensed 1114141173 LMFT48970 Y
7 Crisis
Community
Response Team
(CCRT) Williams Wendy CCRT
MHC III
1265554638 LMFT 84045
Y
Ballesteros Patricia CCRT MHC 1790058352 LMFT 108455 Y
8 Crisis
Intervention
Services Graff Robert Crisis
MD
1366560112 G70479
Y
Gill Paramijit Crisis MD 1073629218 A49224 Y
Firnberg Thomas Crisis MD 1164597472 A040218 Y
Singh Karamjit Crisis MD 1083930440 A132050 N
Singh Amanpreet Crisis MD 1235182916 A78414 N
Lee Catherine Crisis MHC III 1073729646 LMFT 44225 Y
Saleem Noshela Crisis MHC III 1255585584 LCSW 67154 Y
Williams Wendy Crisis MHC III 1265554638 LMFT 84045 Y
Galindo Teresa Crisis MHC III 1700119369 LCSW 69736 Y
Molina-Eliab Sonya Crisis MHC 1497878482 AMFT 99087 Y
Tran Michelle Crisis MHC 1366642068 LCSW 81278 Y
Figueroa Carlos Crisis MHC 1306193933 LMFT 102315 Y
Ballesteros Patricia Crisis MHC 1790058352 LMFT 108455 Y
Nobles Shannon Crisis MHC 1457699720 AMFT 101531 Y
Saelee Cindy Crisis MHC 1255511614 LCSW 82456 Y
Maney Stephen Crisis MHC 1083985998 ASW 78482 Y
Lewman Brenda Crisis MHC 1821477035 LMFT106905 Y
Morales Leonardo Crisis MHC 1962822643 ASW 72730 Y
Grant Anika Crisis MHC 1649697137 AMFT 104116 Y
Sullivan Aisha Crisis MHC 1861772253 LCSW 75323 Y
Hodge Lewie Crisis MHC 1477044931 ASW 80338 N
Donato Imelda Crisis MHC 1194278085 APCC 2409 N
Redoblado Sheryl Crisis MHC 1871731513 LCSW 75136 Y
Walter Taffie Crisis CPT 1083735096 PT 32090 Y
DeJesus Carolyn Crisis CPT 1861650228 PT 34221 Y
McArthur Milagros Crisis PT 1477809929 PT 36471 Y
Olsen Chandra Crisis PT 1770914061 PT 37210 Y
Isham Loni Crisis PT 1891145033 PT 38233 Y
Bazua Melissa Crisis PT 1972944072 PT 36496 Y
Wright-Freeman Cody Crisis PT 1538584859 PT 37819 Y
Bareng Jeff Crisis PT 1043753478 PT 40284 Y
Gill Sandeep Crisis PT 1871852673 PT 34942 Y
Quitoriano Stephanie Crisis PT 1659798130 PT 37033 Y
Otero Luis Crisis PT 1487015582 PT 38229 Y
Price Jennifer Crisis PT 1932621893 PT 40662 Y
Kemp Sydney Crisis PT 1902383623 PT 34601 Y
9 Crisis
Stabilization
Units (CSU) Graff Robert CSU
MD
1366560112 G70479
Y
Allanki Sailaja CSU MD 1306897723 C138838 Y
Singh Karamjit CSU MD 1083930440 A132050 N
Brown Brandi CSU RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth CSU RN 1255459061 RN 488617 Y
Seraypheap Arunny CSU RN 1013037274 RN 547944 Y
Limas Deborah CSU RN 1073631727 RN 526984 Y
Winck Angela CSU RN 1083002992 RN 701021 Y
Cabrera Gilbert CSU RN 1679693766 RN 565185 Y
Mendoza Michelle CSU RN 1477951812 RN 797022 Y
Blackman Demerica CSU RN 1932619517 RN 850647 Y
Laizer Gloria CSU RN 1255706479 RN 764452 Y
Odametey Ama CSU RN 1700366358 RN 835504 N
Hawkins Lynnetta CSU MHC III 1437436938 LMFT 93110 Y
Lambert Rekha CSU MHC 1164647525 LMFT 10386 Y
Nguyen Thao CSU MHC 1912214065 LMFT 88176 Y
Navarro Grace CSU MHC 1083737753 ASW 72678 Y
Limas Stephanie CSU MHC 1053433748 LMFT 99397 Y
Little Christy CSU PT 1497978795 PT 28731 Y
Abundez Jesse CSU CPT 1841413036 PT 29162 Y
Montantes Michael CSU CPT 1780018390 PT 37071 Y
DeJesus Carolyn CSU CPT 1861650228 PT 34221 Y
Arriola Eulalie CSU CPT 1255573044 PT 34426 Y
Hardy Denise CSU PT 1912202813 PT 33714 Y
Harbin Toni CSU PT 1639475049 PT 28726 Y
Fortes Catherine CSU PT 1346681442 PT 36982 Y
Mocko James CSU PT 1558726224 PT 38249 Y
Menius Victoria CSU PT 1487074258 PT 37534 Y
Brown Kristaline CSU PT 1750723821 PT 32575 Y
Thorpe William CSU PT 1326599770 PT 40154 Y
Look Jasmin CSU PT 1194143198 PT 37492 Y
Mariano Joseph CSU PT 1609208172 PT 36968 Y
Marglin Lisa CSU PT 1558733576 PT 38247 Y
Clutario Dindo CSU PT 1164664512 PT 34295 Y
Ripoyla Jerral CSU PT 1821511700 PT 40644 Y
Varquez Sharon CSU PT 1366682387 PT 34435 Y
Holmes Sherronya CSU PT 1205214228 PT 37605 Y
Duncan Deanna CSU PT 1043674963 PT 38260 Y
Vang Mai CSU PT 1982103081 PT 40697 Y
Vong Tharith CSU PT 1134624802 PT 40678 N
Ridad Anthony CSU PT 1659887750 PT 40713 Y
Hill Brandon CSU PT 1053803890 PT 40412 Y
Singh Jasvir CSU PT 1477833911 PT 36007 Y
Kottke Marline CSU LVN 1891223111 LVN 198957 Y
10 Forensic
Court Full
Service
Partnership Edward Olpin BHSJDDSAS licensed 1477687077 LCSW24055 Y
Betsey McCall-Salerno BHSJDDSAS licensed 1740574672 LMFT42444 Y
Isabella Padilla Pereira Forensic74 licensed 1174871818 LMFT97934 Y
Alexander Anderson Forensic MCST74 licensed 1417183385 ASW70838 Y
Joseph Zummo Forensic74 licensed 1497927487 AMFT105417 Y
11 Gaining
Older Adult Life
Skills
(GOALS) Full
Service
Partnership
(MHSA) Crystal Thao GOALS 7523 Waivered 1609183748 ACSW 35249 Y
Jessica Preston GOALS 7523 Waivered 1649727066 ACSW 79154 Y
Karla Romero GOALS 7523 Waivered 1083133276 AMFT 100573 Y
Tracy House GOALS 7523 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi GOALS 7523 Licensed 1093911224 LMFT 40177 Y
Sue Gruber GOALS 7523 Licensed 1811014780 LCSW 29008 Y
Christine Blue GOALS 7523 Licensed 1093786683 A 10733 Y
Katheine Hedrick GOALS 7523 Licensed 1043699333 RN 683243 Y
Cynthia Resendez GOALS 7523 Licensed 1780877845 A84098 Y
12 InSpire
(MHSA) Debra Baker InSprire 7023 Waivered 1740610229 AMFT 95836 Y
Elizabeth DeGravio InSprire 7023 Licensed 1497167530 PT 37500 Y
13 La Familia
Clinic Full
Service
Partnership Nancy Nelson BHS La Familia Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Jane Fernandez BHS La Familia Psychiatrist 1194799395 Physician and Surgeon A93060 Y
Pamela Smith BHS La Familia Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Aravind Pai BHS La Familia Psychiatrist (Locum) 1235182916 Physician and Surgeon A30319 N
Cynthia Resendez BHS La Familia Psychiatrist 1780877845 Physician and Surgeon A84098 Y
Donna Bickham BHS La Familia Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS La Familia Registered Nurse 1124143474 Registered Nurse 352081 Y
Kathleen Wilson-Parish BHS La Familia Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS La Familia MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Alexander Largaespada BHS La Familia Clinician 1881902161 Marriage and Family Therapist Intern IMF93473 Y
Lynn Tarrant BHS La Familia Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
Adriana Cruz BHS La Familia Clinician II 1871612697 Licensed Clinical Social Worker LCSW81643 Y
Scarlette Aranda BHS La Familia Clinician I 1295929529 Associate Clinical Social Worker 83748 Y
Donnelle Tamayo BHS La Familia Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS La Familia Staff Nurse III 1104375724 Registered Nurse 723203 Y
14 Mary
Graham
Childrens
Shelter Renessa Castaneda-Jensen Mary Graham Childrens Shelter 9008 Licensed 1376664862 81528 LMFT Y
15 MHSA TAY
FSP Heidi McHenry TAY FSP Licensed 1861763294 PT 35949 Y
Jannelle Heard TAY FSP Waivered 1467813568 AMFT 95836 Y
Ronee Martin TAY FSP Waivered 1932644796 AMFT 84987 Y
Sasha Jackson TAY FSP Waivered 1295181295 ACSW 79996 Y
16 Older Adult
Services (OAS) Crystal Thao OAS 8236 Waivered 1609183748 ACSW 35249 Y
Jessica Preston OAS 8236 Waivered 1649727066 ACSW 79154 Y
Karla Romero OAS 8236 Waivered 1083133276 AMFT 100573 Y
Tracy House OAS 8236 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi OAS 8236 Licensed 1093911224 LMFT 40177 Y
Sue Gruber OAS 8236 Licensed 1811014780 LCSW 29008 Y
Christine Blue OAS 8236 Licensed 1093786683 A 10733 Y
Katheine Hedrick OAS 8236 Licensed 1043699333 RN 683243 Y
Cynthia Resendez OAS 8236 Licensed 1780877845 A84098 Y
17 Peterson
Hall Jennifer Domingo Peterson Hall 9009 Licensed 1104097286 50961 LMFT Y
Shabneet Hira Brar Peterson Hall 9009 Licensed 1851598452 A112447 Psychiatrist Y
Karina Jimenez Peterson Hall 9009 Waivered 1477891679 78261 AMFT Y
Helan Nguyen Peterson Hall 9009 Waivered 1801135876 85251 AMFT Y
Shiella Pablico Peterson Hall 9009 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Joann Ridad Peterson Hall 9009 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet Peterson Hall 9009 Licensed 1366468555 C53401 Psychiatrist Y
Carla Simien Peterson Hall 9009 Licensed 1629564000 40771 Licensed Psychiatric Technician Y
Fay Vieira Peterson Hall 9009 Licensed 1982815684 50276 LMFT Y
18 Psychiatric
Health Facility
(PHF)
Gill Paramijit
PHF
MD
1073629218 A49224
Y
Hart Robert PHF MD 1477660074 C38923 Y
Silver Hilary PHF MD 1720201221 C33442 Y
Brown Brandi PHF RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth PHF RN 1255459061 RN 488617 Y
Seraypheap Arunny PHF RN 1013037274 RN 547944 Y
Limas Deborah PHF RN 1073631727 RN 526984 Y
Winck Angela PHF RN 1083002992 RN 701021 Y
Cabrera Gilbert PHF RN 1679693766 RN 565185 Y
Mendoza Michelle PHF RN 1477951812 RN 797022 Y
Blackman Demerica PHF RN 1932619517 RN 850647 Y
Laizer Gloria PHF RN 1255706479 RN 764452 Y
Odametey Ama PHF RN 1700366358 RN 835504 N
Camello Bena PHF MHC 1053581116 LCSW 65302 Y
Shah Mamoona PHF MHC 1407978471 Waivered Y
Mills Rachelle PHF MHC 1326169350 LMFT 81070 Y
Little Christy PHF PT 1497978795 PT 28731 Y
Bomar Dolfa PHF CPT 1881817567 PT 31571 Y
DeJesus Carolyn PHF CPT 1861650228 PT 34221 Y
Varquez Sharon PHF PT 1366682387 PT 34435 Y
Pot Sambo PHF PT 1104378827 PT 33626 Y
Bou Jennifer PHF PT 1033652466 PT40281 Y
Sesante Maria PHF PT 1851515720 PT 30936 Y
Ota Robert PHF PT 1578786554 PT 33792 Y
Pinano Paolo PHF PT 1245352616 PT 33726 Y
Ruiz Ronald PHF PT 1700907094 PT 27494 Y
Villasenor Kendra PHF PT 1447518204 PT 36449 Y
Deol Sukhvinder PHF PT 1508988593 PT 30288 Y
Bokelman Roy PHF PT 1114040003 PT 32628 Y
Seba Vicki PHF PT 1639291636 PT 31714 Y
Siador Jill PHF PT 1366884058 PT 36818 Y
Polk Rhonda PHF PT 1316160146 PT 20798 Y
Zorea Dylan PHF PT 1467573766 PT28206 Y
Chapin Larry PHF PT 1528200169 PT 26162 Y
19 San Joaquin
County MH
Services Lodi
Clinic Ruth Johnson Lodi Outpatient 6036 Licensed 1265535538 LCSW 15213 Y
Judith Dolyniuk Lodi Outpatient 6036 Licensed 1518182534 LMFT 97680 Y
Amy Massie Lodi Outpatient 6036 Waivered 1356798391 AMFT 100785 Y
Shayne Maniti Lodi Outpatient 6036 Licensed 1689854093 PT 33732 Y
Saba Rizvi Lodi Outpatient 6036 Licensed 1619190501 A 95786 Y
Avramov Valentin Lodi Outpatient 6036 Licensed 1053488767 109609 Psychiatrist Y
Hill Patricia Lodi Outpatient 6036 Licensed 1902926231 23764 LCSW Y
Mann Bhupinderpreet Lodi Outpatient 6036 Waivered 1174603039 80464 AMFT Y
20 San Joaquin
County MH
Services Tracy
Clinic Ashley Smerdon Tracy Clinic 6136 Waivered 1265713929 MFT87560 Y
Jennifer Spruill Tracy Clinic 6136 Licensed 1518232321 LCSW 69544 Y
Simone Litsch Tracy Clinic 6136 Licensed 1598882599 A 89254 Y
Aravind Pai Tracy Clinic 6136 Licensed 1629076088 A30319 N
Gabriel Holguin Tracy Clinic 6136 Licensed 1255704094 PT38216 Y
21 SJC- MHS
CYS Katie A
Services Sailaja Allanki CYS Katie A Services 9020 Licensed 1306897723 138838 Psychiatrist Y
Kristina Birch CYS Katie A Services 9020 Waivered 1366874844 1809 APCC Y
Maria Boklund CYS Katie A Services 9020 Licensed 1396157061 48496 LMFT Y
Linda Brett CYS Katie A Services 9020 Licensed 1295853299 523914 RN Y
Renessa Castaneda-Jensen CYS Katie A Services 9020 Licensed 1376664862 81528 LMFT Y
Maria Gamino CYS Katie A Services 9020 Waivered 1710386453 73292 ASW N
Shabneet Hira Brar CYS Katie A Services 9020 Licensed 1851598452 A112447 Psychiatrist Y
Catherine Navarrete CYS Katie A Services 9020 Waivered 1619456076 105076 Marriage amp Family Therapist Y
Leora Pollock CYS Katie A Services 9020 Licensed 1245663426 75192 LCSW Y
Kim Saing CYS Katie A Services 9020 Licensed 1982722666 51242 LMFT Y
Anastacia Stanley CYS Katie A Services 9020 Licensed 1528299724 87417 LMFT N
Patricia Young CYS Katie A Services 9020 Waivered 1780051375 94965 ASSOCIATE MARRIAGE amp FAMILY THERAPIST Y
22
Transcultural
Clinic (TCC) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
23 Southeast
Asian Recovery
Services
(SEARS) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
CONTRACT ORGANIZATIONAL PROVIDERS
24 Anka Lodi (
was Mourfield
House) Meloney West Anka Lodi AMFT 1649523283 Y
Eon Lawrence Losefa Anka Lodi LMFT 1982898276 104807 Y
Aaron Fett Anka Lodi Psychology Intern 1932352424 Y
25 ASPIRAnet Courtney Warfield-Gibbs ASPIRAnet Waivered 1285958520 ACSW 70918 Y
Melissa Wimer ASPIRAnet Licensed 1467946301 LMFT 81226 Y
Patricia A Jackson ASPIRAnet Waivered 1780848853 AMFT 73975 Y
Vijai Pandey ASPIRAnet Waivered 1710497938 AMFT 70416 Y
Amir Siddiqui ASPIRAnet Waivered 1336617844 APCC 5341 N
26 Bright
House Robert Lee Majors Bright House LMFT 1780692806 49236 Y
27 Casa Pacifica - OUT OF COUNTY PROVIDER
28 CBIS (University of the Pacific)- NON LICENSED STAFF ONLY
29 Chamberlains Children Center Inc -OUT OF COUNTY PROVIDER
30 Charis Youth Center- OUT OF COUNTY PROVIDER
31 Child Abuse
Prevention
Council Roger Duke Child Abuse Prevention Council LMFT 1992861082 79588 Y
Cassandra Lowe Child Abuse Prevention Council AMFT 1205278694 75983 Y
Stacey Tidwell Child Abuse Prevention Council ACSW 1790189413 72578 Y
Nazia Khan Child Abuse Prevention Council AMFT 1508227158 81499 Y
Lisa Aguilar Child Abuse Prevention Council ACSW 1417401035 73365 Y
Anabel Montejano Child Abuse Prevention Council ACSW 1740656636 78974 Y
Catherine Thiel Child Abuse Prevention Council LCSW 1134569791 82263 Y
Michelle Nelson Child Abuse Prevention Council AMFT 1891173357 94133 Y
Maria Cardoza Child Abuse Prevention Council AMFT 1467861252 87554 Y
Thear Chum Child Abuse Prevention Council ACSW 1134648231 83947 Y
Kaitlyn Reilly Child Abuse Prevention Council ACSW 1205381613 83651 Y
Laura Rodriguez Child Abuse Prevention Council ACSW 1316498892 78113 Y
Diana Strimling Child Abuse Prevention Council AMFT 1316221765 104452 Y
32 Community Re-Entry Program (CRP)- NON LICENSED STAFF ONLY
33 Crestwood Solano (PHF)- Out of County Provider
34 Crittenton Services For Children and Families -OUT OF COUNTY PROVIDER
35 Edgewood Center for Children and Families- OUT OF COUNTY PROVIDER
36 Fred Finch Youth Center- OUT OF COUNTY PROVIDER
37 Grant
House Meloney West Grant House AMFT 1649523283 Y
JoAnn Marie Cornelius Grant House LPT 1205877727 35804 Y
Melinda Carchidi Grant House Psychology Intern 1609151653 Y
38 Latino
Behavioral
Health and
Recovery
Services Alexander Largaespada Latino Behavioral Health AMFT 181902161 AMFT 93473 Y
Maria De La Luz Torres Latino Behavioral Health ACSW 1003323361 ASW80844 N
Lynn Tarrant Latino Behavioral Health Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
39 Martin Gipson Socialization Center- NON LICENSED STAFF ONLY
40 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
41 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
42 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
43 Mountain Valley Child and Family Services Inc- OUT OF COUNTY PROVIDER
44 Phoenix House of Los Angeles Inc- OUT OF COUNTY PROVIDER
45 Rebekah
Childrens
Home Bhatti Moeen Rebekah Childrens Home licensed 1205023736 A 100193 Physician amp SurgeonMD DEA FB4071332 Y
Cervantes Priscilla Rebekah Childrens Home licensed 1679081582 693037 LVN N
Delgado Melissa Rebekah Childrens Home licensed 1881002186 105380 LMFT Y
Downey Ruth Rebekah Childrens Home licensed 1790161339 100524 LMFT Y
Machuca Lopez Cynthia Rebekah Childrens Home waivered 1386053817 74884 ACSW Y
Moeller Ryan Rebekah Childrens Home waivered 1316303803 91385 AMFT Y
Vaca-Preez Alejandra Rebekah Childrens Home waivered 1629418876 36752 ACSW Y
Vargas-Gladen Rosalva Rebekah Childrens Home licensed 1326114372 46940 LMFT Y
46 Sacramento Childrens Home- OUT OF COUNTY PROVIDER
47 San Gabriel Childrens Center Out Patient- OUT OF COUNTY PROVIDER
48 Star View Adolescent Center OP- OUT OF COUNTY PROVIDER
49 Summitview Child Treatment Center- OUT OF COUNTY PROVIDER
50 Telecare
(aka Jeremy
House) Jessica Reiland Telecare- Jeremy House ASW (waived) Clinician 1003154634 70377 Y
Thuy Huynh Telecare- Jeremy House LPT Nurse 1033485495 36454 Y
Shannan Taylor Telecare- Jeremy House LMFT Regional Director 1528074770 LMFT46081 Y
51 Telecare
Early
Intervention
Recovery
Services (TEIRS) Melissa Planas ` LCSW 1679807994 LCSW66499 Y
Holli Hoffman TEIRS DNP 1144380940 2005000091 Y
Oshalique Bass TEIRS PCCI Waived 1477811677 5490 Y
Tran tran TEIRS LVN 1477084671 VN 275938 Y
Jennifer Miles TEIRS MD 1275541641 G83528 Y
Shannan Taylor TEIRS LMFT 1528074770 LMFT46081 Y
52 TLC Child and Family Services- OUT OF COUNTY PROVIDER
53 Valley
Community
Counseling
Services (VCCS)
(Manteca) 9040 Muhammad Kamran VCCS Manteca 9040 Licensed 1811051337 C53847 Psychiatrist Y
Patricia Goodman VCCS Manteca 9040 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Manteca 9040 Clinician 1578734687 AMFT 80527 Y
Alisha Sweyd VCCS Manteca 9040 Clinician 1689059941 AMFT 96911 Y
Teresa Viles-Reed VCCS Manteca 9040 Clinician 1386762623 PhD PSY14848 Y
54 Valley
Community
Counseling
Services (VCCS)
(School Based
Program-
Stockton) 9042 Cynthia Aguilera VCCS Stockton 9042 Clinician 1003326182 AMFT 102123 Y
Melanie Almada VCCS Stockton 9042 Clinician 1912396532 AMFT 92167 Y
Arica Arucan VCCS Stockton 9042 Clinician 1215258280 LCSW 72691 Y
Megan Bassi VCCS Stockton 9042 Clinician 1669833885 AMFT 91956 Y
Manjit Belanger VCCS Stockton 9042 Clinician 1255780771 AMFT 100537 Y
Ana De Trinidad VCCS Stockton 9042 Clinician 1043501570 AMFT 95408 Y
Tiffany Drake VCCS Stockton 9042 Clinician 1417456617 AMFT 103265 Y
Sarah Gard VCCS Stockton 9042 Clinician 1477966265 LMFT 106055 Y
Patricia Goodman VCCS Stockton 9042 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Stockton 9042 Clinician 1578734687 AMFT 80527 Y
Alicia Jackson VCCS Stockton 9042 Clinician 1912386525 AMFT 93526 Y
Naomi Jimenez VCCS Stockton 9042 Clinician 1669927828 AMFT 80527 Y
Leonard Lippert VCCS Stockton 9042 Clinician 1154691137 AMFT 101758 Y
Sandra McBride VCCS Stockton 9042 Clinician 1033467030 AMFT 75525 Y
Monika Muy VCCS Stockton 9042 Clinician 1982008603 ACSW 67390 Y
Desiree Nease VCCS Stockton 9042 Clinician 1447703491 ACSW 71196 Y
Katelyn Nelson VCCS Stockton 9042 Clinician 1669998290 ACSW 77372 Y
Elaine Pike VCCS Stockton 9042 Clinician 1508875055 LMFT 45258 Y
Cristal Rodriguez VCCS Stockton 9042 Clinician 1760938740 AMFT 93861 Y
Reshma Roy VCCS Stockton 9042 Clinician 1073061784 ACSW 66474 Y
Belem Ruiz VCCS Stockton 9042 Clinician 1508380411 AMFT 100924 Y
Jenna Santoyo VCCS Stockton 9042 Clinician 1457584567 LCSW 29827 Y
Riah Skrinnik VCCS Stockton 9042 Clinician 1295275592 APCC 3532 Y
Kristyn Towers VCCS Stockton 9042 Clinician 1942671052 AMFT 89172 Y
Alexsandra Trejo VCCS Stockton 9042 Clinician 1750837985 AMFT 92738 Y
Vichra You VCCS Stockton 9042 Clinician 1013437714 AMFT 99071 Y
55 Valley
Community
Counseling
Services (VCCS)
(Tracy) 9041 Muhammad Kamran VCCS Tracy 9041 Licensed 1811051337 C53847 Psychiatrist Y
Rosemary Cervantes VCCS Tracy 9041 Clinician 1407299738 AMFT 72397 Y
Laura Strickland VCCS Tracy 9041 Clinician 1538354543 2012633 Y
Lani Westervelt VCCS Tracy 9041 Clinician 1629191366 LMFT 38654 Y
56 Victor
Community
Services and
Support
Stockton
(VCSS) 9063 Loiuse Cerna VCSS Stockton 9063 MFTI 1346794690 92730 - Marriage and Fmily Therapist Intern Y
Aziza Citi VCSS Stockton 9063 LMFT 1831510650 96329 - Licensed Marriage and Family Therapist Y
Melissa Colon VCSS Stockton 9063 MFTI 1871663351 77340 - Marriage and Family Therapist Intern Y
Itzia Cruz VCSS Stockton 9063 ACSW 1639533987 80056 - Associate Clinical Social Worker Y
Tracy Cutino VCSS Stockton 9063 LMFT 1740297902 47897 - Licensed Marriage and Family Therapist Y
Betia Dadkhah VCSS Stockton 9063 LMFT 1083709380 44160 - Licensed Marriage and Family Therapist Y
Mark Edelstein VCSS Stockton 9063 MD 1972516714 C41340 - Physician amp Surgeon Y
Sharee Esparza VCSS Stockton 9063 MFTI 1982145504 102079 - Marriage and Family Therapist Intern Y
Tanner Hickman VCSS Stockton 9063 ACSW 1194272146 78099 - Associate Clinical Social Worker Y
Courtney Ivy VCSS Stockton 9063 MFTI 1679959217 71048 - Marriage and Family Therapist Intern Y
Giana Kooger VCSS Stockton 9063 LMFT 1720318132 86206 - Licensed Marriage and Family Therapist Y
Sheree Lozano VCSS Stockton 9063 MFTI 1538523501 88637 - Marriage and Family Therapist Intern Y
Christina Lopez VCSS Stockton 9063 MFTI 1265705727 102443 - Marriage and Family Therapist Intern Y
Koryn Marshall VCSS Stockton 9063 LMFT 1962881870 86263 - Licensed Marriage and Family Therapist Y
Adrianna Martinez VCSS Stockton 9063 MFTI 1851831242 107761 - Marriage and Family Therapist Intern Y
Laura Rodriguez VCSS Stockton 9063 ACSW 1316498892 78113 - Associate Clinical Social Worker Y
Jacquelyn Seefeldt VCSS Stockton 9063 MFTI 1124250204 74064 - Marriage and Family Therapist Intern Y
Heather Taylor VCSS Stockton 9063 LMFT 1265514251 44021 - Licensed Marriage and Family Therapist Y
Palei Triguero VCSS Stockton 9063 MFTI 1871994285 86335 - Marriage and Family Therapist Intern Y
Wendy True VCSS Stockton 9063 LMFT 1750476438 44262 - Licensed Marriage and Family Therapist Y
Jennifer Tutt VCSS Stockton 9063 LCSW 1316134091 27530 - Licensed Clinical Social Worker Y
Sarah Voss VCSS Stockton 9063 LMFT 1275602914 51406 - Licensed Marriage and Family Therapist Y
Michelle Zuckerman VCSS Stockton 9063 LMFT 1891948691 84298 - Licensed Marriage and Family Therapist Y
57 Victor Treatment Center - Santa Rosa- OUT OF COUNTY PROVIDER
58 Victor Youth Services (North Valley Schools)- OUT OF COUNTY PROVIDER
59 Womens Center- Family and Youth Services httpswwwwomenscenteryfsorgindexphpget-helptherapy-services
CONTRACT PSYCHIATRIC HOSPITALS
60 BHC Heritage Oaks Hospital - Out of County Hospital
61 BHC Sierra Vista Hospital - Out of County Hospital
62 St Helena Hospital Center for Behavioral Health - Out of County Hospital
63 John Muir Behavioral Health Center - Out of County Hospital
64 Sutter Center for Psychiatry - Out of County Hospital
65 Fremont Hospital - Alka Aneja Fremont Hospital ChildAdolescent MD 1619031317 A112029BA9881017 Y
Harmohinder Athwal Fremont Hospital ChildAdolescent MD 1740298256 A81841BA8179473 Y
Kamaljeet Boora Fremont Hospital Psychiatry MD 1356587711 102846FB0978823 N
Vikas Duvvuri Fremont Hospital EDO MD 1255470480 A99706FD0242064 Y
Trevor Fooks Fremont Hospital Psychiatry MD 1730267535 G63964BF1543695 Y
Ravinder Kahlon Fremont Hospital NeuroPsych MD 1386741320 A50823BK2018934 N
Vasdeep Kahlon Fremont Hospital Psychiatry MD 1497852446 A51243BK2742535 N
Padmavathi Kudaravalli Fremont Hospital Internal Medicine MD 1144221953 A67964BK6574974 Y
Pradeep Kumar Fremont Hospital Psychiatry MD 1023188935 A52032BK4202177 N
Deepak Kumar Fremont Hospital Psychiatry MD 1306257910 A130068FK4574299 Y
Sudha Manjunath Fremont Hospital ChildAdolescent MD 1801826797 A87131BM8982818 Y
Syed Munir Fremont Hospital ChildAdolescent MD 1790718815 C55029BM3999553 Y
Nanda Nayak Fremont Hospital Psychiatry MD 1477656262 A43182BN0687597 N
Falguni Patel Fremont Hospital ChildAdolescent MD 1548414337 A105594FP1152949 Y
Surender Punia Fremont Hospital Psychiatry MD 1376589663 A77004BP6477497 Y
Divya Reddy Fremont Hospital Psychiatry MD 1518120211 A103547FR1100306 Y
Devindar Singh Fremont Hospital Internal Medicine MD 1447294624 A48148BS2303422 N
Sunpreet Singh Fremont Hospital Psychiatry MD 1326464462 A132932FS5027087 Y
Bhupinder Waraich Fremont Hospital Psychiatry MD 1689869547 A53968BW4473346 Y
Jaap Kaur Waraich Fremont Hospital Psychiatry MD 1316132285 G67904BW2368391 Y
Nicholas Phillips Fremont Hospital Family Medicine MD 1255727293 A153125FP7288841 N
Harleen Dyal Fremont Hospital Family Medicine MD 1225424327 A153255FD7288839 N
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake Unit-Referrals to Licensed Staff
67 Chemical
Dependency
Counseling
Center ( CDCC) Tyler Moran Chemical Dependency Counseling Center 390002DNAMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Chemical Dependency Counseling Center 390002DNMFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Chemical Dependency Counseling Center 390002DNPsychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Chemical Dependency Counseling Center 390002DNPsychiatrist 1710094057 A72805 Y
68 Alcohol amp Drug Alternative Program (ADAP)-Referrals to Licensed Staff
69 Family Ties Tyler Moran Family Ties 390002EN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Family Ties 390002EN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Family Ties 390002EN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Family Ties 390002EN Psychiatrist 1710094057 A72805 Y
70 Recovery
House Tyler Moran Recovery House 390002AN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Recovery House 390002AN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Recovery House 390002AN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Recovery House 390002AN Psychiatrist 1710094057 A72805 Y
71 Adolescent Co- Occurring Treatment Program (ACT) Childrens Behavioral Health Services- Referrals to Licensed Staff
72 Prevention Services- Referrals to Licensed Staff
NARCOTIC TREATMENT PROGRAMSMEDICATION ASSISTED TREATMENT
73 Aegis
Treatment
Center Dr Randall Paul Aegis Treatment Center Medical License 1912061045 A26361 Y
Linda Beccerra Aegis Treatment Center Vocation Nurse VN 183039 Y
Dora Berry Aegis Treatment Center Vocation Nurse VN 689493 Y
Jeannette Carter-Camp Aegis Treatment Center Vocation Nurse 1740480342 NP 7506 Y
Francisca Marquez Aegis Treatment Center Vocation Nurse VN 287402 Y
74 5th Street
Medical Clinic
Stockton Dr Michael Fox 5th Street Medical Clinic Medical License 1212069758 G53561 Y
Melissa Whitworth 5th Street Medical Clinic Vocation Nurse RN 541037 Y
Divina Palafox 5th Street Medical Clinic Vocation Nurse 1912061995 VN 17300 Y
Divna Lu 5th Street Medical Clinic Vocation Nurse VN 183039 Y
Jeannette Carter-Camp 5th Street Medical Clinic Vocation Nurse 1740480342 NP 7506 Y
75 Aegis
Treatment
CenterHealthy
Connections
(California St)
Stockton Dr Michael Fox Aegis Treatment CenterHealthy ConnectionsMedical License 1212069758 G53561 Y
Melissa Whitworth Aegis Treatment CenterHealthy ConnectionsVocation Nurse RN 541037 Y
Dr Brian Talleur Aegis Treatment CenterHealthy ConnectionsMedical License 1659791101 A154190 Y
Alvin Goat Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 20473 Y
Crystal August Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 695962 Y
Rosenah Durago Aegis Treatment CenterHealthy ConnectionsVocation Nurse 1841629185 VN 235553 Y
Maria Garsuta Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 235825 Y
76 Healthy
Connections
Lodi Clinic Melissa Whitworth Healthy Connections Lodi Clinic Vocation Nurse RN 541037 Y
Dr Brian Talleur Healthy Connections Lodi Clinic Medical License 1659791101 A154190 Y
Angeles Alfaro Healthy Connections Lodi Clinic Vocation Nurse 1649669979 VN 689129 Y
John Campos Healthy Connections Lodi Clinic Vocation Nurse 1407192297 VN 260740 Y
Prabhjot Kaur Healthy Connections Lodi Clinic Vocation Nurse VN 698775 Y
Meenal Prasad Healthy Connections Lodi Clinic Vocation Nurse 1114407368 VN 287331 Y
77 Manteca
Healthy
Connections Dr Michael Fox Manteca Healthy Connections Medical License 1212069758 G53561 Y
Melissa Whitworth Manteca Healthy Connections Vocation Nurse RN 541037 Y
Dr Randall Paul Manteca Healthy Connections Medical License 1912061045 A26361 Y
Mary Jane Davis Manteca Healthy Connections Vocation Nurse 1861822744 VN 72342 Y
Christine Falcon Manteca Healthy Connections Vocation Nurse VN 175628 YDourine Iqiel Manteca Healthy Connections Vocation Nurse 1477008506 VN281162 YRebecca Mohr Manteca Healthy Connections Psyciatric Technician LPT 26531 Y
78 MedMark Treatment Center httpsmedmarkcommedmark-treatment-centers-stockton
LANGUAGE ASSISTANCE
English
ATTENTION If you speak another language language assistance services free of charge are available to you Call 1-888-468-9370 (TTY 1-866-735-2922 )ATTENTION Auxiliary aids and services including but not limited to large print documents and alternative formats are available to you free of charge upon request Call 1-888-468-9370
Espantildeol (Spanish)
ATENCIOacuteN Si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-888-468-9370 (TTY 1-866-735-2922 )
Tiếng Việt (Vietnamese)
CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-888-468-9370 (TTY 1-866-735-2922 )
Services may be delivered by an individual provider or a team of providers who is working under the direction of a licensed practitioner operating within their scope of practice Only licensed
waivered or registered mental health providers and licensed substance use disorder services providers are listed on the Plans provider directory
Tagalog (Tagalog Filipino)
PAUNAWA Kung nagsasalita ka ng Tagalog maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-888-468-9370 (TTY 1-866-735-2922 )한국어 (Korean)주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수 있습니다 1-888-468-9370 (TTY 1-866-735-2922 ) 번으로 전화해 주십시오繁體中文繁體中文繁體中文繁體中文(Chinese)注意如果您使用繁體中文您可以免費獲得語言援助服務請致電1-888-468-9370 (TTY 1-866-735-2922 )ՀայերենՀայերենՀայերենՀայերեն (Armenian)
ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ Զանգահարեք 1-888-468-9370 (TTY 1-866-735-2
Русский (Russian)
ВНИМАНИЕ Если вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-888-468-9370 (TTY 1-866-735-2922 )
(Farsi) فارسیتوجه اگر به زبان فارسی گفتگو می کنيد تسهيلات زبانی بصورت رايگان برای شما
日本語日本語日本語日本語 (Japanese)注意事項日本語を話される場合無料の言語支援をご利用いただけます1-888-468-9370فراهم می باشد با 1 (TTY 1-866-735-2922 ) までお電話にてご連絡くださいHmoob (Hmong)
LUS CEEV Yog tias koj hais lus Hmoob cov kev pab txog lus muaj kev pab dawb rau koj Hu rau 1-888-468-9370 (TTY 1-866-735-2922 )
ਪਜਾਬੀ (Punjabi)
ਿਧਆਨ ਿਦਓ ਜ ਤਸੀ ਪਜਾਬੀ ਬਲਦ ਹ ਤਾ ਭਾਸ਼ਾ ਿਵਚ ਸਹਾਇਤਾ ਸਵਾ ਤਹਾਡ ਲਈ ਮਫਤ ਉਪਲਬਧ ਹ 1-888-468-9370 (TTY 1-866-735-2922) ਤ ਕਾਲ ਕਰ
(Arabic) العربيةملحوظة إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغوية تتوافر لك بالمجان
हिदी (Hindi)
द यदि आप हिदी बोलत ह तो आपक लिए मफत म भाषा सहायता सवाए उपलबध ह [1-888-468-9370 (TTY 1-866-735-2922) पर कॉल कर
ภาษาไทย (Thai)
เรยน ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร 1-888-468-9370 (TTY 1-866-735-2922) धयान
ែខរ (Cambodian)
បយត ររ េស នអកនយ ែខ រសជនយមននក េយមនគត នគចនស ររ អេ នក ច ទ សព+1-888-468-9370 (TTY 1-866-735-2922)
ພາສາລາວ (Lao)
ໂປດຊາບ ຖາວາ ທານເວາພາສາ ລາວ ການບລການຊວຍເຫອດານພາສາໂດຍບເສຽຄາ ແມນມພອມໃຫທານ ໂທຣ 1-888-468-9370 (TTY 1-866-735-2922)
- 18-Font English Medi-Cal Provider Directory(Word Doc) 12-2018 English
- Medi-Cal Directory Provider Staff Listing 18 font English 12-2018
-
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 7 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
7Crisis
Community
Response Team
(CCRT)
9088
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
Crisis
Community
Response Team
(CCRT)Mobile
Crisis Support
Team (MCST)
12-830 pm
7 days a week
Adult
Children
Youth
Older
Adult
Spanish
Mobile multi-
disciplinary crisis
team for community
adult mental health
outreach early
intervention and
joint field response
with law
enforcement for
crisis 5150 detention
evaluations
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 8 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
8Crisis
Intervention
Services
9011
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
24 hours
Adult
Children
Youth
Older
Adult
Spanish
24-Hour evaluation
services including
assessment for
psychiatric
emergencies crisis
counseling
outpatient and
community referrals
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
9Crisis
Stabilization
Units (CSU)
9032
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
24 hours
Adult
Adol-
escents
Older
Adult
Spanish
Cambo-
dian
Vietna-
mese
23-Hour psychiatric
assessment and
stabilization unit
Resources and
Referrals are
provided during
admission
Crisis Stabilization UC
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 9 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
10Forensic Court
Full Service
Partnership
(MHSA)
9091
1212 N California
Street Stockton CA
95202
(209) 468-8786
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Provides
comprehensive
psychiatric and
integrative services
to address the needs
of Mentally Ill
Offenders
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 10 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
11Gaining Older
Adult Life Skills
(GOALS) Full
Service Partnership
(MHSA)
9093
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Full Service
Partnership with the
emphasis on outreach
to the underserved
older adult
population ages
(60+)
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 11 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
12InSPIRE
(MHSA)
39AN
1212 N California
Street
Stockton CA
95202
(209) 468-8880
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Cambo-
dian Viet-
namese
MHSA innovation
component
providing learning
community
opportunities to
specialized cohorts
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 12 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
13La Familia
Clinic Full
Service
Partnership
(MHSA)
9092
1149 N El Dorado
Street
Stockton CA
95202
(209) 468-2335
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
Latino
out-
reach
and
access
Spanish
Psychiatric
assessment case
management
medication support
individual and group
therapy with a
special emphasis on
serving Spanish-
speaking persons
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 13 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
14Mary Graham
Childrens Shelter
9008
6861 Mary Graham
Lane
French Camp CA
95231
(209) 468-6966
httpwww
marygrahamfou
ndationorg
24 Hours
Children
and
Youth
Provides outpatient
mental health
services to residents
of Mary Graham
Childrens Shelter
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 14 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services)
Include-
ing ASL
YesNo YesNo YesNo
15MHSA TAY
FSP
39B1
1212 N California
Street Stockton
CA 95202
(209) 468-8862
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adults
Full service
partnership providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 15 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
16Older Adult
Services (OAS)
3980
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Cambo-
dian Viet-
namese
Comprehensive
Behavioral Health
Services for older
adults (60+) provided
by a multidisciplinary
team Services
include psychiatric
assessment
medication
support group
individual therapy
and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 16 of 66
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Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services
Includin
g ASL
YesNo YesNo YesNo
17 Peterson
Hall
9009
535 W Matthews
Rd French Camp
CA 95231
(209) 468-4240
hiipswwwsjg
ovorgmhs
M-F 8 am- 8
pm SatSun 10-
7 pm
Children
and
Youth
Cambo-
dian
Spanish
Provides outpatient
mental health services
to youth detained at
Peterson Hall
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
18Psychiatric
Health
Facility (PHF)
3976
1212 N California
Street Stockton
CA 95202
(209) 468-8686
httpswwwsjg
ovorgmhs 24
hours
Adult Spanish
24-hour inpatient
hospitalization
services
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
19San Joaquin
County MH
Services Lodi Clinic
3924
1209 W Tokay
Street
Suites 1 3 5 7 9
12 14 and 16
Lodi CA 95240
(209) 331-2070
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Children
Youth
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
North
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
20San Joaquin
County MH
Services Tracy
Clinic
9048
220 W Eleventh
Street
Tracy CA 95376
(209) 831-5941
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
South
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
21SJC-MHS
CYS Katie A
Services
9020
333 E Washington
Street
Stockton CA
95202
(209) 468-1547
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Children
and
Youth
Spanish
Hmong
Japanese
Provides in-home
and in-community
outpatient mental
health services to
WampI Code 300
dependent SJC
children
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 20 of 66
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Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition to
free Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
22Transcultural
Clinic
(TCC) - full range
of specialty mental
health services and
intensive case
management
program
9014
4422 N Pershing
Ave
Suites D1-D4
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available
in Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 21 of 66
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
23Southeast
Asian Recovery
Services (SEARS)
for the Southeast
Asian population-
Full Service
Partnership
(MHSA)
9094
4422 N Pershing
Avenue Suite D2
D3 D4 D5 D6
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available in
Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
CONTRACT ORGANIZATIONAL PROVIDERS
24Anka Lodi (was
Mourfield House)
9075
458 Almond Drive
Lodi CA 95240
(209) 982-4697
wwwankabhior
g M-F 8am-5pm
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 22 of 66
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
25ASPIRAnet
39AR
6 S El Dorado
Street Suite 510
Stockton CA
95202
(209) 478-9862
wwwaspiranet
Org
M-F 8 am- 5
pm
Children
and
Youth
Provides
Therapeutic
Behavioral Services
(TBS) and crisis
stabilization services
as an alternative to
psychiatric
hospitalization
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
26Bright House
9047
8210 Bright Road
French Camp CA
95231
(209) 982-1235
wwwankabhior
g 24 hours
Adult
Adult Transitional
Residential
Treatment Program
Medication Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
27Casa Pacifica
39AB
1722 S Lewis Road
Camarrillo CA
93012
(805) 981-1422
wwwcaspacific
aorg
M-F 8 am- 6 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
28CBIS
(University of the
Pacific)
39A1
405 E Pine Street
Stockton CA
95204
(209) 476-1959
wwwcommunit
yre-
entryprogramco
m M-F 8am-430
pm
Adult
Spanish
Behavioral
Intervention Services
Mental Health Services
Intensive Home Based
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
29Chamberlains
Children Center
Inc
39B4
1850 San Benito
Street
Hollister CA
95023
(831) 636-2121
wwwchamberla
inccorg
M-F 8 am- 5 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
30Charis Youth
Center
9057
714 W Main Street
Grass Valley CA
95945
(530) 477-9800
wwwcharisyout
hcenterorg
M-F 830 am-
430 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
31Child Abuse
Prevention Council
39A8
540 N California
Street
Stockton CA
95202
(209) 644-5311
wwwnochildab
useorg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health services
utilizing
strengthening family
approach
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
32Community
Re- Entry
Program (CRP)
9044
405 E Pine Street
Stockton CA
95204
(209) 946-2132
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
independent living
skills training and
rehabilitation
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
33Crestwood
Solano
(PHF)
39A8
2201 Tuolumne
Street Suite B
Vallejo CA 94589
(707) 558-1777
wwwcrestwood
behavioralhealth
com
24
hours
Adult
24-hour
inpatient
hospitalization
services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
34Crittenton
Services For
Children And
Families
39B3
100 E Valley View
Drive Fullerton CA
92832
(714) 680-8268
wwwcrittentons
ocalorg
M-F 830 am- 5
pm
Children
and
Youth
Residential
facility providing
mental health
treatment to youth
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS)
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
35Edgewood
Center for
Children and
Families
39AV
1801 Vincente
Street San
Francisco CA
94116
(415) 681-3211
wwwedgewood
org
24
Hrs
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
36Fred Finch
Youth
Center
39AY
3800 Coolidge
AvenueOakland
CA 94602
(510) 482-2244
wwwfredfinch
Org
M-F 830 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
37Grant House
9064
1117 S Grant
Street Stockton
CA 95206
(209) 461-6500
wwwankabhior
g 24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Providers
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Telephone
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
38Latino
Behavioral Health
and Recovery
Services
9067
445 N San Joaquin
Street
Stockton CA
95202
(209) 444-8910
wwwelconcilio
Org
M-F 8 am- 5 pm
Adult
Spanish
Provides Culturally
Competent
Services to Latinos
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
39Martin Gipson
Socialization Center
9043
405 E Pine Street
Stockton CA
95204
(209) 464-5519
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
socialization
vocational and
educational
opportunities for
Adult Mentally
ill consumers
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 33 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
40Mountain
Valley Child and
Family Services
Inc
9039
24077 Highway 49
Nevada City CA
95959
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Therapeutic
Behavioral Services
(TBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 34 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
41Mountain
Valley Child and
Family Services
Inc
39A4
7818 Bar Du Lane
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 35 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
42Mountain
Valley Child and
Family Services
Inc
39A3
6171 Bradshaw Rd
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 36 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
43Mountain
Valley Child and
Family Services
Inc
39A2
9200 Sweet Acacia
Way Sacramento
CA 95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 37 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
44Phoenix House
of
Los Angeles Inc
39B6
1600 Eldrige
Avenue Lake View
Terrace CA 91342
(818) 686-3000
wwwphoenixho
useorg
M-F 8 am- 530
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 38 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
45Rebekah
Childrenrsquos
Home
39AU
290 IOOF Avenue
Gilroy CA 95020
(408) 846-2100
wwwrcskidsor
g
M-F 8 am- 530
pm
Children
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 39 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
46Sacramento
Childrens Home
9076
2750 Sutterville
Road Sacramento
CA 95820
(916) 452-3981
wwwkidshome
Org
M-F 830 am - 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 40 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
47San Gabriel
Childrens Center
Out Patient
39B7
4740 N Grand
Avenue Covina CA
91724
(626) 859-2089
wwwsangabriel
childcom
M-F 8 am- 5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 41 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
48Star View
Adolescent Center
OP
39BB
4025 West 226th
Street
Torrance CA
90505
(310)373-4556
wwwstarsincco
m 24 hours
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 42 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
49Summitview
Child Treatment
Center
9061
670 Placerville Dr
2 Placerville CA
95667
(530) 644-2412
wwwsummitvie
wtreatmentorg
M-F 8 am-5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 43 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
50Telecare (aka
Jeremy House)
39AX
5634 Jeremy Way
Stockton CA
95212
(209) 888-4969
wwwtelecareco
rpcom
24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
51Telecare Early
Intervention
Recovery Services
(TEIRS)
39B2
4545 Georgetown
Place Suite A3
Stockton CA
95207
(209) 715-3754
wwwtelecareco
rpcom
M-F 8 am- 5 pm
Adult
Spanish
Provides outpatient
mental health services
for children and
adults
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 44 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
52TLC Child and
Family Services
39A9
1800 Gravenstein
Hwy North Suite A
Sebastopol CA
95472
(707) 823-7300
httpwwwtlc4
kidsorg
M-F 8 am- 430
pm
Children
and
Youth
Community-based
program
providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 45 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
53Valley
Community
Counseling Services
(VCCS) (Manteca)
9040
129 E Center
Street Suite 3
Manteca CA
95336
(209) 239-5553
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health
services for children
and youth in South
County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 46 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
54Valley
Community
Counseling Services
(VCCS) (School
Based Program -
Stockton)
9042
6707 Embarcadero
Drive Suite A
Stockton CA
95219
(209) 956-4240
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Outpatient mental
health services
provided at various
schools in
Stockton Manteca
and Lodi
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 47 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
55Valley
Community
Counseling Services
(VCCS) (Tracy)
9041
19 East 6th Street
Tracy CA 95378
(209) 835-8583
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health services
for children and youth
in South County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 48 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
56Victor
Community
Services and
Support Stockton
(VCSS)
9063
2495 W March
Lane Suite 125
Stockton CA
25207
(209) 465-1080
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services in-home and
in community
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 49 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
57Victor
Treatment
Center - Santa Rosa
9083
3164 Condo Court
Santa Rosa CA
95403
(707) 523-2334
wwwvictororg
M-F 810 am- 4
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 50 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
58Victor
Youth Services
(North Valley
Schools)
39AC
855 Canyon Road
Redding CA
96001
(530) 378-1855
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 51 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
59Womens
Center- Family
and Youth
Services
39B6
729 N California
Street Stockton
CA 95202
(209) 929-6700
wwwwomensce
nteryfsorg
M-F 830 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
CONTRACT PSYCHIATRIC HOSPITALS
60BHC Heritage
Oaks
Hospital
4250 Auburn
Boulevard
(916) 489-3336
wwwheritageoa
kshospitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 52 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
61BHC Sierra
Vista
Hospital
8001 Bruceville
Road
(916) 423-2000
wwwsierravista
hospitalcom
24 hours
All ages
Yes
Yes
Yes
62St Helena
Hospital Center for
Behavioral Health
525 Oregon Street
(707) 648-2200
wwwadventisth
ealthorg
24 hours
All ages
Yes
Yes
Yes
63John Muir
Behavioral Health
Center
2740 Grant Street
(925) 680-6500
wwwjohnmuirh
ealthcom
24 hours
All ages
Yes
Yes
Yes
64Sutter Center for
Psychiatry
7700 Folsom
Boulevard
(916) 388-3045
wwwsuttermedi
calcenterorg
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 53 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
65Fremont
Hospital
39001 Sundale
Drive
(510) 796-1100
wwwfremontho
spitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 54 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake
Unit
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-9600
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Substance Use Disorder
Assessment for
Outpatient amp Inpatient
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 55 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
67 Chemical
Dependency
Counseling Center
(CDCC)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-3720
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Youth
Adult
Perinatal
Spanish
Mon Wed and Fri
8am-5pm
Closed Holidays
Outpatient Treatment
Perinatal Component
Intensive Outpatient
Youth Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 56 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
68 Alcohol amp Drug
Alternative Program
(ADAP)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-6840
Fax (209)468-
8640
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon Wed and Fri
8am-5pm
Tue And Thur
8am-7pm
Closed Holidays
Outpatient Court
Monitoring Education
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 57 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
69 Family Ties
500 W Hospital Rd
French Camp CA
95231
(209) 468-6208
Fax (209)468-
7032
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Adult
Perinatal
Spanish
24 Hour Services
Inpatient Treatment
Perinatal Component
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 58 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
70 Recovery House
500 W Hospital Rd
French Camp CA
95231
(209) 468-6857
Fax (209)468-
6739
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
24 Hour Services
Inpatient Treatment
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 59 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
71 Adolescent Co-
Occurring Treatment
Program (ACT)
Childrens Behavioral
Health Services
1414 N California
St 2nd Floor
Stockton CA 95202
(209) 468-2385
Fax (209)468-
8024
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Individual amp group
counseling and
education in conjunction
with the adolescentrsquos
mental health services a
partnership with Mental
Health Services and
Substance Abuse
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 60 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
72 Prevention
Services
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-2005
Fax (209)468-
2251
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Youth Services Parenting
Students In Prevention
(SIP)
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 61 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
73 Aegis
Treatment Center
8626 N Lower
Sacramento Road
Suite 41 Stockton
CA 95209
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1230pm
Sat Sun and
Holidays
6am-1030am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 62 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
74 5th Street
Medical Clinic
Stockton
1839 S El Dorado
St Stockton CA
95206
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 63 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
75 Aegis
Treatment Center
Healthy Connections
(California St)
Stockton
1947 N California
St Suites B and C
Stockton CA 95210
(209) 463-0870
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 64 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
76 Healthy
Connections Lodi
Clinic
441 South Ham
Lane Suite A
Lodi CA 95242
(209) 224-8490
httpsaegistreat
mentcenterscom
clinicaegis-
lodi-california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
7am-12 noon
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 65 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
77 Manteca
Healthy Connections
Center Street
955 W Center St
Suites 12A amp 14
Manteca CA 95337
(209) 239-9600
httpsaegistreat
mentcenterscom
clinicaegis-
manteca-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
8am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 66 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
78 MedMark
Treatment Center
1111 N El Dorado
St Stockton CA
95202
(209) 938-0228
httpmedmark
commedmark-
treatment-
centers-
stockton
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
Provider Name Facility NameID
Type of Practioner (licensed
amp Waivered)
National
Provider
Identifier
number California license number type of license
Cultu
ral
Comp
etenc
e
Traini
ng
(YN)1 Black
Awaremenss
Community
Outreach
ProgramMulti
cultural
Services Amarpreet Singh BHS BACOPMC Psychiatrist (Locum) 1235182916 Physician and Surgeon N
Aravind Pai BHS BACOPMC Psychiatrist (Locum) 1629076088 Physician and Surgeon A30319 N
Donna Bickham BHS BACOPMC Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Donnelle Tamayo BHS BACOPMC Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS BACOPMC Staff Nurse III 1104375724 Registered Nurse 723203 Y
Kathleen Wilson-Parish BHS BACOPMC Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS BACOPMC MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Nancy Nelson BHS BACOPMC Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Paul Wallace BHS BACOPMC Chief Psychiatric Tech 1114044799 Licensed Psychiatric Technician PT26296 Y
Quynh-Chi Nguyen BHS BACOPMC Staff Nurse III 1417371014 Registered Nurse 845080 Y
Scott Harrison BHS BACOPMC Clinician II 1518089317 Marriage and Family Therapist Intern IMF75861 Y
Shirley Hollowell BHS BACOPMC Registered Nurse 1124143474 Registered Nurse 352081 Y
2 Children and
Youth Services
Stockton Clinic Ganiya (Iyabo) Adediran
Childrens and Youth Services- Stockton
3915 Waivered 1881148690 81666 AMFT Y
Provider Staff Listing
Benjamin Alban
Childrens and Youth Services- Stockton
3915 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Stockton
3915 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Stockton
3915 Licensed 1821294455 105923 Psychiatrist Y
Valentin Avramov
Childrens and Youth Services- Stockton
3915 Licensed 1053488767 109609 Psychiatrist Y
Kristina Birch
Childrens and Youth Services- Stockton
3915 Waivered 1366874844 1809 APCC Y
Linda Brett
Childrens and Youth Services- Stockton
3915 Licensed 1295853299 523914 RN Y
Donna Cassettari
Childrens and Youth Services- Stockton
3915 Licensed 1497887699 43173 LMFT Y
Renessa Castaneda-Jensen
Childrens and Youth Services- Stockton
3915 Licensed 1376664862 81528 LMFT Y
Jacqueline Coulter
Childrens and Youth Services- Stockton
3915 Licensed 1720184765 41366LMFT Y
Courtney Flores
Childrens and Youth Services- Stockton
3915 Licensed 1851437735 29811 LCSQW Y
Maria Garcia
Childrens and Youth Services- Stockton
3915 Licensed 1235400557 80425 LCSW Y
Ikesha Goodwin
Childrens and Youth Services- Stockton
3915 Waivered 1104279728 101632 IMF Y
Kelsey Guidicatti
Childrens and Youth Services- Stockton
3915 Waivered 1245783687 93458 AMFT Y
Antonio Gutierrez
Childrens and Youth Services- Stockton
3915 Licensed 1023473469 71535 LCSW Y
Victoria Hall
Childrens and Youth Services- Stockton
3915 Licensed 1437464179 91065 LMFT Y
Nicole Hodgson
Childrens and Youth Services- Stockton
3915 Licensed 1962727792 85491 LMFT Y
Hudson Mark Hudson
Childrens and Youth Services- Stockton
3915 Licensed 1528190725 78609 LMFT Y
Shadai Lescale Huante
Childrens and Youth Services- Stockton
3915 Waivered 1528340320 59764 ACSW Y
Genevieve Lisenbey
Childrens and Youth Services- Stockton
3915 Waivered 1265698104 80465 AMFT Y
Sharon Lizotte
Childrens and Youth Services- Stockton
3915 Waivered 1851820708 101863 AMFT Y
Angie Nicholas
Childrens and Youth Services- Stockton
3915 Licensed 1679713796 52080 LMFT Y
Shiella Pablico
Childrens and Youth Services- Stockton
3915 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Sheilena Payne
Childrens and Youth Services- Stockton
3915 Licensed 1336437656 94571 LMFT N
Timothy Quinn
Childrens and Youth Services- Stockton
3915 Waivered 1316322381 79556 Marriage amp Family Therapist Intern Y
Joann Rihad
Childrens and Youth Services- Stockton
3915 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet
Childrens and Youth Services- Stockton
3915 Licensed 1366468555 C53401 Psychiatrist Y
Jacqueline Salgado
Childrens and Youth Services- Stockton
3915 Licensed 1043661903 95452 Marriage amp Family Therapist Y
Kristen Schneider
Childrens and Youth Services- Stockton
3915 Waivered 1578963591 72071 ACSW Y
Carla Simien
Childrens and Youth Services- Stockton
3915 Licensed 1629564000 40771 Licensed Psychiatric Technician N
Tamra Smith
Childrens and Youth Services- Stockton
3915 Licensed 1336267608 76975 LCSW Y
Maribel Vargas
Childrens and Youth Services- Stockton
3915 Waivered 1821247149 35622 ACSW Y
J Watkins
Childrens and Youth Services- Stockton
3915 Licensed 1043797871 4200 LPCC Y
Tamara Weber
Childrens and Youth Services- Stockton
3915 Licensed 1992101497 105926 LMFT Y
Amanda Yocham
Childrens and Youth Services- Stockton
3915 Licensed 1326103516 79068 LMFT Y
Nikki Young
Childrens and Youth Services- Stockton
3915 Waivered 1841692159 88891 AMFT Y
3 Children and
Youth Services-
Foster Youth
Full Service
Partnership Benjamin Alban
Childrens and Youth Services- Foster
Youth 9096 Licensed 1932227295 26094 LCSW Y
Maria Garcia
Childrens and Youth Services- Foster
Youth 9096 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Foster
Youth 9096 Licensed 1023473469 71535 LCSW Y
4 Children and
Youth Services-
Juvenile Justice
Full Srvice
Partnership Benjamin Alban
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1821294455 105923 Psychiatrist Y
Maria Garcia
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1023473469 71535 LCSW Y
Shabneet Hira Brar
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1851598452 A112447 Psychiatrist Y
Sheilena Payne
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1336437656 94571 LMFT N
5 Community
Adult
Treatment
Services Amanda Hurlock CATS OUTPATIENT 1836 Waivered 1205369899 AMFT 100834 Y
Adeline Mendez CATS OUTPATIENT 1836 Licensed 1255453353 PT 25868 Y
Anna Perez Testo CATS OUTPATIENT 1836 Licensed 1740309889 LMFT 52444 Y
Angelo Pasa CATS OUTPATIENT 1836 Licensed 1689874125 RN 691250 Y
Beverly Thompson CATS OUTPATIENT 1836 Waivered 1528311230 ACSW 70671 Y
Carolyn Walters CATS OUTPATIENT 1836 Licensed 1891815155 LMFT 43069 Y
Debra Baker CATS OUTPATIENT 1836 Waivered 1740610229 AMFT 95836 Y
Eloisa Velasco CATS OUTPATIENT 1836 Licensed 1740797976 PT 40651 Y
Francisco Arreola CATS OUTPATIENT 1836 waivered 1417359027 AMF 87821 Y
Heidi McHenry CATS OUTPATIENT 1836 Licensed 1861763294 PT 35949 Y
Helen Sprague CATS OUTPATIENT 1836 Waivered 1710325642 AMFT 75120 Y
Jane Sanchez CATS OUTPATIENT 1836 Licensed 1346406824 LMFT 50808 Y
Jannelle Heard CATS OUTPATIENT 1836 Waivered 1467813568 AMFT 95836 Y
Kara Herrick CATS OUTPATIENT 1836 Licensed 1518191659 LMFT 43283 Y
Keith Amador CATS OUTPATIENT 1836 Licensed 1891127403 LMFT 102725 Y
Cynthia Morishige CATS OUTPATIENT 1836 Licensed 1649396045 LCSW 13592 Y
Remedios Wallace CATS OUTPATIENT 1836 Licensed 1639294341 PT 24227 Y
Luis Garcia CATS OUTPATIENT 1836 Licensed 1346599677 LMFT 10398 Y
Maria Ayala CATS OUTPATIENT 1836 Waivered 1174991129 APCCI 3382 Y
Marie Daguman CATS OUTPATIENT 1836 Waivered 1619483237 ACSW 79980 Y
Mary Montgomery CATS OUTPATIENT 1836 Licensed 1538281183 LCSW82129 Y
Megan Curtiss CATS OUTPATIENT 1836 Waivered 1265836027 AMFT 107915 Y
Priscilla Kavanagh CATS OUTPATIENT 1836 Waivered 1528429057 APCC2122 Y
Elizabeth DeGravio CATS OUTPATIENT 1836 Licensed 1497167530 PT 37500 Y
Ramil Doronio CATS OUTPATIENT 1836 Licensed 1871767376 RN 555151 Y
Ronee Martin CATS OUTPATIENT 1836 Waivered 1932644796 AMFT 84987 Y
Sasha Jackson CATS OUTPATIENT 1836 Waivered 1295181295 ACSW 79996 Y
Sherri Helsby CATS OUTPATIENT 1836 Licensed 1669893764 LCSW 29248 Y
Teri Jorgensen CATS OUTPATIENT 1836 Licensed 1295071363 RN 469034 Y
Tiffany DeWitte CATS OUTPATIENT 1836 Licensed 1023143245 LCSW 29826 Y
Valerie-Ann Garcia CATS OUTPATIENT 1836 Licensed 1770606386 RN 704233 Y
Savoeun Phal CATS OUTPATIENT 1836 Waivered 1821513946 APCC 5278 Y
Joshua Merrill CATS OUTPATIENT 1836 Waivered 1114463957 AMFT 102798 Y
Gerado Manansala CATS OUTPATIENT 1836 Licensed 1215195813 A 102439 Y
Paul Mascovich CATS OUTPATIENT 1836 Licensed 1215921184 G 33950 Y
Jin Soofi CATS OUTPATIENT 1836 Licensed 1972592939 G 86240 Y
Sheril Keys CATS OUTPATIENT 1836 Licensed 1942664875 PT 38333 Y
Thomas Firnberg CATS OUTPATIENT 1836 Licensed 1164597472 A 040218 Y
Mohammad Jahangiri CATS OUTPATIENT 1836 Licensed 1720266760 A 56400 Y
Fouad Saddik CATS OUTPATIENT 1836 Licensed 1437254117 A 44865 Y
Kellie Salazar CATS OUTPATIENT 1836 Licensed 1295273654 PT 40326 Y
Suryabamu Javeed CATS OUTPATIENT 1836 Licensed 1568567105 A 56307 Y
Robert Graff CATS OUTPATIENT 1836 Licensed 1366560112 G 70479 Y
Chestermagno De La Cruz CATS OUTPATIENT 1836 Licensed 1619476637 PT40672 Y
6 Community
Corrections
Partnership Rico Molina AB10920 licensed 1255454203 LCSW25450 Y
Lawrence Shaddix AB10920 licensed 1508282286 IMF84560 Y
Randolph Herrington AB10920 licensed 1114141173 LMFT48970 Y
7 Crisis
Community
Response Team
(CCRT) Williams Wendy CCRT
MHC III
1265554638 LMFT 84045
Y
Ballesteros Patricia CCRT MHC 1790058352 LMFT 108455 Y
8 Crisis
Intervention
Services Graff Robert Crisis
MD
1366560112 G70479
Y
Gill Paramijit Crisis MD 1073629218 A49224 Y
Firnberg Thomas Crisis MD 1164597472 A040218 Y
Singh Karamjit Crisis MD 1083930440 A132050 N
Singh Amanpreet Crisis MD 1235182916 A78414 N
Lee Catherine Crisis MHC III 1073729646 LMFT 44225 Y
Saleem Noshela Crisis MHC III 1255585584 LCSW 67154 Y
Williams Wendy Crisis MHC III 1265554638 LMFT 84045 Y
Galindo Teresa Crisis MHC III 1700119369 LCSW 69736 Y
Molina-Eliab Sonya Crisis MHC 1497878482 AMFT 99087 Y
Tran Michelle Crisis MHC 1366642068 LCSW 81278 Y
Figueroa Carlos Crisis MHC 1306193933 LMFT 102315 Y
Ballesteros Patricia Crisis MHC 1790058352 LMFT 108455 Y
Nobles Shannon Crisis MHC 1457699720 AMFT 101531 Y
Saelee Cindy Crisis MHC 1255511614 LCSW 82456 Y
Maney Stephen Crisis MHC 1083985998 ASW 78482 Y
Lewman Brenda Crisis MHC 1821477035 LMFT106905 Y
Morales Leonardo Crisis MHC 1962822643 ASW 72730 Y
Grant Anika Crisis MHC 1649697137 AMFT 104116 Y
Sullivan Aisha Crisis MHC 1861772253 LCSW 75323 Y
Hodge Lewie Crisis MHC 1477044931 ASW 80338 N
Donato Imelda Crisis MHC 1194278085 APCC 2409 N
Redoblado Sheryl Crisis MHC 1871731513 LCSW 75136 Y
Walter Taffie Crisis CPT 1083735096 PT 32090 Y
DeJesus Carolyn Crisis CPT 1861650228 PT 34221 Y
McArthur Milagros Crisis PT 1477809929 PT 36471 Y
Olsen Chandra Crisis PT 1770914061 PT 37210 Y
Isham Loni Crisis PT 1891145033 PT 38233 Y
Bazua Melissa Crisis PT 1972944072 PT 36496 Y
Wright-Freeman Cody Crisis PT 1538584859 PT 37819 Y
Bareng Jeff Crisis PT 1043753478 PT 40284 Y
Gill Sandeep Crisis PT 1871852673 PT 34942 Y
Quitoriano Stephanie Crisis PT 1659798130 PT 37033 Y
Otero Luis Crisis PT 1487015582 PT 38229 Y
Price Jennifer Crisis PT 1932621893 PT 40662 Y
Kemp Sydney Crisis PT 1902383623 PT 34601 Y
9 Crisis
Stabilization
Units (CSU) Graff Robert CSU
MD
1366560112 G70479
Y
Allanki Sailaja CSU MD 1306897723 C138838 Y
Singh Karamjit CSU MD 1083930440 A132050 N
Brown Brandi CSU RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth CSU RN 1255459061 RN 488617 Y
Seraypheap Arunny CSU RN 1013037274 RN 547944 Y
Limas Deborah CSU RN 1073631727 RN 526984 Y
Winck Angela CSU RN 1083002992 RN 701021 Y
Cabrera Gilbert CSU RN 1679693766 RN 565185 Y
Mendoza Michelle CSU RN 1477951812 RN 797022 Y
Blackman Demerica CSU RN 1932619517 RN 850647 Y
Laizer Gloria CSU RN 1255706479 RN 764452 Y
Odametey Ama CSU RN 1700366358 RN 835504 N
Hawkins Lynnetta CSU MHC III 1437436938 LMFT 93110 Y
Lambert Rekha CSU MHC 1164647525 LMFT 10386 Y
Nguyen Thao CSU MHC 1912214065 LMFT 88176 Y
Navarro Grace CSU MHC 1083737753 ASW 72678 Y
Limas Stephanie CSU MHC 1053433748 LMFT 99397 Y
Little Christy CSU PT 1497978795 PT 28731 Y
Abundez Jesse CSU CPT 1841413036 PT 29162 Y
Montantes Michael CSU CPT 1780018390 PT 37071 Y
DeJesus Carolyn CSU CPT 1861650228 PT 34221 Y
Arriola Eulalie CSU CPT 1255573044 PT 34426 Y
Hardy Denise CSU PT 1912202813 PT 33714 Y
Harbin Toni CSU PT 1639475049 PT 28726 Y
Fortes Catherine CSU PT 1346681442 PT 36982 Y
Mocko James CSU PT 1558726224 PT 38249 Y
Menius Victoria CSU PT 1487074258 PT 37534 Y
Brown Kristaline CSU PT 1750723821 PT 32575 Y
Thorpe William CSU PT 1326599770 PT 40154 Y
Look Jasmin CSU PT 1194143198 PT 37492 Y
Mariano Joseph CSU PT 1609208172 PT 36968 Y
Marglin Lisa CSU PT 1558733576 PT 38247 Y
Clutario Dindo CSU PT 1164664512 PT 34295 Y
Ripoyla Jerral CSU PT 1821511700 PT 40644 Y
Varquez Sharon CSU PT 1366682387 PT 34435 Y
Holmes Sherronya CSU PT 1205214228 PT 37605 Y
Duncan Deanna CSU PT 1043674963 PT 38260 Y
Vang Mai CSU PT 1982103081 PT 40697 Y
Vong Tharith CSU PT 1134624802 PT 40678 N
Ridad Anthony CSU PT 1659887750 PT 40713 Y
Hill Brandon CSU PT 1053803890 PT 40412 Y
Singh Jasvir CSU PT 1477833911 PT 36007 Y
Kottke Marline CSU LVN 1891223111 LVN 198957 Y
10 Forensic
Court Full
Service
Partnership Edward Olpin BHSJDDSAS licensed 1477687077 LCSW24055 Y
Betsey McCall-Salerno BHSJDDSAS licensed 1740574672 LMFT42444 Y
Isabella Padilla Pereira Forensic74 licensed 1174871818 LMFT97934 Y
Alexander Anderson Forensic MCST74 licensed 1417183385 ASW70838 Y
Joseph Zummo Forensic74 licensed 1497927487 AMFT105417 Y
11 Gaining
Older Adult Life
Skills
(GOALS) Full
Service
Partnership
(MHSA) Crystal Thao GOALS 7523 Waivered 1609183748 ACSW 35249 Y
Jessica Preston GOALS 7523 Waivered 1649727066 ACSW 79154 Y
Karla Romero GOALS 7523 Waivered 1083133276 AMFT 100573 Y
Tracy House GOALS 7523 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi GOALS 7523 Licensed 1093911224 LMFT 40177 Y
Sue Gruber GOALS 7523 Licensed 1811014780 LCSW 29008 Y
Christine Blue GOALS 7523 Licensed 1093786683 A 10733 Y
Katheine Hedrick GOALS 7523 Licensed 1043699333 RN 683243 Y
Cynthia Resendez GOALS 7523 Licensed 1780877845 A84098 Y
12 InSpire
(MHSA) Debra Baker InSprire 7023 Waivered 1740610229 AMFT 95836 Y
Elizabeth DeGravio InSprire 7023 Licensed 1497167530 PT 37500 Y
13 La Familia
Clinic Full
Service
Partnership Nancy Nelson BHS La Familia Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Jane Fernandez BHS La Familia Psychiatrist 1194799395 Physician and Surgeon A93060 Y
Pamela Smith BHS La Familia Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Aravind Pai BHS La Familia Psychiatrist (Locum) 1235182916 Physician and Surgeon A30319 N
Cynthia Resendez BHS La Familia Psychiatrist 1780877845 Physician and Surgeon A84098 Y
Donna Bickham BHS La Familia Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS La Familia Registered Nurse 1124143474 Registered Nurse 352081 Y
Kathleen Wilson-Parish BHS La Familia Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS La Familia MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Alexander Largaespada BHS La Familia Clinician 1881902161 Marriage and Family Therapist Intern IMF93473 Y
Lynn Tarrant BHS La Familia Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
Adriana Cruz BHS La Familia Clinician II 1871612697 Licensed Clinical Social Worker LCSW81643 Y
Scarlette Aranda BHS La Familia Clinician I 1295929529 Associate Clinical Social Worker 83748 Y
Donnelle Tamayo BHS La Familia Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS La Familia Staff Nurse III 1104375724 Registered Nurse 723203 Y
14 Mary
Graham
Childrens
Shelter Renessa Castaneda-Jensen Mary Graham Childrens Shelter 9008 Licensed 1376664862 81528 LMFT Y
15 MHSA TAY
FSP Heidi McHenry TAY FSP Licensed 1861763294 PT 35949 Y
Jannelle Heard TAY FSP Waivered 1467813568 AMFT 95836 Y
Ronee Martin TAY FSP Waivered 1932644796 AMFT 84987 Y
Sasha Jackson TAY FSP Waivered 1295181295 ACSW 79996 Y
16 Older Adult
Services (OAS) Crystal Thao OAS 8236 Waivered 1609183748 ACSW 35249 Y
Jessica Preston OAS 8236 Waivered 1649727066 ACSW 79154 Y
Karla Romero OAS 8236 Waivered 1083133276 AMFT 100573 Y
Tracy House OAS 8236 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi OAS 8236 Licensed 1093911224 LMFT 40177 Y
Sue Gruber OAS 8236 Licensed 1811014780 LCSW 29008 Y
Christine Blue OAS 8236 Licensed 1093786683 A 10733 Y
Katheine Hedrick OAS 8236 Licensed 1043699333 RN 683243 Y
Cynthia Resendez OAS 8236 Licensed 1780877845 A84098 Y
17 Peterson
Hall Jennifer Domingo Peterson Hall 9009 Licensed 1104097286 50961 LMFT Y
Shabneet Hira Brar Peterson Hall 9009 Licensed 1851598452 A112447 Psychiatrist Y
Karina Jimenez Peterson Hall 9009 Waivered 1477891679 78261 AMFT Y
Helan Nguyen Peterson Hall 9009 Waivered 1801135876 85251 AMFT Y
Shiella Pablico Peterson Hall 9009 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Joann Ridad Peterson Hall 9009 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet Peterson Hall 9009 Licensed 1366468555 C53401 Psychiatrist Y
Carla Simien Peterson Hall 9009 Licensed 1629564000 40771 Licensed Psychiatric Technician Y
Fay Vieira Peterson Hall 9009 Licensed 1982815684 50276 LMFT Y
18 Psychiatric
Health Facility
(PHF)
Gill Paramijit
PHF
MD
1073629218 A49224
Y
Hart Robert PHF MD 1477660074 C38923 Y
Silver Hilary PHF MD 1720201221 C33442 Y
Brown Brandi PHF RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth PHF RN 1255459061 RN 488617 Y
Seraypheap Arunny PHF RN 1013037274 RN 547944 Y
Limas Deborah PHF RN 1073631727 RN 526984 Y
Winck Angela PHF RN 1083002992 RN 701021 Y
Cabrera Gilbert PHF RN 1679693766 RN 565185 Y
Mendoza Michelle PHF RN 1477951812 RN 797022 Y
Blackman Demerica PHF RN 1932619517 RN 850647 Y
Laizer Gloria PHF RN 1255706479 RN 764452 Y
Odametey Ama PHF RN 1700366358 RN 835504 N
Camello Bena PHF MHC 1053581116 LCSW 65302 Y
Shah Mamoona PHF MHC 1407978471 Waivered Y
Mills Rachelle PHF MHC 1326169350 LMFT 81070 Y
Little Christy PHF PT 1497978795 PT 28731 Y
Bomar Dolfa PHF CPT 1881817567 PT 31571 Y
DeJesus Carolyn PHF CPT 1861650228 PT 34221 Y
Varquez Sharon PHF PT 1366682387 PT 34435 Y
Pot Sambo PHF PT 1104378827 PT 33626 Y
Bou Jennifer PHF PT 1033652466 PT40281 Y
Sesante Maria PHF PT 1851515720 PT 30936 Y
Ota Robert PHF PT 1578786554 PT 33792 Y
Pinano Paolo PHF PT 1245352616 PT 33726 Y
Ruiz Ronald PHF PT 1700907094 PT 27494 Y
Villasenor Kendra PHF PT 1447518204 PT 36449 Y
Deol Sukhvinder PHF PT 1508988593 PT 30288 Y
Bokelman Roy PHF PT 1114040003 PT 32628 Y
Seba Vicki PHF PT 1639291636 PT 31714 Y
Siador Jill PHF PT 1366884058 PT 36818 Y
Polk Rhonda PHF PT 1316160146 PT 20798 Y
Zorea Dylan PHF PT 1467573766 PT28206 Y
Chapin Larry PHF PT 1528200169 PT 26162 Y
19 San Joaquin
County MH
Services Lodi
Clinic Ruth Johnson Lodi Outpatient 6036 Licensed 1265535538 LCSW 15213 Y
Judith Dolyniuk Lodi Outpatient 6036 Licensed 1518182534 LMFT 97680 Y
Amy Massie Lodi Outpatient 6036 Waivered 1356798391 AMFT 100785 Y
Shayne Maniti Lodi Outpatient 6036 Licensed 1689854093 PT 33732 Y
Saba Rizvi Lodi Outpatient 6036 Licensed 1619190501 A 95786 Y
Avramov Valentin Lodi Outpatient 6036 Licensed 1053488767 109609 Psychiatrist Y
Hill Patricia Lodi Outpatient 6036 Licensed 1902926231 23764 LCSW Y
Mann Bhupinderpreet Lodi Outpatient 6036 Waivered 1174603039 80464 AMFT Y
20 San Joaquin
County MH
Services Tracy
Clinic Ashley Smerdon Tracy Clinic 6136 Waivered 1265713929 MFT87560 Y
Jennifer Spruill Tracy Clinic 6136 Licensed 1518232321 LCSW 69544 Y
Simone Litsch Tracy Clinic 6136 Licensed 1598882599 A 89254 Y
Aravind Pai Tracy Clinic 6136 Licensed 1629076088 A30319 N
Gabriel Holguin Tracy Clinic 6136 Licensed 1255704094 PT38216 Y
21 SJC- MHS
CYS Katie A
Services Sailaja Allanki CYS Katie A Services 9020 Licensed 1306897723 138838 Psychiatrist Y
Kristina Birch CYS Katie A Services 9020 Waivered 1366874844 1809 APCC Y
Maria Boklund CYS Katie A Services 9020 Licensed 1396157061 48496 LMFT Y
Linda Brett CYS Katie A Services 9020 Licensed 1295853299 523914 RN Y
Renessa Castaneda-Jensen CYS Katie A Services 9020 Licensed 1376664862 81528 LMFT Y
Maria Gamino CYS Katie A Services 9020 Waivered 1710386453 73292 ASW N
Shabneet Hira Brar CYS Katie A Services 9020 Licensed 1851598452 A112447 Psychiatrist Y
Catherine Navarrete CYS Katie A Services 9020 Waivered 1619456076 105076 Marriage amp Family Therapist Y
Leora Pollock CYS Katie A Services 9020 Licensed 1245663426 75192 LCSW Y
Kim Saing CYS Katie A Services 9020 Licensed 1982722666 51242 LMFT Y
Anastacia Stanley CYS Katie A Services 9020 Licensed 1528299724 87417 LMFT N
Patricia Young CYS Katie A Services 9020 Waivered 1780051375 94965 ASSOCIATE MARRIAGE amp FAMILY THERAPIST Y
22
Transcultural
Clinic (TCC) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
23 Southeast
Asian Recovery
Services
(SEARS) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
CONTRACT ORGANIZATIONAL PROVIDERS
24 Anka Lodi (
was Mourfield
House) Meloney West Anka Lodi AMFT 1649523283 Y
Eon Lawrence Losefa Anka Lodi LMFT 1982898276 104807 Y
Aaron Fett Anka Lodi Psychology Intern 1932352424 Y
25 ASPIRAnet Courtney Warfield-Gibbs ASPIRAnet Waivered 1285958520 ACSW 70918 Y
Melissa Wimer ASPIRAnet Licensed 1467946301 LMFT 81226 Y
Patricia A Jackson ASPIRAnet Waivered 1780848853 AMFT 73975 Y
Vijai Pandey ASPIRAnet Waivered 1710497938 AMFT 70416 Y
Amir Siddiqui ASPIRAnet Waivered 1336617844 APCC 5341 N
26 Bright
House Robert Lee Majors Bright House LMFT 1780692806 49236 Y
27 Casa Pacifica - OUT OF COUNTY PROVIDER
28 CBIS (University of the Pacific)- NON LICENSED STAFF ONLY
29 Chamberlains Children Center Inc -OUT OF COUNTY PROVIDER
30 Charis Youth Center- OUT OF COUNTY PROVIDER
31 Child Abuse
Prevention
Council Roger Duke Child Abuse Prevention Council LMFT 1992861082 79588 Y
Cassandra Lowe Child Abuse Prevention Council AMFT 1205278694 75983 Y
Stacey Tidwell Child Abuse Prevention Council ACSW 1790189413 72578 Y
Nazia Khan Child Abuse Prevention Council AMFT 1508227158 81499 Y
Lisa Aguilar Child Abuse Prevention Council ACSW 1417401035 73365 Y
Anabel Montejano Child Abuse Prevention Council ACSW 1740656636 78974 Y
Catherine Thiel Child Abuse Prevention Council LCSW 1134569791 82263 Y
Michelle Nelson Child Abuse Prevention Council AMFT 1891173357 94133 Y
Maria Cardoza Child Abuse Prevention Council AMFT 1467861252 87554 Y
Thear Chum Child Abuse Prevention Council ACSW 1134648231 83947 Y
Kaitlyn Reilly Child Abuse Prevention Council ACSW 1205381613 83651 Y
Laura Rodriguez Child Abuse Prevention Council ACSW 1316498892 78113 Y
Diana Strimling Child Abuse Prevention Council AMFT 1316221765 104452 Y
32 Community Re-Entry Program (CRP)- NON LICENSED STAFF ONLY
33 Crestwood Solano (PHF)- Out of County Provider
34 Crittenton Services For Children and Families -OUT OF COUNTY PROVIDER
35 Edgewood Center for Children and Families- OUT OF COUNTY PROVIDER
36 Fred Finch Youth Center- OUT OF COUNTY PROVIDER
37 Grant
House Meloney West Grant House AMFT 1649523283 Y
JoAnn Marie Cornelius Grant House LPT 1205877727 35804 Y
Melinda Carchidi Grant House Psychology Intern 1609151653 Y
38 Latino
Behavioral
Health and
Recovery
Services Alexander Largaespada Latino Behavioral Health AMFT 181902161 AMFT 93473 Y
Maria De La Luz Torres Latino Behavioral Health ACSW 1003323361 ASW80844 N
Lynn Tarrant Latino Behavioral Health Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
39 Martin Gipson Socialization Center- NON LICENSED STAFF ONLY
40 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
41 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
42 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
43 Mountain Valley Child and Family Services Inc- OUT OF COUNTY PROVIDER
44 Phoenix House of Los Angeles Inc- OUT OF COUNTY PROVIDER
45 Rebekah
Childrens
Home Bhatti Moeen Rebekah Childrens Home licensed 1205023736 A 100193 Physician amp SurgeonMD DEA FB4071332 Y
Cervantes Priscilla Rebekah Childrens Home licensed 1679081582 693037 LVN N
Delgado Melissa Rebekah Childrens Home licensed 1881002186 105380 LMFT Y
Downey Ruth Rebekah Childrens Home licensed 1790161339 100524 LMFT Y
Machuca Lopez Cynthia Rebekah Childrens Home waivered 1386053817 74884 ACSW Y
Moeller Ryan Rebekah Childrens Home waivered 1316303803 91385 AMFT Y
Vaca-Preez Alejandra Rebekah Childrens Home waivered 1629418876 36752 ACSW Y
Vargas-Gladen Rosalva Rebekah Childrens Home licensed 1326114372 46940 LMFT Y
46 Sacramento Childrens Home- OUT OF COUNTY PROVIDER
47 San Gabriel Childrens Center Out Patient- OUT OF COUNTY PROVIDER
48 Star View Adolescent Center OP- OUT OF COUNTY PROVIDER
49 Summitview Child Treatment Center- OUT OF COUNTY PROVIDER
50 Telecare
(aka Jeremy
House) Jessica Reiland Telecare- Jeremy House ASW (waived) Clinician 1003154634 70377 Y
Thuy Huynh Telecare- Jeremy House LPT Nurse 1033485495 36454 Y
Shannan Taylor Telecare- Jeremy House LMFT Regional Director 1528074770 LMFT46081 Y
51 Telecare
Early
Intervention
Recovery
Services (TEIRS) Melissa Planas ` LCSW 1679807994 LCSW66499 Y
Holli Hoffman TEIRS DNP 1144380940 2005000091 Y
Oshalique Bass TEIRS PCCI Waived 1477811677 5490 Y
Tran tran TEIRS LVN 1477084671 VN 275938 Y
Jennifer Miles TEIRS MD 1275541641 G83528 Y
Shannan Taylor TEIRS LMFT 1528074770 LMFT46081 Y
52 TLC Child and Family Services- OUT OF COUNTY PROVIDER
53 Valley
Community
Counseling
Services (VCCS)
(Manteca) 9040 Muhammad Kamran VCCS Manteca 9040 Licensed 1811051337 C53847 Psychiatrist Y
Patricia Goodman VCCS Manteca 9040 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Manteca 9040 Clinician 1578734687 AMFT 80527 Y
Alisha Sweyd VCCS Manteca 9040 Clinician 1689059941 AMFT 96911 Y
Teresa Viles-Reed VCCS Manteca 9040 Clinician 1386762623 PhD PSY14848 Y
54 Valley
Community
Counseling
Services (VCCS)
(School Based
Program-
Stockton) 9042 Cynthia Aguilera VCCS Stockton 9042 Clinician 1003326182 AMFT 102123 Y
Melanie Almada VCCS Stockton 9042 Clinician 1912396532 AMFT 92167 Y
Arica Arucan VCCS Stockton 9042 Clinician 1215258280 LCSW 72691 Y
Megan Bassi VCCS Stockton 9042 Clinician 1669833885 AMFT 91956 Y
Manjit Belanger VCCS Stockton 9042 Clinician 1255780771 AMFT 100537 Y
Ana De Trinidad VCCS Stockton 9042 Clinician 1043501570 AMFT 95408 Y
Tiffany Drake VCCS Stockton 9042 Clinician 1417456617 AMFT 103265 Y
Sarah Gard VCCS Stockton 9042 Clinician 1477966265 LMFT 106055 Y
Patricia Goodman VCCS Stockton 9042 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Stockton 9042 Clinician 1578734687 AMFT 80527 Y
Alicia Jackson VCCS Stockton 9042 Clinician 1912386525 AMFT 93526 Y
Naomi Jimenez VCCS Stockton 9042 Clinician 1669927828 AMFT 80527 Y
Leonard Lippert VCCS Stockton 9042 Clinician 1154691137 AMFT 101758 Y
Sandra McBride VCCS Stockton 9042 Clinician 1033467030 AMFT 75525 Y
Monika Muy VCCS Stockton 9042 Clinician 1982008603 ACSW 67390 Y
Desiree Nease VCCS Stockton 9042 Clinician 1447703491 ACSW 71196 Y
Katelyn Nelson VCCS Stockton 9042 Clinician 1669998290 ACSW 77372 Y
Elaine Pike VCCS Stockton 9042 Clinician 1508875055 LMFT 45258 Y
Cristal Rodriguez VCCS Stockton 9042 Clinician 1760938740 AMFT 93861 Y
Reshma Roy VCCS Stockton 9042 Clinician 1073061784 ACSW 66474 Y
Belem Ruiz VCCS Stockton 9042 Clinician 1508380411 AMFT 100924 Y
Jenna Santoyo VCCS Stockton 9042 Clinician 1457584567 LCSW 29827 Y
Riah Skrinnik VCCS Stockton 9042 Clinician 1295275592 APCC 3532 Y
Kristyn Towers VCCS Stockton 9042 Clinician 1942671052 AMFT 89172 Y
Alexsandra Trejo VCCS Stockton 9042 Clinician 1750837985 AMFT 92738 Y
Vichra You VCCS Stockton 9042 Clinician 1013437714 AMFT 99071 Y
55 Valley
Community
Counseling
Services (VCCS)
(Tracy) 9041 Muhammad Kamran VCCS Tracy 9041 Licensed 1811051337 C53847 Psychiatrist Y
Rosemary Cervantes VCCS Tracy 9041 Clinician 1407299738 AMFT 72397 Y
Laura Strickland VCCS Tracy 9041 Clinician 1538354543 2012633 Y
Lani Westervelt VCCS Tracy 9041 Clinician 1629191366 LMFT 38654 Y
56 Victor
Community
Services and
Support
Stockton
(VCSS) 9063 Loiuse Cerna VCSS Stockton 9063 MFTI 1346794690 92730 - Marriage and Fmily Therapist Intern Y
Aziza Citi VCSS Stockton 9063 LMFT 1831510650 96329 - Licensed Marriage and Family Therapist Y
Melissa Colon VCSS Stockton 9063 MFTI 1871663351 77340 - Marriage and Family Therapist Intern Y
Itzia Cruz VCSS Stockton 9063 ACSW 1639533987 80056 - Associate Clinical Social Worker Y
Tracy Cutino VCSS Stockton 9063 LMFT 1740297902 47897 - Licensed Marriage and Family Therapist Y
Betia Dadkhah VCSS Stockton 9063 LMFT 1083709380 44160 - Licensed Marriage and Family Therapist Y
Mark Edelstein VCSS Stockton 9063 MD 1972516714 C41340 - Physician amp Surgeon Y
Sharee Esparza VCSS Stockton 9063 MFTI 1982145504 102079 - Marriage and Family Therapist Intern Y
Tanner Hickman VCSS Stockton 9063 ACSW 1194272146 78099 - Associate Clinical Social Worker Y
Courtney Ivy VCSS Stockton 9063 MFTI 1679959217 71048 - Marriage and Family Therapist Intern Y
Giana Kooger VCSS Stockton 9063 LMFT 1720318132 86206 - Licensed Marriage and Family Therapist Y
Sheree Lozano VCSS Stockton 9063 MFTI 1538523501 88637 - Marriage and Family Therapist Intern Y
Christina Lopez VCSS Stockton 9063 MFTI 1265705727 102443 - Marriage and Family Therapist Intern Y
Koryn Marshall VCSS Stockton 9063 LMFT 1962881870 86263 - Licensed Marriage and Family Therapist Y
Adrianna Martinez VCSS Stockton 9063 MFTI 1851831242 107761 - Marriage and Family Therapist Intern Y
Laura Rodriguez VCSS Stockton 9063 ACSW 1316498892 78113 - Associate Clinical Social Worker Y
Jacquelyn Seefeldt VCSS Stockton 9063 MFTI 1124250204 74064 - Marriage and Family Therapist Intern Y
Heather Taylor VCSS Stockton 9063 LMFT 1265514251 44021 - Licensed Marriage and Family Therapist Y
Palei Triguero VCSS Stockton 9063 MFTI 1871994285 86335 - Marriage and Family Therapist Intern Y
Wendy True VCSS Stockton 9063 LMFT 1750476438 44262 - Licensed Marriage and Family Therapist Y
Jennifer Tutt VCSS Stockton 9063 LCSW 1316134091 27530 - Licensed Clinical Social Worker Y
Sarah Voss VCSS Stockton 9063 LMFT 1275602914 51406 - Licensed Marriage and Family Therapist Y
Michelle Zuckerman VCSS Stockton 9063 LMFT 1891948691 84298 - Licensed Marriage and Family Therapist Y
57 Victor Treatment Center - Santa Rosa- OUT OF COUNTY PROVIDER
58 Victor Youth Services (North Valley Schools)- OUT OF COUNTY PROVIDER
59 Womens Center- Family and Youth Services httpswwwwomenscenteryfsorgindexphpget-helptherapy-services
CONTRACT PSYCHIATRIC HOSPITALS
60 BHC Heritage Oaks Hospital - Out of County Hospital
61 BHC Sierra Vista Hospital - Out of County Hospital
62 St Helena Hospital Center for Behavioral Health - Out of County Hospital
63 John Muir Behavioral Health Center - Out of County Hospital
64 Sutter Center for Psychiatry - Out of County Hospital
65 Fremont Hospital - Alka Aneja Fremont Hospital ChildAdolescent MD 1619031317 A112029BA9881017 Y
Harmohinder Athwal Fremont Hospital ChildAdolescent MD 1740298256 A81841BA8179473 Y
Kamaljeet Boora Fremont Hospital Psychiatry MD 1356587711 102846FB0978823 N
Vikas Duvvuri Fremont Hospital EDO MD 1255470480 A99706FD0242064 Y
Trevor Fooks Fremont Hospital Psychiatry MD 1730267535 G63964BF1543695 Y
Ravinder Kahlon Fremont Hospital NeuroPsych MD 1386741320 A50823BK2018934 N
Vasdeep Kahlon Fremont Hospital Psychiatry MD 1497852446 A51243BK2742535 N
Padmavathi Kudaravalli Fremont Hospital Internal Medicine MD 1144221953 A67964BK6574974 Y
Pradeep Kumar Fremont Hospital Psychiatry MD 1023188935 A52032BK4202177 N
Deepak Kumar Fremont Hospital Psychiatry MD 1306257910 A130068FK4574299 Y
Sudha Manjunath Fremont Hospital ChildAdolescent MD 1801826797 A87131BM8982818 Y
Syed Munir Fremont Hospital ChildAdolescent MD 1790718815 C55029BM3999553 Y
Nanda Nayak Fremont Hospital Psychiatry MD 1477656262 A43182BN0687597 N
Falguni Patel Fremont Hospital ChildAdolescent MD 1548414337 A105594FP1152949 Y
Surender Punia Fremont Hospital Psychiatry MD 1376589663 A77004BP6477497 Y
Divya Reddy Fremont Hospital Psychiatry MD 1518120211 A103547FR1100306 Y
Devindar Singh Fremont Hospital Internal Medicine MD 1447294624 A48148BS2303422 N
Sunpreet Singh Fremont Hospital Psychiatry MD 1326464462 A132932FS5027087 Y
Bhupinder Waraich Fremont Hospital Psychiatry MD 1689869547 A53968BW4473346 Y
Jaap Kaur Waraich Fremont Hospital Psychiatry MD 1316132285 G67904BW2368391 Y
Nicholas Phillips Fremont Hospital Family Medicine MD 1255727293 A153125FP7288841 N
Harleen Dyal Fremont Hospital Family Medicine MD 1225424327 A153255FD7288839 N
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake Unit-Referrals to Licensed Staff
67 Chemical
Dependency
Counseling
Center ( CDCC) Tyler Moran Chemical Dependency Counseling Center 390002DNAMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Chemical Dependency Counseling Center 390002DNMFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Chemical Dependency Counseling Center 390002DNPsychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Chemical Dependency Counseling Center 390002DNPsychiatrist 1710094057 A72805 Y
68 Alcohol amp Drug Alternative Program (ADAP)-Referrals to Licensed Staff
69 Family Ties Tyler Moran Family Ties 390002EN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Family Ties 390002EN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Family Ties 390002EN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Family Ties 390002EN Psychiatrist 1710094057 A72805 Y
70 Recovery
House Tyler Moran Recovery House 390002AN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Recovery House 390002AN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Recovery House 390002AN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Recovery House 390002AN Psychiatrist 1710094057 A72805 Y
71 Adolescent Co- Occurring Treatment Program (ACT) Childrens Behavioral Health Services- Referrals to Licensed Staff
72 Prevention Services- Referrals to Licensed Staff
NARCOTIC TREATMENT PROGRAMSMEDICATION ASSISTED TREATMENT
73 Aegis
Treatment
Center Dr Randall Paul Aegis Treatment Center Medical License 1912061045 A26361 Y
Linda Beccerra Aegis Treatment Center Vocation Nurse VN 183039 Y
Dora Berry Aegis Treatment Center Vocation Nurse VN 689493 Y
Jeannette Carter-Camp Aegis Treatment Center Vocation Nurse 1740480342 NP 7506 Y
Francisca Marquez Aegis Treatment Center Vocation Nurse VN 287402 Y
74 5th Street
Medical Clinic
Stockton Dr Michael Fox 5th Street Medical Clinic Medical License 1212069758 G53561 Y
Melissa Whitworth 5th Street Medical Clinic Vocation Nurse RN 541037 Y
Divina Palafox 5th Street Medical Clinic Vocation Nurse 1912061995 VN 17300 Y
Divna Lu 5th Street Medical Clinic Vocation Nurse VN 183039 Y
Jeannette Carter-Camp 5th Street Medical Clinic Vocation Nurse 1740480342 NP 7506 Y
75 Aegis
Treatment
CenterHealthy
Connections
(California St)
Stockton Dr Michael Fox Aegis Treatment CenterHealthy ConnectionsMedical License 1212069758 G53561 Y
Melissa Whitworth Aegis Treatment CenterHealthy ConnectionsVocation Nurse RN 541037 Y
Dr Brian Talleur Aegis Treatment CenterHealthy ConnectionsMedical License 1659791101 A154190 Y
Alvin Goat Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 20473 Y
Crystal August Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 695962 Y
Rosenah Durago Aegis Treatment CenterHealthy ConnectionsVocation Nurse 1841629185 VN 235553 Y
Maria Garsuta Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 235825 Y
76 Healthy
Connections
Lodi Clinic Melissa Whitworth Healthy Connections Lodi Clinic Vocation Nurse RN 541037 Y
Dr Brian Talleur Healthy Connections Lodi Clinic Medical License 1659791101 A154190 Y
Angeles Alfaro Healthy Connections Lodi Clinic Vocation Nurse 1649669979 VN 689129 Y
John Campos Healthy Connections Lodi Clinic Vocation Nurse 1407192297 VN 260740 Y
Prabhjot Kaur Healthy Connections Lodi Clinic Vocation Nurse VN 698775 Y
Meenal Prasad Healthy Connections Lodi Clinic Vocation Nurse 1114407368 VN 287331 Y
77 Manteca
Healthy
Connections Dr Michael Fox Manteca Healthy Connections Medical License 1212069758 G53561 Y
Melissa Whitworth Manteca Healthy Connections Vocation Nurse RN 541037 Y
Dr Randall Paul Manteca Healthy Connections Medical License 1912061045 A26361 Y
Mary Jane Davis Manteca Healthy Connections Vocation Nurse 1861822744 VN 72342 Y
Christine Falcon Manteca Healthy Connections Vocation Nurse VN 175628 YDourine Iqiel Manteca Healthy Connections Vocation Nurse 1477008506 VN281162 YRebecca Mohr Manteca Healthy Connections Psyciatric Technician LPT 26531 Y
78 MedMark Treatment Center httpsmedmarkcommedmark-treatment-centers-stockton
LANGUAGE ASSISTANCE
English
ATTENTION If you speak another language language assistance services free of charge are available to you Call 1-888-468-9370 (TTY 1-866-735-2922 )ATTENTION Auxiliary aids and services including but not limited to large print documents and alternative formats are available to you free of charge upon request Call 1-888-468-9370
Espantildeol (Spanish)
ATENCIOacuteN Si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-888-468-9370 (TTY 1-866-735-2922 )
Tiếng Việt (Vietnamese)
CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-888-468-9370 (TTY 1-866-735-2922 )
Services may be delivered by an individual provider or a team of providers who is working under the direction of a licensed practitioner operating within their scope of practice Only licensed
waivered or registered mental health providers and licensed substance use disorder services providers are listed on the Plans provider directory
Tagalog (Tagalog Filipino)
PAUNAWA Kung nagsasalita ka ng Tagalog maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-888-468-9370 (TTY 1-866-735-2922 )한국어 (Korean)주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수 있습니다 1-888-468-9370 (TTY 1-866-735-2922 ) 번으로 전화해 주십시오繁體中文繁體中文繁體中文繁體中文(Chinese)注意如果您使用繁體中文您可以免費獲得語言援助服務請致電1-888-468-9370 (TTY 1-866-735-2922 )ՀայերենՀայերենՀայերենՀայերեն (Armenian)
ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ Զանգահարեք 1-888-468-9370 (TTY 1-866-735-2
Русский (Russian)
ВНИМАНИЕ Если вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-888-468-9370 (TTY 1-866-735-2922 )
(Farsi) فارسیتوجه اگر به زبان فارسی گفتگو می کنيد تسهيلات زبانی بصورت رايگان برای شما
日本語日本語日本語日本語 (Japanese)注意事項日本語を話される場合無料の言語支援をご利用いただけます1-888-468-9370فراهم می باشد با 1 (TTY 1-866-735-2922 ) までお電話にてご連絡くださいHmoob (Hmong)
LUS CEEV Yog tias koj hais lus Hmoob cov kev pab txog lus muaj kev pab dawb rau koj Hu rau 1-888-468-9370 (TTY 1-866-735-2922 )
ਪਜਾਬੀ (Punjabi)
ਿਧਆਨ ਿਦਓ ਜ ਤਸੀ ਪਜਾਬੀ ਬਲਦ ਹ ਤਾ ਭਾਸ਼ਾ ਿਵਚ ਸਹਾਇਤਾ ਸਵਾ ਤਹਾਡ ਲਈ ਮਫਤ ਉਪਲਬਧ ਹ 1-888-468-9370 (TTY 1-866-735-2922) ਤ ਕਾਲ ਕਰ
(Arabic) العربيةملحوظة إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغوية تتوافر لك بالمجان
हिदी (Hindi)
द यदि आप हिदी बोलत ह तो आपक लिए मफत म भाषा सहायता सवाए उपलबध ह [1-888-468-9370 (TTY 1-866-735-2922) पर कॉल कर
ภาษาไทย (Thai)
เรยน ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร 1-888-468-9370 (TTY 1-866-735-2922) धयान
ែខរ (Cambodian)
បយត ររ េស នអកនយ ែខ រសជនយមននក េយមនគត នគចនស ររ អេ នក ច ទ សព+1-888-468-9370 (TTY 1-866-735-2922)
ພາສາລາວ (Lao)
ໂປດຊາບ ຖາວາ ທານເວາພາສາ ລາວ ການບລການຊວຍເຫອດານພາສາໂດຍບເສຽຄາ ແມນມພອມໃຫທານ ໂທຣ 1-888-468-9370 (TTY 1-866-735-2922)
- 18-Font English Medi-Cal Provider Directory(Word Doc) 12-2018 English
- Medi-Cal Directory Provider Staff Listing 18 font English 12-2018
-
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 8 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
8Crisis
Intervention
Services
9011
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
24 hours
Adult
Children
Youth
Older
Adult
Spanish
24-Hour evaluation
services including
assessment for
psychiatric
emergencies crisis
counseling
outpatient and
community referrals
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
9Crisis
Stabilization
Units (CSU)
9032
1212 N California
Street
Stockton CA
95202
(209) 468-8686
httpswwwsjg
ovorgmhs
24 hours
Adult
Adol-
escents
Older
Adult
Spanish
Cambo-
dian
Vietna-
mese
23-Hour psychiatric
assessment and
stabilization unit
Resources and
Referrals are
provided during
admission
Crisis Stabilization UC
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 9 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
10Forensic Court
Full Service
Partnership
(MHSA)
9091
1212 N California
Street Stockton CA
95202
(209) 468-8786
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Provides
comprehensive
psychiatric and
integrative services
to address the needs
of Mentally Ill
Offenders
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 10 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
11Gaining Older
Adult Life Skills
(GOALS) Full
Service Partnership
(MHSA)
9093
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Full Service
Partnership with the
emphasis on outreach
to the underserved
older adult
population ages
(60+)
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 11 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
12InSPIRE
(MHSA)
39AN
1212 N California
Street
Stockton CA
95202
(209) 468-8880
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Cambo-
dian Viet-
namese
MHSA innovation
component
providing learning
community
opportunities to
specialized cohorts
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 12 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
13La Familia
Clinic Full
Service
Partnership
(MHSA)
9092
1149 N El Dorado
Street
Stockton CA
95202
(209) 468-2335
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
Latino
out-
reach
and
access
Spanish
Psychiatric
assessment case
management
medication support
individual and group
therapy with a
special emphasis on
serving Spanish-
speaking persons
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 13 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
14Mary Graham
Childrens Shelter
9008
6861 Mary Graham
Lane
French Camp CA
95231
(209) 468-6966
httpwww
marygrahamfou
ndationorg
24 Hours
Children
and
Youth
Provides outpatient
mental health
services to residents
of Mary Graham
Childrens Shelter
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 14 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services)
Include-
ing ASL
YesNo YesNo YesNo
15MHSA TAY
FSP
39B1
1212 N California
Street Stockton
CA 95202
(209) 468-8862
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adults
Full service
partnership providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 15 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
16Older Adult
Services (OAS)
3980
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Cambo-
dian Viet-
namese
Comprehensive
Behavioral Health
Services for older
adults (60+) provided
by a multidisciplinary
team Services
include psychiatric
assessment
medication
support group
individual therapy
and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 16 of 66
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services
Includin
g ASL
YesNo YesNo YesNo
17 Peterson
Hall
9009
535 W Matthews
Rd French Camp
CA 95231
(209) 468-4240
hiipswwwsjg
ovorgmhs
M-F 8 am- 8
pm SatSun 10-
7 pm
Children
and
Youth
Cambo-
dian
Spanish
Provides outpatient
mental health services
to youth detained at
Peterson Hall
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
18Psychiatric
Health
Facility (PHF)
3976
1212 N California
Street Stockton
CA 95202
(209) 468-8686
httpswwwsjg
ovorgmhs 24
hours
Adult Spanish
24-hour inpatient
hospitalization
services
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
19San Joaquin
County MH
Services Lodi Clinic
3924
1209 W Tokay
Street
Suites 1 3 5 7 9
12 14 and 16
Lodi CA 95240
(209) 331-2070
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Children
Youth
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
North
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
20San Joaquin
County MH
Services Tracy
Clinic
9048
220 W Eleventh
Street
Tracy CA 95376
(209) 831-5941
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
South
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
21SJC-MHS
CYS Katie A
Services
9020
333 E Washington
Street
Stockton CA
95202
(209) 468-1547
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Children
and
Youth
Spanish
Hmong
Japanese
Provides in-home
and in-community
outpatient mental
health services to
WampI Code 300
dependent SJC
children
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition to
free Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
22Transcultural
Clinic
(TCC) - full range
of specialty mental
health services and
intensive case
management
program
9014
4422 N Pershing
Ave
Suites D1-D4
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available
in Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 21 of 66
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
23Southeast
Asian Recovery
Services (SEARS)
for the Southeast
Asian population-
Full Service
Partnership
(MHSA)
9094
4422 N Pershing
Avenue Suite D2
D3 D4 D5 D6
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available in
Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
CONTRACT ORGANIZATIONAL PROVIDERS
24Anka Lodi (was
Mourfield House)
9075
458 Almond Drive
Lodi CA 95240
(209) 982-4697
wwwankabhior
g M-F 8am-5pm
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 22 of 66
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
25ASPIRAnet
39AR
6 S El Dorado
Street Suite 510
Stockton CA
95202
(209) 478-9862
wwwaspiranet
Org
M-F 8 am- 5
pm
Children
and
Youth
Provides
Therapeutic
Behavioral Services
(TBS) and crisis
stabilization services
as an alternative to
psychiatric
hospitalization
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
26Bright House
9047
8210 Bright Road
French Camp CA
95231
(209) 982-1235
wwwankabhior
g 24 hours
Adult
Adult Transitional
Residential
Treatment Program
Medication Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
27Casa Pacifica
39AB
1722 S Lewis Road
Camarrillo CA
93012
(805) 981-1422
wwwcaspacific
aorg
M-F 8 am- 6 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
28CBIS
(University of the
Pacific)
39A1
405 E Pine Street
Stockton CA
95204
(209) 476-1959
wwwcommunit
yre-
entryprogramco
m M-F 8am-430
pm
Adult
Spanish
Behavioral
Intervention Services
Mental Health Services
Intensive Home Based
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
29Chamberlains
Children Center
Inc
39B4
1850 San Benito
Street
Hollister CA
95023
(831) 636-2121
wwwchamberla
inccorg
M-F 8 am- 5 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
30Charis Youth
Center
9057
714 W Main Street
Grass Valley CA
95945
(530) 477-9800
wwwcharisyout
hcenterorg
M-F 830 am-
430 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
31Child Abuse
Prevention Council
39A8
540 N California
Street
Stockton CA
95202
(209) 644-5311
wwwnochildab
useorg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health services
utilizing
strengthening family
approach
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
32Community
Re- Entry
Program (CRP)
9044
405 E Pine Street
Stockton CA
95204
(209) 946-2132
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
independent living
skills training and
rehabilitation
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
33Crestwood
Solano
(PHF)
39A8
2201 Tuolumne
Street Suite B
Vallejo CA 94589
(707) 558-1777
wwwcrestwood
behavioralhealth
com
24
hours
Adult
24-hour
inpatient
hospitalization
services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
34Crittenton
Services For
Children And
Families
39B3
100 E Valley View
Drive Fullerton CA
92832
(714) 680-8268
wwwcrittentons
ocalorg
M-F 830 am- 5
pm
Children
and
Youth
Residential
facility providing
mental health
treatment to youth
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS)
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
35Edgewood
Center for
Children and
Families
39AV
1801 Vincente
Street San
Francisco CA
94116
(415) 681-3211
wwwedgewood
org
24
Hrs
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
36Fred Finch
Youth
Center
39AY
3800 Coolidge
AvenueOakland
CA 94602
(510) 482-2244
wwwfredfinch
Org
M-F 830 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
37Grant House
9064
1117 S Grant
Street Stockton
CA 95206
(209) 461-6500
wwwankabhior
g 24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
38Latino
Behavioral Health
and Recovery
Services
9067
445 N San Joaquin
Street
Stockton CA
95202
(209) 444-8910
wwwelconcilio
Org
M-F 8 am- 5 pm
Adult
Spanish
Provides Culturally
Competent
Services to Latinos
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
39Martin Gipson
Socialization Center
9043
405 E Pine Street
Stockton CA
95204
(209) 464-5519
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
socialization
vocational and
educational
opportunities for
Adult Mentally
ill consumers
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 33 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
40Mountain
Valley Child and
Family Services
Inc
9039
24077 Highway 49
Nevada City CA
95959
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Therapeutic
Behavioral Services
(TBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 34 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
41Mountain
Valley Child and
Family Services
Inc
39A4
7818 Bar Du Lane
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 35 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
42Mountain
Valley Child and
Family Services
Inc
39A3
6171 Bradshaw Rd
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 36 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
43Mountain
Valley Child and
Family Services
Inc
39A2
9200 Sweet Acacia
Way Sacramento
CA 95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 37 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
44Phoenix House
of
Los Angeles Inc
39B6
1600 Eldrige
Avenue Lake View
Terrace CA 91342
(818) 686-3000
wwwphoenixho
useorg
M-F 8 am- 530
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 38 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
45Rebekah
Childrenrsquos
Home
39AU
290 IOOF Avenue
Gilroy CA 95020
(408) 846-2100
wwwrcskidsor
g
M-F 8 am- 530
pm
Children
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 39 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
46Sacramento
Childrens Home
9076
2750 Sutterville
Road Sacramento
CA 95820
(916) 452-3981
wwwkidshome
Org
M-F 830 am - 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 40 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
47San Gabriel
Childrens Center
Out Patient
39B7
4740 N Grand
Avenue Covina CA
91724
(626) 859-2089
wwwsangabriel
childcom
M-F 8 am- 5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 41 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
48Star View
Adolescent Center
OP
39BB
4025 West 226th
Street
Torrance CA
90505
(310)373-4556
wwwstarsincco
m 24 hours
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 42 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
49Summitview
Child Treatment
Center
9061
670 Placerville Dr
2 Placerville CA
95667
(530) 644-2412
wwwsummitvie
wtreatmentorg
M-F 8 am-5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 43 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
50Telecare (aka
Jeremy House)
39AX
5634 Jeremy Way
Stockton CA
95212
(209) 888-4969
wwwtelecareco
rpcom
24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
51Telecare Early
Intervention
Recovery Services
(TEIRS)
39B2
4545 Georgetown
Place Suite A3
Stockton CA
95207
(209) 715-3754
wwwtelecareco
rpcom
M-F 8 am- 5 pm
Adult
Spanish
Provides outpatient
mental health services
for children and
adults
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 44 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
52TLC Child and
Family Services
39A9
1800 Gravenstein
Hwy North Suite A
Sebastopol CA
95472
(707) 823-7300
httpwwwtlc4
kidsorg
M-F 8 am- 430
pm
Children
and
Youth
Community-based
program
providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 45 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
53Valley
Community
Counseling Services
(VCCS) (Manteca)
9040
129 E Center
Street Suite 3
Manteca CA
95336
(209) 239-5553
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health
services for children
and youth in South
County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 46 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
54Valley
Community
Counseling Services
(VCCS) (School
Based Program -
Stockton)
9042
6707 Embarcadero
Drive Suite A
Stockton CA
95219
(209) 956-4240
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Outpatient mental
health services
provided at various
schools in
Stockton Manteca
and Lodi
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 47 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
55Valley
Community
Counseling Services
(VCCS) (Tracy)
9041
19 East 6th Street
Tracy CA 95378
(209) 835-8583
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health services
for children and youth
in South County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 48 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
56Victor
Community
Services and
Support Stockton
(VCSS)
9063
2495 W March
Lane Suite 125
Stockton CA
25207
(209) 465-1080
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services in-home and
in community
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 49 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
57Victor
Treatment
Center - Santa Rosa
9083
3164 Condo Court
Santa Rosa CA
95403
(707) 523-2334
wwwvictororg
M-F 810 am- 4
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 50 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
58Victor
Youth Services
(North Valley
Schools)
39AC
855 Canyon Road
Redding CA
96001
(530) 378-1855
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 51 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
59Womens
Center- Family
and Youth
Services
39B6
729 N California
Street Stockton
CA 95202
(209) 929-6700
wwwwomensce
nteryfsorg
M-F 830 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
CONTRACT PSYCHIATRIC HOSPITALS
60BHC Heritage
Oaks
Hospital
4250 Auburn
Boulevard
(916) 489-3336
wwwheritageoa
kshospitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 52 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
61BHC Sierra
Vista
Hospital
8001 Bruceville
Road
(916) 423-2000
wwwsierravista
hospitalcom
24 hours
All ages
Yes
Yes
Yes
62St Helena
Hospital Center for
Behavioral Health
525 Oregon Street
(707) 648-2200
wwwadventisth
ealthorg
24 hours
All ages
Yes
Yes
Yes
63John Muir
Behavioral Health
Center
2740 Grant Street
(925) 680-6500
wwwjohnmuirh
ealthcom
24 hours
All ages
Yes
Yes
Yes
64Sutter Center for
Psychiatry
7700 Folsom
Boulevard
(916) 388-3045
wwwsuttermedi
calcenterorg
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 53 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
65Fremont
Hospital
39001 Sundale
Drive
(510) 796-1100
wwwfremontho
spitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 54 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake
Unit
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-9600
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Substance Use Disorder
Assessment for
Outpatient amp Inpatient
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 55 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
67 Chemical
Dependency
Counseling Center
(CDCC)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-3720
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Youth
Adult
Perinatal
Spanish
Mon Wed and Fri
8am-5pm
Closed Holidays
Outpatient Treatment
Perinatal Component
Intensive Outpatient
Youth Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 56 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
68 Alcohol amp Drug
Alternative Program
(ADAP)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-6840
Fax (209)468-
8640
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon Wed and Fri
8am-5pm
Tue And Thur
8am-7pm
Closed Holidays
Outpatient Court
Monitoring Education
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 57 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
69 Family Ties
500 W Hospital Rd
French Camp CA
95231
(209) 468-6208
Fax (209)468-
7032
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Adult
Perinatal
Spanish
24 Hour Services
Inpatient Treatment
Perinatal Component
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 58 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
70 Recovery House
500 W Hospital Rd
French Camp CA
95231
(209) 468-6857
Fax (209)468-
6739
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
24 Hour Services
Inpatient Treatment
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 59 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
71 Adolescent Co-
Occurring Treatment
Program (ACT)
Childrens Behavioral
Health Services
1414 N California
St 2nd Floor
Stockton CA 95202
(209) 468-2385
Fax (209)468-
8024
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Individual amp group
counseling and
education in conjunction
with the adolescentrsquos
mental health services a
partnership with Mental
Health Services and
Substance Abuse
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 60 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
72 Prevention
Services
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-2005
Fax (209)468-
2251
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Youth Services Parenting
Students In Prevention
(SIP)
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 61 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
73 Aegis
Treatment Center
8626 N Lower
Sacramento Road
Suite 41 Stockton
CA 95209
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1230pm
Sat Sun and
Holidays
6am-1030am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 62 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
74 5th Street
Medical Clinic
Stockton
1839 S El Dorado
St Stockton CA
95206
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 63 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
75 Aegis
Treatment Center
Healthy Connections
(California St)
Stockton
1947 N California
St Suites B and C
Stockton CA 95210
(209) 463-0870
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 64 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
76 Healthy
Connections Lodi
Clinic
441 South Ham
Lane Suite A
Lodi CA 95242
(209) 224-8490
httpsaegistreat
mentcenterscom
clinicaegis-
lodi-california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
7am-12 noon
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 65 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
77 Manteca
Healthy Connections
Center Street
955 W Center St
Suites 12A amp 14
Manteca CA 95337
(209) 239-9600
httpsaegistreat
mentcenterscom
clinicaegis-
manteca-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
8am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 66 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
78 MedMark
Treatment Center
1111 N El Dorado
St Stockton CA
95202
(209) 938-0228
httpmedmark
commedmark-
treatment-
centers-
stockton
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
Provider Name Facility NameID
Type of Practioner (licensed
amp Waivered)
National
Provider
Identifier
number California license number type of license
Cultu
ral
Comp
etenc
e
Traini
ng
(YN)1 Black
Awaremenss
Community
Outreach
ProgramMulti
cultural
Services Amarpreet Singh BHS BACOPMC Psychiatrist (Locum) 1235182916 Physician and Surgeon N
Aravind Pai BHS BACOPMC Psychiatrist (Locum) 1629076088 Physician and Surgeon A30319 N
Donna Bickham BHS BACOPMC Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Donnelle Tamayo BHS BACOPMC Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS BACOPMC Staff Nurse III 1104375724 Registered Nurse 723203 Y
Kathleen Wilson-Parish BHS BACOPMC Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS BACOPMC MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Nancy Nelson BHS BACOPMC Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Paul Wallace BHS BACOPMC Chief Psychiatric Tech 1114044799 Licensed Psychiatric Technician PT26296 Y
Quynh-Chi Nguyen BHS BACOPMC Staff Nurse III 1417371014 Registered Nurse 845080 Y
Scott Harrison BHS BACOPMC Clinician II 1518089317 Marriage and Family Therapist Intern IMF75861 Y
Shirley Hollowell BHS BACOPMC Registered Nurse 1124143474 Registered Nurse 352081 Y
2 Children and
Youth Services
Stockton Clinic Ganiya (Iyabo) Adediran
Childrens and Youth Services- Stockton
3915 Waivered 1881148690 81666 AMFT Y
Provider Staff Listing
Benjamin Alban
Childrens and Youth Services- Stockton
3915 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Stockton
3915 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Stockton
3915 Licensed 1821294455 105923 Psychiatrist Y
Valentin Avramov
Childrens and Youth Services- Stockton
3915 Licensed 1053488767 109609 Psychiatrist Y
Kristina Birch
Childrens and Youth Services- Stockton
3915 Waivered 1366874844 1809 APCC Y
Linda Brett
Childrens and Youth Services- Stockton
3915 Licensed 1295853299 523914 RN Y
Donna Cassettari
Childrens and Youth Services- Stockton
3915 Licensed 1497887699 43173 LMFT Y
Renessa Castaneda-Jensen
Childrens and Youth Services- Stockton
3915 Licensed 1376664862 81528 LMFT Y
Jacqueline Coulter
Childrens and Youth Services- Stockton
3915 Licensed 1720184765 41366LMFT Y
Courtney Flores
Childrens and Youth Services- Stockton
3915 Licensed 1851437735 29811 LCSQW Y
Maria Garcia
Childrens and Youth Services- Stockton
3915 Licensed 1235400557 80425 LCSW Y
Ikesha Goodwin
Childrens and Youth Services- Stockton
3915 Waivered 1104279728 101632 IMF Y
Kelsey Guidicatti
Childrens and Youth Services- Stockton
3915 Waivered 1245783687 93458 AMFT Y
Antonio Gutierrez
Childrens and Youth Services- Stockton
3915 Licensed 1023473469 71535 LCSW Y
Victoria Hall
Childrens and Youth Services- Stockton
3915 Licensed 1437464179 91065 LMFT Y
Nicole Hodgson
Childrens and Youth Services- Stockton
3915 Licensed 1962727792 85491 LMFT Y
Hudson Mark Hudson
Childrens and Youth Services- Stockton
3915 Licensed 1528190725 78609 LMFT Y
Shadai Lescale Huante
Childrens and Youth Services- Stockton
3915 Waivered 1528340320 59764 ACSW Y
Genevieve Lisenbey
Childrens and Youth Services- Stockton
3915 Waivered 1265698104 80465 AMFT Y
Sharon Lizotte
Childrens and Youth Services- Stockton
3915 Waivered 1851820708 101863 AMFT Y
Angie Nicholas
Childrens and Youth Services- Stockton
3915 Licensed 1679713796 52080 LMFT Y
Shiella Pablico
Childrens and Youth Services- Stockton
3915 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Sheilena Payne
Childrens and Youth Services- Stockton
3915 Licensed 1336437656 94571 LMFT N
Timothy Quinn
Childrens and Youth Services- Stockton
3915 Waivered 1316322381 79556 Marriage amp Family Therapist Intern Y
Joann Rihad
Childrens and Youth Services- Stockton
3915 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet
Childrens and Youth Services- Stockton
3915 Licensed 1366468555 C53401 Psychiatrist Y
Jacqueline Salgado
Childrens and Youth Services- Stockton
3915 Licensed 1043661903 95452 Marriage amp Family Therapist Y
Kristen Schneider
Childrens and Youth Services- Stockton
3915 Waivered 1578963591 72071 ACSW Y
Carla Simien
Childrens and Youth Services- Stockton
3915 Licensed 1629564000 40771 Licensed Psychiatric Technician N
Tamra Smith
Childrens and Youth Services- Stockton
3915 Licensed 1336267608 76975 LCSW Y
Maribel Vargas
Childrens and Youth Services- Stockton
3915 Waivered 1821247149 35622 ACSW Y
J Watkins
Childrens and Youth Services- Stockton
3915 Licensed 1043797871 4200 LPCC Y
Tamara Weber
Childrens and Youth Services- Stockton
3915 Licensed 1992101497 105926 LMFT Y
Amanda Yocham
Childrens and Youth Services- Stockton
3915 Licensed 1326103516 79068 LMFT Y
Nikki Young
Childrens and Youth Services- Stockton
3915 Waivered 1841692159 88891 AMFT Y
3 Children and
Youth Services-
Foster Youth
Full Service
Partnership Benjamin Alban
Childrens and Youth Services- Foster
Youth 9096 Licensed 1932227295 26094 LCSW Y
Maria Garcia
Childrens and Youth Services- Foster
Youth 9096 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Foster
Youth 9096 Licensed 1023473469 71535 LCSW Y
4 Children and
Youth Services-
Juvenile Justice
Full Srvice
Partnership Benjamin Alban
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1821294455 105923 Psychiatrist Y
Maria Garcia
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1023473469 71535 LCSW Y
Shabneet Hira Brar
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1851598452 A112447 Psychiatrist Y
Sheilena Payne
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1336437656 94571 LMFT N
5 Community
Adult
Treatment
Services Amanda Hurlock CATS OUTPATIENT 1836 Waivered 1205369899 AMFT 100834 Y
Adeline Mendez CATS OUTPATIENT 1836 Licensed 1255453353 PT 25868 Y
Anna Perez Testo CATS OUTPATIENT 1836 Licensed 1740309889 LMFT 52444 Y
Angelo Pasa CATS OUTPATIENT 1836 Licensed 1689874125 RN 691250 Y
Beverly Thompson CATS OUTPATIENT 1836 Waivered 1528311230 ACSW 70671 Y
Carolyn Walters CATS OUTPATIENT 1836 Licensed 1891815155 LMFT 43069 Y
Debra Baker CATS OUTPATIENT 1836 Waivered 1740610229 AMFT 95836 Y
Eloisa Velasco CATS OUTPATIENT 1836 Licensed 1740797976 PT 40651 Y
Francisco Arreola CATS OUTPATIENT 1836 waivered 1417359027 AMF 87821 Y
Heidi McHenry CATS OUTPATIENT 1836 Licensed 1861763294 PT 35949 Y
Helen Sprague CATS OUTPATIENT 1836 Waivered 1710325642 AMFT 75120 Y
Jane Sanchez CATS OUTPATIENT 1836 Licensed 1346406824 LMFT 50808 Y
Jannelle Heard CATS OUTPATIENT 1836 Waivered 1467813568 AMFT 95836 Y
Kara Herrick CATS OUTPATIENT 1836 Licensed 1518191659 LMFT 43283 Y
Keith Amador CATS OUTPATIENT 1836 Licensed 1891127403 LMFT 102725 Y
Cynthia Morishige CATS OUTPATIENT 1836 Licensed 1649396045 LCSW 13592 Y
Remedios Wallace CATS OUTPATIENT 1836 Licensed 1639294341 PT 24227 Y
Luis Garcia CATS OUTPATIENT 1836 Licensed 1346599677 LMFT 10398 Y
Maria Ayala CATS OUTPATIENT 1836 Waivered 1174991129 APCCI 3382 Y
Marie Daguman CATS OUTPATIENT 1836 Waivered 1619483237 ACSW 79980 Y
Mary Montgomery CATS OUTPATIENT 1836 Licensed 1538281183 LCSW82129 Y
Megan Curtiss CATS OUTPATIENT 1836 Waivered 1265836027 AMFT 107915 Y
Priscilla Kavanagh CATS OUTPATIENT 1836 Waivered 1528429057 APCC2122 Y
Elizabeth DeGravio CATS OUTPATIENT 1836 Licensed 1497167530 PT 37500 Y
Ramil Doronio CATS OUTPATIENT 1836 Licensed 1871767376 RN 555151 Y
Ronee Martin CATS OUTPATIENT 1836 Waivered 1932644796 AMFT 84987 Y
Sasha Jackson CATS OUTPATIENT 1836 Waivered 1295181295 ACSW 79996 Y
Sherri Helsby CATS OUTPATIENT 1836 Licensed 1669893764 LCSW 29248 Y
Teri Jorgensen CATS OUTPATIENT 1836 Licensed 1295071363 RN 469034 Y
Tiffany DeWitte CATS OUTPATIENT 1836 Licensed 1023143245 LCSW 29826 Y
Valerie-Ann Garcia CATS OUTPATIENT 1836 Licensed 1770606386 RN 704233 Y
Savoeun Phal CATS OUTPATIENT 1836 Waivered 1821513946 APCC 5278 Y
Joshua Merrill CATS OUTPATIENT 1836 Waivered 1114463957 AMFT 102798 Y
Gerado Manansala CATS OUTPATIENT 1836 Licensed 1215195813 A 102439 Y
Paul Mascovich CATS OUTPATIENT 1836 Licensed 1215921184 G 33950 Y
Jin Soofi CATS OUTPATIENT 1836 Licensed 1972592939 G 86240 Y
Sheril Keys CATS OUTPATIENT 1836 Licensed 1942664875 PT 38333 Y
Thomas Firnberg CATS OUTPATIENT 1836 Licensed 1164597472 A 040218 Y
Mohammad Jahangiri CATS OUTPATIENT 1836 Licensed 1720266760 A 56400 Y
Fouad Saddik CATS OUTPATIENT 1836 Licensed 1437254117 A 44865 Y
Kellie Salazar CATS OUTPATIENT 1836 Licensed 1295273654 PT 40326 Y
Suryabamu Javeed CATS OUTPATIENT 1836 Licensed 1568567105 A 56307 Y
Robert Graff CATS OUTPATIENT 1836 Licensed 1366560112 G 70479 Y
Chestermagno De La Cruz CATS OUTPATIENT 1836 Licensed 1619476637 PT40672 Y
6 Community
Corrections
Partnership Rico Molina AB10920 licensed 1255454203 LCSW25450 Y
Lawrence Shaddix AB10920 licensed 1508282286 IMF84560 Y
Randolph Herrington AB10920 licensed 1114141173 LMFT48970 Y
7 Crisis
Community
Response Team
(CCRT) Williams Wendy CCRT
MHC III
1265554638 LMFT 84045
Y
Ballesteros Patricia CCRT MHC 1790058352 LMFT 108455 Y
8 Crisis
Intervention
Services Graff Robert Crisis
MD
1366560112 G70479
Y
Gill Paramijit Crisis MD 1073629218 A49224 Y
Firnberg Thomas Crisis MD 1164597472 A040218 Y
Singh Karamjit Crisis MD 1083930440 A132050 N
Singh Amanpreet Crisis MD 1235182916 A78414 N
Lee Catherine Crisis MHC III 1073729646 LMFT 44225 Y
Saleem Noshela Crisis MHC III 1255585584 LCSW 67154 Y
Williams Wendy Crisis MHC III 1265554638 LMFT 84045 Y
Galindo Teresa Crisis MHC III 1700119369 LCSW 69736 Y
Molina-Eliab Sonya Crisis MHC 1497878482 AMFT 99087 Y
Tran Michelle Crisis MHC 1366642068 LCSW 81278 Y
Figueroa Carlos Crisis MHC 1306193933 LMFT 102315 Y
Ballesteros Patricia Crisis MHC 1790058352 LMFT 108455 Y
Nobles Shannon Crisis MHC 1457699720 AMFT 101531 Y
Saelee Cindy Crisis MHC 1255511614 LCSW 82456 Y
Maney Stephen Crisis MHC 1083985998 ASW 78482 Y
Lewman Brenda Crisis MHC 1821477035 LMFT106905 Y
Morales Leonardo Crisis MHC 1962822643 ASW 72730 Y
Grant Anika Crisis MHC 1649697137 AMFT 104116 Y
Sullivan Aisha Crisis MHC 1861772253 LCSW 75323 Y
Hodge Lewie Crisis MHC 1477044931 ASW 80338 N
Donato Imelda Crisis MHC 1194278085 APCC 2409 N
Redoblado Sheryl Crisis MHC 1871731513 LCSW 75136 Y
Walter Taffie Crisis CPT 1083735096 PT 32090 Y
DeJesus Carolyn Crisis CPT 1861650228 PT 34221 Y
McArthur Milagros Crisis PT 1477809929 PT 36471 Y
Olsen Chandra Crisis PT 1770914061 PT 37210 Y
Isham Loni Crisis PT 1891145033 PT 38233 Y
Bazua Melissa Crisis PT 1972944072 PT 36496 Y
Wright-Freeman Cody Crisis PT 1538584859 PT 37819 Y
Bareng Jeff Crisis PT 1043753478 PT 40284 Y
Gill Sandeep Crisis PT 1871852673 PT 34942 Y
Quitoriano Stephanie Crisis PT 1659798130 PT 37033 Y
Otero Luis Crisis PT 1487015582 PT 38229 Y
Price Jennifer Crisis PT 1932621893 PT 40662 Y
Kemp Sydney Crisis PT 1902383623 PT 34601 Y
9 Crisis
Stabilization
Units (CSU) Graff Robert CSU
MD
1366560112 G70479
Y
Allanki Sailaja CSU MD 1306897723 C138838 Y
Singh Karamjit CSU MD 1083930440 A132050 N
Brown Brandi CSU RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth CSU RN 1255459061 RN 488617 Y
Seraypheap Arunny CSU RN 1013037274 RN 547944 Y
Limas Deborah CSU RN 1073631727 RN 526984 Y
Winck Angela CSU RN 1083002992 RN 701021 Y
Cabrera Gilbert CSU RN 1679693766 RN 565185 Y
Mendoza Michelle CSU RN 1477951812 RN 797022 Y
Blackman Demerica CSU RN 1932619517 RN 850647 Y
Laizer Gloria CSU RN 1255706479 RN 764452 Y
Odametey Ama CSU RN 1700366358 RN 835504 N
Hawkins Lynnetta CSU MHC III 1437436938 LMFT 93110 Y
Lambert Rekha CSU MHC 1164647525 LMFT 10386 Y
Nguyen Thao CSU MHC 1912214065 LMFT 88176 Y
Navarro Grace CSU MHC 1083737753 ASW 72678 Y
Limas Stephanie CSU MHC 1053433748 LMFT 99397 Y
Little Christy CSU PT 1497978795 PT 28731 Y
Abundez Jesse CSU CPT 1841413036 PT 29162 Y
Montantes Michael CSU CPT 1780018390 PT 37071 Y
DeJesus Carolyn CSU CPT 1861650228 PT 34221 Y
Arriola Eulalie CSU CPT 1255573044 PT 34426 Y
Hardy Denise CSU PT 1912202813 PT 33714 Y
Harbin Toni CSU PT 1639475049 PT 28726 Y
Fortes Catherine CSU PT 1346681442 PT 36982 Y
Mocko James CSU PT 1558726224 PT 38249 Y
Menius Victoria CSU PT 1487074258 PT 37534 Y
Brown Kristaline CSU PT 1750723821 PT 32575 Y
Thorpe William CSU PT 1326599770 PT 40154 Y
Look Jasmin CSU PT 1194143198 PT 37492 Y
Mariano Joseph CSU PT 1609208172 PT 36968 Y
Marglin Lisa CSU PT 1558733576 PT 38247 Y
Clutario Dindo CSU PT 1164664512 PT 34295 Y
Ripoyla Jerral CSU PT 1821511700 PT 40644 Y
Varquez Sharon CSU PT 1366682387 PT 34435 Y
Holmes Sherronya CSU PT 1205214228 PT 37605 Y
Duncan Deanna CSU PT 1043674963 PT 38260 Y
Vang Mai CSU PT 1982103081 PT 40697 Y
Vong Tharith CSU PT 1134624802 PT 40678 N
Ridad Anthony CSU PT 1659887750 PT 40713 Y
Hill Brandon CSU PT 1053803890 PT 40412 Y
Singh Jasvir CSU PT 1477833911 PT 36007 Y
Kottke Marline CSU LVN 1891223111 LVN 198957 Y
10 Forensic
Court Full
Service
Partnership Edward Olpin BHSJDDSAS licensed 1477687077 LCSW24055 Y
Betsey McCall-Salerno BHSJDDSAS licensed 1740574672 LMFT42444 Y
Isabella Padilla Pereira Forensic74 licensed 1174871818 LMFT97934 Y
Alexander Anderson Forensic MCST74 licensed 1417183385 ASW70838 Y
Joseph Zummo Forensic74 licensed 1497927487 AMFT105417 Y
11 Gaining
Older Adult Life
Skills
(GOALS) Full
Service
Partnership
(MHSA) Crystal Thao GOALS 7523 Waivered 1609183748 ACSW 35249 Y
Jessica Preston GOALS 7523 Waivered 1649727066 ACSW 79154 Y
Karla Romero GOALS 7523 Waivered 1083133276 AMFT 100573 Y
Tracy House GOALS 7523 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi GOALS 7523 Licensed 1093911224 LMFT 40177 Y
Sue Gruber GOALS 7523 Licensed 1811014780 LCSW 29008 Y
Christine Blue GOALS 7523 Licensed 1093786683 A 10733 Y
Katheine Hedrick GOALS 7523 Licensed 1043699333 RN 683243 Y
Cynthia Resendez GOALS 7523 Licensed 1780877845 A84098 Y
12 InSpire
(MHSA) Debra Baker InSprire 7023 Waivered 1740610229 AMFT 95836 Y
Elizabeth DeGravio InSprire 7023 Licensed 1497167530 PT 37500 Y
13 La Familia
Clinic Full
Service
Partnership Nancy Nelson BHS La Familia Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Jane Fernandez BHS La Familia Psychiatrist 1194799395 Physician and Surgeon A93060 Y
Pamela Smith BHS La Familia Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Aravind Pai BHS La Familia Psychiatrist (Locum) 1235182916 Physician and Surgeon A30319 N
Cynthia Resendez BHS La Familia Psychiatrist 1780877845 Physician and Surgeon A84098 Y
Donna Bickham BHS La Familia Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS La Familia Registered Nurse 1124143474 Registered Nurse 352081 Y
Kathleen Wilson-Parish BHS La Familia Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS La Familia MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Alexander Largaespada BHS La Familia Clinician 1881902161 Marriage and Family Therapist Intern IMF93473 Y
Lynn Tarrant BHS La Familia Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
Adriana Cruz BHS La Familia Clinician II 1871612697 Licensed Clinical Social Worker LCSW81643 Y
Scarlette Aranda BHS La Familia Clinician I 1295929529 Associate Clinical Social Worker 83748 Y
Donnelle Tamayo BHS La Familia Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS La Familia Staff Nurse III 1104375724 Registered Nurse 723203 Y
14 Mary
Graham
Childrens
Shelter Renessa Castaneda-Jensen Mary Graham Childrens Shelter 9008 Licensed 1376664862 81528 LMFT Y
15 MHSA TAY
FSP Heidi McHenry TAY FSP Licensed 1861763294 PT 35949 Y
Jannelle Heard TAY FSP Waivered 1467813568 AMFT 95836 Y
Ronee Martin TAY FSP Waivered 1932644796 AMFT 84987 Y
Sasha Jackson TAY FSP Waivered 1295181295 ACSW 79996 Y
16 Older Adult
Services (OAS) Crystal Thao OAS 8236 Waivered 1609183748 ACSW 35249 Y
Jessica Preston OAS 8236 Waivered 1649727066 ACSW 79154 Y
Karla Romero OAS 8236 Waivered 1083133276 AMFT 100573 Y
Tracy House OAS 8236 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi OAS 8236 Licensed 1093911224 LMFT 40177 Y
Sue Gruber OAS 8236 Licensed 1811014780 LCSW 29008 Y
Christine Blue OAS 8236 Licensed 1093786683 A 10733 Y
Katheine Hedrick OAS 8236 Licensed 1043699333 RN 683243 Y
Cynthia Resendez OAS 8236 Licensed 1780877845 A84098 Y
17 Peterson
Hall Jennifer Domingo Peterson Hall 9009 Licensed 1104097286 50961 LMFT Y
Shabneet Hira Brar Peterson Hall 9009 Licensed 1851598452 A112447 Psychiatrist Y
Karina Jimenez Peterson Hall 9009 Waivered 1477891679 78261 AMFT Y
Helan Nguyen Peterson Hall 9009 Waivered 1801135876 85251 AMFT Y
Shiella Pablico Peterson Hall 9009 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Joann Ridad Peterson Hall 9009 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet Peterson Hall 9009 Licensed 1366468555 C53401 Psychiatrist Y
Carla Simien Peterson Hall 9009 Licensed 1629564000 40771 Licensed Psychiatric Technician Y
Fay Vieira Peterson Hall 9009 Licensed 1982815684 50276 LMFT Y
18 Psychiatric
Health Facility
(PHF)
Gill Paramijit
PHF
MD
1073629218 A49224
Y
Hart Robert PHF MD 1477660074 C38923 Y
Silver Hilary PHF MD 1720201221 C33442 Y
Brown Brandi PHF RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth PHF RN 1255459061 RN 488617 Y
Seraypheap Arunny PHF RN 1013037274 RN 547944 Y
Limas Deborah PHF RN 1073631727 RN 526984 Y
Winck Angela PHF RN 1083002992 RN 701021 Y
Cabrera Gilbert PHF RN 1679693766 RN 565185 Y
Mendoza Michelle PHF RN 1477951812 RN 797022 Y
Blackman Demerica PHF RN 1932619517 RN 850647 Y
Laizer Gloria PHF RN 1255706479 RN 764452 Y
Odametey Ama PHF RN 1700366358 RN 835504 N
Camello Bena PHF MHC 1053581116 LCSW 65302 Y
Shah Mamoona PHF MHC 1407978471 Waivered Y
Mills Rachelle PHF MHC 1326169350 LMFT 81070 Y
Little Christy PHF PT 1497978795 PT 28731 Y
Bomar Dolfa PHF CPT 1881817567 PT 31571 Y
DeJesus Carolyn PHF CPT 1861650228 PT 34221 Y
Varquez Sharon PHF PT 1366682387 PT 34435 Y
Pot Sambo PHF PT 1104378827 PT 33626 Y
Bou Jennifer PHF PT 1033652466 PT40281 Y
Sesante Maria PHF PT 1851515720 PT 30936 Y
Ota Robert PHF PT 1578786554 PT 33792 Y
Pinano Paolo PHF PT 1245352616 PT 33726 Y
Ruiz Ronald PHF PT 1700907094 PT 27494 Y
Villasenor Kendra PHF PT 1447518204 PT 36449 Y
Deol Sukhvinder PHF PT 1508988593 PT 30288 Y
Bokelman Roy PHF PT 1114040003 PT 32628 Y
Seba Vicki PHF PT 1639291636 PT 31714 Y
Siador Jill PHF PT 1366884058 PT 36818 Y
Polk Rhonda PHF PT 1316160146 PT 20798 Y
Zorea Dylan PHF PT 1467573766 PT28206 Y
Chapin Larry PHF PT 1528200169 PT 26162 Y
19 San Joaquin
County MH
Services Lodi
Clinic Ruth Johnson Lodi Outpatient 6036 Licensed 1265535538 LCSW 15213 Y
Judith Dolyniuk Lodi Outpatient 6036 Licensed 1518182534 LMFT 97680 Y
Amy Massie Lodi Outpatient 6036 Waivered 1356798391 AMFT 100785 Y
Shayne Maniti Lodi Outpatient 6036 Licensed 1689854093 PT 33732 Y
Saba Rizvi Lodi Outpatient 6036 Licensed 1619190501 A 95786 Y
Avramov Valentin Lodi Outpatient 6036 Licensed 1053488767 109609 Psychiatrist Y
Hill Patricia Lodi Outpatient 6036 Licensed 1902926231 23764 LCSW Y
Mann Bhupinderpreet Lodi Outpatient 6036 Waivered 1174603039 80464 AMFT Y
20 San Joaquin
County MH
Services Tracy
Clinic Ashley Smerdon Tracy Clinic 6136 Waivered 1265713929 MFT87560 Y
Jennifer Spruill Tracy Clinic 6136 Licensed 1518232321 LCSW 69544 Y
Simone Litsch Tracy Clinic 6136 Licensed 1598882599 A 89254 Y
Aravind Pai Tracy Clinic 6136 Licensed 1629076088 A30319 N
Gabriel Holguin Tracy Clinic 6136 Licensed 1255704094 PT38216 Y
21 SJC- MHS
CYS Katie A
Services Sailaja Allanki CYS Katie A Services 9020 Licensed 1306897723 138838 Psychiatrist Y
Kristina Birch CYS Katie A Services 9020 Waivered 1366874844 1809 APCC Y
Maria Boklund CYS Katie A Services 9020 Licensed 1396157061 48496 LMFT Y
Linda Brett CYS Katie A Services 9020 Licensed 1295853299 523914 RN Y
Renessa Castaneda-Jensen CYS Katie A Services 9020 Licensed 1376664862 81528 LMFT Y
Maria Gamino CYS Katie A Services 9020 Waivered 1710386453 73292 ASW N
Shabneet Hira Brar CYS Katie A Services 9020 Licensed 1851598452 A112447 Psychiatrist Y
Catherine Navarrete CYS Katie A Services 9020 Waivered 1619456076 105076 Marriage amp Family Therapist Y
Leora Pollock CYS Katie A Services 9020 Licensed 1245663426 75192 LCSW Y
Kim Saing CYS Katie A Services 9020 Licensed 1982722666 51242 LMFT Y
Anastacia Stanley CYS Katie A Services 9020 Licensed 1528299724 87417 LMFT N
Patricia Young CYS Katie A Services 9020 Waivered 1780051375 94965 ASSOCIATE MARRIAGE amp FAMILY THERAPIST Y
22
Transcultural
Clinic (TCC) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
23 Southeast
Asian Recovery
Services
(SEARS) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
CONTRACT ORGANIZATIONAL PROVIDERS
24 Anka Lodi (
was Mourfield
House) Meloney West Anka Lodi AMFT 1649523283 Y
Eon Lawrence Losefa Anka Lodi LMFT 1982898276 104807 Y
Aaron Fett Anka Lodi Psychology Intern 1932352424 Y
25 ASPIRAnet Courtney Warfield-Gibbs ASPIRAnet Waivered 1285958520 ACSW 70918 Y
Melissa Wimer ASPIRAnet Licensed 1467946301 LMFT 81226 Y
Patricia A Jackson ASPIRAnet Waivered 1780848853 AMFT 73975 Y
Vijai Pandey ASPIRAnet Waivered 1710497938 AMFT 70416 Y
Amir Siddiqui ASPIRAnet Waivered 1336617844 APCC 5341 N
26 Bright
House Robert Lee Majors Bright House LMFT 1780692806 49236 Y
27 Casa Pacifica - OUT OF COUNTY PROVIDER
28 CBIS (University of the Pacific)- NON LICENSED STAFF ONLY
29 Chamberlains Children Center Inc -OUT OF COUNTY PROVIDER
30 Charis Youth Center- OUT OF COUNTY PROVIDER
31 Child Abuse
Prevention
Council Roger Duke Child Abuse Prevention Council LMFT 1992861082 79588 Y
Cassandra Lowe Child Abuse Prevention Council AMFT 1205278694 75983 Y
Stacey Tidwell Child Abuse Prevention Council ACSW 1790189413 72578 Y
Nazia Khan Child Abuse Prevention Council AMFT 1508227158 81499 Y
Lisa Aguilar Child Abuse Prevention Council ACSW 1417401035 73365 Y
Anabel Montejano Child Abuse Prevention Council ACSW 1740656636 78974 Y
Catherine Thiel Child Abuse Prevention Council LCSW 1134569791 82263 Y
Michelle Nelson Child Abuse Prevention Council AMFT 1891173357 94133 Y
Maria Cardoza Child Abuse Prevention Council AMFT 1467861252 87554 Y
Thear Chum Child Abuse Prevention Council ACSW 1134648231 83947 Y
Kaitlyn Reilly Child Abuse Prevention Council ACSW 1205381613 83651 Y
Laura Rodriguez Child Abuse Prevention Council ACSW 1316498892 78113 Y
Diana Strimling Child Abuse Prevention Council AMFT 1316221765 104452 Y
32 Community Re-Entry Program (CRP)- NON LICENSED STAFF ONLY
33 Crestwood Solano (PHF)- Out of County Provider
34 Crittenton Services For Children and Families -OUT OF COUNTY PROVIDER
35 Edgewood Center for Children and Families- OUT OF COUNTY PROVIDER
36 Fred Finch Youth Center- OUT OF COUNTY PROVIDER
37 Grant
House Meloney West Grant House AMFT 1649523283 Y
JoAnn Marie Cornelius Grant House LPT 1205877727 35804 Y
Melinda Carchidi Grant House Psychology Intern 1609151653 Y
38 Latino
Behavioral
Health and
Recovery
Services Alexander Largaespada Latino Behavioral Health AMFT 181902161 AMFT 93473 Y
Maria De La Luz Torres Latino Behavioral Health ACSW 1003323361 ASW80844 N
Lynn Tarrant Latino Behavioral Health Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
39 Martin Gipson Socialization Center- NON LICENSED STAFF ONLY
40 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
41 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
42 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
43 Mountain Valley Child and Family Services Inc- OUT OF COUNTY PROVIDER
44 Phoenix House of Los Angeles Inc- OUT OF COUNTY PROVIDER
45 Rebekah
Childrens
Home Bhatti Moeen Rebekah Childrens Home licensed 1205023736 A 100193 Physician amp SurgeonMD DEA FB4071332 Y
Cervantes Priscilla Rebekah Childrens Home licensed 1679081582 693037 LVN N
Delgado Melissa Rebekah Childrens Home licensed 1881002186 105380 LMFT Y
Downey Ruth Rebekah Childrens Home licensed 1790161339 100524 LMFT Y
Machuca Lopez Cynthia Rebekah Childrens Home waivered 1386053817 74884 ACSW Y
Moeller Ryan Rebekah Childrens Home waivered 1316303803 91385 AMFT Y
Vaca-Preez Alejandra Rebekah Childrens Home waivered 1629418876 36752 ACSW Y
Vargas-Gladen Rosalva Rebekah Childrens Home licensed 1326114372 46940 LMFT Y
46 Sacramento Childrens Home- OUT OF COUNTY PROVIDER
47 San Gabriel Childrens Center Out Patient- OUT OF COUNTY PROVIDER
48 Star View Adolescent Center OP- OUT OF COUNTY PROVIDER
49 Summitview Child Treatment Center- OUT OF COUNTY PROVIDER
50 Telecare
(aka Jeremy
House) Jessica Reiland Telecare- Jeremy House ASW (waived) Clinician 1003154634 70377 Y
Thuy Huynh Telecare- Jeremy House LPT Nurse 1033485495 36454 Y
Shannan Taylor Telecare- Jeremy House LMFT Regional Director 1528074770 LMFT46081 Y
51 Telecare
Early
Intervention
Recovery
Services (TEIRS) Melissa Planas ` LCSW 1679807994 LCSW66499 Y
Holli Hoffman TEIRS DNP 1144380940 2005000091 Y
Oshalique Bass TEIRS PCCI Waived 1477811677 5490 Y
Tran tran TEIRS LVN 1477084671 VN 275938 Y
Jennifer Miles TEIRS MD 1275541641 G83528 Y
Shannan Taylor TEIRS LMFT 1528074770 LMFT46081 Y
52 TLC Child and Family Services- OUT OF COUNTY PROVIDER
53 Valley
Community
Counseling
Services (VCCS)
(Manteca) 9040 Muhammad Kamran VCCS Manteca 9040 Licensed 1811051337 C53847 Psychiatrist Y
Patricia Goodman VCCS Manteca 9040 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Manteca 9040 Clinician 1578734687 AMFT 80527 Y
Alisha Sweyd VCCS Manteca 9040 Clinician 1689059941 AMFT 96911 Y
Teresa Viles-Reed VCCS Manteca 9040 Clinician 1386762623 PhD PSY14848 Y
54 Valley
Community
Counseling
Services (VCCS)
(School Based
Program-
Stockton) 9042 Cynthia Aguilera VCCS Stockton 9042 Clinician 1003326182 AMFT 102123 Y
Melanie Almada VCCS Stockton 9042 Clinician 1912396532 AMFT 92167 Y
Arica Arucan VCCS Stockton 9042 Clinician 1215258280 LCSW 72691 Y
Megan Bassi VCCS Stockton 9042 Clinician 1669833885 AMFT 91956 Y
Manjit Belanger VCCS Stockton 9042 Clinician 1255780771 AMFT 100537 Y
Ana De Trinidad VCCS Stockton 9042 Clinician 1043501570 AMFT 95408 Y
Tiffany Drake VCCS Stockton 9042 Clinician 1417456617 AMFT 103265 Y
Sarah Gard VCCS Stockton 9042 Clinician 1477966265 LMFT 106055 Y
Patricia Goodman VCCS Stockton 9042 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Stockton 9042 Clinician 1578734687 AMFT 80527 Y
Alicia Jackson VCCS Stockton 9042 Clinician 1912386525 AMFT 93526 Y
Naomi Jimenez VCCS Stockton 9042 Clinician 1669927828 AMFT 80527 Y
Leonard Lippert VCCS Stockton 9042 Clinician 1154691137 AMFT 101758 Y
Sandra McBride VCCS Stockton 9042 Clinician 1033467030 AMFT 75525 Y
Monika Muy VCCS Stockton 9042 Clinician 1982008603 ACSW 67390 Y
Desiree Nease VCCS Stockton 9042 Clinician 1447703491 ACSW 71196 Y
Katelyn Nelson VCCS Stockton 9042 Clinician 1669998290 ACSW 77372 Y
Elaine Pike VCCS Stockton 9042 Clinician 1508875055 LMFT 45258 Y
Cristal Rodriguez VCCS Stockton 9042 Clinician 1760938740 AMFT 93861 Y
Reshma Roy VCCS Stockton 9042 Clinician 1073061784 ACSW 66474 Y
Belem Ruiz VCCS Stockton 9042 Clinician 1508380411 AMFT 100924 Y
Jenna Santoyo VCCS Stockton 9042 Clinician 1457584567 LCSW 29827 Y
Riah Skrinnik VCCS Stockton 9042 Clinician 1295275592 APCC 3532 Y
Kristyn Towers VCCS Stockton 9042 Clinician 1942671052 AMFT 89172 Y
Alexsandra Trejo VCCS Stockton 9042 Clinician 1750837985 AMFT 92738 Y
Vichra You VCCS Stockton 9042 Clinician 1013437714 AMFT 99071 Y
55 Valley
Community
Counseling
Services (VCCS)
(Tracy) 9041 Muhammad Kamran VCCS Tracy 9041 Licensed 1811051337 C53847 Psychiatrist Y
Rosemary Cervantes VCCS Tracy 9041 Clinician 1407299738 AMFT 72397 Y
Laura Strickland VCCS Tracy 9041 Clinician 1538354543 2012633 Y
Lani Westervelt VCCS Tracy 9041 Clinician 1629191366 LMFT 38654 Y
56 Victor
Community
Services and
Support
Stockton
(VCSS) 9063 Loiuse Cerna VCSS Stockton 9063 MFTI 1346794690 92730 - Marriage and Fmily Therapist Intern Y
Aziza Citi VCSS Stockton 9063 LMFT 1831510650 96329 - Licensed Marriage and Family Therapist Y
Melissa Colon VCSS Stockton 9063 MFTI 1871663351 77340 - Marriage and Family Therapist Intern Y
Itzia Cruz VCSS Stockton 9063 ACSW 1639533987 80056 - Associate Clinical Social Worker Y
Tracy Cutino VCSS Stockton 9063 LMFT 1740297902 47897 - Licensed Marriage and Family Therapist Y
Betia Dadkhah VCSS Stockton 9063 LMFT 1083709380 44160 - Licensed Marriage and Family Therapist Y
Mark Edelstein VCSS Stockton 9063 MD 1972516714 C41340 - Physician amp Surgeon Y
Sharee Esparza VCSS Stockton 9063 MFTI 1982145504 102079 - Marriage and Family Therapist Intern Y
Tanner Hickman VCSS Stockton 9063 ACSW 1194272146 78099 - Associate Clinical Social Worker Y
Courtney Ivy VCSS Stockton 9063 MFTI 1679959217 71048 - Marriage and Family Therapist Intern Y
Giana Kooger VCSS Stockton 9063 LMFT 1720318132 86206 - Licensed Marriage and Family Therapist Y
Sheree Lozano VCSS Stockton 9063 MFTI 1538523501 88637 - Marriage and Family Therapist Intern Y
Christina Lopez VCSS Stockton 9063 MFTI 1265705727 102443 - Marriage and Family Therapist Intern Y
Koryn Marshall VCSS Stockton 9063 LMFT 1962881870 86263 - Licensed Marriage and Family Therapist Y
Adrianna Martinez VCSS Stockton 9063 MFTI 1851831242 107761 - Marriage and Family Therapist Intern Y
Laura Rodriguez VCSS Stockton 9063 ACSW 1316498892 78113 - Associate Clinical Social Worker Y
Jacquelyn Seefeldt VCSS Stockton 9063 MFTI 1124250204 74064 - Marriage and Family Therapist Intern Y
Heather Taylor VCSS Stockton 9063 LMFT 1265514251 44021 - Licensed Marriage and Family Therapist Y
Palei Triguero VCSS Stockton 9063 MFTI 1871994285 86335 - Marriage and Family Therapist Intern Y
Wendy True VCSS Stockton 9063 LMFT 1750476438 44262 - Licensed Marriage and Family Therapist Y
Jennifer Tutt VCSS Stockton 9063 LCSW 1316134091 27530 - Licensed Clinical Social Worker Y
Sarah Voss VCSS Stockton 9063 LMFT 1275602914 51406 - Licensed Marriage and Family Therapist Y
Michelle Zuckerman VCSS Stockton 9063 LMFT 1891948691 84298 - Licensed Marriage and Family Therapist Y
57 Victor Treatment Center - Santa Rosa- OUT OF COUNTY PROVIDER
58 Victor Youth Services (North Valley Schools)- OUT OF COUNTY PROVIDER
59 Womens Center- Family and Youth Services httpswwwwomenscenteryfsorgindexphpget-helptherapy-services
CONTRACT PSYCHIATRIC HOSPITALS
60 BHC Heritage Oaks Hospital - Out of County Hospital
61 BHC Sierra Vista Hospital - Out of County Hospital
62 St Helena Hospital Center for Behavioral Health - Out of County Hospital
63 John Muir Behavioral Health Center - Out of County Hospital
64 Sutter Center for Psychiatry - Out of County Hospital
65 Fremont Hospital - Alka Aneja Fremont Hospital ChildAdolescent MD 1619031317 A112029BA9881017 Y
Harmohinder Athwal Fremont Hospital ChildAdolescent MD 1740298256 A81841BA8179473 Y
Kamaljeet Boora Fremont Hospital Psychiatry MD 1356587711 102846FB0978823 N
Vikas Duvvuri Fremont Hospital EDO MD 1255470480 A99706FD0242064 Y
Trevor Fooks Fremont Hospital Psychiatry MD 1730267535 G63964BF1543695 Y
Ravinder Kahlon Fremont Hospital NeuroPsych MD 1386741320 A50823BK2018934 N
Vasdeep Kahlon Fremont Hospital Psychiatry MD 1497852446 A51243BK2742535 N
Padmavathi Kudaravalli Fremont Hospital Internal Medicine MD 1144221953 A67964BK6574974 Y
Pradeep Kumar Fremont Hospital Psychiatry MD 1023188935 A52032BK4202177 N
Deepak Kumar Fremont Hospital Psychiatry MD 1306257910 A130068FK4574299 Y
Sudha Manjunath Fremont Hospital ChildAdolescent MD 1801826797 A87131BM8982818 Y
Syed Munir Fremont Hospital ChildAdolescent MD 1790718815 C55029BM3999553 Y
Nanda Nayak Fremont Hospital Psychiatry MD 1477656262 A43182BN0687597 N
Falguni Patel Fremont Hospital ChildAdolescent MD 1548414337 A105594FP1152949 Y
Surender Punia Fremont Hospital Psychiatry MD 1376589663 A77004BP6477497 Y
Divya Reddy Fremont Hospital Psychiatry MD 1518120211 A103547FR1100306 Y
Devindar Singh Fremont Hospital Internal Medicine MD 1447294624 A48148BS2303422 N
Sunpreet Singh Fremont Hospital Psychiatry MD 1326464462 A132932FS5027087 Y
Bhupinder Waraich Fremont Hospital Psychiatry MD 1689869547 A53968BW4473346 Y
Jaap Kaur Waraich Fremont Hospital Psychiatry MD 1316132285 G67904BW2368391 Y
Nicholas Phillips Fremont Hospital Family Medicine MD 1255727293 A153125FP7288841 N
Harleen Dyal Fremont Hospital Family Medicine MD 1225424327 A153255FD7288839 N
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake Unit-Referrals to Licensed Staff
67 Chemical
Dependency
Counseling
Center ( CDCC) Tyler Moran Chemical Dependency Counseling Center 390002DNAMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Chemical Dependency Counseling Center 390002DNMFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Chemical Dependency Counseling Center 390002DNPsychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Chemical Dependency Counseling Center 390002DNPsychiatrist 1710094057 A72805 Y
68 Alcohol amp Drug Alternative Program (ADAP)-Referrals to Licensed Staff
69 Family Ties Tyler Moran Family Ties 390002EN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Family Ties 390002EN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Family Ties 390002EN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Family Ties 390002EN Psychiatrist 1710094057 A72805 Y
70 Recovery
House Tyler Moran Recovery House 390002AN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Recovery House 390002AN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Recovery House 390002AN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Recovery House 390002AN Psychiatrist 1710094057 A72805 Y
71 Adolescent Co- Occurring Treatment Program (ACT) Childrens Behavioral Health Services- Referrals to Licensed Staff
72 Prevention Services- Referrals to Licensed Staff
NARCOTIC TREATMENT PROGRAMSMEDICATION ASSISTED TREATMENT
73 Aegis
Treatment
Center Dr Randall Paul Aegis Treatment Center Medical License 1912061045 A26361 Y
Linda Beccerra Aegis Treatment Center Vocation Nurse VN 183039 Y
Dora Berry Aegis Treatment Center Vocation Nurse VN 689493 Y
Jeannette Carter-Camp Aegis Treatment Center Vocation Nurse 1740480342 NP 7506 Y
Francisca Marquez Aegis Treatment Center Vocation Nurse VN 287402 Y
74 5th Street
Medical Clinic
Stockton Dr Michael Fox 5th Street Medical Clinic Medical License 1212069758 G53561 Y
Melissa Whitworth 5th Street Medical Clinic Vocation Nurse RN 541037 Y
Divina Palafox 5th Street Medical Clinic Vocation Nurse 1912061995 VN 17300 Y
Divna Lu 5th Street Medical Clinic Vocation Nurse VN 183039 Y
Jeannette Carter-Camp 5th Street Medical Clinic Vocation Nurse 1740480342 NP 7506 Y
75 Aegis
Treatment
CenterHealthy
Connections
(California St)
Stockton Dr Michael Fox Aegis Treatment CenterHealthy ConnectionsMedical License 1212069758 G53561 Y
Melissa Whitworth Aegis Treatment CenterHealthy ConnectionsVocation Nurse RN 541037 Y
Dr Brian Talleur Aegis Treatment CenterHealthy ConnectionsMedical License 1659791101 A154190 Y
Alvin Goat Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 20473 Y
Crystal August Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 695962 Y
Rosenah Durago Aegis Treatment CenterHealthy ConnectionsVocation Nurse 1841629185 VN 235553 Y
Maria Garsuta Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 235825 Y
76 Healthy
Connections
Lodi Clinic Melissa Whitworth Healthy Connections Lodi Clinic Vocation Nurse RN 541037 Y
Dr Brian Talleur Healthy Connections Lodi Clinic Medical License 1659791101 A154190 Y
Angeles Alfaro Healthy Connections Lodi Clinic Vocation Nurse 1649669979 VN 689129 Y
John Campos Healthy Connections Lodi Clinic Vocation Nurse 1407192297 VN 260740 Y
Prabhjot Kaur Healthy Connections Lodi Clinic Vocation Nurse VN 698775 Y
Meenal Prasad Healthy Connections Lodi Clinic Vocation Nurse 1114407368 VN 287331 Y
77 Manteca
Healthy
Connections Dr Michael Fox Manteca Healthy Connections Medical License 1212069758 G53561 Y
Melissa Whitworth Manteca Healthy Connections Vocation Nurse RN 541037 Y
Dr Randall Paul Manteca Healthy Connections Medical License 1912061045 A26361 Y
Mary Jane Davis Manteca Healthy Connections Vocation Nurse 1861822744 VN 72342 Y
Christine Falcon Manteca Healthy Connections Vocation Nurse VN 175628 YDourine Iqiel Manteca Healthy Connections Vocation Nurse 1477008506 VN281162 YRebecca Mohr Manteca Healthy Connections Psyciatric Technician LPT 26531 Y
78 MedMark Treatment Center httpsmedmarkcommedmark-treatment-centers-stockton
LANGUAGE ASSISTANCE
English
ATTENTION If you speak another language language assistance services free of charge are available to you Call 1-888-468-9370 (TTY 1-866-735-2922 )ATTENTION Auxiliary aids and services including but not limited to large print documents and alternative formats are available to you free of charge upon request Call 1-888-468-9370
Espantildeol (Spanish)
ATENCIOacuteN Si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-888-468-9370 (TTY 1-866-735-2922 )
Tiếng Việt (Vietnamese)
CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-888-468-9370 (TTY 1-866-735-2922 )
Services may be delivered by an individual provider or a team of providers who is working under the direction of a licensed practitioner operating within their scope of practice Only licensed
waivered or registered mental health providers and licensed substance use disorder services providers are listed on the Plans provider directory
Tagalog (Tagalog Filipino)
PAUNAWA Kung nagsasalita ka ng Tagalog maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-888-468-9370 (TTY 1-866-735-2922 )한국어 (Korean)주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수 있습니다 1-888-468-9370 (TTY 1-866-735-2922 ) 번으로 전화해 주십시오繁體中文繁體中文繁體中文繁體中文(Chinese)注意如果您使用繁體中文您可以免費獲得語言援助服務請致電1-888-468-9370 (TTY 1-866-735-2922 )ՀայերենՀայերենՀայերենՀայերեն (Armenian)
ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ Զանգահարեք 1-888-468-9370 (TTY 1-866-735-2
Русский (Russian)
ВНИМАНИЕ Если вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-888-468-9370 (TTY 1-866-735-2922 )
(Farsi) فارسیتوجه اگر به زبان فارسی گفتگو می کنيد تسهيلات زبانی بصورت رايگان برای شما
日本語日本語日本語日本語 (Japanese)注意事項日本語を話される場合無料の言語支援をご利用いただけます1-888-468-9370فراهم می باشد با 1 (TTY 1-866-735-2922 ) までお電話にてご連絡くださいHmoob (Hmong)
LUS CEEV Yog tias koj hais lus Hmoob cov kev pab txog lus muaj kev pab dawb rau koj Hu rau 1-888-468-9370 (TTY 1-866-735-2922 )
ਪਜਾਬੀ (Punjabi)
ਿਧਆਨ ਿਦਓ ਜ ਤਸੀ ਪਜਾਬੀ ਬਲਦ ਹ ਤਾ ਭਾਸ਼ਾ ਿਵਚ ਸਹਾਇਤਾ ਸਵਾ ਤਹਾਡ ਲਈ ਮਫਤ ਉਪਲਬਧ ਹ 1-888-468-9370 (TTY 1-866-735-2922) ਤ ਕਾਲ ਕਰ
(Arabic) العربيةملحوظة إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغوية تتوافر لك بالمجان
हिदी (Hindi)
द यदि आप हिदी बोलत ह तो आपक लिए मफत म भाषा सहायता सवाए उपलबध ह [1-888-468-9370 (TTY 1-866-735-2922) पर कॉल कर
ภาษาไทย (Thai)
เรยน ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร 1-888-468-9370 (TTY 1-866-735-2922) धयान
ែខរ (Cambodian)
បយត ររ េស នអកនយ ែខ រសជនយមននក េយមនគត នគចនស ររ អេ នក ច ទ សព+1-888-468-9370 (TTY 1-866-735-2922)
ພາສາລາວ (Lao)
ໂປດຊາບ ຖາວາ ທານເວາພາສາ ລາວ ການບລການຊວຍເຫອດານພາສາໂດຍບເສຽຄາ ແມນມພອມໃຫທານ ໂທຣ 1-888-468-9370 (TTY 1-866-735-2922)
- 18-Font English Medi-Cal Provider Directory(Word Doc) 12-2018 English
- Medi-Cal Directory Provider Staff Listing 18 font English 12-2018
-
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 9 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
10Forensic Court
Full Service
Partnership
(MHSA)
9091
1212 N California
Street Stockton CA
95202
(209) 468-8786
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Provides
comprehensive
psychiatric and
integrative services
to address the needs
of Mentally Ill
Offenders
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 10 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
11Gaining Older
Adult Life Skills
(GOALS) Full
Service Partnership
(MHSA)
9093
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Full Service
Partnership with the
emphasis on outreach
to the underserved
older adult
population ages
(60+)
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 11 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
12InSPIRE
(MHSA)
39AN
1212 N California
Street
Stockton CA
95202
(209) 468-8880
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Cambo-
dian Viet-
namese
MHSA innovation
component
providing learning
community
opportunities to
specialized cohorts
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 12 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
13La Familia
Clinic Full
Service
Partnership
(MHSA)
9092
1149 N El Dorado
Street
Stockton CA
95202
(209) 468-2335
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
Latino
out-
reach
and
access
Spanish
Psychiatric
assessment case
management
medication support
individual and group
therapy with a
special emphasis on
serving Spanish-
speaking persons
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 13 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
14Mary Graham
Childrens Shelter
9008
6861 Mary Graham
Lane
French Camp CA
95231
(209) 468-6966
httpwww
marygrahamfou
ndationorg
24 Hours
Children
and
Youth
Provides outpatient
mental health
services to residents
of Mary Graham
Childrens Shelter
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 14 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services)
Include-
ing ASL
YesNo YesNo YesNo
15MHSA TAY
FSP
39B1
1212 N California
Street Stockton
CA 95202
(209) 468-8862
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adults
Full service
partnership providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 15 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
16Older Adult
Services (OAS)
3980
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Cambo-
dian Viet-
namese
Comprehensive
Behavioral Health
Services for older
adults (60+) provided
by a multidisciplinary
team Services
include psychiatric
assessment
medication
support group
individual therapy
and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 16 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services
Includin
g ASL
YesNo YesNo YesNo
17 Peterson
Hall
9009
535 W Matthews
Rd French Camp
CA 95231
(209) 468-4240
hiipswwwsjg
ovorgmhs
M-F 8 am- 8
pm SatSun 10-
7 pm
Children
and
Youth
Cambo-
dian
Spanish
Provides outpatient
mental health services
to youth detained at
Peterson Hall
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
18Psychiatric
Health
Facility (PHF)
3976
1212 N California
Street Stockton
CA 95202
(209) 468-8686
httpswwwsjg
ovorgmhs 24
hours
Adult Spanish
24-hour inpatient
hospitalization
services
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 17 of 66
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lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
19San Joaquin
County MH
Services Lodi Clinic
3924
1209 W Tokay
Street
Suites 1 3 5 7 9
12 14 and 16
Lodi CA 95240
(209) 331-2070
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Children
Youth
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
North
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
20San Joaquin
County MH
Services Tracy
Clinic
9048
220 W Eleventh
Street
Tracy CA 95376
(209) 831-5941
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
South
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
21SJC-MHS
CYS Katie A
Services
9020
333 E Washington
Street
Stockton CA
95202
(209) 468-1547
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Children
and
Youth
Spanish
Hmong
Japanese
Provides in-home
and in-community
outpatient mental
health services to
WampI Code 300
dependent SJC
children
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 20 of 66
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition to
free Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
22Transcultural
Clinic
(TCC) - full range
of specialty mental
health services and
intensive case
management
program
9014
4422 N Pershing
Ave
Suites D1-D4
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available
in Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 21 of 66
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
23Southeast
Asian Recovery
Services (SEARS)
for the Southeast
Asian population-
Full Service
Partnership
(MHSA)
9094
4422 N Pershing
Avenue Suite D2
D3 D4 D5 D6
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available in
Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
CONTRACT ORGANIZATIONAL PROVIDERS
24Anka Lodi (was
Mourfield House)
9075
458 Almond Drive
Lodi CA 95240
(209) 982-4697
wwwankabhior
g M-F 8am-5pm
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
25ASPIRAnet
39AR
6 S El Dorado
Street Suite 510
Stockton CA
95202
(209) 478-9862
wwwaspiranet
Org
M-F 8 am- 5
pm
Children
and
Youth
Provides
Therapeutic
Behavioral Services
(TBS) and crisis
stabilization services
as an alternative to
psychiatric
hospitalization
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
26Bright House
9047
8210 Bright Road
French Camp CA
95231
(209) 982-1235
wwwankabhior
g 24 hours
Adult
Adult Transitional
Residential
Treatment Program
Medication Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
27Casa Pacifica
39AB
1722 S Lewis Road
Camarrillo CA
93012
(805) 981-1422
wwwcaspacific
aorg
M-F 8 am- 6 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
28CBIS
(University of the
Pacific)
39A1
405 E Pine Street
Stockton CA
95204
(209) 476-1959
wwwcommunit
yre-
entryprogramco
m M-F 8am-430
pm
Adult
Spanish
Behavioral
Intervention Services
Mental Health Services
Intensive Home Based
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
29Chamberlains
Children Center
Inc
39B4
1850 San Benito
Street
Hollister CA
95023
(831) 636-2121
wwwchamberla
inccorg
M-F 8 am- 5 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
30Charis Youth
Center
9057
714 W Main Street
Grass Valley CA
95945
(530) 477-9800
wwwcharisyout
hcenterorg
M-F 830 am-
430 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
31Child Abuse
Prevention Council
39A8
540 N California
Street
Stockton CA
95202
(209) 644-5311
wwwnochildab
useorg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health services
utilizing
strengthening family
approach
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
32Community
Re- Entry
Program (CRP)
9044
405 E Pine Street
Stockton CA
95204
(209) 946-2132
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
independent living
skills training and
rehabilitation
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
33Crestwood
Solano
(PHF)
39A8
2201 Tuolumne
Street Suite B
Vallejo CA 94589
(707) 558-1777
wwwcrestwood
behavioralhealth
com
24
hours
Adult
24-hour
inpatient
hospitalization
services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
34Crittenton
Services For
Children And
Families
39B3
100 E Valley View
Drive Fullerton CA
92832
(714) 680-8268
wwwcrittentons
ocalorg
M-F 830 am- 5
pm
Children
and
Youth
Residential
facility providing
mental health
treatment to youth
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS)
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
35Edgewood
Center for
Children and
Families
39AV
1801 Vincente
Street San
Francisco CA
94116
(415) 681-3211
wwwedgewood
org
24
Hrs
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
36Fred Finch
Youth
Center
39AY
3800 Coolidge
AvenueOakland
CA 94602
(510) 482-2244
wwwfredfinch
Org
M-F 830 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
37Grant House
9064
1117 S Grant
Street Stockton
CA 95206
(209) 461-6500
wwwankabhior
g 24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
38Latino
Behavioral Health
and Recovery
Services
9067
445 N San Joaquin
Street
Stockton CA
95202
(209) 444-8910
wwwelconcilio
Org
M-F 8 am- 5 pm
Adult
Spanish
Provides Culturally
Competent
Services to Latinos
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
39Martin Gipson
Socialization Center
9043
405 E Pine Street
Stockton CA
95204
(209) 464-5519
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
socialization
vocational and
educational
opportunities for
Adult Mentally
ill consumers
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
40Mountain
Valley Child and
Family Services
Inc
9039
24077 Highway 49
Nevada City CA
95959
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Therapeutic
Behavioral Services
(TBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
41Mountain
Valley Child and
Family Services
Inc
39A4
7818 Bar Du Lane
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 35 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
42Mountain
Valley Child and
Family Services
Inc
39A3
6171 Bradshaw Rd
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 36 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
43Mountain
Valley Child and
Family Services
Inc
39A2
9200 Sweet Acacia
Way Sacramento
CA 95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 37 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
44Phoenix House
of
Los Angeles Inc
39B6
1600 Eldrige
Avenue Lake View
Terrace CA 91342
(818) 686-3000
wwwphoenixho
useorg
M-F 8 am- 530
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 38 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
45Rebekah
Childrenrsquos
Home
39AU
290 IOOF Avenue
Gilroy CA 95020
(408) 846-2100
wwwrcskidsor
g
M-F 8 am- 530
pm
Children
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 39 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
46Sacramento
Childrens Home
9076
2750 Sutterville
Road Sacramento
CA 95820
(916) 452-3981
wwwkidshome
Org
M-F 830 am - 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 40 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
47San Gabriel
Childrens Center
Out Patient
39B7
4740 N Grand
Avenue Covina CA
91724
(626) 859-2089
wwwsangabriel
childcom
M-F 8 am- 5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 41 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
48Star View
Adolescent Center
OP
39BB
4025 West 226th
Street
Torrance CA
90505
(310)373-4556
wwwstarsincco
m 24 hours
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 42 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
49Summitview
Child Treatment
Center
9061
670 Placerville Dr
2 Placerville CA
95667
(530) 644-2412
wwwsummitvie
wtreatmentorg
M-F 8 am-5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 43 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
50Telecare (aka
Jeremy House)
39AX
5634 Jeremy Way
Stockton CA
95212
(209) 888-4969
wwwtelecareco
rpcom
24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
51Telecare Early
Intervention
Recovery Services
(TEIRS)
39B2
4545 Georgetown
Place Suite A3
Stockton CA
95207
(209) 715-3754
wwwtelecareco
rpcom
M-F 8 am- 5 pm
Adult
Spanish
Provides outpatient
mental health services
for children and
adults
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 44 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
52TLC Child and
Family Services
39A9
1800 Gravenstein
Hwy North Suite A
Sebastopol CA
95472
(707) 823-7300
httpwwwtlc4
kidsorg
M-F 8 am- 430
pm
Children
and
Youth
Community-based
program
providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 45 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
53Valley
Community
Counseling Services
(VCCS) (Manteca)
9040
129 E Center
Street Suite 3
Manteca CA
95336
(209) 239-5553
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health
services for children
and youth in South
County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 46 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
54Valley
Community
Counseling Services
(VCCS) (School
Based Program -
Stockton)
9042
6707 Embarcadero
Drive Suite A
Stockton CA
95219
(209) 956-4240
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Outpatient mental
health services
provided at various
schools in
Stockton Manteca
and Lodi
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 47 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
55Valley
Community
Counseling Services
(VCCS) (Tracy)
9041
19 East 6th Street
Tracy CA 95378
(209) 835-8583
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health services
for children and youth
in South County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 48 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
56Victor
Community
Services and
Support Stockton
(VCSS)
9063
2495 W March
Lane Suite 125
Stockton CA
25207
(209) 465-1080
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services in-home and
in community
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 49 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
57Victor
Treatment
Center - Santa Rosa
9083
3164 Condo Court
Santa Rosa CA
95403
(707) 523-2334
wwwvictororg
M-F 810 am- 4
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 50 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
58Victor
Youth Services
(North Valley
Schools)
39AC
855 Canyon Road
Redding CA
96001
(530) 378-1855
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 51 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
59Womens
Center- Family
and Youth
Services
39B6
729 N California
Street Stockton
CA 95202
(209) 929-6700
wwwwomensce
nteryfsorg
M-F 830 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
CONTRACT PSYCHIATRIC HOSPITALS
60BHC Heritage
Oaks
Hospital
4250 Auburn
Boulevard
(916) 489-3336
wwwheritageoa
kshospitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 52 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
61BHC Sierra
Vista
Hospital
8001 Bruceville
Road
(916) 423-2000
wwwsierravista
hospitalcom
24 hours
All ages
Yes
Yes
Yes
62St Helena
Hospital Center for
Behavioral Health
525 Oregon Street
(707) 648-2200
wwwadventisth
ealthorg
24 hours
All ages
Yes
Yes
Yes
63John Muir
Behavioral Health
Center
2740 Grant Street
(925) 680-6500
wwwjohnmuirh
ealthcom
24 hours
All ages
Yes
Yes
Yes
64Sutter Center for
Psychiatry
7700 Folsom
Boulevard
(916) 388-3045
wwwsuttermedi
calcenterorg
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 53 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
65Fremont
Hospital
39001 Sundale
Drive
(510) 796-1100
wwwfremontho
spitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake
Unit
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-9600
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Substance Use Disorder
Assessment for
Outpatient amp Inpatient
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 55 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
67 Chemical
Dependency
Counseling Center
(CDCC)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-3720
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Youth
Adult
Perinatal
Spanish
Mon Wed and Fri
8am-5pm
Closed Holidays
Outpatient Treatment
Perinatal Component
Intensive Outpatient
Youth Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 56 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
68 Alcohol amp Drug
Alternative Program
(ADAP)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-6840
Fax (209)468-
8640
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon Wed and Fri
8am-5pm
Tue And Thur
8am-7pm
Closed Holidays
Outpatient Court
Monitoring Education
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 57 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
69 Family Ties
500 W Hospital Rd
French Camp CA
95231
(209) 468-6208
Fax (209)468-
7032
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Adult
Perinatal
Spanish
24 Hour Services
Inpatient Treatment
Perinatal Component
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 58 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
70 Recovery House
500 W Hospital Rd
French Camp CA
95231
(209) 468-6857
Fax (209)468-
6739
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
24 Hour Services
Inpatient Treatment
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 59 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
71 Adolescent Co-
Occurring Treatment
Program (ACT)
Childrens Behavioral
Health Services
1414 N California
St 2nd Floor
Stockton CA 95202
(209) 468-2385
Fax (209)468-
8024
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Individual amp group
counseling and
education in conjunction
with the adolescentrsquos
mental health services a
partnership with Mental
Health Services and
Substance Abuse
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 60 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
72 Prevention
Services
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-2005
Fax (209)468-
2251
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Youth Services Parenting
Students In Prevention
(SIP)
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 61 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
73 Aegis
Treatment Center
8626 N Lower
Sacramento Road
Suite 41 Stockton
CA 95209
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1230pm
Sat Sun and
Holidays
6am-1030am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 62 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
74 5th Street
Medical Clinic
Stockton
1839 S El Dorado
St Stockton CA
95206
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 63 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
75 Aegis
Treatment Center
Healthy Connections
(California St)
Stockton
1947 N California
St Suites B and C
Stockton CA 95210
(209) 463-0870
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 64 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
76 Healthy
Connections Lodi
Clinic
441 South Ham
Lane Suite A
Lodi CA 95242
(209) 224-8490
httpsaegistreat
mentcenterscom
clinicaegis-
lodi-california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
7am-12 noon
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 65 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
77 Manteca
Healthy Connections
Center Street
955 W Center St
Suites 12A amp 14
Manteca CA 95337
(209) 239-9600
httpsaegistreat
mentcenterscom
clinicaegis-
manteca-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
8am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 66 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
78 MedMark
Treatment Center
1111 N El Dorado
St Stockton CA
95202
(209) 938-0228
httpmedmark
commedmark-
treatment-
centers-
stockton
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
Provider Name Facility NameID
Type of Practioner (licensed
amp Waivered)
National
Provider
Identifier
number California license number type of license
Cultu
ral
Comp
etenc
e
Traini
ng
(YN)1 Black
Awaremenss
Community
Outreach
ProgramMulti
cultural
Services Amarpreet Singh BHS BACOPMC Psychiatrist (Locum) 1235182916 Physician and Surgeon N
Aravind Pai BHS BACOPMC Psychiatrist (Locum) 1629076088 Physician and Surgeon A30319 N
Donna Bickham BHS BACOPMC Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Donnelle Tamayo BHS BACOPMC Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS BACOPMC Staff Nurse III 1104375724 Registered Nurse 723203 Y
Kathleen Wilson-Parish BHS BACOPMC Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS BACOPMC MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Nancy Nelson BHS BACOPMC Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Paul Wallace BHS BACOPMC Chief Psychiatric Tech 1114044799 Licensed Psychiatric Technician PT26296 Y
Quynh-Chi Nguyen BHS BACOPMC Staff Nurse III 1417371014 Registered Nurse 845080 Y
Scott Harrison BHS BACOPMC Clinician II 1518089317 Marriage and Family Therapist Intern IMF75861 Y
Shirley Hollowell BHS BACOPMC Registered Nurse 1124143474 Registered Nurse 352081 Y
2 Children and
Youth Services
Stockton Clinic Ganiya (Iyabo) Adediran
Childrens and Youth Services- Stockton
3915 Waivered 1881148690 81666 AMFT Y
Provider Staff Listing
Benjamin Alban
Childrens and Youth Services- Stockton
3915 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Stockton
3915 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Stockton
3915 Licensed 1821294455 105923 Psychiatrist Y
Valentin Avramov
Childrens and Youth Services- Stockton
3915 Licensed 1053488767 109609 Psychiatrist Y
Kristina Birch
Childrens and Youth Services- Stockton
3915 Waivered 1366874844 1809 APCC Y
Linda Brett
Childrens and Youth Services- Stockton
3915 Licensed 1295853299 523914 RN Y
Donna Cassettari
Childrens and Youth Services- Stockton
3915 Licensed 1497887699 43173 LMFT Y
Renessa Castaneda-Jensen
Childrens and Youth Services- Stockton
3915 Licensed 1376664862 81528 LMFT Y
Jacqueline Coulter
Childrens and Youth Services- Stockton
3915 Licensed 1720184765 41366LMFT Y
Courtney Flores
Childrens and Youth Services- Stockton
3915 Licensed 1851437735 29811 LCSQW Y
Maria Garcia
Childrens and Youth Services- Stockton
3915 Licensed 1235400557 80425 LCSW Y
Ikesha Goodwin
Childrens and Youth Services- Stockton
3915 Waivered 1104279728 101632 IMF Y
Kelsey Guidicatti
Childrens and Youth Services- Stockton
3915 Waivered 1245783687 93458 AMFT Y
Antonio Gutierrez
Childrens and Youth Services- Stockton
3915 Licensed 1023473469 71535 LCSW Y
Victoria Hall
Childrens and Youth Services- Stockton
3915 Licensed 1437464179 91065 LMFT Y
Nicole Hodgson
Childrens and Youth Services- Stockton
3915 Licensed 1962727792 85491 LMFT Y
Hudson Mark Hudson
Childrens and Youth Services- Stockton
3915 Licensed 1528190725 78609 LMFT Y
Shadai Lescale Huante
Childrens and Youth Services- Stockton
3915 Waivered 1528340320 59764 ACSW Y
Genevieve Lisenbey
Childrens and Youth Services- Stockton
3915 Waivered 1265698104 80465 AMFT Y
Sharon Lizotte
Childrens and Youth Services- Stockton
3915 Waivered 1851820708 101863 AMFT Y
Angie Nicholas
Childrens and Youth Services- Stockton
3915 Licensed 1679713796 52080 LMFT Y
Shiella Pablico
Childrens and Youth Services- Stockton
3915 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Sheilena Payne
Childrens and Youth Services- Stockton
3915 Licensed 1336437656 94571 LMFT N
Timothy Quinn
Childrens and Youth Services- Stockton
3915 Waivered 1316322381 79556 Marriage amp Family Therapist Intern Y
Joann Rihad
Childrens and Youth Services- Stockton
3915 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet
Childrens and Youth Services- Stockton
3915 Licensed 1366468555 C53401 Psychiatrist Y
Jacqueline Salgado
Childrens and Youth Services- Stockton
3915 Licensed 1043661903 95452 Marriage amp Family Therapist Y
Kristen Schneider
Childrens and Youth Services- Stockton
3915 Waivered 1578963591 72071 ACSW Y
Carla Simien
Childrens and Youth Services- Stockton
3915 Licensed 1629564000 40771 Licensed Psychiatric Technician N
Tamra Smith
Childrens and Youth Services- Stockton
3915 Licensed 1336267608 76975 LCSW Y
Maribel Vargas
Childrens and Youth Services- Stockton
3915 Waivered 1821247149 35622 ACSW Y
J Watkins
Childrens and Youth Services- Stockton
3915 Licensed 1043797871 4200 LPCC Y
Tamara Weber
Childrens and Youth Services- Stockton
3915 Licensed 1992101497 105926 LMFT Y
Amanda Yocham
Childrens and Youth Services- Stockton
3915 Licensed 1326103516 79068 LMFT Y
Nikki Young
Childrens and Youth Services- Stockton
3915 Waivered 1841692159 88891 AMFT Y
3 Children and
Youth Services-
Foster Youth
Full Service
Partnership Benjamin Alban
Childrens and Youth Services- Foster
Youth 9096 Licensed 1932227295 26094 LCSW Y
Maria Garcia
Childrens and Youth Services- Foster
Youth 9096 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Foster
Youth 9096 Licensed 1023473469 71535 LCSW Y
4 Children and
Youth Services-
Juvenile Justice
Full Srvice
Partnership Benjamin Alban
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1821294455 105923 Psychiatrist Y
Maria Garcia
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1023473469 71535 LCSW Y
Shabneet Hira Brar
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1851598452 A112447 Psychiatrist Y
Sheilena Payne
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1336437656 94571 LMFT N
5 Community
Adult
Treatment
Services Amanda Hurlock CATS OUTPATIENT 1836 Waivered 1205369899 AMFT 100834 Y
Adeline Mendez CATS OUTPATIENT 1836 Licensed 1255453353 PT 25868 Y
Anna Perez Testo CATS OUTPATIENT 1836 Licensed 1740309889 LMFT 52444 Y
Angelo Pasa CATS OUTPATIENT 1836 Licensed 1689874125 RN 691250 Y
Beverly Thompson CATS OUTPATIENT 1836 Waivered 1528311230 ACSW 70671 Y
Carolyn Walters CATS OUTPATIENT 1836 Licensed 1891815155 LMFT 43069 Y
Debra Baker CATS OUTPATIENT 1836 Waivered 1740610229 AMFT 95836 Y
Eloisa Velasco CATS OUTPATIENT 1836 Licensed 1740797976 PT 40651 Y
Francisco Arreola CATS OUTPATIENT 1836 waivered 1417359027 AMF 87821 Y
Heidi McHenry CATS OUTPATIENT 1836 Licensed 1861763294 PT 35949 Y
Helen Sprague CATS OUTPATIENT 1836 Waivered 1710325642 AMFT 75120 Y
Jane Sanchez CATS OUTPATIENT 1836 Licensed 1346406824 LMFT 50808 Y
Jannelle Heard CATS OUTPATIENT 1836 Waivered 1467813568 AMFT 95836 Y
Kara Herrick CATS OUTPATIENT 1836 Licensed 1518191659 LMFT 43283 Y
Keith Amador CATS OUTPATIENT 1836 Licensed 1891127403 LMFT 102725 Y
Cynthia Morishige CATS OUTPATIENT 1836 Licensed 1649396045 LCSW 13592 Y
Remedios Wallace CATS OUTPATIENT 1836 Licensed 1639294341 PT 24227 Y
Luis Garcia CATS OUTPATIENT 1836 Licensed 1346599677 LMFT 10398 Y
Maria Ayala CATS OUTPATIENT 1836 Waivered 1174991129 APCCI 3382 Y
Marie Daguman CATS OUTPATIENT 1836 Waivered 1619483237 ACSW 79980 Y
Mary Montgomery CATS OUTPATIENT 1836 Licensed 1538281183 LCSW82129 Y
Megan Curtiss CATS OUTPATIENT 1836 Waivered 1265836027 AMFT 107915 Y
Priscilla Kavanagh CATS OUTPATIENT 1836 Waivered 1528429057 APCC2122 Y
Elizabeth DeGravio CATS OUTPATIENT 1836 Licensed 1497167530 PT 37500 Y
Ramil Doronio CATS OUTPATIENT 1836 Licensed 1871767376 RN 555151 Y
Ronee Martin CATS OUTPATIENT 1836 Waivered 1932644796 AMFT 84987 Y
Sasha Jackson CATS OUTPATIENT 1836 Waivered 1295181295 ACSW 79996 Y
Sherri Helsby CATS OUTPATIENT 1836 Licensed 1669893764 LCSW 29248 Y
Teri Jorgensen CATS OUTPATIENT 1836 Licensed 1295071363 RN 469034 Y
Tiffany DeWitte CATS OUTPATIENT 1836 Licensed 1023143245 LCSW 29826 Y
Valerie-Ann Garcia CATS OUTPATIENT 1836 Licensed 1770606386 RN 704233 Y
Savoeun Phal CATS OUTPATIENT 1836 Waivered 1821513946 APCC 5278 Y
Joshua Merrill CATS OUTPATIENT 1836 Waivered 1114463957 AMFT 102798 Y
Gerado Manansala CATS OUTPATIENT 1836 Licensed 1215195813 A 102439 Y
Paul Mascovich CATS OUTPATIENT 1836 Licensed 1215921184 G 33950 Y
Jin Soofi CATS OUTPATIENT 1836 Licensed 1972592939 G 86240 Y
Sheril Keys CATS OUTPATIENT 1836 Licensed 1942664875 PT 38333 Y
Thomas Firnberg CATS OUTPATIENT 1836 Licensed 1164597472 A 040218 Y
Mohammad Jahangiri CATS OUTPATIENT 1836 Licensed 1720266760 A 56400 Y
Fouad Saddik CATS OUTPATIENT 1836 Licensed 1437254117 A 44865 Y
Kellie Salazar CATS OUTPATIENT 1836 Licensed 1295273654 PT 40326 Y
Suryabamu Javeed CATS OUTPATIENT 1836 Licensed 1568567105 A 56307 Y
Robert Graff CATS OUTPATIENT 1836 Licensed 1366560112 G 70479 Y
Chestermagno De La Cruz CATS OUTPATIENT 1836 Licensed 1619476637 PT40672 Y
6 Community
Corrections
Partnership Rico Molina AB10920 licensed 1255454203 LCSW25450 Y
Lawrence Shaddix AB10920 licensed 1508282286 IMF84560 Y
Randolph Herrington AB10920 licensed 1114141173 LMFT48970 Y
7 Crisis
Community
Response Team
(CCRT) Williams Wendy CCRT
MHC III
1265554638 LMFT 84045
Y
Ballesteros Patricia CCRT MHC 1790058352 LMFT 108455 Y
8 Crisis
Intervention
Services Graff Robert Crisis
MD
1366560112 G70479
Y
Gill Paramijit Crisis MD 1073629218 A49224 Y
Firnberg Thomas Crisis MD 1164597472 A040218 Y
Singh Karamjit Crisis MD 1083930440 A132050 N
Singh Amanpreet Crisis MD 1235182916 A78414 N
Lee Catherine Crisis MHC III 1073729646 LMFT 44225 Y
Saleem Noshela Crisis MHC III 1255585584 LCSW 67154 Y
Williams Wendy Crisis MHC III 1265554638 LMFT 84045 Y
Galindo Teresa Crisis MHC III 1700119369 LCSW 69736 Y
Molina-Eliab Sonya Crisis MHC 1497878482 AMFT 99087 Y
Tran Michelle Crisis MHC 1366642068 LCSW 81278 Y
Figueroa Carlos Crisis MHC 1306193933 LMFT 102315 Y
Ballesteros Patricia Crisis MHC 1790058352 LMFT 108455 Y
Nobles Shannon Crisis MHC 1457699720 AMFT 101531 Y
Saelee Cindy Crisis MHC 1255511614 LCSW 82456 Y
Maney Stephen Crisis MHC 1083985998 ASW 78482 Y
Lewman Brenda Crisis MHC 1821477035 LMFT106905 Y
Morales Leonardo Crisis MHC 1962822643 ASW 72730 Y
Grant Anika Crisis MHC 1649697137 AMFT 104116 Y
Sullivan Aisha Crisis MHC 1861772253 LCSW 75323 Y
Hodge Lewie Crisis MHC 1477044931 ASW 80338 N
Donato Imelda Crisis MHC 1194278085 APCC 2409 N
Redoblado Sheryl Crisis MHC 1871731513 LCSW 75136 Y
Walter Taffie Crisis CPT 1083735096 PT 32090 Y
DeJesus Carolyn Crisis CPT 1861650228 PT 34221 Y
McArthur Milagros Crisis PT 1477809929 PT 36471 Y
Olsen Chandra Crisis PT 1770914061 PT 37210 Y
Isham Loni Crisis PT 1891145033 PT 38233 Y
Bazua Melissa Crisis PT 1972944072 PT 36496 Y
Wright-Freeman Cody Crisis PT 1538584859 PT 37819 Y
Bareng Jeff Crisis PT 1043753478 PT 40284 Y
Gill Sandeep Crisis PT 1871852673 PT 34942 Y
Quitoriano Stephanie Crisis PT 1659798130 PT 37033 Y
Otero Luis Crisis PT 1487015582 PT 38229 Y
Price Jennifer Crisis PT 1932621893 PT 40662 Y
Kemp Sydney Crisis PT 1902383623 PT 34601 Y
9 Crisis
Stabilization
Units (CSU) Graff Robert CSU
MD
1366560112 G70479
Y
Allanki Sailaja CSU MD 1306897723 C138838 Y
Singh Karamjit CSU MD 1083930440 A132050 N
Brown Brandi CSU RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth CSU RN 1255459061 RN 488617 Y
Seraypheap Arunny CSU RN 1013037274 RN 547944 Y
Limas Deborah CSU RN 1073631727 RN 526984 Y
Winck Angela CSU RN 1083002992 RN 701021 Y
Cabrera Gilbert CSU RN 1679693766 RN 565185 Y
Mendoza Michelle CSU RN 1477951812 RN 797022 Y
Blackman Demerica CSU RN 1932619517 RN 850647 Y
Laizer Gloria CSU RN 1255706479 RN 764452 Y
Odametey Ama CSU RN 1700366358 RN 835504 N
Hawkins Lynnetta CSU MHC III 1437436938 LMFT 93110 Y
Lambert Rekha CSU MHC 1164647525 LMFT 10386 Y
Nguyen Thao CSU MHC 1912214065 LMFT 88176 Y
Navarro Grace CSU MHC 1083737753 ASW 72678 Y
Limas Stephanie CSU MHC 1053433748 LMFT 99397 Y
Little Christy CSU PT 1497978795 PT 28731 Y
Abundez Jesse CSU CPT 1841413036 PT 29162 Y
Montantes Michael CSU CPT 1780018390 PT 37071 Y
DeJesus Carolyn CSU CPT 1861650228 PT 34221 Y
Arriola Eulalie CSU CPT 1255573044 PT 34426 Y
Hardy Denise CSU PT 1912202813 PT 33714 Y
Harbin Toni CSU PT 1639475049 PT 28726 Y
Fortes Catherine CSU PT 1346681442 PT 36982 Y
Mocko James CSU PT 1558726224 PT 38249 Y
Menius Victoria CSU PT 1487074258 PT 37534 Y
Brown Kristaline CSU PT 1750723821 PT 32575 Y
Thorpe William CSU PT 1326599770 PT 40154 Y
Look Jasmin CSU PT 1194143198 PT 37492 Y
Mariano Joseph CSU PT 1609208172 PT 36968 Y
Marglin Lisa CSU PT 1558733576 PT 38247 Y
Clutario Dindo CSU PT 1164664512 PT 34295 Y
Ripoyla Jerral CSU PT 1821511700 PT 40644 Y
Varquez Sharon CSU PT 1366682387 PT 34435 Y
Holmes Sherronya CSU PT 1205214228 PT 37605 Y
Duncan Deanna CSU PT 1043674963 PT 38260 Y
Vang Mai CSU PT 1982103081 PT 40697 Y
Vong Tharith CSU PT 1134624802 PT 40678 N
Ridad Anthony CSU PT 1659887750 PT 40713 Y
Hill Brandon CSU PT 1053803890 PT 40412 Y
Singh Jasvir CSU PT 1477833911 PT 36007 Y
Kottke Marline CSU LVN 1891223111 LVN 198957 Y
10 Forensic
Court Full
Service
Partnership Edward Olpin BHSJDDSAS licensed 1477687077 LCSW24055 Y
Betsey McCall-Salerno BHSJDDSAS licensed 1740574672 LMFT42444 Y
Isabella Padilla Pereira Forensic74 licensed 1174871818 LMFT97934 Y
Alexander Anderson Forensic MCST74 licensed 1417183385 ASW70838 Y
Joseph Zummo Forensic74 licensed 1497927487 AMFT105417 Y
11 Gaining
Older Adult Life
Skills
(GOALS) Full
Service
Partnership
(MHSA) Crystal Thao GOALS 7523 Waivered 1609183748 ACSW 35249 Y
Jessica Preston GOALS 7523 Waivered 1649727066 ACSW 79154 Y
Karla Romero GOALS 7523 Waivered 1083133276 AMFT 100573 Y
Tracy House GOALS 7523 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi GOALS 7523 Licensed 1093911224 LMFT 40177 Y
Sue Gruber GOALS 7523 Licensed 1811014780 LCSW 29008 Y
Christine Blue GOALS 7523 Licensed 1093786683 A 10733 Y
Katheine Hedrick GOALS 7523 Licensed 1043699333 RN 683243 Y
Cynthia Resendez GOALS 7523 Licensed 1780877845 A84098 Y
12 InSpire
(MHSA) Debra Baker InSprire 7023 Waivered 1740610229 AMFT 95836 Y
Elizabeth DeGravio InSprire 7023 Licensed 1497167530 PT 37500 Y
13 La Familia
Clinic Full
Service
Partnership Nancy Nelson BHS La Familia Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Jane Fernandez BHS La Familia Psychiatrist 1194799395 Physician and Surgeon A93060 Y
Pamela Smith BHS La Familia Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Aravind Pai BHS La Familia Psychiatrist (Locum) 1235182916 Physician and Surgeon A30319 N
Cynthia Resendez BHS La Familia Psychiatrist 1780877845 Physician and Surgeon A84098 Y
Donna Bickham BHS La Familia Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS La Familia Registered Nurse 1124143474 Registered Nurse 352081 Y
Kathleen Wilson-Parish BHS La Familia Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS La Familia MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Alexander Largaespada BHS La Familia Clinician 1881902161 Marriage and Family Therapist Intern IMF93473 Y
Lynn Tarrant BHS La Familia Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
Adriana Cruz BHS La Familia Clinician II 1871612697 Licensed Clinical Social Worker LCSW81643 Y
Scarlette Aranda BHS La Familia Clinician I 1295929529 Associate Clinical Social Worker 83748 Y
Donnelle Tamayo BHS La Familia Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS La Familia Staff Nurse III 1104375724 Registered Nurse 723203 Y
14 Mary
Graham
Childrens
Shelter Renessa Castaneda-Jensen Mary Graham Childrens Shelter 9008 Licensed 1376664862 81528 LMFT Y
15 MHSA TAY
FSP Heidi McHenry TAY FSP Licensed 1861763294 PT 35949 Y
Jannelle Heard TAY FSP Waivered 1467813568 AMFT 95836 Y
Ronee Martin TAY FSP Waivered 1932644796 AMFT 84987 Y
Sasha Jackson TAY FSP Waivered 1295181295 ACSW 79996 Y
16 Older Adult
Services (OAS) Crystal Thao OAS 8236 Waivered 1609183748 ACSW 35249 Y
Jessica Preston OAS 8236 Waivered 1649727066 ACSW 79154 Y
Karla Romero OAS 8236 Waivered 1083133276 AMFT 100573 Y
Tracy House OAS 8236 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi OAS 8236 Licensed 1093911224 LMFT 40177 Y
Sue Gruber OAS 8236 Licensed 1811014780 LCSW 29008 Y
Christine Blue OAS 8236 Licensed 1093786683 A 10733 Y
Katheine Hedrick OAS 8236 Licensed 1043699333 RN 683243 Y
Cynthia Resendez OAS 8236 Licensed 1780877845 A84098 Y
17 Peterson
Hall Jennifer Domingo Peterson Hall 9009 Licensed 1104097286 50961 LMFT Y
Shabneet Hira Brar Peterson Hall 9009 Licensed 1851598452 A112447 Psychiatrist Y
Karina Jimenez Peterson Hall 9009 Waivered 1477891679 78261 AMFT Y
Helan Nguyen Peterson Hall 9009 Waivered 1801135876 85251 AMFT Y
Shiella Pablico Peterson Hall 9009 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Joann Ridad Peterson Hall 9009 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet Peterson Hall 9009 Licensed 1366468555 C53401 Psychiatrist Y
Carla Simien Peterson Hall 9009 Licensed 1629564000 40771 Licensed Psychiatric Technician Y
Fay Vieira Peterson Hall 9009 Licensed 1982815684 50276 LMFT Y
18 Psychiatric
Health Facility
(PHF)
Gill Paramijit
PHF
MD
1073629218 A49224
Y
Hart Robert PHF MD 1477660074 C38923 Y
Silver Hilary PHF MD 1720201221 C33442 Y
Brown Brandi PHF RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth PHF RN 1255459061 RN 488617 Y
Seraypheap Arunny PHF RN 1013037274 RN 547944 Y
Limas Deborah PHF RN 1073631727 RN 526984 Y
Winck Angela PHF RN 1083002992 RN 701021 Y
Cabrera Gilbert PHF RN 1679693766 RN 565185 Y
Mendoza Michelle PHF RN 1477951812 RN 797022 Y
Blackman Demerica PHF RN 1932619517 RN 850647 Y
Laizer Gloria PHF RN 1255706479 RN 764452 Y
Odametey Ama PHF RN 1700366358 RN 835504 N
Camello Bena PHF MHC 1053581116 LCSW 65302 Y
Shah Mamoona PHF MHC 1407978471 Waivered Y
Mills Rachelle PHF MHC 1326169350 LMFT 81070 Y
Little Christy PHF PT 1497978795 PT 28731 Y
Bomar Dolfa PHF CPT 1881817567 PT 31571 Y
DeJesus Carolyn PHF CPT 1861650228 PT 34221 Y
Varquez Sharon PHF PT 1366682387 PT 34435 Y
Pot Sambo PHF PT 1104378827 PT 33626 Y
Bou Jennifer PHF PT 1033652466 PT40281 Y
Sesante Maria PHF PT 1851515720 PT 30936 Y
Ota Robert PHF PT 1578786554 PT 33792 Y
Pinano Paolo PHF PT 1245352616 PT 33726 Y
Ruiz Ronald PHF PT 1700907094 PT 27494 Y
Villasenor Kendra PHF PT 1447518204 PT 36449 Y
Deol Sukhvinder PHF PT 1508988593 PT 30288 Y
Bokelman Roy PHF PT 1114040003 PT 32628 Y
Seba Vicki PHF PT 1639291636 PT 31714 Y
Siador Jill PHF PT 1366884058 PT 36818 Y
Polk Rhonda PHF PT 1316160146 PT 20798 Y
Zorea Dylan PHF PT 1467573766 PT28206 Y
Chapin Larry PHF PT 1528200169 PT 26162 Y
19 San Joaquin
County MH
Services Lodi
Clinic Ruth Johnson Lodi Outpatient 6036 Licensed 1265535538 LCSW 15213 Y
Judith Dolyniuk Lodi Outpatient 6036 Licensed 1518182534 LMFT 97680 Y
Amy Massie Lodi Outpatient 6036 Waivered 1356798391 AMFT 100785 Y
Shayne Maniti Lodi Outpatient 6036 Licensed 1689854093 PT 33732 Y
Saba Rizvi Lodi Outpatient 6036 Licensed 1619190501 A 95786 Y
Avramov Valentin Lodi Outpatient 6036 Licensed 1053488767 109609 Psychiatrist Y
Hill Patricia Lodi Outpatient 6036 Licensed 1902926231 23764 LCSW Y
Mann Bhupinderpreet Lodi Outpatient 6036 Waivered 1174603039 80464 AMFT Y
20 San Joaquin
County MH
Services Tracy
Clinic Ashley Smerdon Tracy Clinic 6136 Waivered 1265713929 MFT87560 Y
Jennifer Spruill Tracy Clinic 6136 Licensed 1518232321 LCSW 69544 Y
Simone Litsch Tracy Clinic 6136 Licensed 1598882599 A 89254 Y
Aravind Pai Tracy Clinic 6136 Licensed 1629076088 A30319 N
Gabriel Holguin Tracy Clinic 6136 Licensed 1255704094 PT38216 Y
21 SJC- MHS
CYS Katie A
Services Sailaja Allanki CYS Katie A Services 9020 Licensed 1306897723 138838 Psychiatrist Y
Kristina Birch CYS Katie A Services 9020 Waivered 1366874844 1809 APCC Y
Maria Boklund CYS Katie A Services 9020 Licensed 1396157061 48496 LMFT Y
Linda Brett CYS Katie A Services 9020 Licensed 1295853299 523914 RN Y
Renessa Castaneda-Jensen CYS Katie A Services 9020 Licensed 1376664862 81528 LMFT Y
Maria Gamino CYS Katie A Services 9020 Waivered 1710386453 73292 ASW N
Shabneet Hira Brar CYS Katie A Services 9020 Licensed 1851598452 A112447 Psychiatrist Y
Catherine Navarrete CYS Katie A Services 9020 Waivered 1619456076 105076 Marriage amp Family Therapist Y
Leora Pollock CYS Katie A Services 9020 Licensed 1245663426 75192 LCSW Y
Kim Saing CYS Katie A Services 9020 Licensed 1982722666 51242 LMFT Y
Anastacia Stanley CYS Katie A Services 9020 Licensed 1528299724 87417 LMFT N
Patricia Young CYS Katie A Services 9020 Waivered 1780051375 94965 ASSOCIATE MARRIAGE amp FAMILY THERAPIST Y
22
Transcultural
Clinic (TCC) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
23 Southeast
Asian Recovery
Services
(SEARS) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
CONTRACT ORGANIZATIONAL PROVIDERS
24 Anka Lodi (
was Mourfield
House) Meloney West Anka Lodi AMFT 1649523283 Y
Eon Lawrence Losefa Anka Lodi LMFT 1982898276 104807 Y
Aaron Fett Anka Lodi Psychology Intern 1932352424 Y
25 ASPIRAnet Courtney Warfield-Gibbs ASPIRAnet Waivered 1285958520 ACSW 70918 Y
Melissa Wimer ASPIRAnet Licensed 1467946301 LMFT 81226 Y
Patricia A Jackson ASPIRAnet Waivered 1780848853 AMFT 73975 Y
Vijai Pandey ASPIRAnet Waivered 1710497938 AMFT 70416 Y
Amir Siddiqui ASPIRAnet Waivered 1336617844 APCC 5341 N
26 Bright
House Robert Lee Majors Bright House LMFT 1780692806 49236 Y
27 Casa Pacifica - OUT OF COUNTY PROVIDER
28 CBIS (University of the Pacific)- NON LICENSED STAFF ONLY
29 Chamberlains Children Center Inc -OUT OF COUNTY PROVIDER
30 Charis Youth Center- OUT OF COUNTY PROVIDER
31 Child Abuse
Prevention
Council Roger Duke Child Abuse Prevention Council LMFT 1992861082 79588 Y
Cassandra Lowe Child Abuse Prevention Council AMFT 1205278694 75983 Y
Stacey Tidwell Child Abuse Prevention Council ACSW 1790189413 72578 Y
Nazia Khan Child Abuse Prevention Council AMFT 1508227158 81499 Y
Lisa Aguilar Child Abuse Prevention Council ACSW 1417401035 73365 Y
Anabel Montejano Child Abuse Prevention Council ACSW 1740656636 78974 Y
Catherine Thiel Child Abuse Prevention Council LCSW 1134569791 82263 Y
Michelle Nelson Child Abuse Prevention Council AMFT 1891173357 94133 Y
Maria Cardoza Child Abuse Prevention Council AMFT 1467861252 87554 Y
Thear Chum Child Abuse Prevention Council ACSW 1134648231 83947 Y
Kaitlyn Reilly Child Abuse Prevention Council ACSW 1205381613 83651 Y
Laura Rodriguez Child Abuse Prevention Council ACSW 1316498892 78113 Y
Diana Strimling Child Abuse Prevention Council AMFT 1316221765 104452 Y
32 Community Re-Entry Program (CRP)- NON LICENSED STAFF ONLY
33 Crestwood Solano (PHF)- Out of County Provider
34 Crittenton Services For Children and Families -OUT OF COUNTY PROVIDER
35 Edgewood Center for Children and Families- OUT OF COUNTY PROVIDER
36 Fred Finch Youth Center- OUT OF COUNTY PROVIDER
37 Grant
House Meloney West Grant House AMFT 1649523283 Y
JoAnn Marie Cornelius Grant House LPT 1205877727 35804 Y
Melinda Carchidi Grant House Psychology Intern 1609151653 Y
38 Latino
Behavioral
Health and
Recovery
Services Alexander Largaespada Latino Behavioral Health AMFT 181902161 AMFT 93473 Y
Maria De La Luz Torres Latino Behavioral Health ACSW 1003323361 ASW80844 N
Lynn Tarrant Latino Behavioral Health Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
39 Martin Gipson Socialization Center- NON LICENSED STAFF ONLY
40 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
41 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
42 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
43 Mountain Valley Child and Family Services Inc- OUT OF COUNTY PROVIDER
44 Phoenix House of Los Angeles Inc- OUT OF COUNTY PROVIDER
45 Rebekah
Childrens
Home Bhatti Moeen Rebekah Childrens Home licensed 1205023736 A 100193 Physician amp SurgeonMD DEA FB4071332 Y
Cervantes Priscilla Rebekah Childrens Home licensed 1679081582 693037 LVN N
Delgado Melissa Rebekah Childrens Home licensed 1881002186 105380 LMFT Y
Downey Ruth Rebekah Childrens Home licensed 1790161339 100524 LMFT Y
Machuca Lopez Cynthia Rebekah Childrens Home waivered 1386053817 74884 ACSW Y
Moeller Ryan Rebekah Childrens Home waivered 1316303803 91385 AMFT Y
Vaca-Preez Alejandra Rebekah Childrens Home waivered 1629418876 36752 ACSW Y
Vargas-Gladen Rosalva Rebekah Childrens Home licensed 1326114372 46940 LMFT Y
46 Sacramento Childrens Home- OUT OF COUNTY PROVIDER
47 San Gabriel Childrens Center Out Patient- OUT OF COUNTY PROVIDER
48 Star View Adolescent Center OP- OUT OF COUNTY PROVIDER
49 Summitview Child Treatment Center- OUT OF COUNTY PROVIDER
50 Telecare
(aka Jeremy
House) Jessica Reiland Telecare- Jeremy House ASW (waived) Clinician 1003154634 70377 Y
Thuy Huynh Telecare- Jeremy House LPT Nurse 1033485495 36454 Y
Shannan Taylor Telecare- Jeremy House LMFT Regional Director 1528074770 LMFT46081 Y
51 Telecare
Early
Intervention
Recovery
Services (TEIRS) Melissa Planas ` LCSW 1679807994 LCSW66499 Y
Holli Hoffman TEIRS DNP 1144380940 2005000091 Y
Oshalique Bass TEIRS PCCI Waived 1477811677 5490 Y
Tran tran TEIRS LVN 1477084671 VN 275938 Y
Jennifer Miles TEIRS MD 1275541641 G83528 Y
Shannan Taylor TEIRS LMFT 1528074770 LMFT46081 Y
52 TLC Child and Family Services- OUT OF COUNTY PROVIDER
53 Valley
Community
Counseling
Services (VCCS)
(Manteca) 9040 Muhammad Kamran VCCS Manteca 9040 Licensed 1811051337 C53847 Psychiatrist Y
Patricia Goodman VCCS Manteca 9040 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Manteca 9040 Clinician 1578734687 AMFT 80527 Y
Alisha Sweyd VCCS Manteca 9040 Clinician 1689059941 AMFT 96911 Y
Teresa Viles-Reed VCCS Manteca 9040 Clinician 1386762623 PhD PSY14848 Y
54 Valley
Community
Counseling
Services (VCCS)
(School Based
Program-
Stockton) 9042 Cynthia Aguilera VCCS Stockton 9042 Clinician 1003326182 AMFT 102123 Y
Melanie Almada VCCS Stockton 9042 Clinician 1912396532 AMFT 92167 Y
Arica Arucan VCCS Stockton 9042 Clinician 1215258280 LCSW 72691 Y
Megan Bassi VCCS Stockton 9042 Clinician 1669833885 AMFT 91956 Y
Manjit Belanger VCCS Stockton 9042 Clinician 1255780771 AMFT 100537 Y
Ana De Trinidad VCCS Stockton 9042 Clinician 1043501570 AMFT 95408 Y
Tiffany Drake VCCS Stockton 9042 Clinician 1417456617 AMFT 103265 Y
Sarah Gard VCCS Stockton 9042 Clinician 1477966265 LMFT 106055 Y
Patricia Goodman VCCS Stockton 9042 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Stockton 9042 Clinician 1578734687 AMFT 80527 Y
Alicia Jackson VCCS Stockton 9042 Clinician 1912386525 AMFT 93526 Y
Naomi Jimenez VCCS Stockton 9042 Clinician 1669927828 AMFT 80527 Y
Leonard Lippert VCCS Stockton 9042 Clinician 1154691137 AMFT 101758 Y
Sandra McBride VCCS Stockton 9042 Clinician 1033467030 AMFT 75525 Y
Monika Muy VCCS Stockton 9042 Clinician 1982008603 ACSW 67390 Y
Desiree Nease VCCS Stockton 9042 Clinician 1447703491 ACSW 71196 Y
Katelyn Nelson VCCS Stockton 9042 Clinician 1669998290 ACSW 77372 Y
Elaine Pike VCCS Stockton 9042 Clinician 1508875055 LMFT 45258 Y
Cristal Rodriguez VCCS Stockton 9042 Clinician 1760938740 AMFT 93861 Y
Reshma Roy VCCS Stockton 9042 Clinician 1073061784 ACSW 66474 Y
Belem Ruiz VCCS Stockton 9042 Clinician 1508380411 AMFT 100924 Y
Jenna Santoyo VCCS Stockton 9042 Clinician 1457584567 LCSW 29827 Y
Riah Skrinnik VCCS Stockton 9042 Clinician 1295275592 APCC 3532 Y
Kristyn Towers VCCS Stockton 9042 Clinician 1942671052 AMFT 89172 Y
Alexsandra Trejo VCCS Stockton 9042 Clinician 1750837985 AMFT 92738 Y
Vichra You VCCS Stockton 9042 Clinician 1013437714 AMFT 99071 Y
55 Valley
Community
Counseling
Services (VCCS)
(Tracy) 9041 Muhammad Kamran VCCS Tracy 9041 Licensed 1811051337 C53847 Psychiatrist Y
Rosemary Cervantes VCCS Tracy 9041 Clinician 1407299738 AMFT 72397 Y
Laura Strickland VCCS Tracy 9041 Clinician 1538354543 2012633 Y
Lani Westervelt VCCS Tracy 9041 Clinician 1629191366 LMFT 38654 Y
56 Victor
Community
Services and
Support
Stockton
(VCSS) 9063 Loiuse Cerna VCSS Stockton 9063 MFTI 1346794690 92730 - Marriage and Fmily Therapist Intern Y
Aziza Citi VCSS Stockton 9063 LMFT 1831510650 96329 - Licensed Marriage and Family Therapist Y
Melissa Colon VCSS Stockton 9063 MFTI 1871663351 77340 - Marriage and Family Therapist Intern Y
Itzia Cruz VCSS Stockton 9063 ACSW 1639533987 80056 - Associate Clinical Social Worker Y
Tracy Cutino VCSS Stockton 9063 LMFT 1740297902 47897 - Licensed Marriage and Family Therapist Y
Betia Dadkhah VCSS Stockton 9063 LMFT 1083709380 44160 - Licensed Marriage and Family Therapist Y
Mark Edelstein VCSS Stockton 9063 MD 1972516714 C41340 - Physician amp Surgeon Y
Sharee Esparza VCSS Stockton 9063 MFTI 1982145504 102079 - Marriage and Family Therapist Intern Y
Tanner Hickman VCSS Stockton 9063 ACSW 1194272146 78099 - Associate Clinical Social Worker Y
Courtney Ivy VCSS Stockton 9063 MFTI 1679959217 71048 - Marriage and Family Therapist Intern Y
Giana Kooger VCSS Stockton 9063 LMFT 1720318132 86206 - Licensed Marriage and Family Therapist Y
Sheree Lozano VCSS Stockton 9063 MFTI 1538523501 88637 - Marriage and Family Therapist Intern Y
Christina Lopez VCSS Stockton 9063 MFTI 1265705727 102443 - Marriage and Family Therapist Intern Y
Koryn Marshall VCSS Stockton 9063 LMFT 1962881870 86263 - Licensed Marriage and Family Therapist Y
Adrianna Martinez VCSS Stockton 9063 MFTI 1851831242 107761 - Marriage and Family Therapist Intern Y
Laura Rodriguez VCSS Stockton 9063 ACSW 1316498892 78113 - Associate Clinical Social Worker Y
Jacquelyn Seefeldt VCSS Stockton 9063 MFTI 1124250204 74064 - Marriage and Family Therapist Intern Y
Heather Taylor VCSS Stockton 9063 LMFT 1265514251 44021 - Licensed Marriage and Family Therapist Y
Palei Triguero VCSS Stockton 9063 MFTI 1871994285 86335 - Marriage and Family Therapist Intern Y
Wendy True VCSS Stockton 9063 LMFT 1750476438 44262 - Licensed Marriage and Family Therapist Y
Jennifer Tutt VCSS Stockton 9063 LCSW 1316134091 27530 - Licensed Clinical Social Worker Y
Sarah Voss VCSS Stockton 9063 LMFT 1275602914 51406 - Licensed Marriage and Family Therapist Y
Michelle Zuckerman VCSS Stockton 9063 LMFT 1891948691 84298 - Licensed Marriage and Family Therapist Y
57 Victor Treatment Center - Santa Rosa- OUT OF COUNTY PROVIDER
58 Victor Youth Services (North Valley Schools)- OUT OF COUNTY PROVIDER
59 Womens Center- Family and Youth Services httpswwwwomenscenteryfsorgindexphpget-helptherapy-services
CONTRACT PSYCHIATRIC HOSPITALS
60 BHC Heritage Oaks Hospital - Out of County Hospital
61 BHC Sierra Vista Hospital - Out of County Hospital
62 St Helena Hospital Center for Behavioral Health - Out of County Hospital
63 John Muir Behavioral Health Center - Out of County Hospital
64 Sutter Center for Psychiatry - Out of County Hospital
65 Fremont Hospital - Alka Aneja Fremont Hospital ChildAdolescent MD 1619031317 A112029BA9881017 Y
Harmohinder Athwal Fremont Hospital ChildAdolescent MD 1740298256 A81841BA8179473 Y
Kamaljeet Boora Fremont Hospital Psychiatry MD 1356587711 102846FB0978823 N
Vikas Duvvuri Fremont Hospital EDO MD 1255470480 A99706FD0242064 Y
Trevor Fooks Fremont Hospital Psychiatry MD 1730267535 G63964BF1543695 Y
Ravinder Kahlon Fremont Hospital NeuroPsych MD 1386741320 A50823BK2018934 N
Vasdeep Kahlon Fremont Hospital Psychiatry MD 1497852446 A51243BK2742535 N
Padmavathi Kudaravalli Fremont Hospital Internal Medicine MD 1144221953 A67964BK6574974 Y
Pradeep Kumar Fremont Hospital Psychiatry MD 1023188935 A52032BK4202177 N
Deepak Kumar Fremont Hospital Psychiatry MD 1306257910 A130068FK4574299 Y
Sudha Manjunath Fremont Hospital ChildAdolescent MD 1801826797 A87131BM8982818 Y
Syed Munir Fremont Hospital ChildAdolescent MD 1790718815 C55029BM3999553 Y
Nanda Nayak Fremont Hospital Psychiatry MD 1477656262 A43182BN0687597 N
Falguni Patel Fremont Hospital ChildAdolescent MD 1548414337 A105594FP1152949 Y
Surender Punia Fremont Hospital Psychiatry MD 1376589663 A77004BP6477497 Y
Divya Reddy Fremont Hospital Psychiatry MD 1518120211 A103547FR1100306 Y
Devindar Singh Fremont Hospital Internal Medicine MD 1447294624 A48148BS2303422 N
Sunpreet Singh Fremont Hospital Psychiatry MD 1326464462 A132932FS5027087 Y
Bhupinder Waraich Fremont Hospital Psychiatry MD 1689869547 A53968BW4473346 Y
Jaap Kaur Waraich Fremont Hospital Psychiatry MD 1316132285 G67904BW2368391 Y
Nicholas Phillips Fremont Hospital Family Medicine MD 1255727293 A153125FP7288841 N
Harleen Dyal Fremont Hospital Family Medicine MD 1225424327 A153255FD7288839 N
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake Unit-Referrals to Licensed Staff
67 Chemical
Dependency
Counseling
Center ( CDCC) Tyler Moran Chemical Dependency Counseling Center 390002DNAMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Chemical Dependency Counseling Center 390002DNMFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Chemical Dependency Counseling Center 390002DNPsychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Chemical Dependency Counseling Center 390002DNPsychiatrist 1710094057 A72805 Y
68 Alcohol amp Drug Alternative Program (ADAP)-Referrals to Licensed Staff
69 Family Ties Tyler Moran Family Ties 390002EN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Family Ties 390002EN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Family Ties 390002EN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Family Ties 390002EN Psychiatrist 1710094057 A72805 Y
70 Recovery
House Tyler Moran Recovery House 390002AN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Recovery House 390002AN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Recovery House 390002AN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Recovery House 390002AN Psychiatrist 1710094057 A72805 Y
71 Adolescent Co- Occurring Treatment Program (ACT) Childrens Behavioral Health Services- Referrals to Licensed Staff
72 Prevention Services- Referrals to Licensed Staff
NARCOTIC TREATMENT PROGRAMSMEDICATION ASSISTED TREATMENT
73 Aegis
Treatment
Center Dr Randall Paul Aegis Treatment Center Medical License 1912061045 A26361 Y
Linda Beccerra Aegis Treatment Center Vocation Nurse VN 183039 Y
Dora Berry Aegis Treatment Center Vocation Nurse VN 689493 Y
Jeannette Carter-Camp Aegis Treatment Center Vocation Nurse 1740480342 NP 7506 Y
Francisca Marquez Aegis Treatment Center Vocation Nurse VN 287402 Y
74 5th Street
Medical Clinic
Stockton Dr Michael Fox 5th Street Medical Clinic Medical License 1212069758 G53561 Y
Melissa Whitworth 5th Street Medical Clinic Vocation Nurse RN 541037 Y
Divina Palafox 5th Street Medical Clinic Vocation Nurse 1912061995 VN 17300 Y
Divna Lu 5th Street Medical Clinic Vocation Nurse VN 183039 Y
Jeannette Carter-Camp 5th Street Medical Clinic Vocation Nurse 1740480342 NP 7506 Y
75 Aegis
Treatment
CenterHealthy
Connections
(California St)
Stockton Dr Michael Fox Aegis Treatment CenterHealthy ConnectionsMedical License 1212069758 G53561 Y
Melissa Whitworth Aegis Treatment CenterHealthy ConnectionsVocation Nurse RN 541037 Y
Dr Brian Talleur Aegis Treatment CenterHealthy ConnectionsMedical License 1659791101 A154190 Y
Alvin Goat Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 20473 Y
Crystal August Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 695962 Y
Rosenah Durago Aegis Treatment CenterHealthy ConnectionsVocation Nurse 1841629185 VN 235553 Y
Maria Garsuta Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 235825 Y
76 Healthy
Connections
Lodi Clinic Melissa Whitworth Healthy Connections Lodi Clinic Vocation Nurse RN 541037 Y
Dr Brian Talleur Healthy Connections Lodi Clinic Medical License 1659791101 A154190 Y
Angeles Alfaro Healthy Connections Lodi Clinic Vocation Nurse 1649669979 VN 689129 Y
John Campos Healthy Connections Lodi Clinic Vocation Nurse 1407192297 VN 260740 Y
Prabhjot Kaur Healthy Connections Lodi Clinic Vocation Nurse VN 698775 Y
Meenal Prasad Healthy Connections Lodi Clinic Vocation Nurse 1114407368 VN 287331 Y
77 Manteca
Healthy
Connections Dr Michael Fox Manteca Healthy Connections Medical License 1212069758 G53561 Y
Melissa Whitworth Manteca Healthy Connections Vocation Nurse RN 541037 Y
Dr Randall Paul Manteca Healthy Connections Medical License 1912061045 A26361 Y
Mary Jane Davis Manteca Healthy Connections Vocation Nurse 1861822744 VN 72342 Y
Christine Falcon Manteca Healthy Connections Vocation Nurse VN 175628 YDourine Iqiel Manteca Healthy Connections Vocation Nurse 1477008506 VN281162 YRebecca Mohr Manteca Healthy Connections Psyciatric Technician LPT 26531 Y
78 MedMark Treatment Center httpsmedmarkcommedmark-treatment-centers-stockton
LANGUAGE ASSISTANCE
English
ATTENTION If you speak another language language assistance services free of charge are available to you Call 1-888-468-9370 (TTY 1-866-735-2922 )ATTENTION Auxiliary aids and services including but not limited to large print documents and alternative formats are available to you free of charge upon request Call 1-888-468-9370
Espantildeol (Spanish)
ATENCIOacuteN Si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-888-468-9370 (TTY 1-866-735-2922 )
Tiếng Việt (Vietnamese)
CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-888-468-9370 (TTY 1-866-735-2922 )
Services may be delivered by an individual provider or a team of providers who is working under the direction of a licensed practitioner operating within their scope of practice Only licensed
waivered or registered mental health providers and licensed substance use disorder services providers are listed on the Plans provider directory
Tagalog (Tagalog Filipino)
PAUNAWA Kung nagsasalita ka ng Tagalog maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-888-468-9370 (TTY 1-866-735-2922 )한국어 (Korean)주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수 있습니다 1-888-468-9370 (TTY 1-866-735-2922 ) 번으로 전화해 주십시오繁體中文繁體中文繁體中文繁體中文(Chinese)注意如果您使用繁體中文您可以免費獲得語言援助服務請致電1-888-468-9370 (TTY 1-866-735-2922 )ՀայերենՀայերենՀայերենՀայերեն (Armenian)
ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ Զանգահարեք 1-888-468-9370 (TTY 1-866-735-2
Русский (Russian)
ВНИМАНИЕ Если вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-888-468-9370 (TTY 1-866-735-2922 )
(Farsi) فارسیتوجه اگر به زبان فارسی گفتگو می کنيد تسهيلات زبانی بصورت رايگان برای شما
日本語日本語日本語日本語 (Japanese)注意事項日本語を話される場合無料の言語支援をご利用いただけます1-888-468-9370فراهم می باشد با 1 (TTY 1-866-735-2922 ) までお電話にてご連絡くださいHmoob (Hmong)
LUS CEEV Yog tias koj hais lus Hmoob cov kev pab txog lus muaj kev pab dawb rau koj Hu rau 1-888-468-9370 (TTY 1-866-735-2922 )
ਪਜਾਬੀ (Punjabi)
ਿਧਆਨ ਿਦਓ ਜ ਤਸੀ ਪਜਾਬੀ ਬਲਦ ਹ ਤਾ ਭਾਸ਼ਾ ਿਵਚ ਸਹਾਇਤਾ ਸਵਾ ਤਹਾਡ ਲਈ ਮਫਤ ਉਪਲਬਧ ਹ 1-888-468-9370 (TTY 1-866-735-2922) ਤ ਕਾਲ ਕਰ
(Arabic) العربيةملحوظة إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغوية تتوافر لك بالمجان
हिदी (Hindi)
द यदि आप हिदी बोलत ह तो आपक लिए मफत म भाषा सहायता सवाए उपलबध ह [1-888-468-9370 (TTY 1-866-735-2922) पर कॉल कर
ภาษาไทย (Thai)
เรยน ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร 1-888-468-9370 (TTY 1-866-735-2922) धयान
ែខរ (Cambodian)
បយត ររ េស នអកនយ ែខ រសជនយមននក េយមនគត នគចនស ររ អេ នក ច ទ សព+1-888-468-9370 (TTY 1-866-735-2922)
ພາສາລາວ (Lao)
ໂປດຊາບ ຖາວາ ທານເວາພາສາ ລາວ ການບລການຊວຍເຫອດານພາສາໂດຍບເສຽຄາ ແມນມພອມໃຫທານ ໂທຣ 1-888-468-9370 (TTY 1-866-735-2922)
- 18-Font English Medi-Cal Provider Directory(Word Doc) 12-2018 English
- Medi-Cal Directory Provider Staff Listing 18 font English 12-2018
-
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 10 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
11Gaining Older
Adult Life Skills
(GOALS) Full
Service Partnership
(MHSA)
9093
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Full Service
Partnership with the
emphasis on outreach
to the underserved
older adult
population ages
(60+)
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 11 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
12InSPIRE
(MHSA)
39AN
1212 N California
Street
Stockton CA
95202
(209) 468-8880
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Cambo-
dian Viet-
namese
MHSA innovation
component
providing learning
community
opportunities to
specialized cohorts
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 12 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
13La Familia
Clinic Full
Service
Partnership
(MHSA)
9092
1149 N El Dorado
Street
Stockton CA
95202
(209) 468-2335
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
Latino
out-
reach
and
access
Spanish
Psychiatric
assessment case
management
medication support
individual and group
therapy with a
special emphasis on
serving Spanish-
speaking persons
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 13 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
14Mary Graham
Childrens Shelter
9008
6861 Mary Graham
Lane
French Camp CA
95231
(209) 468-6966
httpwww
marygrahamfou
ndationorg
24 Hours
Children
and
Youth
Provides outpatient
mental health
services to residents
of Mary Graham
Childrens Shelter
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 14 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services)
Include-
ing ASL
YesNo YesNo YesNo
15MHSA TAY
FSP
39B1
1212 N California
Street Stockton
CA 95202
(209) 468-8862
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adults
Full service
partnership providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 15 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
16Older Adult
Services (OAS)
3980
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Cambo-
dian Viet-
namese
Comprehensive
Behavioral Health
Services for older
adults (60+) provided
by a multidisciplinary
team Services
include psychiatric
assessment
medication
support group
individual therapy
and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 16 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services
Includin
g ASL
YesNo YesNo YesNo
17 Peterson
Hall
9009
535 W Matthews
Rd French Camp
CA 95231
(209) 468-4240
hiipswwwsjg
ovorgmhs
M-F 8 am- 8
pm SatSun 10-
7 pm
Children
and
Youth
Cambo-
dian
Spanish
Provides outpatient
mental health services
to youth detained at
Peterson Hall
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
18Psychiatric
Health
Facility (PHF)
3976
1212 N California
Street Stockton
CA 95202
(209) 468-8686
httpswwwsjg
ovorgmhs 24
hours
Adult Spanish
24-hour inpatient
hospitalization
services
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 17 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
19San Joaquin
County MH
Services Lodi Clinic
3924
1209 W Tokay
Street
Suites 1 3 5 7 9
12 14 and 16
Lodi CA 95240
(209) 331-2070
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Children
Youth
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
North
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 18 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
20San Joaquin
County MH
Services Tracy
Clinic
9048
220 W Eleventh
Street
Tracy CA 95376
(209) 831-5941
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
South
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 19 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
21SJC-MHS
CYS Katie A
Services
9020
333 E Washington
Street
Stockton CA
95202
(209) 468-1547
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Children
and
Youth
Spanish
Hmong
Japanese
Provides in-home
and in-community
outpatient mental
health services to
WampI Code 300
dependent SJC
children
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 20 of 66
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lations
Served
Non-
English
Lang-
uages (in
addition to
free Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
22Transcultural
Clinic
(TCC) - full range
of specialty mental
health services and
intensive case
management
program
9014
4422 N Pershing
Ave
Suites D1-D4
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available
in Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 21 of 66
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
23Southeast
Asian Recovery
Services (SEARS)
for the Southeast
Asian population-
Full Service
Partnership
(MHSA)
9094
4422 N Pershing
Avenue Suite D2
D3 D4 D5 D6
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available in
Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
CONTRACT ORGANIZATIONAL PROVIDERS
24Anka Lodi (was
Mourfield House)
9075
458 Almond Drive
Lodi CA 95240
(209) 982-4697
wwwankabhior
g M-F 8am-5pm
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
25ASPIRAnet
39AR
6 S El Dorado
Street Suite 510
Stockton CA
95202
(209) 478-9862
wwwaspiranet
Org
M-F 8 am- 5
pm
Children
and
Youth
Provides
Therapeutic
Behavioral Services
(TBS) and crisis
stabilization services
as an alternative to
psychiatric
hospitalization
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
26Bright House
9047
8210 Bright Road
French Camp CA
95231
(209) 982-1235
wwwankabhior
g 24 hours
Adult
Adult Transitional
Residential
Treatment Program
Medication Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
27Casa Pacifica
39AB
1722 S Lewis Road
Camarrillo CA
93012
(805) 981-1422
wwwcaspacific
aorg
M-F 8 am- 6 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
28CBIS
(University of the
Pacific)
39A1
405 E Pine Street
Stockton CA
95204
(209) 476-1959
wwwcommunit
yre-
entryprogramco
m M-F 8am-430
pm
Adult
Spanish
Behavioral
Intervention Services
Mental Health Services
Intensive Home Based
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
29Chamberlains
Children Center
Inc
39B4
1850 San Benito
Street
Hollister CA
95023
(831) 636-2121
wwwchamberla
inccorg
M-F 8 am- 5 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
30Charis Youth
Center
9057
714 W Main Street
Grass Valley CA
95945
(530) 477-9800
wwwcharisyout
hcenterorg
M-F 830 am-
430 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
31Child Abuse
Prevention Council
39A8
540 N California
Street
Stockton CA
95202
(209) 644-5311
wwwnochildab
useorg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health services
utilizing
strengthening family
approach
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 27 of 66
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
32Community
Re- Entry
Program (CRP)
9044
405 E Pine Street
Stockton CA
95204
(209) 946-2132
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
independent living
skills training and
rehabilitation
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
33Crestwood
Solano
(PHF)
39A8
2201 Tuolumne
Street Suite B
Vallejo CA 94589
(707) 558-1777
wwwcrestwood
behavioralhealth
com
24
hours
Adult
24-hour
inpatient
hospitalization
services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
34Crittenton
Services For
Children And
Families
39B3
100 E Valley View
Drive Fullerton CA
92832
(714) 680-8268
wwwcrittentons
ocalorg
M-F 830 am- 5
pm
Children
and
Youth
Residential
facility providing
mental health
treatment to youth
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS)
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
35Edgewood
Center for
Children and
Families
39AV
1801 Vincente
Street San
Francisco CA
94116
(415) 681-3211
wwwedgewood
org
24
Hrs
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
36Fred Finch
Youth
Center
39AY
3800 Coolidge
AvenueOakland
CA 94602
(510) 482-2244
wwwfredfinch
Org
M-F 830 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
37Grant House
9064
1117 S Grant
Street Stockton
CA 95206
(209) 461-6500
wwwankabhior
g 24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
38Latino
Behavioral Health
and Recovery
Services
9067
445 N San Joaquin
Street
Stockton CA
95202
(209) 444-8910
wwwelconcilio
Org
M-F 8 am- 5 pm
Adult
Spanish
Provides Culturally
Competent
Services to Latinos
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
39Martin Gipson
Socialization Center
9043
405 E Pine Street
Stockton CA
95204
(209) 464-5519
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
socialization
vocational and
educational
opportunities for
Adult Mentally
ill consumers
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
40Mountain
Valley Child and
Family Services
Inc
9039
24077 Highway 49
Nevada City CA
95959
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Therapeutic
Behavioral Services
(TBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
41Mountain
Valley Child and
Family Services
Inc
39A4
7818 Bar Du Lane
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
42Mountain
Valley Child and
Family Services
Inc
39A3
6171 Bradshaw Rd
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
43Mountain
Valley Child and
Family Services
Inc
39A2
9200 Sweet Acacia
Way Sacramento
CA 95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
44Phoenix House
of
Los Angeles Inc
39B6
1600 Eldrige
Avenue Lake View
Terrace CA 91342
(818) 686-3000
wwwphoenixho
useorg
M-F 8 am- 530
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
45Rebekah
Childrenrsquos
Home
39AU
290 IOOF Avenue
Gilroy CA 95020
(408) 846-2100
wwwrcskidsor
g
M-F 8 am- 530
pm
Children
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
46Sacramento
Childrens Home
9076
2750 Sutterville
Road Sacramento
CA 95820
(916) 452-3981
wwwkidshome
Org
M-F 830 am - 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
47San Gabriel
Childrens Center
Out Patient
39B7
4740 N Grand
Avenue Covina CA
91724
(626) 859-2089
wwwsangabriel
childcom
M-F 8 am- 5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
48Star View
Adolescent Center
OP
39BB
4025 West 226th
Street
Torrance CA
90505
(310)373-4556
wwwstarsincco
m 24 hours
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
49Summitview
Child Treatment
Center
9061
670 Placerville Dr
2 Placerville CA
95667
(530) 644-2412
wwwsummitvie
wtreatmentorg
M-F 8 am-5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
50Telecare (aka
Jeremy House)
39AX
5634 Jeremy Way
Stockton CA
95212
(209) 888-4969
wwwtelecareco
rpcom
24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
51Telecare Early
Intervention
Recovery Services
(TEIRS)
39B2
4545 Georgetown
Place Suite A3
Stockton CA
95207
(209) 715-3754
wwwtelecareco
rpcom
M-F 8 am- 5 pm
Adult
Spanish
Provides outpatient
mental health services
for children and
adults
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 44 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
52TLC Child and
Family Services
39A9
1800 Gravenstein
Hwy North Suite A
Sebastopol CA
95472
(707) 823-7300
httpwwwtlc4
kidsorg
M-F 8 am- 430
pm
Children
and
Youth
Community-based
program
providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
53Valley
Community
Counseling Services
(VCCS) (Manteca)
9040
129 E Center
Street Suite 3
Manteca CA
95336
(209) 239-5553
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health
services for children
and youth in South
County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 46 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
54Valley
Community
Counseling Services
(VCCS) (School
Based Program -
Stockton)
9042
6707 Embarcadero
Drive Suite A
Stockton CA
95219
(209) 956-4240
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Outpatient mental
health services
provided at various
schools in
Stockton Manteca
and Lodi
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
55Valley
Community
Counseling Services
(VCCS) (Tracy)
9041
19 East 6th Street
Tracy CA 95378
(209) 835-8583
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health services
for children and youth
in South County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 48 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
56Victor
Community
Services and
Support Stockton
(VCSS)
9063
2495 W March
Lane Suite 125
Stockton CA
25207
(209) 465-1080
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services in-home and
in community
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 49 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
57Victor
Treatment
Center - Santa Rosa
9083
3164 Condo Court
Santa Rosa CA
95403
(707) 523-2334
wwwvictororg
M-F 810 am- 4
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
58Victor
Youth Services
(North Valley
Schools)
39AC
855 Canyon Road
Redding CA
96001
(530) 378-1855
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
59Womens
Center- Family
and Youth
Services
39B6
729 N California
Street Stockton
CA 95202
(209) 929-6700
wwwwomensce
nteryfsorg
M-F 830 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
CONTRACT PSYCHIATRIC HOSPITALS
60BHC Heritage
Oaks
Hospital
4250 Auburn
Boulevard
(916) 489-3336
wwwheritageoa
kshospitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
61BHC Sierra
Vista
Hospital
8001 Bruceville
Road
(916) 423-2000
wwwsierravista
hospitalcom
24 hours
All ages
Yes
Yes
Yes
62St Helena
Hospital Center for
Behavioral Health
525 Oregon Street
(707) 648-2200
wwwadventisth
ealthorg
24 hours
All ages
Yes
Yes
Yes
63John Muir
Behavioral Health
Center
2740 Grant Street
(925) 680-6500
wwwjohnmuirh
ealthcom
24 hours
All ages
Yes
Yes
Yes
64Sutter Center for
Psychiatry
7700 Folsom
Boulevard
(916) 388-3045
wwwsuttermedi
calcenterorg
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 53 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
65Fremont
Hospital
39001 Sundale
Drive
(510) 796-1100
wwwfremontho
spitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake
Unit
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-9600
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Substance Use Disorder
Assessment for
Outpatient amp Inpatient
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
67 Chemical
Dependency
Counseling Center
(CDCC)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-3720
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Youth
Adult
Perinatal
Spanish
Mon Wed and Fri
8am-5pm
Closed Holidays
Outpatient Treatment
Perinatal Component
Intensive Outpatient
Youth Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
68 Alcohol amp Drug
Alternative Program
(ADAP)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-6840
Fax (209)468-
8640
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon Wed and Fri
8am-5pm
Tue And Thur
8am-7pm
Closed Holidays
Outpatient Court
Monitoring Education
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
69 Family Ties
500 W Hospital Rd
French Camp CA
95231
(209) 468-6208
Fax (209)468-
7032
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Adult
Perinatal
Spanish
24 Hour Services
Inpatient Treatment
Perinatal Component
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 58 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
70 Recovery House
500 W Hospital Rd
French Camp CA
95231
(209) 468-6857
Fax (209)468-
6739
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
24 Hour Services
Inpatient Treatment
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 59 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
71 Adolescent Co-
Occurring Treatment
Program (ACT)
Childrens Behavioral
Health Services
1414 N California
St 2nd Floor
Stockton CA 95202
(209) 468-2385
Fax (209)468-
8024
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Individual amp group
counseling and
education in conjunction
with the adolescentrsquos
mental health services a
partnership with Mental
Health Services and
Substance Abuse
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 60 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
72 Prevention
Services
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-2005
Fax (209)468-
2251
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Youth Services Parenting
Students In Prevention
(SIP)
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 61 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
73 Aegis
Treatment Center
8626 N Lower
Sacramento Road
Suite 41 Stockton
CA 95209
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1230pm
Sat Sun and
Holidays
6am-1030am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 62 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
74 5th Street
Medical Clinic
Stockton
1839 S El Dorado
St Stockton CA
95206
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 63 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
75 Aegis
Treatment Center
Healthy Connections
(California St)
Stockton
1947 N California
St Suites B and C
Stockton CA 95210
(209) 463-0870
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 64 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
76 Healthy
Connections Lodi
Clinic
441 South Ham
Lane Suite A
Lodi CA 95242
(209) 224-8490
httpsaegistreat
mentcenterscom
clinicaegis-
lodi-california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
7am-12 noon
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 65 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
77 Manteca
Healthy Connections
Center Street
955 W Center St
Suites 12A amp 14
Manteca CA 95337
(209) 239-9600
httpsaegistreat
mentcenterscom
clinicaegis-
manteca-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
8am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 66 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
78 MedMark
Treatment Center
1111 N El Dorado
St Stockton CA
95202
(209) 938-0228
httpmedmark
commedmark-
treatment-
centers-
stockton
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
Provider Name Facility NameID
Type of Practioner (licensed
amp Waivered)
National
Provider
Identifier
number California license number type of license
Cultu
ral
Comp
etenc
e
Traini
ng
(YN)1 Black
Awaremenss
Community
Outreach
ProgramMulti
cultural
Services Amarpreet Singh BHS BACOPMC Psychiatrist (Locum) 1235182916 Physician and Surgeon N
Aravind Pai BHS BACOPMC Psychiatrist (Locum) 1629076088 Physician and Surgeon A30319 N
Donna Bickham BHS BACOPMC Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Donnelle Tamayo BHS BACOPMC Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS BACOPMC Staff Nurse III 1104375724 Registered Nurse 723203 Y
Kathleen Wilson-Parish BHS BACOPMC Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS BACOPMC MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Nancy Nelson BHS BACOPMC Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Paul Wallace BHS BACOPMC Chief Psychiatric Tech 1114044799 Licensed Psychiatric Technician PT26296 Y
Quynh-Chi Nguyen BHS BACOPMC Staff Nurse III 1417371014 Registered Nurse 845080 Y
Scott Harrison BHS BACOPMC Clinician II 1518089317 Marriage and Family Therapist Intern IMF75861 Y
Shirley Hollowell BHS BACOPMC Registered Nurse 1124143474 Registered Nurse 352081 Y
2 Children and
Youth Services
Stockton Clinic Ganiya (Iyabo) Adediran
Childrens and Youth Services- Stockton
3915 Waivered 1881148690 81666 AMFT Y
Provider Staff Listing
Benjamin Alban
Childrens and Youth Services- Stockton
3915 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Stockton
3915 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Stockton
3915 Licensed 1821294455 105923 Psychiatrist Y
Valentin Avramov
Childrens and Youth Services- Stockton
3915 Licensed 1053488767 109609 Psychiatrist Y
Kristina Birch
Childrens and Youth Services- Stockton
3915 Waivered 1366874844 1809 APCC Y
Linda Brett
Childrens and Youth Services- Stockton
3915 Licensed 1295853299 523914 RN Y
Donna Cassettari
Childrens and Youth Services- Stockton
3915 Licensed 1497887699 43173 LMFT Y
Renessa Castaneda-Jensen
Childrens and Youth Services- Stockton
3915 Licensed 1376664862 81528 LMFT Y
Jacqueline Coulter
Childrens and Youth Services- Stockton
3915 Licensed 1720184765 41366LMFT Y
Courtney Flores
Childrens and Youth Services- Stockton
3915 Licensed 1851437735 29811 LCSQW Y
Maria Garcia
Childrens and Youth Services- Stockton
3915 Licensed 1235400557 80425 LCSW Y
Ikesha Goodwin
Childrens and Youth Services- Stockton
3915 Waivered 1104279728 101632 IMF Y
Kelsey Guidicatti
Childrens and Youth Services- Stockton
3915 Waivered 1245783687 93458 AMFT Y
Antonio Gutierrez
Childrens and Youth Services- Stockton
3915 Licensed 1023473469 71535 LCSW Y
Victoria Hall
Childrens and Youth Services- Stockton
3915 Licensed 1437464179 91065 LMFT Y
Nicole Hodgson
Childrens and Youth Services- Stockton
3915 Licensed 1962727792 85491 LMFT Y
Hudson Mark Hudson
Childrens and Youth Services- Stockton
3915 Licensed 1528190725 78609 LMFT Y
Shadai Lescale Huante
Childrens and Youth Services- Stockton
3915 Waivered 1528340320 59764 ACSW Y
Genevieve Lisenbey
Childrens and Youth Services- Stockton
3915 Waivered 1265698104 80465 AMFT Y
Sharon Lizotte
Childrens and Youth Services- Stockton
3915 Waivered 1851820708 101863 AMFT Y
Angie Nicholas
Childrens and Youth Services- Stockton
3915 Licensed 1679713796 52080 LMFT Y
Shiella Pablico
Childrens and Youth Services- Stockton
3915 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Sheilena Payne
Childrens and Youth Services- Stockton
3915 Licensed 1336437656 94571 LMFT N
Timothy Quinn
Childrens and Youth Services- Stockton
3915 Waivered 1316322381 79556 Marriage amp Family Therapist Intern Y
Joann Rihad
Childrens and Youth Services- Stockton
3915 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet
Childrens and Youth Services- Stockton
3915 Licensed 1366468555 C53401 Psychiatrist Y
Jacqueline Salgado
Childrens and Youth Services- Stockton
3915 Licensed 1043661903 95452 Marriage amp Family Therapist Y
Kristen Schneider
Childrens and Youth Services- Stockton
3915 Waivered 1578963591 72071 ACSW Y
Carla Simien
Childrens and Youth Services- Stockton
3915 Licensed 1629564000 40771 Licensed Psychiatric Technician N
Tamra Smith
Childrens and Youth Services- Stockton
3915 Licensed 1336267608 76975 LCSW Y
Maribel Vargas
Childrens and Youth Services- Stockton
3915 Waivered 1821247149 35622 ACSW Y
J Watkins
Childrens and Youth Services- Stockton
3915 Licensed 1043797871 4200 LPCC Y
Tamara Weber
Childrens and Youth Services- Stockton
3915 Licensed 1992101497 105926 LMFT Y
Amanda Yocham
Childrens and Youth Services- Stockton
3915 Licensed 1326103516 79068 LMFT Y
Nikki Young
Childrens and Youth Services- Stockton
3915 Waivered 1841692159 88891 AMFT Y
3 Children and
Youth Services-
Foster Youth
Full Service
Partnership Benjamin Alban
Childrens and Youth Services- Foster
Youth 9096 Licensed 1932227295 26094 LCSW Y
Maria Garcia
Childrens and Youth Services- Foster
Youth 9096 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Foster
Youth 9096 Licensed 1023473469 71535 LCSW Y
4 Children and
Youth Services-
Juvenile Justice
Full Srvice
Partnership Benjamin Alban
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1821294455 105923 Psychiatrist Y
Maria Garcia
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1023473469 71535 LCSW Y
Shabneet Hira Brar
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1851598452 A112447 Psychiatrist Y
Sheilena Payne
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1336437656 94571 LMFT N
5 Community
Adult
Treatment
Services Amanda Hurlock CATS OUTPATIENT 1836 Waivered 1205369899 AMFT 100834 Y
Adeline Mendez CATS OUTPATIENT 1836 Licensed 1255453353 PT 25868 Y
Anna Perez Testo CATS OUTPATIENT 1836 Licensed 1740309889 LMFT 52444 Y
Angelo Pasa CATS OUTPATIENT 1836 Licensed 1689874125 RN 691250 Y
Beverly Thompson CATS OUTPATIENT 1836 Waivered 1528311230 ACSW 70671 Y
Carolyn Walters CATS OUTPATIENT 1836 Licensed 1891815155 LMFT 43069 Y
Debra Baker CATS OUTPATIENT 1836 Waivered 1740610229 AMFT 95836 Y
Eloisa Velasco CATS OUTPATIENT 1836 Licensed 1740797976 PT 40651 Y
Francisco Arreola CATS OUTPATIENT 1836 waivered 1417359027 AMF 87821 Y
Heidi McHenry CATS OUTPATIENT 1836 Licensed 1861763294 PT 35949 Y
Helen Sprague CATS OUTPATIENT 1836 Waivered 1710325642 AMFT 75120 Y
Jane Sanchez CATS OUTPATIENT 1836 Licensed 1346406824 LMFT 50808 Y
Jannelle Heard CATS OUTPATIENT 1836 Waivered 1467813568 AMFT 95836 Y
Kara Herrick CATS OUTPATIENT 1836 Licensed 1518191659 LMFT 43283 Y
Keith Amador CATS OUTPATIENT 1836 Licensed 1891127403 LMFT 102725 Y
Cynthia Morishige CATS OUTPATIENT 1836 Licensed 1649396045 LCSW 13592 Y
Remedios Wallace CATS OUTPATIENT 1836 Licensed 1639294341 PT 24227 Y
Luis Garcia CATS OUTPATIENT 1836 Licensed 1346599677 LMFT 10398 Y
Maria Ayala CATS OUTPATIENT 1836 Waivered 1174991129 APCCI 3382 Y
Marie Daguman CATS OUTPATIENT 1836 Waivered 1619483237 ACSW 79980 Y
Mary Montgomery CATS OUTPATIENT 1836 Licensed 1538281183 LCSW82129 Y
Megan Curtiss CATS OUTPATIENT 1836 Waivered 1265836027 AMFT 107915 Y
Priscilla Kavanagh CATS OUTPATIENT 1836 Waivered 1528429057 APCC2122 Y
Elizabeth DeGravio CATS OUTPATIENT 1836 Licensed 1497167530 PT 37500 Y
Ramil Doronio CATS OUTPATIENT 1836 Licensed 1871767376 RN 555151 Y
Ronee Martin CATS OUTPATIENT 1836 Waivered 1932644796 AMFT 84987 Y
Sasha Jackson CATS OUTPATIENT 1836 Waivered 1295181295 ACSW 79996 Y
Sherri Helsby CATS OUTPATIENT 1836 Licensed 1669893764 LCSW 29248 Y
Teri Jorgensen CATS OUTPATIENT 1836 Licensed 1295071363 RN 469034 Y
Tiffany DeWitte CATS OUTPATIENT 1836 Licensed 1023143245 LCSW 29826 Y
Valerie-Ann Garcia CATS OUTPATIENT 1836 Licensed 1770606386 RN 704233 Y
Savoeun Phal CATS OUTPATIENT 1836 Waivered 1821513946 APCC 5278 Y
Joshua Merrill CATS OUTPATIENT 1836 Waivered 1114463957 AMFT 102798 Y
Gerado Manansala CATS OUTPATIENT 1836 Licensed 1215195813 A 102439 Y
Paul Mascovich CATS OUTPATIENT 1836 Licensed 1215921184 G 33950 Y
Jin Soofi CATS OUTPATIENT 1836 Licensed 1972592939 G 86240 Y
Sheril Keys CATS OUTPATIENT 1836 Licensed 1942664875 PT 38333 Y
Thomas Firnberg CATS OUTPATIENT 1836 Licensed 1164597472 A 040218 Y
Mohammad Jahangiri CATS OUTPATIENT 1836 Licensed 1720266760 A 56400 Y
Fouad Saddik CATS OUTPATIENT 1836 Licensed 1437254117 A 44865 Y
Kellie Salazar CATS OUTPATIENT 1836 Licensed 1295273654 PT 40326 Y
Suryabamu Javeed CATS OUTPATIENT 1836 Licensed 1568567105 A 56307 Y
Robert Graff CATS OUTPATIENT 1836 Licensed 1366560112 G 70479 Y
Chestermagno De La Cruz CATS OUTPATIENT 1836 Licensed 1619476637 PT40672 Y
6 Community
Corrections
Partnership Rico Molina AB10920 licensed 1255454203 LCSW25450 Y
Lawrence Shaddix AB10920 licensed 1508282286 IMF84560 Y
Randolph Herrington AB10920 licensed 1114141173 LMFT48970 Y
7 Crisis
Community
Response Team
(CCRT) Williams Wendy CCRT
MHC III
1265554638 LMFT 84045
Y
Ballesteros Patricia CCRT MHC 1790058352 LMFT 108455 Y
8 Crisis
Intervention
Services Graff Robert Crisis
MD
1366560112 G70479
Y
Gill Paramijit Crisis MD 1073629218 A49224 Y
Firnberg Thomas Crisis MD 1164597472 A040218 Y
Singh Karamjit Crisis MD 1083930440 A132050 N
Singh Amanpreet Crisis MD 1235182916 A78414 N
Lee Catherine Crisis MHC III 1073729646 LMFT 44225 Y
Saleem Noshela Crisis MHC III 1255585584 LCSW 67154 Y
Williams Wendy Crisis MHC III 1265554638 LMFT 84045 Y
Galindo Teresa Crisis MHC III 1700119369 LCSW 69736 Y
Molina-Eliab Sonya Crisis MHC 1497878482 AMFT 99087 Y
Tran Michelle Crisis MHC 1366642068 LCSW 81278 Y
Figueroa Carlos Crisis MHC 1306193933 LMFT 102315 Y
Ballesteros Patricia Crisis MHC 1790058352 LMFT 108455 Y
Nobles Shannon Crisis MHC 1457699720 AMFT 101531 Y
Saelee Cindy Crisis MHC 1255511614 LCSW 82456 Y
Maney Stephen Crisis MHC 1083985998 ASW 78482 Y
Lewman Brenda Crisis MHC 1821477035 LMFT106905 Y
Morales Leonardo Crisis MHC 1962822643 ASW 72730 Y
Grant Anika Crisis MHC 1649697137 AMFT 104116 Y
Sullivan Aisha Crisis MHC 1861772253 LCSW 75323 Y
Hodge Lewie Crisis MHC 1477044931 ASW 80338 N
Donato Imelda Crisis MHC 1194278085 APCC 2409 N
Redoblado Sheryl Crisis MHC 1871731513 LCSW 75136 Y
Walter Taffie Crisis CPT 1083735096 PT 32090 Y
DeJesus Carolyn Crisis CPT 1861650228 PT 34221 Y
McArthur Milagros Crisis PT 1477809929 PT 36471 Y
Olsen Chandra Crisis PT 1770914061 PT 37210 Y
Isham Loni Crisis PT 1891145033 PT 38233 Y
Bazua Melissa Crisis PT 1972944072 PT 36496 Y
Wright-Freeman Cody Crisis PT 1538584859 PT 37819 Y
Bareng Jeff Crisis PT 1043753478 PT 40284 Y
Gill Sandeep Crisis PT 1871852673 PT 34942 Y
Quitoriano Stephanie Crisis PT 1659798130 PT 37033 Y
Otero Luis Crisis PT 1487015582 PT 38229 Y
Price Jennifer Crisis PT 1932621893 PT 40662 Y
Kemp Sydney Crisis PT 1902383623 PT 34601 Y
9 Crisis
Stabilization
Units (CSU) Graff Robert CSU
MD
1366560112 G70479
Y
Allanki Sailaja CSU MD 1306897723 C138838 Y
Singh Karamjit CSU MD 1083930440 A132050 N
Brown Brandi CSU RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth CSU RN 1255459061 RN 488617 Y
Seraypheap Arunny CSU RN 1013037274 RN 547944 Y
Limas Deborah CSU RN 1073631727 RN 526984 Y
Winck Angela CSU RN 1083002992 RN 701021 Y
Cabrera Gilbert CSU RN 1679693766 RN 565185 Y
Mendoza Michelle CSU RN 1477951812 RN 797022 Y
Blackman Demerica CSU RN 1932619517 RN 850647 Y
Laizer Gloria CSU RN 1255706479 RN 764452 Y
Odametey Ama CSU RN 1700366358 RN 835504 N
Hawkins Lynnetta CSU MHC III 1437436938 LMFT 93110 Y
Lambert Rekha CSU MHC 1164647525 LMFT 10386 Y
Nguyen Thao CSU MHC 1912214065 LMFT 88176 Y
Navarro Grace CSU MHC 1083737753 ASW 72678 Y
Limas Stephanie CSU MHC 1053433748 LMFT 99397 Y
Little Christy CSU PT 1497978795 PT 28731 Y
Abundez Jesse CSU CPT 1841413036 PT 29162 Y
Montantes Michael CSU CPT 1780018390 PT 37071 Y
DeJesus Carolyn CSU CPT 1861650228 PT 34221 Y
Arriola Eulalie CSU CPT 1255573044 PT 34426 Y
Hardy Denise CSU PT 1912202813 PT 33714 Y
Harbin Toni CSU PT 1639475049 PT 28726 Y
Fortes Catherine CSU PT 1346681442 PT 36982 Y
Mocko James CSU PT 1558726224 PT 38249 Y
Menius Victoria CSU PT 1487074258 PT 37534 Y
Brown Kristaline CSU PT 1750723821 PT 32575 Y
Thorpe William CSU PT 1326599770 PT 40154 Y
Look Jasmin CSU PT 1194143198 PT 37492 Y
Mariano Joseph CSU PT 1609208172 PT 36968 Y
Marglin Lisa CSU PT 1558733576 PT 38247 Y
Clutario Dindo CSU PT 1164664512 PT 34295 Y
Ripoyla Jerral CSU PT 1821511700 PT 40644 Y
Varquez Sharon CSU PT 1366682387 PT 34435 Y
Holmes Sherronya CSU PT 1205214228 PT 37605 Y
Duncan Deanna CSU PT 1043674963 PT 38260 Y
Vang Mai CSU PT 1982103081 PT 40697 Y
Vong Tharith CSU PT 1134624802 PT 40678 N
Ridad Anthony CSU PT 1659887750 PT 40713 Y
Hill Brandon CSU PT 1053803890 PT 40412 Y
Singh Jasvir CSU PT 1477833911 PT 36007 Y
Kottke Marline CSU LVN 1891223111 LVN 198957 Y
10 Forensic
Court Full
Service
Partnership Edward Olpin BHSJDDSAS licensed 1477687077 LCSW24055 Y
Betsey McCall-Salerno BHSJDDSAS licensed 1740574672 LMFT42444 Y
Isabella Padilla Pereira Forensic74 licensed 1174871818 LMFT97934 Y
Alexander Anderson Forensic MCST74 licensed 1417183385 ASW70838 Y
Joseph Zummo Forensic74 licensed 1497927487 AMFT105417 Y
11 Gaining
Older Adult Life
Skills
(GOALS) Full
Service
Partnership
(MHSA) Crystal Thao GOALS 7523 Waivered 1609183748 ACSW 35249 Y
Jessica Preston GOALS 7523 Waivered 1649727066 ACSW 79154 Y
Karla Romero GOALS 7523 Waivered 1083133276 AMFT 100573 Y
Tracy House GOALS 7523 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi GOALS 7523 Licensed 1093911224 LMFT 40177 Y
Sue Gruber GOALS 7523 Licensed 1811014780 LCSW 29008 Y
Christine Blue GOALS 7523 Licensed 1093786683 A 10733 Y
Katheine Hedrick GOALS 7523 Licensed 1043699333 RN 683243 Y
Cynthia Resendez GOALS 7523 Licensed 1780877845 A84098 Y
12 InSpire
(MHSA) Debra Baker InSprire 7023 Waivered 1740610229 AMFT 95836 Y
Elizabeth DeGravio InSprire 7023 Licensed 1497167530 PT 37500 Y
13 La Familia
Clinic Full
Service
Partnership Nancy Nelson BHS La Familia Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Jane Fernandez BHS La Familia Psychiatrist 1194799395 Physician and Surgeon A93060 Y
Pamela Smith BHS La Familia Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Aravind Pai BHS La Familia Psychiatrist (Locum) 1235182916 Physician and Surgeon A30319 N
Cynthia Resendez BHS La Familia Psychiatrist 1780877845 Physician and Surgeon A84098 Y
Donna Bickham BHS La Familia Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS La Familia Registered Nurse 1124143474 Registered Nurse 352081 Y
Kathleen Wilson-Parish BHS La Familia Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS La Familia MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Alexander Largaespada BHS La Familia Clinician 1881902161 Marriage and Family Therapist Intern IMF93473 Y
Lynn Tarrant BHS La Familia Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
Adriana Cruz BHS La Familia Clinician II 1871612697 Licensed Clinical Social Worker LCSW81643 Y
Scarlette Aranda BHS La Familia Clinician I 1295929529 Associate Clinical Social Worker 83748 Y
Donnelle Tamayo BHS La Familia Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS La Familia Staff Nurse III 1104375724 Registered Nurse 723203 Y
14 Mary
Graham
Childrens
Shelter Renessa Castaneda-Jensen Mary Graham Childrens Shelter 9008 Licensed 1376664862 81528 LMFT Y
15 MHSA TAY
FSP Heidi McHenry TAY FSP Licensed 1861763294 PT 35949 Y
Jannelle Heard TAY FSP Waivered 1467813568 AMFT 95836 Y
Ronee Martin TAY FSP Waivered 1932644796 AMFT 84987 Y
Sasha Jackson TAY FSP Waivered 1295181295 ACSW 79996 Y
16 Older Adult
Services (OAS) Crystal Thao OAS 8236 Waivered 1609183748 ACSW 35249 Y
Jessica Preston OAS 8236 Waivered 1649727066 ACSW 79154 Y
Karla Romero OAS 8236 Waivered 1083133276 AMFT 100573 Y
Tracy House OAS 8236 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi OAS 8236 Licensed 1093911224 LMFT 40177 Y
Sue Gruber OAS 8236 Licensed 1811014780 LCSW 29008 Y
Christine Blue OAS 8236 Licensed 1093786683 A 10733 Y
Katheine Hedrick OAS 8236 Licensed 1043699333 RN 683243 Y
Cynthia Resendez OAS 8236 Licensed 1780877845 A84098 Y
17 Peterson
Hall Jennifer Domingo Peterson Hall 9009 Licensed 1104097286 50961 LMFT Y
Shabneet Hira Brar Peterson Hall 9009 Licensed 1851598452 A112447 Psychiatrist Y
Karina Jimenez Peterson Hall 9009 Waivered 1477891679 78261 AMFT Y
Helan Nguyen Peterson Hall 9009 Waivered 1801135876 85251 AMFT Y
Shiella Pablico Peterson Hall 9009 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Joann Ridad Peterson Hall 9009 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet Peterson Hall 9009 Licensed 1366468555 C53401 Psychiatrist Y
Carla Simien Peterson Hall 9009 Licensed 1629564000 40771 Licensed Psychiatric Technician Y
Fay Vieira Peterson Hall 9009 Licensed 1982815684 50276 LMFT Y
18 Psychiatric
Health Facility
(PHF)
Gill Paramijit
PHF
MD
1073629218 A49224
Y
Hart Robert PHF MD 1477660074 C38923 Y
Silver Hilary PHF MD 1720201221 C33442 Y
Brown Brandi PHF RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth PHF RN 1255459061 RN 488617 Y
Seraypheap Arunny PHF RN 1013037274 RN 547944 Y
Limas Deborah PHF RN 1073631727 RN 526984 Y
Winck Angela PHF RN 1083002992 RN 701021 Y
Cabrera Gilbert PHF RN 1679693766 RN 565185 Y
Mendoza Michelle PHF RN 1477951812 RN 797022 Y
Blackman Demerica PHF RN 1932619517 RN 850647 Y
Laizer Gloria PHF RN 1255706479 RN 764452 Y
Odametey Ama PHF RN 1700366358 RN 835504 N
Camello Bena PHF MHC 1053581116 LCSW 65302 Y
Shah Mamoona PHF MHC 1407978471 Waivered Y
Mills Rachelle PHF MHC 1326169350 LMFT 81070 Y
Little Christy PHF PT 1497978795 PT 28731 Y
Bomar Dolfa PHF CPT 1881817567 PT 31571 Y
DeJesus Carolyn PHF CPT 1861650228 PT 34221 Y
Varquez Sharon PHF PT 1366682387 PT 34435 Y
Pot Sambo PHF PT 1104378827 PT 33626 Y
Bou Jennifer PHF PT 1033652466 PT40281 Y
Sesante Maria PHF PT 1851515720 PT 30936 Y
Ota Robert PHF PT 1578786554 PT 33792 Y
Pinano Paolo PHF PT 1245352616 PT 33726 Y
Ruiz Ronald PHF PT 1700907094 PT 27494 Y
Villasenor Kendra PHF PT 1447518204 PT 36449 Y
Deol Sukhvinder PHF PT 1508988593 PT 30288 Y
Bokelman Roy PHF PT 1114040003 PT 32628 Y
Seba Vicki PHF PT 1639291636 PT 31714 Y
Siador Jill PHF PT 1366884058 PT 36818 Y
Polk Rhonda PHF PT 1316160146 PT 20798 Y
Zorea Dylan PHF PT 1467573766 PT28206 Y
Chapin Larry PHF PT 1528200169 PT 26162 Y
19 San Joaquin
County MH
Services Lodi
Clinic Ruth Johnson Lodi Outpatient 6036 Licensed 1265535538 LCSW 15213 Y
Judith Dolyniuk Lodi Outpatient 6036 Licensed 1518182534 LMFT 97680 Y
Amy Massie Lodi Outpatient 6036 Waivered 1356798391 AMFT 100785 Y
Shayne Maniti Lodi Outpatient 6036 Licensed 1689854093 PT 33732 Y
Saba Rizvi Lodi Outpatient 6036 Licensed 1619190501 A 95786 Y
Avramov Valentin Lodi Outpatient 6036 Licensed 1053488767 109609 Psychiatrist Y
Hill Patricia Lodi Outpatient 6036 Licensed 1902926231 23764 LCSW Y
Mann Bhupinderpreet Lodi Outpatient 6036 Waivered 1174603039 80464 AMFT Y
20 San Joaquin
County MH
Services Tracy
Clinic Ashley Smerdon Tracy Clinic 6136 Waivered 1265713929 MFT87560 Y
Jennifer Spruill Tracy Clinic 6136 Licensed 1518232321 LCSW 69544 Y
Simone Litsch Tracy Clinic 6136 Licensed 1598882599 A 89254 Y
Aravind Pai Tracy Clinic 6136 Licensed 1629076088 A30319 N
Gabriel Holguin Tracy Clinic 6136 Licensed 1255704094 PT38216 Y
21 SJC- MHS
CYS Katie A
Services Sailaja Allanki CYS Katie A Services 9020 Licensed 1306897723 138838 Psychiatrist Y
Kristina Birch CYS Katie A Services 9020 Waivered 1366874844 1809 APCC Y
Maria Boklund CYS Katie A Services 9020 Licensed 1396157061 48496 LMFT Y
Linda Brett CYS Katie A Services 9020 Licensed 1295853299 523914 RN Y
Renessa Castaneda-Jensen CYS Katie A Services 9020 Licensed 1376664862 81528 LMFT Y
Maria Gamino CYS Katie A Services 9020 Waivered 1710386453 73292 ASW N
Shabneet Hira Brar CYS Katie A Services 9020 Licensed 1851598452 A112447 Psychiatrist Y
Catherine Navarrete CYS Katie A Services 9020 Waivered 1619456076 105076 Marriage amp Family Therapist Y
Leora Pollock CYS Katie A Services 9020 Licensed 1245663426 75192 LCSW Y
Kim Saing CYS Katie A Services 9020 Licensed 1982722666 51242 LMFT Y
Anastacia Stanley CYS Katie A Services 9020 Licensed 1528299724 87417 LMFT N
Patricia Young CYS Katie A Services 9020 Waivered 1780051375 94965 ASSOCIATE MARRIAGE amp FAMILY THERAPIST Y
22
Transcultural
Clinic (TCC) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
23 Southeast
Asian Recovery
Services
(SEARS) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
CONTRACT ORGANIZATIONAL PROVIDERS
24 Anka Lodi (
was Mourfield
House) Meloney West Anka Lodi AMFT 1649523283 Y
Eon Lawrence Losefa Anka Lodi LMFT 1982898276 104807 Y
Aaron Fett Anka Lodi Psychology Intern 1932352424 Y
25 ASPIRAnet Courtney Warfield-Gibbs ASPIRAnet Waivered 1285958520 ACSW 70918 Y
Melissa Wimer ASPIRAnet Licensed 1467946301 LMFT 81226 Y
Patricia A Jackson ASPIRAnet Waivered 1780848853 AMFT 73975 Y
Vijai Pandey ASPIRAnet Waivered 1710497938 AMFT 70416 Y
Amir Siddiqui ASPIRAnet Waivered 1336617844 APCC 5341 N
26 Bright
House Robert Lee Majors Bright House LMFT 1780692806 49236 Y
27 Casa Pacifica - OUT OF COUNTY PROVIDER
28 CBIS (University of the Pacific)- NON LICENSED STAFF ONLY
29 Chamberlains Children Center Inc -OUT OF COUNTY PROVIDER
30 Charis Youth Center- OUT OF COUNTY PROVIDER
31 Child Abuse
Prevention
Council Roger Duke Child Abuse Prevention Council LMFT 1992861082 79588 Y
Cassandra Lowe Child Abuse Prevention Council AMFT 1205278694 75983 Y
Stacey Tidwell Child Abuse Prevention Council ACSW 1790189413 72578 Y
Nazia Khan Child Abuse Prevention Council AMFT 1508227158 81499 Y
Lisa Aguilar Child Abuse Prevention Council ACSW 1417401035 73365 Y
Anabel Montejano Child Abuse Prevention Council ACSW 1740656636 78974 Y
Catherine Thiel Child Abuse Prevention Council LCSW 1134569791 82263 Y
Michelle Nelson Child Abuse Prevention Council AMFT 1891173357 94133 Y
Maria Cardoza Child Abuse Prevention Council AMFT 1467861252 87554 Y
Thear Chum Child Abuse Prevention Council ACSW 1134648231 83947 Y
Kaitlyn Reilly Child Abuse Prevention Council ACSW 1205381613 83651 Y
Laura Rodriguez Child Abuse Prevention Council ACSW 1316498892 78113 Y
Diana Strimling Child Abuse Prevention Council AMFT 1316221765 104452 Y
32 Community Re-Entry Program (CRP)- NON LICENSED STAFF ONLY
33 Crestwood Solano (PHF)- Out of County Provider
34 Crittenton Services For Children and Families -OUT OF COUNTY PROVIDER
35 Edgewood Center for Children and Families- OUT OF COUNTY PROVIDER
36 Fred Finch Youth Center- OUT OF COUNTY PROVIDER
37 Grant
House Meloney West Grant House AMFT 1649523283 Y
JoAnn Marie Cornelius Grant House LPT 1205877727 35804 Y
Melinda Carchidi Grant House Psychology Intern 1609151653 Y
38 Latino
Behavioral
Health and
Recovery
Services Alexander Largaespada Latino Behavioral Health AMFT 181902161 AMFT 93473 Y
Maria De La Luz Torres Latino Behavioral Health ACSW 1003323361 ASW80844 N
Lynn Tarrant Latino Behavioral Health Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
39 Martin Gipson Socialization Center- NON LICENSED STAFF ONLY
40 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
41 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
42 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
43 Mountain Valley Child and Family Services Inc- OUT OF COUNTY PROVIDER
44 Phoenix House of Los Angeles Inc- OUT OF COUNTY PROVIDER
45 Rebekah
Childrens
Home Bhatti Moeen Rebekah Childrens Home licensed 1205023736 A 100193 Physician amp SurgeonMD DEA FB4071332 Y
Cervantes Priscilla Rebekah Childrens Home licensed 1679081582 693037 LVN N
Delgado Melissa Rebekah Childrens Home licensed 1881002186 105380 LMFT Y
Downey Ruth Rebekah Childrens Home licensed 1790161339 100524 LMFT Y
Machuca Lopez Cynthia Rebekah Childrens Home waivered 1386053817 74884 ACSW Y
Moeller Ryan Rebekah Childrens Home waivered 1316303803 91385 AMFT Y
Vaca-Preez Alejandra Rebekah Childrens Home waivered 1629418876 36752 ACSW Y
Vargas-Gladen Rosalva Rebekah Childrens Home licensed 1326114372 46940 LMFT Y
46 Sacramento Childrens Home- OUT OF COUNTY PROVIDER
47 San Gabriel Childrens Center Out Patient- OUT OF COUNTY PROVIDER
48 Star View Adolescent Center OP- OUT OF COUNTY PROVIDER
49 Summitview Child Treatment Center- OUT OF COUNTY PROVIDER
50 Telecare
(aka Jeremy
House) Jessica Reiland Telecare- Jeremy House ASW (waived) Clinician 1003154634 70377 Y
Thuy Huynh Telecare- Jeremy House LPT Nurse 1033485495 36454 Y
Shannan Taylor Telecare- Jeremy House LMFT Regional Director 1528074770 LMFT46081 Y
51 Telecare
Early
Intervention
Recovery
Services (TEIRS) Melissa Planas ` LCSW 1679807994 LCSW66499 Y
Holli Hoffman TEIRS DNP 1144380940 2005000091 Y
Oshalique Bass TEIRS PCCI Waived 1477811677 5490 Y
Tran tran TEIRS LVN 1477084671 VN 275938 Y
Jennifer Miles TEIRS MD 1275541641 G83528 Y
Shannan Taylor TEIRS LMFT 1528074770 LMFT46081 Y
52 TLC Child and Family Services- OUT OF COUNTY PROVIDER
53 Valley
Community
Counseling
Services (VCCS)
(Manteca) 9040 Muhammad Kamran VCCS Manteca 9040 Licensed 1811051337 C53847 Psychiatrist Y
Patricia Goodman VCCS Manteca 9040 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Manteca 9040 Clinician 1578734687 AMFT 80527 Y
Alisha Sweyd VCCS Manteca 9040 Clinician 1689059941 AMFT 96911 Y
Teresa Viles-Reed VCCS Manteca 9040 Clinician 1386762623 PhD PSY14848 Y
54 Valley
Community
Counseling
Services (VCCS)
(School Based
Program-
Stockton) 9042 Cynthia Aguilera VCCS Stockton 9042 Clinician 1003326182 AMFT 102123 Y
Melanie Almada VCCS Stockton 9042 Clinician 1912396532 AMFT 92167 Y
Arica Arucan VCCS Stockton 9042 Clinician 1215258280 LCSW 72691 Y
Megan Bassi VCCS Stockton 9042 Clinician 1669833885 AMFT 91956 Y
Manjit Belanger VCCS Stockton 9042 Clinician 1255780771 AMFT 100537 Y
Ana De Trinidad VCCS Stockton 9042 Clinician 1043501570 AMFT 95408 Y
Tiffany Drake VCCS Stockton 9042 Clinician 1417456617 AMFT 103265 Y
Sarah Gard VCCS Stockton 9042 Clinician 1477966265 LMFT 106055 Y
Patricia Goodman VCCS Stockton 9042 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Stockton 9042 Clinician 1578734687 AMFT 80527 Y
Alicia Jackson VCCS Stockton 9042 Clinician 1912386525 AMFT 93526 Y
Naomi Jimenez VCCS Stockton 9042 Clinician 1669927828 AMFT 80527 Y
Leonard Lippert VCCS Stockton 9042 Clinician 1154691137 AMFT 101758 Y
Sandra McBride VCCS Stockton 9042 Clinician 1033467030 AMFT 75525 Y
Monika Muy VCCS Stockton 9042 Clinician 1982008603 ACSW 67390 Y
Desiree Nease VCCS Stockton 9042 Clinician 1447703491 ACSW 71196 Y
Katelyn Nelson VCCS Stockton 9042 Clinician 1669998290 ACSW 77372 Y
Elaine Pike VCCS Stockton 9042 Clinician 1508875055 LMFT 45258 Y
Cristal Rodriguez VCCS Stockton 9042 Clinician 1760938740 AMFT 93861 Y
Reshma Roy VCCS Stockton 9042 Clinician 1073061784 ACSW 66474 Y
Belem Ruiz VCCS Stockton 9042 Clinician 1508380411 AMFT 100924 Y
Jenna Santoyo VCCS Stockton 9042 Clinician 1457584567 LCSW 29827 Y
Riah Skrinnik VCCS Stockton 9042 Clinician 1295275592 APCC 3532 Y
Kristyn Towers VCCS Stockton 9042 Clinician 1942671052 AMFT 89172 Y
Alexsandra Trejo VCCS Stockton 9042 Clinician 1750837985 AMFT 92738 Y
Vichra You VCCS Stockton 9042 Clinician 1013437714 AMFT 99071 Y
55 Valley
Community
Counseling
Services (VCCS)
(Tracy) 9041 Muhammad Kamran VCCS Tracy 9041 Licensed 1811051337 C53847 Psychiatrist Y
Rosemary Cervantes VCCS Tracy 9041 Clinician 1407299738 AMFT 72397 Y
Laura Strickland VCCS Tracy 9041 Clinician 1538354543 2012633 Y
Lani Westervelt VCCS Tracy 9041 Clinician 1629191366 LMFT 38654 Y
56 Victor
Community
Services and
Support
Stockton
(VCSS) 9063 Loiuse Cerna VCSS Stockton 9063 MFTI 1346794690 92730 - Marriage and Fmily Therapist Intern Y
Aziza Citi VCSS Stockton 9063 LMFT 1831510650 96329 - Licensed Marriage and Family Therapist Y
Melissa Colon VCSS Stockton 9063 MFTI 1871663351 77340 - Marriage and Family Therapist Intern Y
Itzia Cruz VCSS Stockton 9063 ACSW 1639533987 80056 - Associate Clinical Social Worker Y
Tracy Cutino VCSS Stockton 9063 LMFT 1740297902 47897 - Licensed Marriage and Family Therapist Y
Betia Dadkhah VCSS Stockton 9063 LMFT 1083709380 44160 - Licensed Marriage and Family Therapist Y
Mark Edelstein VCSS Stockton 9063 MD 1972516714 C41340 - Physician amp Surgeon Y
Sharee Esparza VCSS Stockton 9063 MFTI 1982145504 102079 - Marriage and Family Therapist Intern Y
Tanner Hickman VCSS Stockton 9063 ACSW 1194272146 78099 - Associate Clinical Social Worker Y
Courtney Ivy VCSS Stockton 9063 MFTI 1679959217 71048 - Marriage and Family Therapist Intern Y
Giana Kooger VCSS Stockton 9063 LMFT 1720318132 86206 - Licensed Marriage and Family Therapist Y
Sheree Lozano VCSS Stockton 9063 MFTI 1538523501 88637 - Marriage and Family Therapist Intern Y
Christina Lopez VCSS Stockton 9063 MFTI 1265705727 102443 - Marriage and Family Therapist Intern Y
Koryn Marshall VCSS Stockton 9063 LMFT 1962881870 86263 - Licensed Marriage and Family Therapist Y
Adrianna Martinez VCSS Stockton 9063 MFTI 1851831242 107761 - Marriage and Family Therapist Intern Y
Laura Rodriguez VCSS Stockton 9063 ACSW 1316498892 78113 - Associate Clinical Social Worker Y
Jacquelyn Seefeldt VCSS Stockton 9063 MFTI 1124250204 74064 - Marriage and Family Therapist Intern Y
Heather Taylor VCSS Stockton 9063 LMFT 1265514251 44021 - Licensed Marriage and Family Therapist Y
Palei Triguero VCSS Stockton 9063 MFTI 1871994285 86335 - Marriage and Family Therapist Intern Y
Wendy True VCSS Stockton 9063 LMFT 1750476438 44262 - Licensed Marriage and Family Therapist Y
Jennifer Tutt VCSS Stockton 9063 LCSW 1316134091 27530 - Licensed Clinical Social Worker Y
Sarah Voss VCSS Stockton 9063 LMFT 1275602914 51406 - Licensed Marriage and Family Therapist Y
Michelle Zuckerman VCSS Stockton 9063 LMFT 1891948691 84298 - Licensed Marriage and Family Therapist Y
57 Victor Treatment Center - Santa Rosa- OUT OF COUNTY PROVIDER
58 Victor Youth Services (North Valley Schools)- OUT OF COUNTY PROVIDER
59 Womens Center- Family and Youth Services httpswwwwomenscenteryfsorgindexphpget-helptherapy-services
CONTRACT PSYCHIATRIC HOSPITALS
60 BHC Heritage Oaks Hospital - Out of County Hospital
61 BHC Sierra Vista Hospital - Out of County Hospital
62 St Helena Hospital Center for Behavioral Health - Out of County Hospital
63 John Muir Behavioral Health Center - Out of County Hospital
64 Sutter Center for Psychiatry - Out of County Hospital
65 Fremont Hospital - Alka Aneja Fremont Hospital ChildAdolescent MD 1619031317 A112029BA9881017 Y
Harmohinder Athwal Fremont Hospital ChildAdolescent MD 1740298256 A81841BA8179473 Y
Kamaljeet Boora Fremont Hospital Psychiatry MD 1356587711 102846FB0978823 N
Vikas Duvvuri Fremont Hospital EDO MD 1255470480 A99706FD0242064 Y
Trevor Fooks Fremont Hospital Psychiatry MD 1730267535 G63964BF1543695 Y
Ravinder Kahlon Fremont Hospital NeuroPsych MD 1386741320 A50823BK2018934 N
Vasdeep Kahlon Fremont Hospital Psychiatry MD 1497852446 A51243BK2742535 N
Padmavathi Kudaravalli Fremont Hospital Internal Medicine MD 1144221953 A67964BK6574974 Y
Pradeep Kumar Fremont Hospital Psychiatry MD 1023188935 A52032BK4202177 N
Deepak Kumar Fremont Hospital Psychiatry MD 1306257910 A130068FK4574299 Y
Sudha Manjunath Fremont Hospital ChildAdolescent MD 1801826797 A87131BM8982818 Y
Syed Munir Fremont Hospital ChildAdolescent MD 1790718815 C55029BM3999553 Y
Nanda Nayak Fremont Hospital Psychiatry MD 1477656262 A43182BN0687597 N
Falguni Patel Fremont Hospital ChildAdolescent MD 1548414337 A105594FP1152949 Y
Surender Punia Fremont Hospital Psychiatry MD 1376589663 A77004BP6477497 Y
Divya Reddy Fremont Hospital Psychiatry MD 1518120211 A103547FR1100306 Y
Devindar Singh Fremont Hospital Internal Medicine MD 1447294624 A48148BS2303422 N
Sunpreet Singh Fremont Hospital Psychiatry MD 1326464462 A132932FS5027087 Y
Bhupinder Waraich Fremont Hospital Psychiatry MD 1689869547 A53968BW4473346 Y
Jaap Kaur Waraich Fremont Hospital Psychiatry MD 1316132285 G67904BW2368391 Y
Nicholas Phillips Fremont Hospital Family Medicine MD 1255727293 A153125FP7288841 N
Harleen Dyal Fremont Hospital Family Medicine MD 1225424327 A153255FD7288839 N
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake Unit-Referrals to Licensed Staff
67 Chemical
Dependency
Counseling
Center ( CDCC) Tyler Moran Chemical Dependency Counseling Center 390002DNAMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Chemical Dependency Counseling Center 390002DNMFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Chemical Dependency Counseling Center 390002DNPsychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Chemical Dependency Counseling Center 390002DNPsychiatrist 1710094057 A72805 Y
68 Alcohol amp Drug Alternative Program (ADAP)-Referrals to Licensed Staff
69 Family Ties Tyler Moran Family Ties 390002EN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Family Ties 390002EN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Family Ties 390002EN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Family Ties 390002EN Psychiatrist 1710094057 A72805 Y
70 Recovery
House Tyler Moran Recovery House 390002AN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Recovery House 390002AN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Recovery House 390002AN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Recovery House 390002AN Psychiatrist 1710094057 A72805 Y
71 Adolescent Co- Occurring Treatment Program (ACT) Childrens Behavioral Health Services- Referrals to Licensed Staff
72 Prevention Services- Referrals to Licensed Staff
NARCOTIC TREATMENT PROGRAMSMEDICATION ASSISTED TREATMENT
73 Aegis
Treatment
Center Dr Randall Paul Aegis Treatment Center Medical License 1912061045 A26361 Y
Linda Beccerra Aegis Treatment Center Vocation Nurse VN 183039 Y
Dora Berry Aegis Treatment Center Vocation Nurse VN 689493 Y
Jeannette Carter-Camp Aegis Treatment Center Vocation Nurse 1740480342 NP 7506 Y
Francisca Marquez Aegis Treatment Center Vocation Nurse VN 287402 Y
74 5th Street
Medical Clinic
Stockton Dr Michael Fox 5th Street Medical Clinic Medical License 1212069758 G53561 Y
Melissa Whitworth 5th Street Medical Clinic Vocation Nurse RN 541037 Y
Divina Palafox 5th Street Medical Clinic Vocation Nurse 1912061995 VN 17300 Y
Divna Lu 5th Street Medical Clinic Vocation Nurse VN 183039 Y
Jeannette Carter-Camp 5th Street Medical Clinic Vocation Nurse 1740480342 NP 7506 Y
75 Aegis
Treatment
CenterHealthy
Connections
(California St)
Stockton Dr Michael Fox Aegis Treatment CenterHealthy ConnectionsMedical License 1212069758 G53561 Y
Melissa Whitworth Aegis Treatment CenterHealthy ConnectionsVocation Nurse RN 541037 Y
Dr Brian Talleur Aegis Treatment CenterHealthy ConnectionsMedical License 1659791101 A154190 Y
Alvin Goat Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 20473 Y
Crystal August Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 695962 Y
Rosenah Durago Aegis Treatment CenterHealthy ConnectionsVocation Nurse 1841629185 VN 235553 Y
Maria Garsuta Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 235825 Y
76 Healthy
Connections
Lodi Clinic Melissa Whitworth Healthy Connections Lodi Clinic Vocation Nurse RN 541037 Y
Dr Brian Talleur Healthy Connections Lodi Clinic Medical License 1659791101 A154190 Y
Angeles Alfaro Healthy Connections Lodi Clinic Vocation Nurse 1649669979 VN 689129 Y
John Campos Healthy Connections Lodi Clinic Vocation Nurse 1407192297 VN 260740 Y
Prabhjot Kaur Healthy Connections Lodi Clinic Vocation Nurse VN 698775 Y
Meenal Prasad Healthy Connections Lodi Clinic Vocation Nurse 1114407368 VN 287331 Y
77 Manteca
Healthy
Connections Dr Michael Fox Manteca Healthy Connections Medical License 1212069758 G53561 Y
Melissa Whitworth Manteca Healthy Connections Vocation Nurse RN 541037 Y
Dr Randall Paul Manteca Healthy Connections Medical License 1912061045 A26361 Y
Mary Jane Davis Manteca Healthy Connections Vocation Nurse 1861822744 VN 72342 Y
Christine Falcon Manteca Healthy Connections Vocation Nurse VN 175628 YDourine Iqiel Manteca Healthy Connections Vocation Nurse 1477008506 VN281162 YRebecca Mohr Manteca Healthy Connections Psyciatric Technician LPT 26531 Y
78 MedMark Treatment Center httpsmedmarkcommedmark-treatment-centers-stockton
LANGUAGE ASSISTANCE
English
ATTENTION If you speak another language language assistance services free of charge are available to you Call 1-888-468-9370 (TTY 1-866-735-2922 )ATTENTION Auxiliary aids and services including but not limited to large print documents and alternative formats are available to you free of charge upon request Call 1-888-468-9370
Espantildeol (Spanish)
ATENCIOacuteN Si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-888-468-9370 (TTY 1-866-735-2922 )
Tiếng Việt (Vietnamese)
CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-888-468-9370 (TTY 1-866-735-2922 )
Services may be delivered by an individual provider or a team of providers who is working under the direction of a licensed practitioner operating within their scope of practice Only licensed
waivered or registered mental health providers and licensed substance use disorder services providers are listed on the Plans provider directory
Tagalog (Tagalog Filipino)
PAUNAWA Kung nagsasalita ka ng Tagalog maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-888-468-9370 (TTY 1-866-735-2922 )한국어 (Korean)주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수 있습니다 1-888-468-9370 (TTY 1-866-735-2922 ) 번으로 전화해 주십시오繁體中文繁體中文繁體中文繁體中文(Chinese)注意如果您使用繁體中文您可以免費獲得語言援助服務請致電1-888-468-9370 (TTY 1-866-735-2922 )ՀայերենՀայերենՀայերենՀայերեն (Armenian)
ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ Զանգահարեք 1-888-468-9370 (TTY 1-866-735-2
Русский (Russian)
ВНИМАНИЕ Если вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-888-468-9370 (TTY 1-866-735-2922 )
(Farsi) فارسیتوجه اگر به زبان فارسی گفتگو می کنيد تسهيلات زبانی بصورت رايگان برای شما
日本語日本語日本語日本語 (Japanese)注意事項日本語を話される場合無料の言語支援をご利用いただけます1-888-468-9370فراهم می باشد با 1 (TTY 1-866-735-2922 ) までお電話にてご連絡くださいHmoob (Hmong)
LUS CEEV Yog tias koj hais lus Hmoob cov kev pab txog lus muaj kev pab dawb rau koj Hu rau 1-888-468-9370 (TTY 1-866-735-2922 )
ਪਜਾਬੀ (Punjabi)
ਿਧਆਨ ਿਦਓ ਜ ਤਸੀ ਪਜਾਬੀ ਬਲਦ ਹ ਤਾ ਭਾਸ਼ਾ ਿਵਚ ਸਹਾਇਤਾ ਸਵਾ ਤਹਾਡ ਲਈ ਮਫਤ ਉਪਲਬਧ ਹ 1-888-468-9370 (TTY 1-866-735-2922) ਤ ਕਾਲ ਕਰ
(Arabic) العربيةملحوظة إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغوية تتوافر لك بالمجان
हिदी (Hindi)
द यदि आप हिदी बोलत ह तो आपक लिए मफत म भाषा सहायता सवाए उपलबध ह [1-888-468-9370 (TTY 1-866-735-2922) पर कॉल कर
ภาษาไทย (Thai)
เรยน ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร 1-888-468-9370 (TTY 1-866-735-2922) धयान
ែខរ (Cambodian)
បយត ររ េស នអកនយ ែខ រសជនយមននក េយមនគត នគចនស ររ អេ នក ច ទ សព+1-888-468-9370 (TTY 1-866-735-2922)
ພາສາລາວ (Lao)
ໂປດຊາບ ຖາວາ ທານເວາພາສາ ລາວ ການບລການຊວຍເຫອດານພາສາໂດຍບເສຽຄາ ແມນມພອມໃຫທານ ໂທຣ 1-888-468-9370 (TTY 1-866-735-2922)
- 18-Font English Medi-Cal Provider Directory(Word Doc) 12-2018 English
- Medi-Cal Directory Provider Staff Listing 18 font English 12-2018
-
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 11 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
12InSPIRE
(MHSA)
39AN
1212 N California
Street
Stockton CA
95202
(209) 468-8880
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Cambo-
dian Viet-
namese
MHSA innovation
component
providing learning
community
opportunities to
specialized cohorts
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 12 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
13La Familia
Clinic Full
Service
Partnership
(MHSA)
9092
1149 N El Dorado
Street
Stockton CA
95202
(209) 468-2335
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
Latino
out-
reach
and
access
Spanish
Psychiatric
assessment case
management
medication support
individual and group
therapy with a
special emphasis on
serving Spanish-
speaking persons
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 13 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
14Mary Graham
Childrens Shelter
9008
6861 Mary Graham
Lane
French Camp CA
95231
(209) 468-6966
httpwww
marygrahamfou
ndationorg
24 Hours
Children
and
Youth
Provides outpatient
mental health
services to residents
of Mary Graham
Childrens Shelter
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 14 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services)
Include-
ing ASL
YesNo YesNo YesNo
15MHSA TAY
FSP
39B1
1212 N California
Street Stockton
CA 95202
(209) 468-8862
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adults
Full service
partnership providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 15 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
16Older Adult
Services (OAS)
3980
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Cambo-
dian Viet-
namese
Comprehensive
Behavioral Health
Services for older
adults (60+) provided
by a multidisciplinary
team Services
include psychiatric
assessment
medication
support group
individual therapy
and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 16 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services
Includin
g ASL
YesNo YesNo YesNo
17 Peterson
Hall
9009
535 W Matthews
Rd French Camp
CA 95231
(209) 468-4240
hiipswwwsjg
ovorgmhs
M-F 8 am- 8
pm SatSun 10-
7 pm
Children
and
Youth
Cambo-
dian
Spanish
Provides outpatient
mental health services
to youth detained at
Peterson Hall
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
18Psychiatric
Health
Facility (PHF)
3976
1212 N California
Street Stockton
CA 95202
(209) 468-8686
httpswwwsjg
ovorgmhs 24
hours
Adult Spanish
24-hour inpatient
hospitalization
services
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 17 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
19San Joaquin
County MH
Services Lodi Clinic
3924
1209 W Tokay
Street
Suites 1 3 5 7 9
12 14 and 16
Lodi CA 95240
(209) 331-2070
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Children
Youth
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
North
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 18 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
20San Joaquin
County MH
Services Tracy
Clinic
9048
220 W Eleventh
Street
Tracy CA 95376
(209) 831-5941
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
South
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 19 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
21SJC-MHS
CYS Katie A
Services
9020
333 E Washington
Street
Stockton CA
95202
(209) 468-1547
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Children
and
Youth
Spanish
Hmong
Japanese
Provides in-home
and in-community
outpatient mental
health services to
WampI Code 300
dependent SJC
children
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 20 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition to
free Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
22Transcultural
Clinic
(TCC) - full range
of specialty mental
health services and
intensive case
management
program
9014
4422 N Pershing
Ave
Suites D1-D4
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available
in Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 21 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
23Southeast
Asian Recovery
Services (SEARS)
for the Southeast
Asian population-
Full Service
Partnership
(MHSA)
9094
4422 N Pershing
Avenue Suite D2
D3 D4 D5 D6
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available in
Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
CONTRACT ORGANIZATIONAL PROVIDERS
24Anka Lodi (was
Mourfield House)
9075
458 Almond Drive
Lodi CA 95240
(209) 982-4697
wwwankabhior
g M-F 8am-5pm
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 22 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
25ASPIRAnet
39AR
6 S El Dorado
Street Suite 510
Stockton CA
95202
(209) 478-9862
wwwaspiranet
Org
M-F 8 am- 5
pm
Children
and
Youth
Provides
Therapeutic
Behavioral Services
(TBS) and crisis
stabilization services
as an alternative to
psychiatric
hospitalization
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
26Bright House
9047
8210 Bright Road
French Camp CA
95231
(209) 982-1235
wwwankabhior
g 24 hours
Adult
Adult Transitional
Residential
Treatment Program
Medication Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
27Casa Pacifica
39AB
1722 S Lewis Road
Camarrillo CA
93012
(805) 981-1422
wwwcaspacific
aorg
M-F 8 am- 6 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
28CBIS
(University of the
Pacific)
39A1
405 E Pine Street
Stockton CA
95204
(209) 476-1959
wwwcommunit
yre-
entryprogramco
m M-F 8am-430
pm
Adult
Spanish
Behavioral
Intervention Services
Mental Health Services
Intensive Home Based
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
29Chamberlains
Children Center
Inc
39B4
1850 San Benito
Street
Hollister CA
95023
(831) 636-2121
wwwchamberla
inccorg
M-F 8 am- 5 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
30Charis Youth
Center
9057
714 W Main Street
Grass Valley CA
95945
(530) 477-9800
wwwcharisyout
hcenterorg
M-F 830 am-
430 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
31Child Abuse
Prevention Council
39A8
540 N California
Street
Stockton CA
95202
(209) 644-5311
wwwnochildab
useorg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health services
utilizing
strengthening family
approach
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
32Community
Re- Entry
Program (CRP)
9044
405 E Pine Street
Stockton CA
95204
(209) 946-2132
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
independent living
skills training and
rehabilitation
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
33Crestwood
Solano
(PHF)
39A8
2201 Tuolumne
Street Suite B
Vallejo CA 94589
(707) 558-1777
wwwcrestwood
behavioralhealth
com
24
hours
Adult
24-hour
inpatient
hospitalization
services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
34Crittenton
Services For
Children And
Families
39B3
100 E Valley View
Drive Fullerton CA
92832
(714) 680-8268
wwwcrittentons
ocalorg
M-F 830 am- 5
pm
Children
and
Youth
Residential
facility providing
mental health
treatment to youth
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS)
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
35Edgewood
Center for
Children and
Families
39AV
1801 Vincente
Street San
Francisco CA
94116
(415) 681-3211
wwwedgewood
org
24
Hrs
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
36Fred Finch
Youth
Center
39AY
3800 Coolidge
AvenueOakland
CA 94602
(510) 482-2244
wwwfredfinch
Org
M-F 830 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
37Grant House
9064
1117 S Grant
Street Stockton
CA 95206
(209) 461-6500
wwwankabhior
g 24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
38Latino
Behavioral Health
and Recovery
Services
9067
445 N San Joaquin
Street
Stockton CA
95202
(209) 444-8910
wwwelconcilio
Org
M-F 8 am- 5 pm
Adult
Spanish
Provides Culturally
Competent
Services to Latinos
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Provider Numbers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
39Martin Gipson
Socialization Center
9043
405 E Pine Street
Stockton CA
95204
(209) 464-5519
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
socialization
vocational and
educational
opportunities for
Adult Mentally
ill consumers
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
40Mountain
Valley Child and
Family Services
Inc
9039
24077 Highway 49
Nevada City CA
95959
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Therapeutic
Behavioral Services
(TBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
41Mountain
Valley Child and
Family Services
Inc
39A4
7818 Bar Du Lane
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
42Mountain
Valley Child and
Family Services
Inc
39A3
6171 Bradshaw Rd
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
43Mountain
Valley Child and
Family Services
Inc
39A2
9200 Sweet Acacia
Way Sacramento
CA 95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
44Phoenix House
of
Los Angeles Inc
39B6
1600 Eldrige
Avenue Lake View
Terrace CA 91342
(818) 686-3000
wwwphoenixho
useorg
M-F 8 am- 530
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
45Rebekah
Childrenrsquos
Home
39AU
290 IOOF Avenue
Gilroy CA 95020
(408) 846-2100
wwwrcskidsor
g
M-F 8 am- 530
pm
Children
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
46Sacramento
Childrens Home
9076
2750 Sutterville
Road Sacramento
CA 95820
(916) 452-3981
wwwkidshome
Org
M-F 830 am - 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
47San Gabriel
Childrens Center
Out Patient
39B7
4740 N Grand
Avenue Covina CA
91724
(626) 859-2089
wwwsangabriel
childcom
M-F 8 am- 5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
48Star View
Adolescent Center
OP
39BB
4025 West 226th
Street
Torrance CA
90505
(310)373-4556
wwwstarsincco
m 24 hours
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
49Summitview
Child Treatment
Center
9061
670 Placerville Dr
2 Placerville CA
95667
(530) 644-2412
wwwsummitvie
wtreatmentorg
M-F 8 am-5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
50Telecare (aka
Jeremy House)
39AX
5634 Jeremy Way
Stockton CA
95212
(209) 888-4969
wwwtelecareco
rpcom
24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
51Telecare Early
Intervention
Recovery Services
(TEIRS)
39B2
4545 Georgetown
Place Suite A3
Stockton CA
95207
(209) 715-3754
wwwtelecareco
rpcom
M-F 8 am- 5 pm
Adult
Spanish
Provides outpatient
mental health services
for children and
adults
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 44 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
52TLC Child and
Family Services
39A9
1800 Gravenstein
Hwy North Suite A
Sebastopol CA
95472
(707) 823-7300
httpwwwtlc4
kidsorg
M-F 8 am- 430
pm
Children
and
Youth
Community-based
program
providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 45 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
53Valley
Community
Counseling Services
(VCCS) (Manteca)
9040
129 E Center
Street Suite 3
Manteca CA
95336
(209) 239-5553
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health
services for children
and youth in South
County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 46 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
54Valley
Community
Counseling Services
(VCCS) (School
Based Program -
Stockton)
9042
6707 Embarcadero
Drive Suite A
Stockton CA
95219
(209) 956-4240
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Outpatient mental
health services
provided at various
schools in
Stockton Manteca
and Lodi
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 47 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
55Valley
Community
Counseling Services
(VCCS) (Tracy)
9041
19 East 6th Street
Tracy CA 95378
(209) 835-8583
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health services
for children and youth
in South County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 48 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
56Victor
Community
Services and
Support Stockton
(VCSS)
9063
2495 W March
Lane Suite 125
Stockton CA
25207
(209) 465-1080
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services in-home and
in community
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 49 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
57Victor
Treatment
Center - Santa Rosa
9083
3164 Condo Court
Santa Rosa CA
95403
(707) 523-2334
wwwvictororg
M-F 810 am- 4
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 50 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
58Victor
Youth Services
(North Valley
Schools)
39AC
855 Canyon Road
Redding CA
96001
(530) 378-1855
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 51 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
59Womens
Center- Family
and Youth
Services
39B6
729 N California
Street Stockton
CA 95202
(209) 929-6700
wwwwomensce
nteryfsorg
M-F 830 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
CONTRACT PSYCHIATRIC HOSPITALS
60BHC Heritage
Oaks
Hospital
4250 Auburn
Boulevard
(916) 489-3336
wwwheritageoa
kshospitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 52 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
61BHC Sierra
Vista
Hospital
8001 Bruceville
Road
(916) 423-2000
wwwsierravista
hospitalcom
24 hours
All ages
Yes
Yes
Yes
62St Helena
Hospital Center for
Behavioral Health
525 Oregon Street
(707) 648-2200
wwwadventisth
ealthorg
24 hours
All ages
Yes
Yes
Yes
63John Muir
Behavioral Health
Center
2740 Grant Street
(925) 680-6500
wwwjohnmuirh
ealthcom
24 hours
All ages
Yes
Yes
Yes
64Sutter Center for
Psychiatry
7700 Folsom
Boulevard
(916) 388-3045
wwwsuttermedi
calcenterorg
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 53 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
65Fremont
Hospital
39001 Sundale
Drive
(510) 796-1100
wwwfremontho
spitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 54 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake
Unit
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-9600
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Substance Use Disorder
Assessment for
Outpatient amp Inpatient
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 55 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
67 Chemical
Dependency
Counseling Center
(CDCC)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-3720
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Youth
Adult
Perinatal
Spanish
Mon Wed and Fri
8am-5pm
Closed Holidays
Outpatient Treatment
Perinatal Component
Intensive Outpatient
Youth Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 56 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
68 Alcohol amp Drug
Alternative Program
(ADAP)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-6840
Fax (209)468-
8640
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon Wed and Fri
8am-5pm
Tue And Thur
8am-7pm
Closed Holidays
Outpatient Court
Monitoring Education
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
69 Family Ties
500 W Hospital Rd
French Camp CA
95231
(209) 468-6208
Fax (209)468-
7032
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Adult
Perinatal
Spanish
24 Hour Services
Inpatient Treatment
Perinatal Component
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 58 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
70 Recovery House
500 W Hospital Rd
French Camp CA
95231
(209) 468-6857
Fax (209)468-
6739
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
24 Hour Services
Inpatient Treatment
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 59 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
71 Adolescent Co-
Occurring Treatment
Program (ACT)
Childrens Behavioral
Health Services
1414 N California
St 2nd Floor
Stockton CA 95202
(209) 468-2385
Fax (209)468-
8024
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Individual amp group
counseling and
education in conjunction
with the adolescentrsquos
mental health services a
partnership with Mental
Health Services and
Substance Abuse
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 60 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
72 Prevention
Services
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-2005
Fax (209)468-
2251
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Youth Services Parenting
Students In Prevention
(SIP)
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 61 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
73 Aegis
Treatment Center
8626 N Lower
Sacramento Road
Suite 41 Stockton
CA 95209
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1230pm
Sat Sun and
Holidays
6am-1030am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 62 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
74 5th Street
Medical Clinic
Stockton
1839 S El Dorado
St Stockton CA
95206
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 63 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
75 Aegis
Treatment Center
Healthy Connections
(California St)
Stockton
1947 N California
St Suites B and C
Stockton CA 95210
(209) 463-0870
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 64 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
76 Healthy
Connections Lodi
Clinic
441 South Ham
Lane Suite A
Lodi CA 95242
(209) 224-8490
httpsaegistreat
mentcenterscom
clinicaegis-
lodi-california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
7am-12 noon
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 65 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
77 Manteca
Healthy Connections
Center Street
955 W Center St
Suites 12A amp 14
Manteca CA 95337
(209) 239-9600
httpsaegistreat
mentcenterscom
clinicaegis-
manteca-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
8am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 66 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
78 MedMark
Treatment Center
1111 N El Dorado
St Stockton CA
95202
(209) 938-0228
httpmedmark
commedmark-
treatment-
centers-
stockton
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
Provider Name Facility NameID
Type of Practioner (licensed
amp Waivered)
National
Provider
Identifier
number California license number type of license
Cultu
ral
Comp
etenc
e
Traini
ng
(YN)1 Black
Awaremenss
Community
Outreach
ProgramMulti
cultural
Services Amarpreet Singh BHS BACOPMC Psychiatrist (Locum) 1235182916 Physician and Surgeon N
Aravind Pai BHS BACOPMC Psychiatrist (Locum) 1629076088 Physician and Surgeon A30319 N
Donna Bickham BHS BACOPMC Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Donnelle Tamayo BHS BACOPMC Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS BACOPMC Staff Nurse III 1104375724 Registered Nurse 723203 Y
Kathleen Wilson-Parish BHS BACOPMC Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS BACOPMC MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Nancy Nelson BHS BACOPMC Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Paul Wallace BHS BACOPMC Chief Psychiatric Tech 1114044799 Licensed Psychiatric Technician PT26296 Y
Quynh-Chi Nguyen BHS BACOPMC Staff Nurse III 1417371014 Registered Nurse 845080 Y
Scott Harrison BHS BACOPMC Clinician II 1518089317 Marriage and Family Therapist Intern IMF75861 Y
Shirley Hollowell BHS BACOPMC Registered Nurse 1124143474 Registered Nurse 352081 Y
2 Children and
Youth Services
Stockton Clinic Ganiya (Iyabo) Adediran
Childrens and Youth Services- Stockton
3915 Waivered 1881148690 81666 AMFT Y
Provider Staff Listing
Benjamin Alban
Childrens and Youth Services- Stockton
3915 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Stockton
3915 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Stockton
3915 Licensed 1821294455 105923 Psychiatrist Y
Valentin Avramov
Childrens and Youth Services- Stockton
3915 Licensed 1053488767 109609 Psychiatrist Y
Kristina Birch
Childrens and Youth Services- Stockton
3915 Waivered 1366874844 1809 APCC Y
Linda Brett
Childrens and Youth Services- Stockton
3915 Licensed 1295853299 523914 RN Y
Donna Cassettari
Childrens and Youth Services- Stockton
3915 Licensed 1497887699 43173 LMFT Y
Renessa Castaneda-Jensen
Childrens and Youth Services- Stockton
3915 Licensed 1376664862 81528 LMFT Y
Jacqueline Coulter
Childrens and Youth Services- Stockton
3915 Licensed 1720184765 41366LMFT Y
Courtney Flores
Childrens and Youth Services- Stockton
3915 Licensed 1851437735 29811 LCSQW Y
Maria Garcia
Childrens and Youth Services- Stockton
3915 Licensed 1235400557 80425 LCSW Y
Ikesha Goodwin
Childrens and Youth Services- Stockton
3915 Waivered 1104279728 101632 IMF Y
Kelsey Guidicatti
Childrens and Youth Services- Stockton
3915 Waivered 1245783687 93458 AMFT Y
Antonio Gutierrez
Childrens and Youth Services- Stockton
3915 Licensed 1023473469 71535 LCSW Y
Victoria Hall
Childrens and Youth Services- Stockton
3915 Licensed 1437464179 91065 LMFT Y
Nicole Hodgson
Childrens and Youth Services- Stockton
3915 Licensed 1962727792 85491 LMFT Y
Hudson Mark Hudson
Childrens and Youth Services- Stockton
3915 Licensed 1528190725 78609 LMFT Y
Shadai Lescale Huante
Childrens and Youth Services- Stockton
3915 Waivered 1528340320 59764 ACSW Y
Genevieve Lisenbey
Childrens and Youth Services- Stockton
3915 Waivered 1265698104 80465 AMFT Y
Sharon Lizotte
Childrens and Youth Services- Stockton
3915 Waivered 1851820708 101863 AMFT Y
Angie Nicholas
Childrens and Youth Services- Stockton
3915 Licensed 1679713796 52080 LMFT Y
Shiella Pablico
Childrens and Youth Services- Stockton
3915 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Sheilena Payne
Childrens and Youth Services- Stockton
3915 Licensed 1336437656 94571 LMFT N
Timothy Quinn
Childrens and Youth Services- Stockton
3915 Waivered 1316322381 79556 Marriage amp Family Therapist Intern Y
Joann Rihad
Childrens and Youth Services- Stockton
3915 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet
Childrens and Youth Services- Stockton
3915 Licensed 1366468555 C53401 Psychiatrist Y
Jacqueline Salgado
Childrens and Youth Services- Stockton
3915 Licensed 1043661903 95452 Marriage amp Family Therapist Y
Kristen Schneider
Childrens and Youth Services- Stockton
3915 Waivered 1578963591 72071 ACSW Y
Carla Simien
Childrens and Youth Services- Stockton
3915 Licensed 1629564000 40771 Licensed Psychiatric Technician N
Tamra Smith
Childrens and Youth Services- Stockton
3915 Licensed 1336267608 76975 LCSW Y
Maribel Vargas
Childrens and Youth Services- Stockton
3915 Waivered 1821247149 35622 ACSW Y
J Watkins
Childrens and Youth Services- Stockton
3915 Licensed 1043797871 4200 LPCC Y
Tamara Weber
Childrens and Youth Services- Stockton
3915 Licensed 1992101497 105926 LMFT Y
Amanda Yocham
Childrens and Youth Services- Stockton
3915 Licensed 1326103516 79068 LMFT Y
Nikki Young
Childrens and Youth Services- Stockton
3915 Waivered 1841692159 88891 AMFT Y
3 Children and
Youth Services-
Foster Youth
Full Service
Partnership Benjamin Alban
Childrens and Youth Services- Foster
Youth 9096 Licensed 1932227295 26094 LCSW Y
Maria Garcia
Childrens and Youth Services- Foster
Youth 9096 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Foster
Youth 9096 Licensed 1023473469 71535 LCSW Y
4 Children and
Youth Services-
Juvenile Justice
Full Srvice
Partnership Benjamin Alban
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1821294455 105923 Psychiatrist Y
Maria Garcia
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1023473469 71535 LCSW Y
Shabneet Hira Brar
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1851598452 A112447 Psychiatrist Y
Sheilena Payne
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1336437656 94571 LMFT N
5 Community
Adult
Treatment
Services Amanda Hurlock CATS OUTPATIENT 1836 Waivered 1205369899 AMFT 100834 Y
Adeline Mendez CATS OUTPATIENT 1836 Licensed 1255453353 PT 25868 Y
Anna Perez Testo CATS OUTPATIENT 1836 Licensed 1740309889 LMFT 52444 Y
Angelo Pasa CATS OUTPATIENT 1836 Licensed 1689874125 RN 691250 Y
Beverly Thompson CATS OUTPATIENT 1836 Waivered 1528311230 ACSW 70671 Y
Carolyn Walters CATS OUTPATIENT 1836 Licensed 1891815155 LMFT 43069 Y
Debra Baker CATS OUTPATIENT 1836 Waivered 1740610229 AMFT 95836 Y
Eloisa Velasco CATS OUTPATIENT 1836 Licensed 1740797976 PT 40651 Y
Francisco Arreola CATS OUTPATIENT 1836 waivered 1417359027 AMF 87821 Y
Heidi McHenry CATS OUTPATIENT 1836 Licensed 1861763294 PT 35949 Y
Helen Sprague CATS OUTPATIENT 1836 Waivered 1710325642 AMFT 75120 Y
Jane Sanchez CATS OUTPATIENT 1836 Licensed 1346406824 LMFT 50808 Y
Jannelle Heard CATS OUTPATIENT 1836 Waivered 1467813568 AMFT 95836 Y
Kara Herrick CATS OUTPATIENT 1836 Licensed 1518191659 LMFT 43283 Y
Keith Amador CATS OUTPATIENT 1836 Licensed 1891127403 LMFT 102725 Y
Cynthia Morishige CATS OUTPATIENT 1836 Licensed 1649396045 LCSW 13592 Y
Remedios Wallace CATS OUTPATIENT 1836 Licensed 1639294341 PT 24227 Y
Luis Garcia CATS OUTPATIENT 1836 Licensed 1346599677 LMFT 10398 Y
Maria Ayala CATS OUTPATIENT 1836 Waivered 1174991129 APCCI 3382 Y
Marie Daguman CATS OUTPATIENT 1836 Waivered 1619483237 ACSW 79980 Y
Mary Montgomery CATS OUTPATIENT 1836 Licensed 1538281183 LCSW82129 Y
Megan Curtiss CATS OUTPATIENT 1836 Waivered 1265836027 AMFT 107915 Y
Priscilla Kavanagh CATS OUTPATIENT 1836 Waivered 1528429057 APCC2122 Y
Elizabeth DeGravio CATS OUTPATIENT 1836 Licensed 1497167530 PT 37500 Y
Ramil Doronio CATS OUTPATIENT 1836 Licensed 1871767376 RN 555151 Y
Ronee Martin CATS OUTPATIENT 1836 Waivered 1932644796 AMFT 84987 Y
Sasha Jackson CATS OUTPATIENT 1836 Waivered 1295181295 ACSW 79996 Y
Sherri Helsby CATS OUTPATIENT 1836 Licensed 1669893764 LCSW 29248 Y
Teri Jorgensen CATS OUTPATIENT 1836 Licensed 1295071363 RN 469034 Y
Tiffany DeWitte CATS OUTPATIENT 1836 Licensed 1023143245 LCSW 29826 Y
Valerie-Ann Garcia CATS OUTPATIENT 1836 Licensed 1770606386 RN 704233 Y
Savoeun Phal CATS OUTPATIENT 1836 Waivered 1821513946 APCC 5278 Y
Joshua Merrill CATS OUTPATIENT 1836 Waivered 1114463957 AMFT 102798 Y
Gerado Manansala CATS OUTPATIENT 1836 Licensed 1215195813 A 102439 Y
Paul Mascovich CATS OUTPATIENT 1836 Licensed 1215921184 G 33950 Y
Jin Soofi CATS OUTPATIENT 1836 Licensed 1972592939 G 86240 Y
Sheril Keys CATS OUTPATIENT 1836 Licensed 1942664875 PT 38333 Y
Thomas Firnberg CATS OUTPATIENT 1836 Licensed 1164597472 A 040218 Y
Mohammad Jahangiri CATS OUTPATIENT 1836 Licensed 1720266760 A 56400 Y
Fouad Saddik CATS OUTPATIENT 1836 Licensed 1437254117 A 44865 Y
Kellie Salazar CATS OUTPATIENT 1836 Licensed 1295273654 PT 40326 Y
Suryabamu Javeed CATS OUTPATIENT 1836 Licensed 1568567105 A 56307 Y
Robert Graff CATS OUTPATIENT 1836 Licensed 1366560112 G 70479 Y
Chestermagno De La Cruz CATS OUTPATIENT 1836 Licensed 1619476637 PT40672 Y
6 Community
Corrections
Partnership Rico Molina AB10920 licensed 1255454203 LCSW25450 Y
Lawrence Shaddix AB10920 licensed 1508282286 IMF84560 Y
Randolph Herrington AB10920 licensed 1114141173 LMFT48970 Y
7 Crisis
Community
Response Team
(CCRT) Williams Wendy CCRT
MHC III
1265554638 LMFT 84045
Y
Ballesteros Patricia CCRT MHC 1790058352 LMFT 108455 Y
8 Crisis
Intervention
Services Graff Robert Crisis
MD
1366560112 G70479
Y
Gill Paramijit Crisis MD 1073629218 A49224 Y
Firnberg Thomas Crisis MD 1164597472 A040218 Y
Singh Karamjit Crisis MD 1083930440 A132050 N
Singh Amanpreet Crisis MD 1235182916 A78414 N
Lee Catherine Crisis MHC III 1073729646 LMFT 44225 Y
Saleem Noshela Crisis MHC III 1255585584 LCSW 67154 Y
Williams Wendy Crisis MHC III 1265554638 LMFT 84045 Y
Galindo Teresa Crisis MHC III 1700119369 LCSW 69736 Y
Molina-Eliab Sonya Crisis MHC 1497878482 AMFT 99087 Y
Tran Michelle Crisis MHC 1366642068 LCSW 81278 Y
Figueroa Carlos Crisis MHC 1306193933 LMFT 102315 Y
Ballesteros Patricia Crisis MHC 1790058352 LMFT 108455 Y
Nobles Shannon Crisis MHC 1457699720 AMFT 101531 Y
Saelee Cindy Crisis MHC 1255511614 LCSW 82456 Y
Maney Stephen Crisis MHC 1083985998 ASW 78482 Y
Lewman Brenda Crisis MHC 1821477035 LMFT106905 Y
Morales Leonardo Crisis MHC 1962822643 ASW 72730 Y
Grant Anika Crisis MHC 1649697137 AMFT 104116 Y
Sullivan Aisha Crisis MHC 1861772253 LCSW 75323 Y
Hodge Lewie Crisis MHC 1477044931 ASW 80338 N
Donato Imelda Crisis MHC 1194278085 APCC 2409 N
Redoblado Sheryl Crisis MHC 1871731513 LCSW 75136 Y
Walter Taffie Crisis CPT 1083735096 PT 32090 Y
DeJesus Carolyn Crisis CPT 1861650228 PT 34221 Y
McArthur Milagros Crisis PT 1477809929 PT 36471 Y
Olsen Chandra Crisis PT 1770914061 PT 37210 Y
Isham Loni Crisis PT 1891145033 PT 38233 Y
Bazua Melissa Crisis PT 1972944072 PT 36496 Y
Wright-Freeman Cody Crisis PT 1538584859 PT 37819 Y
Bareng Jeff Crisis PT 1043753478 PT 40284 Y
Gill Sandeep Crisis PT 1871852673 PT 34942 Y
Quitoriano Stephanie Crisis PT 1659798130 PT 37033 Y
Otero Luis Crisis PT 1487015582 PT 38229 Y
Price Jennifer Crisis PT 1932621893 PT 40662 Y
Kemp Sydney Crisis PT 1902383623 PT 34601 Y
9 Crisis
Stabilization
Units (CSU) Graff Robert CSU
MD
1366560112 G70479
Y
Allanki Sailaja CSU MD 1306897723 C138838 Y
Singh Karamjit CSU MD 1083930440 A132050 N
Brown Brandi CSU RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth CSU RN 1255459061 RN 488617 Y
Seraypheap Arunny CSU RN 1013037274 RN 547944 Y
Limas Deborah CSU RN 1073631727 RN 526984 Y
Winck Angela CSU RN 1083002992 RN 701021 Y
Cabrera Gilbert CSU RN 1679693766 RN 565185 Y
Mendoza Michelle CSU RN 1477951812 RN 797022 Y
Blackman Demerica CSU RN 1932619517 RN 850647 Y
Laizer Gloria CSU RN 1255706479 RN 764452 Y
Odametey Ama CSU RN 1700366358 RN 835504 N
Hawkins Lynnetta CSU MHC III 1437436938 LMFT 93110 Y
Lambert Rekha CSU MHC 1164647525 LMFT 10386 Y
Nguyen Thao CSU MHC 1912214065 LMFT 88176 Y
Navarro Grace CSU MHC 1083737753 ASW 72678 Y
Limas Stephanie CSU MHC 1053433748 LMFT 99397 Y
Little Christy CSU PT 1497978795 PT 28731 Y
Abundez Jesse CSU CPT 1841413036 PT 29162 Y
Montantes Michael CSU CPT 1780018390 PT 37071 Y
DeJesus Carolyn CSU CPT 1861650228 PT 34221 Y
Arriola Eulalie CSU CPT 1255573044 PT 34426 Y
Hardy Denise CSU PT 1912202813 PT 33714 Y
Harbin Toni CSU PT 1639475049 PT 28726 Y
Fortes Catherine CSU PT 1346681442 PT 36982 Y
Mocko James CSU PT 1558726224 PT 38249 Y
Menius Victoria CSU PT 1487074258 PT 37534 Y
Brown Kristaline CSU PT 1750723821 PT 32575 Y
Thorpe William CSU PT 1326599770 PT 40154 Y
Look Jasmin CSU PT 1194143198 PT 37492 Y
Mariano Joseph CSU PT 1609208172 PT 36968 Y
Marglin Lisa CSU PT 1558733576 PT 38247 Y
Clutario Dindo CSU PT 1164664512 PT 34295 Y
Ripoyla Jerral CSU PT 1821511700 PT 40644 Y
Varquez Sharon CSU PT 1366682387 PT 34435 Y
Holmes Sherronya CSU PT 1205214228 PT 37605 Y
Duncan Deanna CSU PT 1043674963 PT 38260 Y
Vang Mai CSU PT 1982103081 PT 40697 Y
Vong Tharith CSU PT 1134624802 PT 40678 N
Ridad Anthony CSU PT 1659887750 PT 40713 Y
Hill Brandon CSU PT 1053803890 PT 40412 Y
Singh Jasvir CSU PT 1477833911 PT 36007 Y
Kottke Marline CSU LVN 1891223111 LVN 198957 Y
10 Forensic
Court Full
Service
Partnership Edward Olpin BHSJDDSAS licensed 1477687077 LCSW24055 Y
Betsey McCall-Salerno BHSJDDSAS licensed 1740574672 LMFT42444 Y
Isabella Padilla Pereira Forensic74 licensed 1174871818 LMFT97934 Y
Alexander Anderson Forensic MCST74 licensed 1417183385 ASW70838 Y
Joseph Zummo Forensic74 licensed 1497927487 AMFT105417 Y
11 Gaining
Older Adult Life
Skills
(GOALS) Full
Service
Partnership
(MHSA) Crystal Thao GOALS 7523 Waivered 1609183748 ACSW 35249 Y
Jessica Preston GOALS 7523 Waivered 1649727066 ACSW 79154 Y
Karla Romero GOALS 7523 Waivered 1083133276 AMFT 100573 Y
Tracy House GOALS 7523 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi GOALS 7523 Licensed 1093911224 LMFT 40177 Y
Sue Gruber GOALS 7523 Licensed 1811014780 LCSW 29008 Y
Christine Blue GOALS 7523 Licensed 1093786683 A 10733 Y
Katheine Hedrick GOALS 7523 Licensed 1043699333 RN 683243 Y
Cynthia Resendez GOALS 7523 Licensed 1780877845 A84098 Y
12 InSpire
(MHSA) Debra Baker InSprire 7023 Waivered 1740610229 AMFT 95836 Y
Elizabeth DeGravio InSprire 7023 Licensed 1497167530 PT 37500 Y
13 La Familia
Clinic Full
Service
Partnership Nancy Nelson BHS La Familia Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Jane Fernandez BHS La Familia Psychiatrist 1194799395 Physician and Surgeon A93060 Y
Pamela Smith BHS La Familia Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Aravind Pai BHS La Familia Psychiatrist (Locum) 1235182916 Physician and Surgeon A30319 N
Cynthia Resendez BHS La Familia Psychiatrist 1780877845 Physician and Surgeon A84098 Y
Donna Bickham BHS La Familia Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS La Familia Registered Nurse 1124143474 Registered Nurse 352081 Y
Kathleen Wilson-Parish BHS La Familia Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS La Familia MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Alexander Largaespada BHS La Familia Clinician 1881902161 Marriage and Family Therapist Intern IMF93473 Y
Lynn Tarrant BHS La Familia Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
Adriana Cruz BHS La Familia Clinician II 1871612697 Licensed Clinical Social Worker LCSW81643 Y
Scarlette Aranda BHS La Familia Clinician I 1295929529 Associate Clinical Social Worker 83748 Y
Donnelle Tamayo BHS La Familia Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS La Familia Staff Nurse III 1104375724 Registered Nurse 723203 Y
14 Mary
Graham
Childrens
Shelter Renessa Castaneda-Jensen Mary Graham Childrens Shelter 9008 Licensed 1376664862 81528 LMFT Y
15 MHSA TAY
FSP Heidi McHenry TAY FSP Licensed 1861763294 PT 35949 Y
Jannelle Heard TAY FSP Waivered 1467813568 AMFT 95836 Y
Ronee Martin TAY FSP Waivered 1932644796 AMFT 84987 Y
Sasha Jackson TAY FSP Waivered 1295181295 ACSW 79996 Y
16 Older Adult
Services (OAS) Crystal Thao OAS 8236 Waivered 1609183748 ACSW 35249 Y
Jessica Preston OAS 8236 Waivered 1649727066 ACSW 79154 Y
Karla Romero OAS 8236 Waivered 1083133276 AMFT 100573 Y
Tracy House OAS 8236 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi OAS 8236 Licensed 1093911224 LMFT 40177 Y
Sue Gruber OAS 8236 Licensed 1811014780 LCSW 29008 Y
Christine Blue OAS 8236 Licensed 1093786683 A 10733 Y
Katheine Hedrick OAS 8236 Licensed 1043699333 RN 683243 Y
Cynthia Resendez OAS 8236 Licensed 1780877845 A84098 Y
17 Peterson
Hall Jennifer Domingo Peterson Hall 9009 Licensed 1104097286 50961 LMFT Y
Shabneet Hira Brar Peterson Hall 9009 Licensed 1851598452 A112447 Psychiatrist Y
Karina Jimenez Peterson Hall 9009 Waivered 1477891679 78261 AMFT Y
Helan Nguyen Peterson Hall 9009 Waivered 1801135876 85251 AMFT Y
Shiella Pablico Peterson Hall 9009 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Joann Ridad Peterson Hall 9009 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet Peterson Hall 9009 Licensed 1366468555 C53401 Psychiatrist Y
Carla Simien Peterson Hall 9009 Licensed 1629564000 40771 Licensed Psychiatric Technician Y
Fay Vieira Peterson Hall 9009 Licensed 1982815684 50276 LMFT Y
18 Psychiatric
Health Facility
(PHF)
Gill Paramijit
PHF
MD
1073629218 A49224
Y
Hart Robert PHF MD 1477660074 C38923 Y
Silver Hilary PHF MD 1720201221 C33442 Y
Brown Brandi PHF RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth PHF RN 1255459061 RN 488617 Y
Seraypheap Arunny PHF RN 1013037274 RN 547944 Y
Limas Deborah PHF RN 1073631727 RN 526984 Y
Winck Angela PHF RN 1083002992 RN 701021 Y
Cabrera Gilbert PHF RN 1679693766 RN 565185 Y
Mendoza Michelle PHF RN 1477951812 RN 797022 Y
Blackman Demerica PHF RN 1932619517 RN 850647 Y
Laizer Gloria PHF RN 1255706479 RN 764452 Y
Odametey Ama PHF RN 1700366358 RN 835504 N
Camello Bena PHF MHC 1053581116 LCSW 65302 Y
Shah Mamoona PHF MHC 1407978471 Waivered Y
Mills Rachelle PHF MHC 1326169350 LMFT 81070 Y
Little Christy PHF PT 1497978795 PT 28731 Y
Bomar Dolfa PHF CPT 1881817567 PT 31571 Y
DeJesus Carolyn PHF CPT 1861650228 PT 34221 Y
Varquez Sharon PHF PT 1366682387 PT 34435 Y
Pot Sambo PHF PT 1104378827 PT 33626 Y
Bou Jennifer PHF PT 1033652466 PT40281 Y
Sesante Maria PHF PT 1851515720 PT 30936 Y
Ota Robert PHF PT 1578786554 PT 33792 Y
Pinano Paolo PHF PT 1245352616 PT 33726 Y
Ruiz Ronald PHF PT 1700907094 PT 27494 Y
Villasenor Kendra PHF PT 1447518204 PT 36449 Y
Deol Sukhvinder PHF PT 1508988593 PT 30288 Y
Bokelman Roy PHF PT 1114040003 PT 32628 Y
Seba Vicki PHF PT 1639291636 PT 31714 Y
Siador Jill PHF PT 1366884058 PT 36818 Y
Polk Rhonda PHF PT 1316160146 PT 20798 Y
Zorea Dylan PHF PT 1467573766 PT28206 Y
Chapin Larry PHF PT 1528200169 PT 26162 Y
19 San Joaquin
County MH
Services Lodi
Clinic Ruth Johnson Lodi Outpatient 6036 Licensed 1265535538 LCSW 15213 Y
Judith Dolyniuk Lodi Outpatient 6036 Licensed 1518182534 LMFT 97680 Y
Amy Massie Lodi Outpatient 6036 Waivered 1356798391 AMFT 100785 Y
Shayne Maniti Lodi Outpatient 6036 Licensed 1689854093 PT 33732 Y
Saba Rizvi Lodi Outpatient 6036 Licensed 1619190501 A 95786 Y
Avramov Valentin Lodi Outpatient 6036 Licensed 1053488767 109609 Psychiatrist Y
Hill Patricia Lodi Outpatient 6036 Licensed 1902926231 23764 LCSW Y
Mann Bhupinderpreet Lodi Outpatient 6036 Waivered 1174603039 80464 AMFT Y
20 San Joaquin
County MH
Services Tracy
Clinic Ashley Smerdon Tracy Clinic 6136 Waivered 1265713929 MFT87560 Y
Jennifer Spruill Tracy Clinic 6136 Licensed 1518232321 LCSW 69544 Y
Simone Litsch Tracy Clinic 6136 Licensed 1598882599 A 89254 Y
Aravind Pai Tracy Clinic 6136 Licensed 1629076088 A30319 N
Gabriel Holguin Tracy Clinic 6136 Licensed 1255704094 PT38216 Y
21 SJC- MHS
CYS Katie A
Services Sailaja Allanki CYS Katie A Services 9020 Licensed 1306897723 138838 Psychiatrist Y
Kristina Birch CYS Katie A Services 9020 Waivered 1366874844 1809 APCC Y
Maria Boklund CYS Katie A Services 9020 Licensed 1396157061 48496 LMFT Y
Linda Brett CYS Katie A Services 9020 Licensed 1295853299 523914 RN Y
Renessa Castaneda-Jensen CYS Katie A Services 9020 Licensed 1376664862 81528 LMFT Y
Maria Gamino CYS Katie A Services 9020 Waivered 1710386453 73292 ASW N
Shabneet Hira Brar CYS Katie A Services 9020 Licensed 1851598452 A112447 Psychiatrist Y
Catherine Navarrete CYS Katie A Services 9020 Waivered 1619456076 105076 Marriage amp Family Therapist Y
Leora Pollock CYS Katie A Services 9020 Licensed 1245663426 75192 LCSW Y
Kim Saing CYS Katie A Services 9020 Licensed 1982722666 51242 LMFT Y
Anastacia Stanley CYS Katie A Services 9020 Licensed 1528299724 87417 LMFT N
Patricia Young CYS Katie A Services 9020 Waivered 1780051375 94965 ASSOCIATE MARRIAGE amp FAMILY THERAPIST Y
22
Transcultural
Clinic (TCC) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
23 Southeast
Asian Recovery
Services
(SEARS) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
CONTRACT ORGANIZATIONAL PROVIDERS
24 Anka Lodi (
was Mourfield
House) Meloney West Anka Lodi AMFT 1649523283 Y
Eon Lawrence Losefa Anka Lodi LMFT 1982898276 104807 Y
Aaron Fett Anka Lodi Psychology Intern 1932352424 Y
25 ASPIRAnet Courtney Warfield-Gibbs ASPIRAnet Waivered 1285958520 ACSW 70918 Y
Melissa Wimer ASPIRAnet Licensed 1467946301 LMFT 81226 Y
Patricia A Jackson ASPIRAnet Waivered 1780848853 AMFT 73975 Y
Vijai Pandey ASPIRAnet Waivered 1710497938 AMFT 70416 Y
Amir Siddiqui ASPIRAnet Waivered 1336617844 APCC 5341 N
26 Bright
House Robert Lee Majors Bright House LMFT 1780692806 49236 Y
27 Casa Pacifica - OUT OF COUNTY PROVIDER
28 CBIS (University of the Pacific)- NON LICENSED STAFF ONLY
29 Chamberlains Children Center Inc -OUT OF COUNTY PROVIDER
30 Charis Youth Center- OUT OF COUNTY PROVIDER
31 Child Abuse
Prevention
Council Roger Duke Child Abuse Prevention Council LMFT 1992861082 79588 Y
Cassandra Lowe Child Abuse Prevention Council AMFT 1205278694 75983 Y
Stacey Tidwell Child Abuse Prevention Council ACSW 1790189413 72578 Y
Nazia Khan Child Abuse Prevention Council AMFT 1508227158 81499 Y
Lisa Aguilar Child Abuse Prevention Council ACSW 1417401035 73365 Y
Anabel Montejano Child Abuse Prevention Council ACSW 1740656636 78974 Y
Catherine Thiel Child Abuse Prevention Council LCSW 1134569791 82263 Y
Michelle Nelson Child Abuse Prevention Council AMFT 1891173357 94133 Y
Maria Cardoza Child Abuse Prevention Council AMFT 1467861252 87554 Y
Thear Chum Child Abuse Prevention Council ACSW 1134648231 83947 Y
Kaitlyn Reilly Child Abuse Prevention Council ACSW 1205381613 83651 Y
Laura Rodriguez Child Abuse Prevention Council ACSW 1316498892 78113 Y
Diana Strimling Child Abuse Prevention Council AMFT 1316221765 104452 Y
32 Community Re-Entry Program (CRP)- NON LICENSED STAFF ONLY
33 Crestwood Solano (PHF)- Out of County Provider
34 Crittenton Services For Children and Families -OUT OF COUNTY PROVIDER
35 Edgewood Center for Children and Families- OUT OF COUNTY PROVIDER
36 Fred Finch Youth Center- OUT OF COUNTY PROVIDER
37 Grant
House Meloney West Grant House AMFT 1649523283 Y
JoAnn Marie Cornelius Grant House LPT 1205877727 35804 Y
Melinda Carchidi Grant House Psychology Intern 1609151653 Y
38 Latino
Behavioral
Health and
Recovery
Services Alexander Largaespada Latino Behavioral Health AMFT 181902161 AMFT 93473 Y
Maria De La Luz Torres Latino Behavioral Health ACSW 1003323361 ASW80844 N
Lynn Tarrant Latino Behavioral Health Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
39 Martin Gipson Socialization Center- NON LICENSED STAFF ONLY
40 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
41 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
42 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
43 Mountain Valley Child and Family Services Inc- OUT OF COUNTY PROVIDER
44 Phoenix House of Los Angeles Inc- OUT OF COUNTY PROVIDER
45 Rebekah
Childrens
Home Bhatti Moeen Rebekah Childrens Home licensed 1205023736 A 100193 Physician amp SurgeonMD DEA FB4071332 Y
Cervantes Priscilla Rebekah Childrens Home licensed 1679081582 693037 LVN N
Delgado Melissa Rebekah Childrens Home licensed 1881002186 105380 LMFT Y
Downey Ruth Rebekah Childrens Home licensed 1790161339 100524 LMFT Y
Machuca Lopez Cynthia Rebekah Childrens Home waivered 1386053817 74884 ACSW Y
Moeller Ryan Rebekah Childrens Home waivered 1316303803 91385 AMFT Y
Vaca-Preez Alejandra Rebekah Childrens Home waivered 1629418876 36752 ACSW Y
Vargas-Gladen Rosalva Rebekah Childrens Home licensed 1326114372 46940 LMFT Y
46 Sacramento Childrens Home- OUT OF COUNTY PROVIDER
47 San Gabriel Childrens Center Out Patient- OUT OF COUNTY PROVIDER
48 Star View Adolescent Center OP- OUT OF COUNTY PROVIDER
49 Summitview Child Treatment Center- OUT OF COUNTY PROVIDER
50 Telecare
(aka Jeremy
House) Jessica Reiland Telecare- Jeremy House ASW (waived) Clinician 1003154634 70377 Y
Thuy Huynh Telecare- Jeremy House LPT Nurse 1033485495 36454 Y
Shannan Taylor Telecare- Jeremy House LMFT Regional Director 1528074770 LMFT46081 Y
51 Telecare
Early
Intervention
Recovery
Services (TEIRS) Melissa Planas ` LCSW 1679807994 LCSW66499 Y
Holli Hoffman TEIRS DNP 1144380940 2005000091 Y
Oshalique Bass TEIRS PCCI Waived 1477811677 5490 Y
Tran tran TEIRS LVN 1477084671 VN 275938 Y
Jennifer Miles TEIRS MD 1275541641 G83528 Y
Shannan Taylor TEIRS LMFT 1528074770 LMFT46081 Y
52 TLC Child and Family Services- OUT OF COUNTY PROVIDER
53 Valley
Community
Counseling
Services (VCCS)
(Manteca) 9040 Muhammad Kamran VCCS Manteca 9040 Licensed 1811051337 C53847 Psychiatrist Y
Patricia Goodman VCCS Manteca 9040 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Manteca 9040 Clinician 1578734687 AMFT 80527 Y
Alisha Sweyd VCCS Manteca 9040 Clinician 1689059941 AMFT 96911 Y
Teresa Viles-Reed VCCS Manteca 9040 Clinician 1386762623 PhD PSY14848 Y
54 Valley
Community
Counseling
Services (VCCS)
(School Based
Program-
Stockton) 9042 Cynthia Aguilera VCCS Stockton 9042 Clinician 1003326182 AMFT 102123 Y
Melanie Almada VCCS Stockton 9042 Clinician 1912396532 AMFT 92167 Y
Arica Arucan VCCS Stockton 9042 Clinician 1215258280 LCSW 72691 Y
Megan Bassi VCCS Stockton 9042 Clinician 1669833885 AMFT 91956 Y
Manjit Belanger VCCS Stockton 9042 Clinician 1255780771 AMFT 100537 Y
Ana De Trinidad VCCS Stockton 9042 Clinician 1043501570 AMFT 95408 Y
Tiffany Drake VCCS Stockton 9042 Clinician 1417456617 AMFT 103265 Y
Sarah Gard VCCS Stockton 9042 Clinician 1477966265 LMFT 106055 Y
Patricia Goodman VCCS Stockton 9042 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Stockton 9042 Clinician 1578734687 AMFT 80527 Y
Alicia Jackson VCCS Stockton 9042 Clinician 1912386525 AMFT 93526 Y
Naomi Jimenez VCCS Stockton 9042 Clinician 1669927828 AMFT 80527 Y
Leonard Lippert VCCS Stockton 9042 Clinician 1154691137 AMFT 101758 Y
Sandra McBride VCCS Stockton 9042 Clinician 1033467030 AMFT 75525 Y
Monika Muy VCCS Stockton 9042 Clinician 1982008603 ACSW 67390 Y
Desiree Nease VCCS Stockton 9042 Clinician 1447703491 ACSW 71196 Y
Katelyn Nelson VCCS Stockton 9042 Clinician 1669998290 ACSW 77372 Y
Elaine Pike VCCS Stockton 9042 Clinician 1508875055 LMFT 45258 Y
Cristal Rodriguez VCCS Stockton 9042 Clinician 1760938740 AMFT 93861 Y
Reshma Roy VCCS Stockton 9042 Clinician 1073061784 ACSW 66474 Y
Belem Ruiz VCCS Stockton 9042 Clinician 1508380411 AMFT 100924 Y
Jenna Santoyo VCCS Stockton 9042 Clinician 1457584567 LCSW 29827 Y
Riah Skrinnik VCCS Stockton 9042 Clinician 1295275592 APCC 3532 Y
Kristyn Towers VCCS Stockton 9042 Clinician 1942671052 AMFT 89172 Y
Alexsandra Trejo VCCS Stockton 9042 Clinician 1750837985 AMFT 92738 Y
Vichra You VCCS Stockton 9042 Clinician 1013437714 AMFT 99071 Y
55 Valley
Community
Counseling
Services (VCCS)
(Tracy) 9041 Muhammad Kamran VCCS Tracy 9041 Licensed 1811051337 C53847 Psychiatrist Y
Rosemary Cervantes VCCS Tracy 9041 Clinician 1407299738 AMFT 72397 Y
Laura Strickland VCCS Tracy 9041 Clinician 1538354543 2012633 Y
Lani Westervelt VCCS Tracy 9041 Clinician 1629191366 LMFT 38654 Y
56 Victor
Community
Services and
Support
Stockton
(VCSS) 9063 Loiuse Cerna VCSS Stockton 9063 MFTI 1346794690 92730 - Marriage and Fmily Therapist Intern Y
Aziza Citi VCSS Stockton 9063 LMFT 1831510650 96329 - Licensed Marriage and Family Therapist Y
Melissa Colon VCSS Stockton 9063 MFTI 1871663351 77340 - Marriage and Family Therapist Intern Y
Itzia Cruz VCSS Stockton 9063 ACSW 1639533987 80056 - Associate Clinical Social Worker Y
Tracy Cutino VCSS Stockton 9063 LMFT 1740297902 47897 - Licensed Marriage and Family Therapist Y
Betia Dadkhah VCSS Stockton 9063 LMFT 1083709380 44160 - Licensed Marriage and Family Therapist Y
Mark Edelstein VCSS Stockton 9063 MD 1972516714 C41340 - Physician amp Surgeon Y
Sharee Esparza VCSS Stockton 9063 MFTI 1982145504 102079 - Marriage and Family Therapist Intern Y
Tanner Hickman VCSS Stockton 9063 ACSW 1194272146 78099 - Associate Clinical Social Worker Y
Courtney Ivy VCSS Stockton 9063 MFTI 1679959217 71048 - Marriage and Family Therapist Intern Y
Giana Kooger VCSS Stockton 9063 LMFT 1720318132 86206 - Licensed Marriage and Family Therapist Y
Sheree Lozano VCSS Stockton 9063 MFTI 1538523501 88637 - Marriage and Family Therapist Intern Y
Christina Lopez VCSS Stockton 9063 MFTI 1265705727 102443 - Marriage and Family Therapist Intern Y
Koryn Marshall VCSS Stockton 9063 LMFT 1962881870 86263 - Licensed Marriage and Family Therapist Y
Adrianna Martinez VCSS Stockton 9063 MFTI 1851831242 107761 - Marriage and Family Therapist Intern Y
Laura Rodriguez VCSS Stockton 9063 ACSW 1316498892 78113 - Associate Clinical Social Worker Y
Jacquelyn Seefeldt VCSS Stockton 9063 MFTI 1124250204 74064 - Marriage and Family Therapist Intern Y
Heather Taylor VCSS Stockton 9063 LMFT 1265514251 44021 - Licensed Marriage and Family Therapist Y
Palei Triguero VCSS Stockton 9063 MFTI 1871994285 86335 - Marriage and Family Therapist Intern Y
Wendy True VCSS Stockton 9063 LMFT 1750476438 44262 - Licensed Marriage and Family Therapist Y
Jennifer Tutt VCSS Stockton 9063 LCSW 1316134091 27530 - Licensed Clinical Social Worker Y
Sarah Voss VCSS Stockton 9063 LMFT 1275602914 51406 - Licensed Marriage and Family Therapist Y
Michelle Zuckerman VCSS Stockton 9063 LMFT 1891948691 84298 - Licensed Marriage and Family Therapist Y
57 Victor Treatment Center - Santa Rosa- OUT OF COUNTY PROVIDER
58 Victor Youth Services (North Valley Schools)- OUT OF COUNTY PROVIDER
59 Womens Center- Family and Youth Services httpswwwwomenscenteryfsorgindexphpget-helptherapy-services
CONTRACT PSYCHIATRIC HOSPITALS
60 BHC Heritage Oaks Hospital - Out of County Hospital
61 BHC Sierra Vista Hospital - Out of County Hospital
62 St Helena Hospital Center for Behavioral Health - Out of County Hospital
63 John Muir Behavioral Health Center - Out of County Hospital
64 Sutter Center for Psychiatry - Out of County Hospital
65 Fremont Hospital - Alka Aneja Fremont Hospital ChildAdolescent MD 1619031317 A112029BA9881017 Y
Harmohinder Athwal Fremont Hospital ChildAdolescent MD 1740298256 A81841BA8179473 Y
Kamaljeet Boora Fremont Hospital Psychiatry MD 1356587711 102846FB0978823 N
Vikas Duvvuri Fremont Hospital EDO MD 1255470480 A99706FD0242064 Y
Trevor Fooks Fremont Hospital Psychiatry MD 1730267535 G63964BF1543695 Y
Ravinder Kahlon Fremont Hospital NeuroPsych MD 1386741320 A50823BK2018934 N
Vasdeep Kahlon Fremont Hospital Psychiatry MD 1497852446 A51243BK2742535 N
Padmavathi Kudaravalli Fremont Hospital Internal Medicine MD 1144221953 A67964BK6574974 Y
Pradeep Kumar Fremont Hospital Psychiatry MD 1023188935 A52032BK4202177 N
Deepak Kumar Fremont Hospital Psychiatry MD 1306257910 A130068FK4574299 Y
Sudha Manjunath Fremont Hospital ChildAdolescent MD 1801826797 A87131BM8982818 Y
Syed Munir Fremont Hospital ChildAdolescent MD 1790718815 C55029BM3999553 Y
Nanda Nayak Fremont Hospital Psychiatry MD 1477656262 A43182BN0687597 N
Falguni Patel Fremont Hospital ChildAdolescent MD 1548414337 A105594FP1152949 Y
Surender Punia Fremont Hospital Psychiatry MD 1376589663 A77004BP6477497 Y
Divya Reddy Fremont Hospital Psychiatry MD 1518120211 A103547FR1100306 Y
Devindar Singh Fremont Hospital Internal Medicine MD 1447294624 A48148BS2303422 N
Sunpreet Singh Fremont Hospital Psychiatry MD 1326464462 A132932FS5027087 Y
Bhupinder Waraich Fremont Hospital Psychiatry MD 1689869547 A53968BW4473346 Y
Jaap Kaur Waraich Fremont Hospital Psychiatry MD 1316132285 G67904BW2368391 Y
Nicholas Phillips Fremont Hospital Family Medicine MD 1255727293 A153125FP7288841 N
Harleen Dyal Fremont Hospital Family Medicine MD 1225424327 A153255FD7288839 N
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake Unit-Referrals to Licensed Staff
67 Chemical
Dependency
Counseling
Center ( CDCC) Tyler Moran Chemical Dependency Counseling Center 390002DNAMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Chemical Dependency Counseling Center 390002DNMFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Chemical Dependency Counseling Center 390002DNPsychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Chemical Dependency Counseling Center 390002DNPsychiatrist 1710094057 A72805 Y
68 Alcohol amp Drug Alternative Program (ADAP)-Referrals to Licensed Staff
69 Family Ties Tyler Moran Family Ties 390002EN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Family Ties 390002EN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Family Ties 390002EN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Family Ties 390002EN Psychiatrist 1710094057 A72805 Y
70 Recovery
House Tyler Moran Recovery House 390002AN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Recovery House 390002AN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Recovery House 390002AN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Recovery House 390002AN Psychiatrist 1710094057 A72805 Y
71 Adolescent Co- Occurring Treatment Program (ACT) Childrens Behavioral Health Services- Referrals to Licensed Staff
72 Prevention Services- Referrals to Licensed Staff
NARCOTIC TREATMENT PROGRAMSMEDICATION ASSISTED TREATMENT
73 Aegis
Treatment
Center Dr Randall Paul Aegis Treatment Center Medical License 1912061045 A26361 Y
Linda Beccerra Aegis Treatment Center Vocation Nurse VN 183039 Y
Dora Berry Aegis Treatment Center Vocation Nurse VN 689493 Y
Jeannette Carter-Camp Aegis Treatment Center Vocation Nurse 1740480342 NP 7506 Y
Francisca Marquez Aegis Treatment Center Vocation Nurse VN 287402 Y
74 5th Street
Medical Clinic
Stockton Dr Michael Fox 5th Street Medical Clinic Medical License 1212069758 G53561 Y
Melissa Whitworth 5th Street Medical Clinic Vocation Nurse RN 541037 Y
Divina Palafox 5th Street Medical Clinic Vocation Nurse 1912061995 VN 17300 Y
Divna Lu 5th Street Medical Clinic Vocation Nurse VN 183039 Y
Jeannette Carter-Camp 5th Street Medical Clinic Vocation Nurse 1740480342 NP 7506 Y
75 Aegis
Treatment
CenterHealthy
Connections
(California St)
Stockton Dr Michael Fox Aegis Treatment CenterHealthy ConnectionsMedical License 1212069758 G53561 Y
Melissa Whitworth Aegis Treatment CenterHealthy ConnectionsVocation Nurse RN 541037 Y
Dr Brian Talleur Aegis Treatment CenterHealthy ConnectionsMedical License 1659791101 A154190 Y
Alvin Goat Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 20473 Y
Crystal August Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 695962 Y
Rosenah Durago Aegis Treatment CenterHealthy ConnectionsVocation Nurse 1841629185 VN 235553 Y
Maria Garsuta Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 235825 Y
76 Healthy
Connections
Lodi Clinic Melissa Whitworth Healthy Connections Lodi Clinic Vocation Nurse RN 541037 Y
Dr Brian Talleur Healthy Connections Lodi Clinic Medical License 1659791101 A154190 Y
Angeles Alfaro Healthy Connections Lodi Clinic Vocation Nurse 1649669979 VN 689129 Y
John Campos Healthy Connections Lodi Clinic Vocation Nurse 1407192297 VN 260740 Y
Prabhjot Kaur Healthy Connections Lodi Clinic Vocation Nurse VN 698775 Y
Meenal Prasad Healthy Connections Lodi Clinic Vocation Nurse 1114407368 VN 287331 Y
77 Manteca
Healthy
Connections Dr Michael Fox Manteca Healthy Connections Medical License 1212069758 G53561 Y
Melissa Whitworth Manteca Healthy Connections Vocation Nurse RN 541037 Y
Dr Randall Paul Manteca Healthy Connections Medical License 1912061045 A26361 Y
Mary Jane Davis Manteca Healthy Connections Vocation Nurse 1861822744 VN 72342 Y
Christine Falcon Manteca Healthy Connections Vocation Nurse VN 175628 YDourine Iqiel Manteca Healthy Connections Vocation Nurse 1477008506 VN281162 YRebecca Mohr Manteca Healthy Connections Psyciatric Technician LPT 26531 Y
78 MedMark Treatment Center httpsmedmarkcommedmark-treatment-centers-stockton
LANGUAGE ASSISTANCE
English
ATTENTION If you speak another language language assistance services free of charge are available to you Call 1-888-468-9370 (TTY 1-866-735-2922 )ATTENTION Auxiliary aids and services including but not limited to large print documents and alternative formats are available to you free of charge upon request Call 1-888-468-9370
Espantildeol (Spanish)
ATENCIOacuteN Si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-888-468-9370 (TTY 1-866-735-2922 )
Tiếng Việt (Vietnamese)
CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-888-468-9370 (TTY 1-866-735-2922 )
Services may be delivered by an individual provider or a team of providers who is working under the direction of a licensed practitioner operating within their scope of practice Only licensed
waivered or registered mental health providers and licensed substance use disorder services providers are listed on the Plans provider directory
Tagalog (Tagalog Filipino)
PAUNAWA Kung nagsasalita ka ng Tagalog maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-888-468-9370 (TTY 1-866-735-2922 )한국어 (Korean)주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수 있습니다 1-888-468-9370 (TTY 1-866-735-2922 ) 번으로 전화해 주십시오繁體中文繁體中文繁體中文繁體中文(Chinese)注意如果您使用繁體中文您可以免費獲得語言援助服務請致電1-888-468-9370 (TTY 1-866-735-2922 )ՀայերենՀայերենՀայերենՀայերեն (Armenian)
ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ Զանգահարեք 1-888-468-9370 (TTY 1-866-735-2
Русский (Russian)
ВНИМАНИЕ Если вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-888-468-9370 (TTY 1-866-735-2922 )
(Farsi) فارسیتوجه اگر به زبان فارسی گفتگو می کنيد تسهيلات زبانی بصورت رايگان برای شما
日本語日本語日本語日本語 (Japanese)注意事項日本語を話される場合無料の言語支援をご利用いただけます1-888-468-9370فراهم می باشد با 1 (TTY 1-866-735-2922 ) までお電話にてご連絡くださいHmoob (Hmong)
LUS CEEV Yog tias koj hais lus Hmoob cov kev pab txog lus muaj kev pab dawb rau koj Hu rau 1-888-468-9370 (TTY 1-866-735-2922 )
ਪਜਾਬੀ (Punjabi)
ਿਧਆਨ ਿਦਓ ਜ ਤਸੀ ਪਜਾਬੀ ਬਲਦ ਹ ਤਾ ਭਾਸ਼ਾ ਿਵਚ ਸਹਾਇਤਾ ਸਵਾ ਤਹਾਡ ਲਈ ਮਫਤ ਉਪਲਬਧ ਹ 1-888-468-9370 (TTY 1-866-735-2922) ਤ ਕਾਲ ਕਰ
(Arabic) العربيةملحوظة إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغوية تتوافر لك بالمجان
हिदी (Hindi)
द यदि आप हिदी बोलत ह तो आपक लिए मफत म भाषा सहायता सवाए उपलबध ह [1-888-468-9370 (TTY 1-866-735-2922) पर कॉल कर
ภาษาไทย (Thai)
เรยน ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร 1-888-468-9370 (TTY 1-866-735-2922) धयान
ែខរ (Cambodian)
បយត ររ េស នអកនយ ែខ រសជនយមននក េយមនគត នគចនស ររ អេ នក ច ទ សព+1-888-468-9370 (TTY 1-866-735-2922)
ພາສາລາວ (Lao)
ໂປດຊາບ ຖາວາ ທານເວາພາສາ ລາວ ການບລການຊວຍເຫອດານພາສາໂດຍບເສຽຄາ ແມນມພອມໃຫທານ ໂທຣ 1-888-468-9370 (TTY 1-866-735-2922)
- 18-Font English Medi-Cal Provider Directory(Word Doc) 12-2018 English
- Medi-Cal Directory Provider Staff Listing 18 font English 12-2018
-
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 12 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
13La Familia
Clinic Full
Service
Partnership
(MHSA)
9092
1149 N El Dorado
Street
Stockton CA
95202
(209) 468-2335
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
Latino
out-
reach
and
access
Spanish
Psychiatric
assessment case
management
medication support
individual and group
therapy with a
special emphasis on
serving Spanish-
speaking persons
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 13 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
14Mary Graham
Childrens Shelter
9008
6861 Mary Graham
Lane
French Camp CA
95231
(209) 468-6966
httpwww
marygrahamfou
ndationorg
24 Hours
Children
and
Youth
Provides outpatient
mental health
services to residents
of Mary Graham
Childrens Shelter
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 14 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services)
Include-
ing ASL
YesNo YesNo YesNo
15MHSA TAY
FSP
39B1
1212 N California
Street Stockton
CA 95202
(209) 468-8862
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adults
Full service
partnership providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 15 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
16Older Adult
Services (OAS)
3980
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Cambo-
dian Viet-
namese
Comprehensive
Behavioral Health
Services for older
adults (60+) provided
by a multidisciplinary
team Services
include psychiatric
assessment
medication
support group
individual therapy
and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 16 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services
Includin
g ASL
YesNo YesNo YesNo
17 Peterson
Hall
9009
535 W Matthews
Rd French Camp
CA 95231
(209) 468-4240
hiipswwwsjg
ovorgmhs
M-F 8 am- 8
pm SatSun 10-
7 pm
Children
and
Youth
Cambo-
dian
Spanish
Provides outpatient
mental health services
to youth detained at
Peterson Hall
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
18Psychiatric
Health
Facility (PHF)
3976
1212 N California
Street Stockton
CA 95202
(209) 468-8686
httpswwwsjg
ovorgmhs 24
hours
Adult Spanish
24-hour inpatient
hospitalization
services
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 17 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
19San Joaquin
County MH
Services Lodi Clinic
3924
1209 W Tokay
Street
Suites 1 3 5 7 9
12 14 and 16
Lodi CA 95240
(209) 331-2070
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Children
Youth
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
North
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 18 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
20San Joaquin
County MH
Services Tracy
Clinic
9048
220 W Eleventh
Street
Tracy CA 95376
(209) 831-5941
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
South
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 19 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
21SJC-MHS
CYS Katie A
Services
9020
333 E Washington
Street
Stockton CA
95202
(209) 468-1547
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Children
and
Youth
Spanish
Hmong
Japanese
Provides in-home
and in-community
outpatient mental
health services to
WampI Code 300
dependent SJC
children
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 20 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition to
free Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
22Transcultural
Clinic
(TCC) - full range
of specialty mental
health services and
intensive case
management
program
9014
4422 N Pershing
Ave
Suites D1-D4
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available
in Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 21 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
23Southeast
Asian Recovery
Services (SEARS)
for the Southeast
Asian population-
Full Service
Partnership
(MHSA)
9094
4422 N Pershing
Avenue Suite D2
D3 D4 D5 D6
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available in
Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
CONTRACT ORGANIZATIONAL PROVIDERS
24Anka Lodi (was
Mourfield House)
9075
458 Almond Drive
Lodi CA 95240
(209) 982-4697
wwwankabhior
g M-F 8am-5pm
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 22 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
25ASPIRAnet
39AR
6 S El Dorado
Street Suite 510
Stockton CA
95202
(209) 478-9862
wwwaspiranet
Org
M-F 8 am- 5
pm
Children
and
Youth
Provides
Therapeutic
Behavioral Services
(TBS) and crisis
stabilization services
as an alternative to
psychiatric
hospitalization
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
26Bright House
9047
8210 Bright Road
French Camp CA
95231
(209) 982-1235
wwwankabhior
g 24 hours
Adult
Adult Transitional
Residential
Treatment Program
Medication Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 23 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
27Casa Pacifica
39AB
1722 S Lewis Road
Camarrillo CA
93012
(805) 981-1422
wwwcaspacific
aorg
M-F 8 am- 6 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
28CBIS
(University of the
Pacific)
39A1
405 E Pine Street
Stockton CA
95204
(209) 476-1959
wwwcommunit
yre-
entryprogramco
m M-F 8am-430
pm
Adult
Spanish
Behavioral
Intervention Services
Mental Health Services
Intensive Home Based
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 24 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
29Chamberlains
Children Center
Inc
39B4
1850 San Benito
Street
Hollister CA
95023
(831) 636-2121
wwwchamberla
inccorg
M-F 8 am- 5 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 25 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
30Charis Youth
Center
9057
714 W Main Street
Grass Valley CA
95945
(530) 477-9800
wwwcharisyout
hcenterorg
M-F 830 am-
430 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
31Child Abuse
Prevention Council
39A8
540 N California
Street
Stockton CA
95202
(209) 644-5311
wwwnochildab
useorg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health services
utilizing
strengthening family
approach
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
32Community
Re- Entry
Program (CRP)
9044
405 E Pine Street
Stockton CA
95204
(209) 946-2132
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
independent living
skills training and
rehabilitation
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
33Crestwood
Solano
(PHF)
39A8
2201 Tuolumne
Street Suite B
Vallejo CA 94589
(707) 558-1777
wwwcrestwood
behavioralhealth
com
24
hours
Adult
24-hour
inpatient
hospitalization
services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
34Crittenton
Services For
Children And
Families
39B3
100 E Valley View
Drive Fullerton CA
92832
(714) 680-8268
wwwcrittentons
ocalorg
M-F 830 am- 5
pm
Children
and
Youth
Residential
facility providing
mental health
treatment to youth
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS)
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
35Edgewood
Center for
Children and
Families
39AV
1801 Vincente
Street San
Francisco CA
94116
(415) 681-3211
wwwedgewood
org
24
Hrs
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
36Fred Finch
Youth
Center
39AY
3800 Coolidge
AvenueOakland
CA 94602
(510) 482-2244
wwwfredfinch
Org
M-F 830 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
37Grant House
9064
1117 S Grant
Street Stockton
CA 95206
(209) 461-6500
wwwankabhior
g 24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
38Latino
Behavioral Health
and Recovery
Services
9067
445 N San Joaquin
Street
Stockton CA
95202
(209) 444-8910
wwwelconcilio
Org
M-F 8 am- 5 pm
Adult
Spanish
Provides Culturally
Competent
Services to Latinos
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
39Martin Gipson
Socialization Center
9043
405 E Pine Street
Stockton CA
95204
(209) 464-5519
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
socialization
vocational and
educational
opportunities for
Adult Mentally
ill consumers
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
40Mountain
Valley Child and
Family Services
Inc
9039
24077 Highway 49
Nevada City CA
95959
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Therapeutic
Behavioral Services
(TBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 34 of 66
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
41Mountain
Valley Child and
Family Services
Inc
39A4
7818 Bar Du Lane
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 35 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
42Mountain
Valley Child and
Family Services
Inc
39A3
6171 Bradshaw Rd
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 36 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
43Mountain
Valley Child and
Family Services
Inc
39A2
9200 Sweet Acacia
Way Sacramento
CA 95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 37 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
44Phoenix House
of
Los Angeles Inc
39B6
1600 Eldrige
Avenue Lake View
Terrace CA 91342
(818) 686-3000
wwwphoenixho
useorg
M-F 8 am- 530
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 38 of 66
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
45Rebekah
Childrenrsquos
Home
39AU
290 IOOF Avenue
Gilroy CA 95020
(408) 846-2100
wwwrcskidsor
g
M-F 8 am- 530
pm
Children
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 39 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
46Sacramento
Childrens Home
9076
2750 Sutterville
Road Sacramento
CA 95820
(916) 452-3981
wwwkidshome
Org
M-F 830 am - 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 40 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
47San Gabriel
Childrens Center
Out Patient
39B7
4740 N Grand
Avenue Covina CA
91724
(626) 859-2089
wwwsangabriel
childcom
M-F 8 am- 5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
48Star View
Adolescent Center
OP
39BB
4025 West 226th
Street
Torrance CA
90505
(310)373-4556
wwwstarsincco
m 24 hours
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 42 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
49Summitview
Child Treatment
Center
9061
670 Placerville Dr
2 Placerville CA
95667
(530) 644-2412
wwwsummitvie
wtreatmentorg
M-F 8 am-5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 43 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
50Telecare (aka
Jeremy House)
39AX
5634 Jeremy Way
Stockton CA
95212
(209) 888-4969
wwwtelecareco
rpcom
24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
51Telecare Early
Intervention
Recovery Services
(TEIRS)
39B2
4545 Georgetown
Place Suite A3
Stockton CA
95207
(209) 715-3754
wwwtelecareco
rpcom
M-F 8 am- 5 pm
Adult
Spanish
Provides outpatient
mental health services
for children and
adults
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 44 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
52TLC Child and
Family Services
39A9
1800 Gravenstein
Hwy North Suite A
Sebastopol CA
95472
(707) 823-7300
httpwwwtlc4
kidsorg
M-F 8 am- 430
pm
Children
and
Youth
Community-based
program
providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 45 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
53Valley
Community
Counseling Services
(VCCS) (Manteca)
9040
129 E Center
Street Suite 3
Manteca CA
95336
(209) 239-5553
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health
services for children
and youth in South
County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 46 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
54Valley
Community
Counseling Services
(VCCS) (School
Based Program -
Stockton)
9042
6707 Embarcadero
Drive Suite A
Stockton CA
95219
(209) 956-4240
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Outpatient mental
health services
provided at various
schools in
Stockton Manteca
and Lodi
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 47 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
55Valley
Community
Counseling Services
(VCCS) (Tracy)
9041
19 East 6th Street
Tracy CA 95378
(209) 835-8583
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health services
for children and youth
in South County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 48 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
56Victor
Community
Services and
Support Stockton
(VCSS)
9063
2495 W March
Lane Suite 125
Stockton CA
25207
(209) 465-1080
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services in-home and
in community
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 49 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
57Victor
Treatment
Center - Santa Rosa
9083
3164 Condo Court
Santa Rosa CA
95403
(707) 523-2334
wwwvictororg
M-F 810 am- 4
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 50 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
58Victor
Youth Services
(North Valley
Schools)
39AC
855 Canyon Road
Redding CA
96001
(530) 378-1855
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 51 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
59Womens
Center- Family
and Youth
Services
39B6
729 N California
Street Stockton
CA 95202
(209) 929-6700
wwwwomensce
nteryfsorg
M-F 830 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
CONTRACT PSYCHIATRIC HOSPITALS
60BHC Heritage
Oaks
Hospital
4250 Auburn
Boulevard
(916) 489-3336
wwwheritageoa
kshospitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 52 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
61BHC Sierra
Vista
Hospital
8001 Bruceville
Road
(916) 423-2000
wwwsierravista
hospitalcom
24 hours
All ages
Yes
Yes
Yes
62St Helena
Hospital Center for
Behavioral Health
525 Oregon Street
(707) 648-2200
wwwadventisth
ealthorg
24 hours
All ages
Yes
Yes
Yes
63John Muir
Behavioral Health
Center
2740 Grant Street
(925) 680-6500
wwwjohnmuirh
ealthcom
24 hours
All ages
Yes
Yes
Yes
64Sutter Center for
Psychiatry
7700 Folsom
Boulevard
(916) 388-3045
wwwsuttermedi
calcenterorg
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 53 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
65Fremont
Hospital
39001 Sundale
Drive
(510) 796-1100
wwwfremontho
spitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 54 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake
Unit
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-9600
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Substance Use Disorder
Assessment for
Outpatient amp Inpatient
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 55 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
67 Chemical
Dependency
Counseling Center
(CDCC)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-3720
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Youth
Adult
Perinatal
Spanish
Mon Wed and Fri
8am-5pm
Closed Holidays
Outpatient Treatment
Perinatal Component
Intensive Outpatient
Youth Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 56 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
68 Alcohol amp Drug
Alternative Program
(ADAP)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-6840
Fax (209)468-
8640
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon Wed and Fri
8am-5pm
Tue And Thur
8am-7pm
Closed Holidays
Outpatient Court
Monitoring Education
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 57 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
69 Family Ties
500 W Hospital Rd
French Camp CA
95231
(209) 468-6208
Fax (209)468-
7032
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Adult
Perinatal
Spanish
24 Hour Services
Inpatient Treatment
Perinatal Component
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 58 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
70 Recovery House
500 W Hospital Rd
French Camp CA
95231
(209) 468-6857
Fax (209)468-
6739
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
24 Hour Services
Inpatient Treatment
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 59 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
71 Adolescent Co-
Occurring Treatment
Program (ACT)
Childrens Behavioral
Health Services
1414 N California
St 2nd Floor
Stockton CA 95202
(209) 468-2385
Fax (209)468-
8024
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Individual amp group
counseling and
education in conjunction
with the adolescentrsquos
mental health services a
partnership with Mental
Health Services and
Substance Abuse
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 60 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
72 Prevention
Services
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-2005
Fax (209)468-
2251
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Youth Services Parenting
Students In Prevention
(SIP)
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 61 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
73 Aegis
Treatment Center
8626 N Lower
Sacramento Road
Suite 41 Stockton
CA 95209
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1230pm
Sat Sun and
Holidays
6am-1030am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 62 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
74 5th Street
Medical Clinic
Stockton
1839 S El Dorado
St Stockton CA
95206
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 63 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
75 Aegis
Treatment Center
Healthy Connections
(California St)
Stockton
1947 N California
St Suites B and C
Stockton CA 95210
(209) 463-0870
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 64 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
76 Healthy
Connections Lodi
Clinic
441 South Ham
Lane Suite A
Lodi CA 95242
(209) 224-8490
httpsaegistreat
mentcenterscom
clinicaegis-
lodi-california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
7am-12 noon
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 65 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
77 Manteca
Healthy Connections
Center Street
955 W Center St
Suites 12A amp 14
Manteca CA 95337
(209) 239-9600
httpsaegistreat
mentcenterscom
clinicaegis-
manteca-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
8am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 66 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
78 MedMark
Treatment Center
1111 N El Dorado
St Stockton CA
95202
(209) 938-0228
httpmedmark
commedmark-
treatment-
centers-
stockton
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
Provider Name Facility NameID
Type of Practioner (licensed
amp Waivered)
National
Provider
Identifier
number California license number type of license
Cultu
ral
Comp
etenc
e
Traini
ng
(YN)1 Black
Awaremenss
Community
Outreach
ProgramMulti
cultural
Services Amarpreet Singh BHS BACOPMC Psychiatrist (Locum) 1235182916 Physician and Surgeon N
Aravind Pai BHS BACOPMC Psychiatrist (Locum) 1629076088 Physician and Surgeon A30319 N
Donna Bickham BHS BACOPMC Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Donnelle Tamayo BHS BACOPMC Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS BACOPMC Staff Nurse III 1104375724 Registered Nurse 723203 Y
Kathleen Wilson-Parish BHS BACOPMC Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS BACOPMC MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Nancy Nelson BHS BACOPMC Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Paul Wallace BHS BACOPMC Chief Psychiatric Tech 1114044799 Licensed Psychiatric Technician PT26296 Y
Quynh-Chi Nguyen BHS BACOPMC Staff Nurse III 1417371014 Registered Nurse 845080 Y
Scott Harrison BHS BACOPMC Clinician II 1518089317 Marriage and Family Therapist Intern IMF75861 Y
Shirley Hollowell BHS BACOPMC Registered Nurse 1124143474 Registered Nurse 352081 Y
2 Children and
Youth Services
Stockton Clinic Ganiya (Iyabo) Adediran
Childrens and Youth Services- Stockton
3915 Waivered 1881148690 81666 AMFT Y
Provider Staff Listing
Benjamin Alban
Childrens and Youth Services- Stockton
3915 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Stockton
3915 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Stockton
3915 Licensed 1821294455 105923 Psychiatrist Y
Valentin Avramov
Childrens and Youth Services- Stockton
3915 Licensed 1053488767 109609 Psychiatrist Y
Kristina Birch
Childrens and Youth Services- Stockton
3915 Waivered 1366874844 1809 APCC Y
Linda Brett
Childrens and Youth Services- Stockton
3915 Licensed 1295853299 523914 RN Y
Donna Cassettari
Childrens and Youth Services- Stockton
3915 Licensed 1497887699 43173 LMFT Y
Renessa Castaneda-Jensen
Childrens and Youth Services- Stockton
3915 Licensed 1376664862 81528 LMFT Y
Jacqueline Coulter
Childrens and Youth Services- Stockton
3915 Licensed 1720184765 41366LMFT Y
Courtney Flores
Childrens and Youth Services- Stockton
3915 Licensed 1851437735 29811 LCSQW Y
Maria Garcia
Childrens and Youth Services- Stockton
3915 Licensed 1235400557 80425 LCSW Y
Ikesha Goodwin
Childrens and Youth Services- Stockton
3915 Waivered 1104279728 101632 IMF Y
Kelsey Guidicatti
Childrens and Youth Services- Stockton
3915 Waivered 1245783687 93458 AMFT Y
Antonio Gutierrez
Childrens and Youth Services- Stockton
3915 Licensed 1023473469 71535 LCSW Y
Victoria Hall
Childrens and Youth Services- Stockton
3915 Licensed 1437464179 91065 LMFT Y
Nicole Hodgson
Childrens and Youth Services- Stockton
3915 Licensed 1962727792 85491 LMFT Y
Hudson Mark Hudson
Childrens and Youth Services- Stockton
3915 Licensed 1528190725 78609 LMFT Y
Shadai Lescale Huante
Childrens and Youth Services- Stockton
3915 Waivered 1528340320 59764 ACSW Y
Genevieve Lisenbey
Childrens and Youth Services- Stockton
3915 Waivered 1265698104 80465 AMFT Y
Sharon Lizotte
Childrens and Youth Services- Stockton
3915 Waivered 1851820708 101863 AMFT Y
Angie Nicholas
Childrens and Youth Services- Stockton
3915 Licensed 1679713796 52080 LMFT Y
Shiella Pablico
Childrens and Youth Services- Stockton
3915 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Sheilena Payne
Childrens and Youth Services- Stockton
3915 Licensed 1336437656 94571 LMFT N
Timothy Quinn
Childrens and Youth Services- Stockton
3915 Waivered 1316322381 79556 Marriage amp Family Therapist Intern Y
Joann Rihad
Childrens and Youth Services- Stockton
3915 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet
Childrens and Youth Services- Stockton
3915 Licensed 1366468555 C53401 Psychiatrist Y
Jacqueline Salgado
Childrens and Youth Services- Stockton
3915 Licensed 1043661903 95452 Marriage amp Family Therapist Y
Kristen Schneider
Childrens and Youth Services- Stockton
3915 Waivered 1578963591 72071 ACSW Y
Carla Simien
Childrens and Youth Services- Stockton
3915 Licensed 1629564000 40771 Licensed Psychiatric Technician N
Tamra Smith
Childrens and Youth Services- Stockton
3915 Licensed 1336267608 76975 LCSW Y
Maribel Vargas
Childrens and Youth Services- Stockton
3915 Waivered 1821247149 35622 ACSW Y
J Watkins
Childrens and Youth Services- Stockton
3915 Licensed 1043797871 4200 LPCC Y
Tamara Weber
Childrens and Youth Services- Stockton
3915 Licensed 1992101497 105926 LMFT Y
Amanda Yocham
Childrens and Youth Services- Stockton
3915 Licensed 1326103516 79068 LMFT Y
Nikki Young
Childrens and Youth Services- Stockton
3915 Waivered 1841692159 88891 AMFT Y
3 Children and
Youth Services-
Foster Youth
Full Service
Partnership Benjamin Alban
Childrens and Youth Services- Foster
Youth 9096 Licensed 1932227295 26094 LCSW Y
Maria Garcia
Childrens and Youth Services- Foster
Youth 9096 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Foster
Youth 9096 Licensed 1023473469 71535 LCSW Y
4 Children and
Youth Services-
Juvenile Justice
Full Srvice
Partnership Benjamin Alban
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1821294455 105923 Psychiatrist Y
Maria Garcia
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1023473469 71535 LCSW Y
Shabneet Hira Brar
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1851598452 A112447 Psychiatrist Y
Sheilena Payne
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1336437656 94571 LMFT N
5 Community
Adult
Treatment
Services Amanda Hurlock CATS OUTPATIENT 1836 Waivered 1205369899 AMFT 100834 Y
Adeline Mendez CATS OUTPATIENT 1836 Licensed 1255453353 PT 25868 Y
Anna Perez Testo CATS OUTPATIENT 1836 Licensed 1740309889 LMFT 52444 Y
Angelo Pasa CATS OUTPATIENT 1836 Licensed 1689874125 RN 691250 Y
Beverly Thompson CATS OUTPATIENT 1836 Waivered 1528311230 ACSW 70671 Y
Carolyn Walters CATS OUTPATIENT 1836 Licensed 1891815155 LMFT 43069 Y
Debra Baker CATS OUTPATIENT 1836 Waivered 1740610229 AMFT 95836 Y
Eloisa Velasco CATS OUTPATIENT 1836 Licensed 1740797976 PT 40651 Y
Francisco Arreola CATS OUTPATIENT 1836 waivered 1417359027 AMF 87821 Y
Heidi McHenry CATS OUTPATIENT 1836 Licensed 1861763294 PT 35949 Y
Helen Sprague CATS OUTPATIENT 1836 Waivered 1710325642 AMFT 75120 Y
Jane Sanchez CATS OUTPATIENT 1836 Licensed 1346406824 LMFT 50808 Y
Jannelle Heard CATS OUTPATIENT 1836 Waivered 1467813568 AMFT 95836 Y
Kara Herrick CATS OUTPATIENT 1836 Licensed 1518191659 LMFT 43283 Y
Keith Amador CATS OUTPATIENT 1836 Licensed 1891127403 LMFT 102725 Y
Cynthia Morishige CATS OUTPATIENT 1836 Licensed 1649396045 LCSW 13592 Y
Remedios Wallace CATS OUTPATIENT 1836 Licensed 1639294341 PT 24227 Y
Luis Garcia CATS OUTPATIENT 1836 Licensed 1346599677 LMFT 10398 Y
Maria Ayala CATS OUTPATIENT 1836 Waivered 1174991129 APCCI 3382 Y
Marie Daguman CATS OUTPATIENT 1836 Waivered 1619483237 ACSW 79980 Y
Mary Montgomery CATS OUTPATIENT 1836 Licensed 1538281183 LCSW82129 Y
Megan Curtiss CATS OUTPATIENT 1836 Waivered 1265836027 AMFT 107915 Y
Priscilla Kavanagh CATS OUTPATIENT 1836 Waivered 1528429057 APCC2122 Y
Elizabeth DeGravio CATS OUTPATIENT 1836 Licensed 1497167530 PT 37500 Y
Ramil Doronio CATS OUTPATIENT 1836 Licensed 1871767376 RN 555151 Y
Ronee Martin CATS OUTPATIENT 1836 Waivered 1932644796 AMFT 84987 Y
Sasha Jackson CATS OUTPATIENT 1836 Waivered 1295181295 ACSW 79996 Y
Sherri Helsby CATS OUTPATIENT 1836 Licensed 1669893764 LCSW 29248 Y
Teri Jorgensen CATS OUTPATIENT 1836 Licensed 1295071363 RN 469034 Y
Tiffany DeWitte CATS OUTPATIENT 1836 Licensed 1023143245 LCSW 29826 Y
Valerie-Ann Garcia CATS OUTPATIENT 1836 Licensed 1770606386 RN 704233 Y
Savoeun Phal CATS OUTPATIENT 1836 Waivered 1821513946 APCC 5278 Y
Joshua Merrill CATS OUTPATIENT 1836 Waivered 1114463957 AMFT 102798 Y
Gerado Manansala CATS OUTPATIENT 1836 Licensed 1215195813 A 102439 Y
Paul Mascovich CATS OUTPATIENT 1836 Licensed 1215921184 G 33950 Y
Jin Soofi CATS OUTPATIENT 1836 Licensed 1972592939 G 86240 Y
Sheril Keys CATS OUTPATIENT 1836 Licensed 1942664875 PT 38333 Y
Thomas Firnberg CATS OUTPATIENT 1836 Licensed 1164597472 A 040218 Y
Mohammad Jahangiri CATS OUTPATIENT 1836 Licensed 1720266760 A 56400 Y
Fouad Saddik CATS OUTPATIENT 1836 Licensed 1437254117 A 44865 Y
Kellie Salazar CATS OUTPATIENT 1836 Licensed 1295273654 PT 40326 Y
Suryabamu Javeed CATS OUTPATIENT 1836 Licensed 1568567105 A 56307 Y
Robert Graff CATS OUTPATIENT 1836 Licensed 1366560112 G 70479 Y
Chestermagno De La Cruz CATS OUTPATIENT 1836 Licensed 1619476637 PT40672 Y
6 Community
Corrections
Partnership Rico Molina AB10920 licensed 1255454203 LCSW25450 Y
Lawrence Shaddix AB10920 licensed 1508282286 IMF84560 Y
Randolph Herrington AB10920 licensed 1114141173 LMFT48970 Y
7 Crisis
Community
Response Team
(CCRT) Williams Wendy CCRT
MHC III
1265554638 LMFT 84045
Y
Ballesteros Patricia CCRT MHC 1790058352 LMFT 108455 Y
8 Crisis
Intervention
Services Graff Robert Crisis
MD
1366560112 G70479
Y
Gill Paramijit Crisis MD 1073629218 A49224 Y
Firnberg Thomas Crisis MD 1164597472 A040218 Y
Singh Karamjit Crisis MD 1083930440 A132050 N
Singh Amanpreet Crisis MD 1235182916 A78414 N
Lee Catherine Crisis MHC III 1073729646 LMFT 44225 Y
Saleem Noshela Crisis MHC III 1255585584 LCSW 67154 Y
Williams Wendy Crisis MHC III 1265554638 LMFT 84045 Y
Galindo Teresa Crisis MHC III 1700119369 LCSW 69736 Y
Molina-Eliab Sonya Crisis MHC 1497878482 AMFT 99087 Y
Tran Michelle Crisis MHC 1366642068 LCSW 81278 Y
Figueroa Carlos Crisis MHC 1306193933 LMFT 102315 Y
Ballesteros Patricia Crisis MHC 1790058352 LMFT 108455 Y
Nobles Shannon Crisis MHC 1457699720 AMFT 101531 Y
Saelee Cindy Crisis MHC 1255511614 LCSW 82456 Y
Maney Stephen Crisis MHC 1083985998 ASW 78482 Y
Lewman Brenda Crisis MHC 1821477035 LMFT106905 Y
Morales Leonardo Crisis MHC 1962822643 ASW 72730 Y
Grant Anika Crisis MHC 1649697137 AMFT 104116 Y
Sullivan Aisha Crisis MHC 1861772253 LCSW 75323 Y
Hodge Lewie Crisis MHC 1477044931 ASW 80338 N
Donato Imelda Crisis MHC 1194278085 APCC 2409 N
Redoblado Sheryl Crisis MHC 1871731513 LCSW 75136 Y
Walter Taffie Crisis CPT 1083735096 PT 32090 Y
DeJesus Carolyn Crisis CPT 1861650228 PT 34221 Y
McArthur Milagros Crisis PT 1477809929 PT 36471 Y
Olsen Chandra Crisis PT 1770914061 PT 37210 Y
Isham Loni Crisis PT 1891145033 PT 38233 Y
Bazua Melissa Crisis PT 1972944072 PT 36496 Y
Wright-Freeman Cody Crisis PT 1538584859 PT 37819 Y
Bareng Jeff Crisis PT 1043753478 PT 40284 Y
Gill Sandeep Crisis PT 1871852673 PT 34942 Y
Quitoriano Stephanie Crisis PT 1659798130 PT 37033 Y
Otero Luis Crisis PT 1487015582 PT 38229 Y
Price Jennifer Crisis PT 1932621893 PT 40662 Y
Kemp Sydney Crisis PT 1902383623 PT 34601 Y
9 Crisis
Stabilization
Units (CSU) Graff Robert CSU
MD
1366560112 G70479
Y
Allanki Sailaja CSU MD 1306897723 C138838 Y
Singh Karamjit CSU MD 1083930440 A132050 N
Brown Brandi CSU RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth CSU RN 1255459061 RN 488617 Y
Seraypheap Arunny CSU RN 1013037274 RN 547944 Y
Limas Deborah CSU RN 1073631727 RN 526984 Y
Winck Angela CSU RN 1083002992 RN 701021 Y
Cabrera Gilbert CSU RN 1679693766 RN 565185 Y
Mendoza Michelle CSU RN 1477951812 RN 797022 Y
Blackman Demerica CSU RN 1932619517 RN 850647 Y
Laizer Gloria CSU RN 1255706479 RN 764452 Y
Odametey Ama CSU RN 1700366358 RN 835504 N
Hawkins Lynnetta CSU MHC III 1437436938 LMFT 93110 Y
Lambert Rekha CSU MHC 1164647525 LMFT 10386 Y
Nguyen Thao CSU MHC 1912214065 LMFT 88176 Y
Navarro Grace CSU MHC 1083737753 ASW 72678 Y
Limas Stephanie CSU MHC 1053433748 LMFT 99397 Y
Little Christy CSU PT 1497978795 PT 28731 Y
Abundez Jesse CSU CPT 1841413036 PT 29162 Y
Montantes Michael CSU CPT 1780018390 PT 37071 Y
DeJesus Carolyn CSU CPT 1861650228 PT 34221 Y
Arriola Eulalie CSU CPT 1255573044 PT 34426 Y
Hardy Denise CSU PT 1912202813 PT 33714 Y
Harbin Toni CSU PT 1639475049 PT 28726 Y
Fortes Catherine CSU PT 1346681442 PT 36982 Y
Mocko James CSU PT 1558726224 PT 38249 Y
Menius Victoria CSU PT 1487074258 PT 37534 Y
Brown Kristaline CSU PT 1750723821 PT 32575 Y
Thorpe William CSU PT 1326599770 PT 40154 Y
Look Jasmin CSU PT 1194143198 PT 37492 Y
Mariano Joseph CSU PT 1609208172 PT 36968 Y
Marglin Lisa CSU PT 1558733576 PT 38247 Y
Clutario Dindo CSU PT 1164664512 PT 34295 Y
Ripoyla Jerral CSU PT 1821511700 PT 40644 Y
Varquez Sharon CSU PT 1366682387 PT 34435 Y
Holmes Sherronya CSU PT 1205214228 PT 37605 Y
Duncan Deanna CSU PT 1043674963 PT 38260 Y
Vang Mai CSU PT 1982103081 PT 40697 Y
Vong Tharith CSU PT 1134624802 PT 40678 N
Ridad Anthony CSU PT 1659887750 PT 40713 Y
Hill Brandon CSU PT 1053803890 PT 40412 Y
Singh Jasvir CSU PT 1477833911 PT 36007 Y
Kottke Marline CSU LVN 1891223111 LVN 198957 Y
10 Forensic
Court Full
Service
Partnership Edward Olpin BHSJDDSAS licensed 1477687077 LCSW24055 Y
Betsey McCall-Salerno BHSJDDSAS licensed 1740574672 LMFT42444 Y
Isabella Padilla Pereira Forensic74 licensed 1174871818 LMFT97934 Y
Alexander Anderson Forensic MCST74 licensed 1417183385 ASW70838 Y
Joseph Zummo Forensic74 licensed 1497927487 AMFT105417 Y
11 Gaining
Older Adult Life
Skills
(GOALS) Full
Service
Partnership
(MHSA) Crystal Thao GOALS 7523 Waivered 1609183748 ACSW 35249 Y
Jessica Preston GOALS 7523 Waivered 1649727066 ACSW 79154 Y
Karla Romero GOALS 7523 Waivered 1083133276 AMFT 100573 Y
Tracy House GOALS 7523 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi GOALS 7523 Licensed 1093911224 LMFT 40177 Y
Sue Gruber GOALS 7523 Licensed 1811014780 LCSW 29008 Y
Christine Blue GOALS 7523 Licensed 1093786683 A 10733 Y
Katheine Hedrick GOALS 7523 Licensed 1043699333 RN 683243 Y
Cynthia Resendez GOALS 7523 Licensed 1780877845 A84098 Y
12 InSpire
(MHSA) Debra Baker InSprire 7023 Waivered 1740610229 AMFT 95836 Y
Elizabeth DeGravio InSprire 7023 Licensed 1497167530 PT 37500 Y
13 La Familia
Clinic Full
Service
Partnership Nancy Nelson BHS La Familia Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Jane Fernandez BHS La Familia Psychiatrist 1194799395 Physician and Surgeon A93060 Y
Pamela Smith BHS La Familia Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Aravind Pai BHS La Familia Psychiatrist (Locum) 1235182916 Physician and Surgeon A30319 N
Cynthia Resendez BHS La Familia Psychiatrist 1780877845 Physician and Surgeon A84098 Y
Donna Bickham BHS La Familia Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS La Familia Registered Nurse 1124143474 Registered Nurse 352081 Y
Kathleen Wilson-Parish BHS La Familia Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS La Familia MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Alexander Largaespada BHS La Familia Clinician 1881902161 Marriage and Family Therapist Intern IMF93473 Y
Lynn Tarrant BHS La Familia Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
Adriana Cruz BHS La Familia Clinician II 1871612697 Licensed Clinical Social Worker LCSW81643 Y
Scarlette Aranda BHS La Familia Clinician I 1295929529 Associate Clinical Social Worker 83748 Y
Donnelle Tamayo BHS La Familia Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS La Familia Staff Nurse III 1104375724 Registered Nurse 723203 Y
14 Mary
Graham
Childrens
Shelter Renessa Castaneda-Jensen Mary Graham Childrens Shelter 9008 Licensed 1376664862 81528 LMFT Y
15 MHSA TAY
FSP Heidi McHenry TAY FSP Licensed 1861763294 PT 35949 Y
Jannelle Heard TAY FSP Waivered 1467813568 AMFT 95836 Y
Ronee Martin TAY FSP Waivered 1932644796 AMFT 84987 Y
Sasha Jackson TAY FSP Waivered 1295181295 ACSW 79996 Y
16 Older Adult
Services (OAS) Crystal Thao OAS 8236 Waivered 1609183748 ACSW 35249 Y
Jessica Preston OAS 8236 Waivered 1649727066 ACSW 79154 Y
Karla Romero OAS 8236 Waivered 1083133276 AMFT 100573 Y
Tracy House OAS 8236 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi OAS 8236 Licensed 1093911224 LMFT 40177 Y
Sue Gruber OAS 8236 Licensed 1811014780 LCSW 29008 Y
Christine Blue OAS 8236 Licensed 1093786683 A 10733 Y
Katheine Hedrick OAS 8236 Licensed 1043699333 RN 683243 Y
Cynthia Resendez OAS 8236 Licensed 1780877845 A84098 Y
17 Peterson
Hall Jennifer Domingo Peterson Hall 9009 Licensed 1104097286 50961 LMFT Y
Shabneet Hira Brar Peterson Hall 9009 Licensed 1851598452 A112447 Psychiatrist Y
Karina Jimenez Peterson Hall 9009 Waivered 1477891679 78261 AMFT Y
Helan Nguyen Peterson Hall 9009 Waivered 1801135876 85251 AMFT Y
Shiella Pablico Peterson Hall 9009 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Joann Ridad Peterson Hall 9009 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet Peterson Hall 9009 Licensed 1366468555 C53401 Psychiatrist Y
Carla Simien Peterson Hall 9009 Licensed 1629564000 40771 Licensed Psychiatric Technician Y
Fay Vieira Peterson Hall 9009 Licensed 1982815684 50276 LMFT Y
18 Psychiatric
Health Facility
(PHF)
Gill Paramijit
PHF
MD
1073629218 A49224
Y
Hart Robert PHF MD 1477660074 C38923 Y
Silver Hilary PHF MD 1720201221 C33442 Y
Brown Brandi PHF RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth PHF RN 1255459061 RN 488617 Y
Seraypheap Arunny PHF RN 1013037274 RN 547944 Y
Limas Deborah PHF RN 1073631727 RN 526984 Y
Winck Angela PHF RN 1083002992 RN 701021 Y
Cabrera Gilbert PHF RN 1679693766 RN 565185 Y
Mendoza Michelle PHF RN 1477951812 RN 797022 Y
Blackman Demerica PHF RN 1932619517 RN 850647 Y
Laizer Gloria PHF RN 1255706479 RN 764452 Y
Odametey Ama PHF RN 1700366358 RN 835504 N
Camello Bena PHF MHC 1053581116 LCSW 65302 Y
Shah Mamoona PHF MHC 1407978471 Waivered Y
Mills Rachelle PHF MHC 1326169350 LMFT 81070 Y
Little Christy PHF PT 1497978795 PT 28731 Y
Bomar Dolfa PHF CPT 1881817567 PT 31571 Y
DeJesus Carolyn PHF CPT 1861650228 PT 34221 Y
Varquez Sharon PHF PT 1366682387 PT 34435 Y
Pot Sambo PHF PT 1104378827 PT 33626 Y
Bou Jennifer PHF PT 1033652466 PT40281 Y
Sesante Maria PHF PT 1851515720 PT 30936 Y
Ota Robert PHF PT 1578786554 PT 33792 Y
Pinano Paolo PHF PT 1245352616 PT 33726 Y
Ruiz Ronald PHF PT 1700907094 PT 27494 Y
Villasenor Kendra PHF PT 1447518204 PT 36449 Y
Deol Sukhvinder PHF PT 1508988593 PT 30288 Y
Bokelman Roy PHF PT 1114040003 PT 32628 Y
Seba Vicki PHF PT 1639291636 PT 31714 Y
Siador Jill PHF PT 1366884058 PT 36818 Y
Polk Rhonda PHF PT 1316160146 PT 20798 Y
Zorea Dylan PHF PT 1467573766 PT28206 Y
Chapin Larry PHF PT 1528200169 PT 26162 Y
19 San Joaquin
County MH
Services Lodi
Clinic Ruth Johnson Lodi Outpatient 6036 Licensed 1265535538 LCSW 15213 Y
Judith Dolyniuk Lodi Outpatient 6036 Licensed 1518182534 LMFT 97680 Y
Amy Massie Lodi Outpatient 6036 Waivered 1356798391 AMFT 100785 Y
Shayne Maniti Lodi Outpatient 6036 Licensed 1689854093 PT 33732 Y
Saba Rizvi Lodi Outpatient 6036 Licensed 1619190501 A 95786 Y
Avramov Valentin Lodi Outpatient 6036 Licensed 1053488767 109609 Psychiatrist Y
Hill Patricia Lodi Outpatient 6036 Licensed 1902926231 23764 LCSW Y
Mann Bhupinderpreet Lodi Outpatient 6036 Waivered 1174603039 80464 AMFT Y
20 San Joaquin
County MH
Services Tracy
Clinic Ashley Smerdon Tracy Clinic 6136 Waivered 1265713929 MFT87560 Y
Jennifer Spruill Tracy Clinic 6136 Licensed 1518232321 LCSW 69544 Y
Simone Litsch Tracy Clinic 6136 Licensed 1598882599 A 89254 Y
Aravind Pai Tracy Clinic 6136 Licensed 1629076088 A30319 N
Gabriel Holguin Tracy Clinic 6136 Licensed 1255704094 PT38216 Y
21 SJC- MHS
CYS Katie A
Services Sailaja Allanki CYS Katie A Services 9020 Licensed 1306897723 138838 Psychiatrist Y
Kristina Birch CYS Katie A Services 9020 Waivered 1366874844 1809 APCC Y
Maria Boklund CYS Katie A Services 9020 Licensed 1396157061 48496 LMFT Y
Linda Brett CYS Katie A Services 9020 Licensed 1295853299 523914 RN Y
Renessa Castaneda-Jensen CYS Katie A Services 9020 Licensed 1376664862 81528 LMFT Y
Maria Gamino CYS Katie A Services 9020 Waivered 1710386453 73292 ASW N
Shabneet Hira Brar CYS Katie A Services 9020 Licensed 1851598452 A112447 Psychiatrist Y
Catherine Navarrete CYS Katie A Services 9020 Waivered 1619456076 105076 Marriage amp Family Therapist Y
Leora Pollock CYS Katie A Services 9020 Licensed 1245663426 75192 LCSW Y
Kim Saing CYS Katie A Services 9020 Licensed 1982722666 51242 LMFT Y
Anastacia Stanley CYS Katie A Services 9020 Licensed 1528299724 87417 LMFT N
Patricia Young CYS Katie A Services 9020 Waivered 1780051375 94965 ASSOCIATE MARRIAGE amp FAMILY THERAPIST Y
22
Transcultural
Clinic (TCC) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
23 Southeast
Asian Recovery
Services
(SEARS) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
CONTRACT ORGANIZATIONAL PROVIDERS
24 Anka Lodi (
was Mourfield
House) Meloney West Anka Lodi AMFT 1649523283 Y
Eon Lawrence Losefa Anka Lodi LMFT 1982898276 104807 Y
Aaron Fett Anka Lodi Psychology Intern 1932352424 Y
25 ASPIRAnet Courtney Warfield-Gibbs ASPIRAnet Waivered 1285958520 ACSW 70918 Y
Melissa Wimer ASPIRAnet Licensed 1467946301 LMFT 81226 Y
Patricia A Jackson ASPIRAnet Waivered 1780848853 AMFT 73975 Y
Vijai Pandey ASPIRAnet Waivered 1710497938 AMFT 70416 Y
Amir Siddiqui ASPIRAnet Waivered 1336617844 APCC 5341 N
26 Bright
House Robert Lee Majors Bright House LMFT 1780692806 49236 Y
27 Casa Pacifica - OUT OF COUNTY PROVIDER
28 CBIS (University of the Pacific)- NON LICENSED STAFF ONLY
29 Chamberlains Children Center Inc -OUT OF COUNTY PROVIDER
30 Charis Youth Center- OUT OF COUNTY PROVIDER
31 Child Abuse
Prevention
Council Roger Duke Child Abuse Prevention Council LMFT 1992861082 79588 Y
Cassandra Lowe Child Abuse Prevention Council AMFT 1205278694 75983 Y
Stacey Tidwell Child Abuse Prevention Council ACSW 1790189413 72578 Y
Nazia Khan Child Abuse Prevention Council AMFT 1508227158 81499 Y
Lisa Aguilar Child Abuse Prevention Council ACSW 1417401035 73365 Y
Anabel Montejano Child Abuse Prevention Council ACSW 1740656636 78974 Y
Catherine Thiel Child Abuse Prevention Council LCSW 1134569791 82263 Y
Michelle Nelson Child Abuse Prevention Council AMFT 1891173357 94133 Y
Maria Cardoza Child Abuse Prevention Council AMFT 1467861252 87554 Y
Thear Chum Child Abuse Prevention Council ACSW 1134648231 83947 Y
Kaitlyn Reilly Child Abuse Prevention Council ACSW 1205381613 83651 Y
Laura Rodriguez Child Abuse Prevention Council ACSW 1316498892 78113 Y
Diana Strimling Child Abuse Prevention Council AMFT 1316221765 104452 Y
32 Community Re-Entry Program (CRP)- NON LICENSED STAFF ONLY
33 Crestwood Solano (PHF)- Out of County Provider
34 Crittenton Services For Children and Families -OUT OF COUNTY PROVIDER
35 Edgewood Center for Children and Families- OUT OF COUNTY PROVIDER
36 Fred Finch Youth Center- OUT OF COUNTY PROVIDER
37 Grant
House Meloney West Grant House AMFT 1649523283 Y
JoAnn Marie Cornelius Grant House LPT 1205877727 35804 Y
Melinda Carchidi Grant House Psychology Intern 1609151653 Y
38 Latino
Behavioral
Health and
Recovery
Services Alexander Largaespada Latino Behavioral Health AMFT 181902161 AMFT 93473 Y
Maria De La Luz Torres Latino Behavioral Health ACSW 1003323361 ASW80844 N
Lynn Tarrant Latino Behavioral Health Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
39 Martin Gipson Socialization Center- NON LICENSED STAFF ONLY
40 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
41 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
42 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
43 Mountain Valley Child and Family Services Inc- OUT OF COUNTY PROVIDER
44 Phoenix House of Los Angeles Inc- OUT OF COUNTY PROVIDER
45 Rebekah
Childrens
Home Bhatti Moeen Rebekah Childrens Home licensed 1205023736 A 100193 Physician amp SurgeonMD DEA FB4071332 Y
Cervantes Priscilla Rebekah Childrens Home licensed 1679081582 693037 LVN N
Delgado Melissa Rebekah Childrens Home licensed 1881002186 105380 LMFT Y
Downey Ruth Rebekah Childrens Home licensed 1790161339 100524 LMFT Y
Machuca Lopez Cynthia Rebekah Childrens Home waivered 1386053817 74884 ACSW Y
Moeller Ryan Rebekah Childrens Home waivered 1316303803 91385 AMFT Y
Vaca-Preez Alejandra Rebekah Childrens Home waivered 1629418876 36752 ACSW Y
Vargas-Gladen Rosalva Rebekah Childrens Home licensed 1326114372 46940 LMFT Y
46 Sacramento Childrens Home- OUT OF COUNTY PROVIDER
47 San Gabriel Childrens Center Out Patient- OUT OF COUNTY PROVIDER
48 Star View Adolescent Center OP- OUT OF COUNTY PROVIDER
49 Summitview Child Treatment Center- OUT OF COUNTY PROVIDER
50 Telecare
(aka Jeremy
House) Jessica Reiland Telecare- Jeremy House ASW (waived) Clinician 1003154634 70377 Y
Thuy Huynh Telecare- Jeremy House LPT Nurse 1033485495 36454 Y
Shannan Taylor Telecare- Jeremy House LMFT Regional Director 1528074770 LMFT46081 Y
51 Telecare
Early
Intervention
Recovery
Services (TEIRS) Melissa Planas ` LCSW 1679807994 LCSW66499 Y
Holli Hoffman TEIRS DNP 1144380940 2005000091 Y
Oshalique Bass TEIRS PCCI Waived 1477811677 5490 Y
Tran tran TEIRS LVN 1477084671 VN 275938 Y
Jennifer Miles TEIRS MD 1275541641 G83528 Y
Shannan Taylor TEIRS LMFT 1528074770 LMFT46081 Y
52 TLC Child and Family Services- OUT OF COUNTY PROVIDER
53 Valley
Community
Counseling
Services (VCCS)
(Manteca) 9040 Muhammad Kamran VCCS Manteca 9040 Licensed 1811051337 C53847 Psychiatrist Y
Patricia Goodman VCCS Manteca 9040 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Manteca 9040 Clinician 1578734687 AMFT 80527 Y
Alisha Sweyd VCCS Manteca 9040 Clinician 1689059941 AMFT 96911 Y
Teresa Viles-Reed VCCS Manteca 9040 Clinician 1386762623 PhD PSY14848 Y
54 Valley
Community
Counseling
Services (VCCS)
(School Based
Program-
Stockton) 9042 Cynthia Aguilera VCCS Stockton 9042 Clinician 1003326182 AMFT 102123 Y
Melanie Almada VCCS Stockton 9042 Clinician 1912396532 AMFT 92167 Y
Arica Arucan VCCS Stockton 9042 Clinician 1215258280 LCSW 72691 Y
Megan Bassi VCCS Stockton 9042 Clinician 1669833885 AMFT 91956 Y
Manjit Belanger VCCS Stockton 9042 Clinician 1255780771 AMFT 100537 Y
Ana De Trinidad VCCS Stockton 9042 Clinician 1043501570 AMFT 95408 Y
Tiffany Drake VCCS Stockton 9042 Clinician 1417456617 AMFT 103265 Y
Sarah Gard VCCS Stockton 9042 Clinician 1477966265 LMFT 106055 Y
Patricia Goodman VCCS Stockton 9042 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Stockton 9042 Clinician 1578734687 AMFT 80527 Y
Alicia Jackson VCCS Stockton 9042 Clinician 1912386525 AMFT 93526 Y
Naomi Jimenez VCCS Stockton 9042 Clinician 1669927828 AMFT 80527 Y
Leonard Lippert VCCS Stockton 9042 Clinician 1154691137 AMFT 101758 Y
Sandra McBride VCCS Stockton 9042 Clinician 1033467030 AMFT 75525 Y
Monika Muy VCCS Stockton 9042 Clinician 1982008603 ACSW 67390 Y
Desiree Nease VCCS Stockton 9042 Clinician 1447703491 ACSW 71196 Y
Katelyn Nelson VCCS Stockton 9042 Clinician 1669998290 ACSW 77372 Y
Elaine Pike VCCS Stockton 9042 Clinician 1508875055 LMFT 45258 Y
Cristal Rodriguez VCCS Stockton 9042 Clinician 1760938740 AMFT 93861 Y
Reshma Roy VCCS Stockton 9042 Clinician 1073061784 ACSW 66474 Y
Belem Ruiz VCCS Stockton 9042 Clinician 1508380411 AMFT 100924 Y
Jenna Santoyo VCCS Stockton 9042 Clinician 1457584567 LCSW 29827 Y
Riah Skrinnik VCCS Stockton 9042 Clinician 1295275592 APCC 3532 Y
Kristyn Towers VCCS Stockton 9042 Clinician 1942671052 AMFT 89172 Y
Alexsandra Trejo VCCS Stockton 9042 Clinician 1750837985 AMFT 92738 Y
Vichra You VCCS Stockton 9042 Clinician 1013437714 AMFT 99071 Y
55 Valley
Community
Counseling
Services (VCCS)
(Tracy) 9041 Muhammad Kamran VCCS Tracy 9041 Licensed 1811051337 C53847 Psychiatrist Y
Rosemary Cervantes VCCS Tracy 9041 Clinician 1407299738 AMFT 72397 Y
Laura Strickland VCCS Tracy 9041 Clinician 1538354543 2012633 Y
Lani Westervelt VCCS Tracy 9041 Clinician 1629191366 LMFT 38654 Y
56 Victor
Community
Services and
Support
Stockton
(VCSS) 9063 Loiuse Cerna VCSS Stockton 9063 MFTI 1346794690 92730 - Marriage and Fmily Therapist Intern Y
Aziza Citi VCSS Stockton 9063 LMFT 1831510650 96329 - Licensed Marriage and Family Therapist Y
Melissa Colon VCSS Stockton 9063 MFTI 1871663351 77340 - Marriage and Family Therapist Intern Y
Itzia Cruz VCSS Stockton 9063 ACSW 1639533987 80056 - Associate Clinical Social Worker Y
Tracy Cutino VCSS Stockton 9063 LMFT 1740297902 47897 - Licensed Marriage and Family Therapist Y
Betia Dadkhah VCSS Stockton 9063 LMFT 1083709380 44160 - Licensed Marriage and Family Therapist Y
Mark Edelstein VCSS Stockton 9063 MD 1972516714 C41340 - Physician amp Surgeon Y
Sharee Esparza VCSS Stockton 9063 MFTI 1982145504 102079 - Marriage and Family Therapist Intern Y
Tanner Hickman VCSS Stockton 9063 ACSW 1194272146 78099 - Associate Clinical Social Worker Y
Courtney Ivy VCSS Stockton 9063 MFTI 1679959217 71048 - Marriage and Family Therapist Intern Y
Giana Kooger VCSS Stockton 9063 LMFT 1720318132 86206 - Licensed Marriage and Family Therapist Y
Sheree Lozano VCSS Stockton 9063 MFTI 1538523501 88637 - Marriage and Family Therapist Intern Y
Christina Lopez VCSS Stockton 9063 MFTI 1265705727 102443 - Marriage and Family Therapist Intern Y
Koryn Marshall VCSS Stockton 9063 LMFT 1962881870 86263 - Licensed Marriage and Family Therapist Y
Adrianna Martinez VCSS Stockton 9063 MFTI 1851831242 107761 - Marriage and Family Therapist Intern Y
Laura Rodriguez VCSS Stockton 9063 ACSW 1316498892 78113 - Associate Clinical Social Worker Y
Jacquelyn Seefeldt VCSS Stockton 9063 MFTI 1124250204 74064 - Marriage and Family Therapist Intern Y
Heather Taylor VCSS Stockton 9063 LMFT 1265514251 44021 - Licensed Marriage and Family Therapist Y
Palei Triguero VCSS Stockton 9063 MFTI 1871994285 86335 - Marriage and Family Therapist Intern Y
Wendy True VCSS Stockton 9063 LMFT 1750476438 44262 - Licensed Marriage and Family Therapist Y
Jennifer Tutt VCSS Stockton 9063 LCSW 1316134091 27530 - Licensed Clinical Social Worker Y
Sarah Voss VCSS Stockton 9063 LMFT 1275602914 51406 - Licensed Marriage and Family Therapist Y
Michelle Zuckerman VCSS Stockton 9063 LMFT 1891948691 84298 - Licensed Marriage and Family Therapist Y
57 Victor Treatment Center - Santa Rosa- OUT OF COUNTY PROVIDER
58 Victor Youth Services (North Valley Schools)- OUT OF COUNTY PROVIDER
59 Womens Center- Family and Youth Services httpswwwwomenscenteryfsorgindexphpget-helptherapy-services
CONTRACT PSYCHIATRIC HOSPITALS
60 BHC Heritage Oaks Hospital - Out of County Hospital
61 BHC Sierra Vista Hospital - Out of County Hospital
62 St Helena Hospital Center for Behavioral Health - Out of County Hospital
63 John Muir Behavioral Health Center - Out of County Hospital
64 Sutter Center for Psychiatry - Out of County Hospital
65 Fremont Hospital - Alka Aneja Fremont Hospital ChildAdolescent MD 1619031317 A112029BA9881017 Y
Harmohinder Athwal Fremont Hospital ChildAdolescent MD 1740298256 A81841BA8179473 Y
Kamaljeet Boora Fremont Hospital Psychiatry MD 1356587711 102846FB0978823 N
Vikas Duvvuri Fremont Hospital EDO MD 1255470480 A99706FD0242064 Y
Trevor Fooks Fremont Hospital Psychiatry MD 1730267535 G63964BF1543695 Y
Ravinder Kahlon Fremont Hospital NeuroPsych MD 1386741320 A50823BK2018934 N
Vasdeep Kahlon Fremont Hospital Psychiatry MD 1497852446 A51243BK2742535 N
Padmavathi Kudaravalli Fremont Hospital Internal Medicine MD 1144221953 A67964BK6574974 Y
Pradeep Kumar Fremont Hospital Psychiatry MD 1023188935 A52032BK4202177 N
Deepak Kumar Fremont Hospital Psychiatry MD 1306257910 A130068FK4574299 Y
Sudha Manjunath Fremont Hospital ChildAdolescent MD 1801826797 A87131BM8982818 Y
Syed Munir Fremont Hospital ChildAdolescent MD 1790718815 C55029BM3999553 Y
Nanda Nayak Fremont Hospital Psychiatry MD 1477656262 A43182BN0687597 N
Falguni Patel Fremont Hospital ChildAdolescent MD 1548414337 A105594FP1152949 Y
Surender Punia Fremont Hospital Psychiatry MD 1376589663 A77004BP6477497 Y
Divya Reddy Fremont Hospital Psychiatry MD 1518120211 A103547FR1100306 Y
Devindar Singh Fremont Hospital Internal Medicine MD 1447294624 A48148BS2303422 N
Sunpreet Singh Fremont Hospital Psychiatry MD 1326464462 A132932FS5027087 Y
Bhupinder Waraich Fremont Hospital Psychiatry MD 1689869547 A53968BW4473346 Y
Jaap Kaur Waraich Fremont Hospital Psychiatry MD 1316132285 G67904BW2368391 Y
Nicholas Phillips Fremont Hospital Family Medicine MD 1255727293 A153125FP7288841 N
Harleen Dyal Fremont Hospital Family Medicine MD 1225424327 A153255FD7288839 N
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake Unit-Referrals to Licensed Staff
67 Chemical
Dependency
Counseling
Center ( CDCC) Tyler Moran Chemical Dependency Counseling Center 390002DNAMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Chemical Dependency Counseling Center 390002DNMFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Chemical Dependency Counseling Center 390002DNPsychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Chemical Dependency Counseling Center 390002DNPsychiatrist 1710094057 A72805 Y
68 Alcohol amp Drug Alternative Program (ADAP)-Referrals to Licensed Staff
69 Family Ties Tyler Moran Family Ties 390002EN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Family Ties 390002EN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Family Ties 390002EN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Family Ties 390002EN Psychiatrist 1710094057 A72805 Y
70 Recovery
House Tyler Moran Recovery House 390002AN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Recovery House 390002AN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Recovery House 390002AN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Recovery House 390002AN Psychiatrist 1710094057 A72805 Y
71 Adolescent Co- Occurring Treatment Program (ACT) Childrens Behavioral Health Services- Referrals to Licensed Staff
72 Prevention Services- Referrals to Licensed Staff
NARCOTIC TREATMENT PROGRAMSMEDICATION ASSISTED TREATMENT
73 Aegis
Treatment
Center Dr Randall Paul Aegis Treatment Center Medical License 1912061045 A26361 Y
Linda Beccerra Aegis Treatment Center Vocation Nurse VN 183039 Y
Dora Berry Aegis Treatment Center Vocation Nurse VN 689493 Y
Jeannette Carter-Camp Aegis Treatment Center Vocation Nurse 1740480342 NP 7506 Y
Francisca Marquez Aegis Treatment Center Vocation Nurse VN 287402 Y
74 5th Street
Medical Clinic
Stockton Dr Michael Fox 5th Street Medical Clinic Medical License 1212069758 G53561 Y
Melissa Whitworth 5th Street Medical Clinic Vocation Nurse RN 541037 Y
Divina Palafox 5th Street Medical Clinic Vocation Nurse 1912061995 VN 17300 Y
Divna Lu 5th Street Medical Clinic Vocation Nurse VN 183039 Y
Jeannette Carter-Camp 5th Street Medical Clinic Vocation Nurse 1740480342 NP 7506 Y
75 Aegis
Treatment
CenterHealthy
Connections
(California St)
Stockton Dr Michael Fox Aegis Treatment CenterHealthy ConnectionsMedical License 1212069758 G53561 Y
Melissa Whitworth Aegis Treatment CenterHealthy ConnectionsVocation Nurse RN 541037 Y
Dr Brian Talleur Aegis Treatment CenterHealthy ConnectionsMedical License 1659791101 A154190 Y
Alvin Goat Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 20473 Y
Crystal August Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 695962 Y
Rosenah Durago Aegis Treatment CenterHealthy ConnectionsVocation Nurse 1841629185 VN 235553 Y
Maria Garsuta Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 235825 Y
76 Healthy
Connections
Lodi Clinic Melissa Whitworth Healthy Connections Lodi Clinic Vocation Nurse RN 541037 Y
Dr Brian Talleur Healthy Connections Lodi Clinic Medical License 1659791101 A154190 Y
Angeles Alfaro Healthy Connections Lodi Clinic Vocation Nurse 1649669979 VN 689129 Y
John Campos Healthy Connections Lodi Clinic Vocation Nurse 1407192297 VN 260740 Y
Prabhjot Kaur Healthy Connections Lodi Clinic Vocation Nurse VN 698775 Y
Meenal Prasad Healthy Connections Lodi Clinic Vocation Nurse 1114407368 VN 287331 Y
77 Manteca
Healthy
Connections Dr Michael Fox Manteca Healthy Connections Medical License 1212069758 G53561 Y
Melissa Whitworth Manteca Healthy Connections Vocation Nurse RN 541037 Y
Dr Randall Paul Manteca Healthy Connections Medical License 1912061045 A26361 Y
Mary Jane Davis Manteca Healthy Connections Vocation Nurse 1861822744 VN 72342 Y
Christine Falcon Manteca Healthy Connections Vocation Nurse VN 175628 YDourine Iqiel Manteca Healthy Connections Vocation Nurse 1477008506 VN281162 YRebecca Mohr Manteca Healthy Connections Psyciatric Technician LPT 26531 Y
78 MedMark Treatment Center httpsmedmarkcommedmark-treatment-centers-stockton
LANGUAGE ASSISTANCE
English
ATTENTION If you speak another language language assistance services free of charge are available to you Call 1-888-468-9370 (TTY 1-866-735-2922 )ATTENTION Auxiliary aids and services including but not limited to large print documents and alternative formats are available to you free of charge upon request Call 1-888-468-9370
Espantildeol (Spanish)
ATENCIOacuteN Si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-888-468-9370 (TTY 1-866-735-2922 )
Tiếng Việt (Vietnamese)
CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-888-468-9370 (TTY 1-866-735-2922 )
Services may be delivered by an individual provider or a team of providers who is working under the direction of a licensed practitioner operating within their scope of practice Only licensed
waivered or registered mental health providers and licensed substance use disorder services providers are listed on the Plans provider directory
Tagalog (Tagalog Filipino)
PAUNAWA Kung nagsasalita ka ng Tagalog maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-888-468-9370 (TTY 1-866-735-2922 )한국어 (Korean)주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수 있습니다 1-888-468-9370 (TTY 1-866-735-2922 ) 번으로 전화해 주십시오繁體中文繁體中文繁體中文繁體中文(Chinese)注意如果您使用繁體中文您可以免費獲得語言援助服務請致電1-888-468-9370 (TTY 1-866-735-2922 )ՀայերենՀայերենՀայերենՀայերեն (Armenian)
ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ Զանգահարեք 1-888-468-9370 (TTY 1-866-735-2
Русский (Russian)
ВНИМАНИЕ Если вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-888-468-9370 (TTY 1-866-735-2922 )
(Farsi) فارسیتوجه اگر به زبان فارسی گفتگو می کنيد تسهيلات زبانی بصورت رايگان برای شما
日本語日本語日本語日本語 (Japanese)注意事項日本語を話される場合無料の言語支援をご利用いただけます1-888-468-9370فراهم می باشد با 1 (TTY 1-866-735-2922 ) までお電話にてご連絡くださいHmoob (Hmong)
LUS CEEV Yog tias koj hais lus Hmoob cov kev pab txog lus muaj kev pab dawb rau koj Hu rau 1-888-468-9370 (TTY 1-866-735-2922 )
ਪਜਾਬੀ (Punjabi)
ਿਧਆਨ ਿਦਓ ਜ ਤਸੀ ਪਜਾਬੀ ਬਲਦ ਹ ਤਾ ਭਾਸ਼ਾ ਿਵਚ ਸਹਾਇਤਾ ਸਵਾ ਤਹਾਡ ਲਈ ਮਫਤ ਉਪਲਬਧ ਹ 1-888-468-9370 (TTY 1-866-735-2922) ਤ ਕਾਲ ਕਰ
(Arabic) العربيةملحوظة إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغوية تتوافر لك بالمجان
हिदी (Hindi)
द यदि आप हिदी बोलत ह तो आपक लिए मफत म भाषा सहायता सवाए उपलबध ह [1-888-468-9370 (TTY 1-866-735-2922) पर कॉल कर
ภาษาไทย (Thai)
เรยน ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร 1-888-468-9370 (TTY 1-866-735-2922) धयान
ែខរ (Cambodian)
បយត ររ េស នអកនយ ែខ រសជនយមននក េយមនគត នគចនស ររ អេ នក ច ទ សព+1-888-468-9370 (TTY 1-866-735-2922)
ພາສາລາວ (Lao)
ໂປດຊາບ ຖາວາ ທານເວາພາສາ ລາວ ການບລການຊວຍເຫອດານພາສາໂດຍບເສຽຄາ ແມນມພອມໃຫທານ ໂທຣ 1-888-468-9370 (TTY 1-866-735-2922)
- 18-Font English Medi-Cal Provider Directory(Word Doc) 12-2018 English
- Medi-Cal Directory Provider Staff Listing 18 font English 12-2018
-
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 13 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
14Mary Graham
Childrens Shelter
9008
6861 Mary Graham
Lane
French Camp CA
95231
(209) 468-6966
httpwww
marygrahamfou
ndationorg
24 Hours
Children
and
Youth
Provides outpatient
mental health
services to residents
of Mary Graham
Childrens Shelter
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services)
Include-
ing ASL
YesNo YesNo YesNo
15MHSA TAY
FSP
39B1
1212 N California
Street Stockton
CA 95202
(209) 468-8862
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adults
Full service
partnership providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
16Older Adult
Services (OAS)
3980
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Cambo-
dian Viet-
namese
Comprehensive
Behavioral Health
Services for older
adults (60+) provided
by a multidisciplinary
team Services
include psychiatric
assessment
medication
support group
individual therapy
and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 16 of 66
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services
Includin
g ASL
YesNo YesNo YesNo
17 Peterson
Hall
9009
535 W Matthews
Rd French Camp
CA 95231
(209) 468-4240
hiipswwwsjg
ovorgmhs
M-F 8 am- 8
pm SatSun 10-
7 pm
Children
and
Youth
Cambo-
dian
Spanish
Provides outpatient
mental health services
to youth detained at
Peterson Hall
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
18Psychiatric
Health
Facility (PHF)
3976
1212 N California
Street Stockton
CA 95202
(209) 468-8686
httpswwwsjg
ovorgmhs 24
hours
Adult Spanish
24-hour inpatient
hospitalization
services
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
19San Joaquin
County MH
Services Lodi Clinic
3924
1209 W Tokay
Street
Suites 1 3 5 7 9
12 14 and 16
Lodi CA 95240
(209) 331-2070
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Children
Youth
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
North
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
20San Joaquin
County MH
Services Tracy
Clinic
9048
220 W Eleventh
Street
Tracy CA 95376
(209) 831-5941
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
South
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
21SJC-MHS
CYS Katie A
Services
9020
333 E Washington
Street
Stockton CA
95202
(209) 468-1547
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Children
and
Youth
Spanish
Hmong
Japanese
Provides in-home
and in-community
outpatient mental
health services to
WampI Code 300
dependent SJC
children
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 20 of 66
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition to
free Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
22Transcultural
Clinic
(TCC) - full range
of specialty mental
health services and
intensive case
management
program
9014
4422 N Pershing
Ave
Suites D1-D4
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available
in Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 21 of 66
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
23Southeast
Asian Recovery
Services (SEARS)
for the Southeast
Asian population-
Full Service
Partnership
(MHSA)
9094
4422 N Pershing
Avenue Suite D2
D3 D4 D5 D6
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available in
Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
CONTRACT ORGANIZATIONAL PROVIDERS
24Anka Lodi (was
Mourfield House)
9075
458 Almond Drive
Lodi CA 95240
(209) 982-4697
wwwankabhior
g M-F 8am-5pm
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
25ASPIRAnet
39AR
6 S El Dorado
Street Suite 510
Stockton CA
95202
(209) 478-9862
wwwaspiranet
Org
M-F 8 am- 5
pm
Children
and
Youth
Provides
Therapeutic
Behavioral Services
(TBS) and crisis
stabilization services
as an alternative to
psychiatric
hospitalization
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
26Bright House
9047
8210 Bright Road
French Camp CA
95231
(209) 982-1235
wwwankabhior
g 24 hours
Adult
Adult Transitional
Residential
Treatment Program
Medication Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
27Casa Pacifica
39AB
1722 S Lewis Road
Camarrillo CA
93012
(805) 981-1422
wwwcaspacific
aorg
M-F 8 am- 6 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
28CBIS
(University of the
Pacific)
39A1
405 E Pine Street
Stockton CA
95204
(209) 476-1959
wwwcommunit
yre-
entryprogramco
m M-F 8am-430
pm
Adult
Spanish
Behavioral
Intervention Services
Mental Health Services
Intensive Home Based
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
29Chamberlains
Children Center
Inc
39B4
1850 San Benito
Street
Hollister CA
95023
(831) 636-2121
wwwchamberla
inccorg
M-F 8 am- 5 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
30Charis Youth
Center
9057
714 W Main Street
Grass Valley CA
95945
(530) 477-9800
wwwcharisyout
hcenterorg
M-F 830 am-
430 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
31Child Abuse
Prevention Council
39A8
540 N California
Street
Stockton CA
95202
(209) 644-5311
wwwnochildab
useorg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health services
utilizing
strengthening family
approach
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
32Community
Re- Entry
Program (CRP)
9044
405 E Pine Street
Stockton CA
95204
(209) 946-2132
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
independent living
skills training and
rehabilitation
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
33Crestwood
Solano
(PHF)
39A8
2201 Tuolumne
Street Suite B
Vallejo CA 94589
(707) 558-1777
wwwcrestwood
behavioralhealth
com
24
hours
Adult
24-hour
inpatient
hospitalization
services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
34Crittenton
Services For
Children And
Families
39B3
100 E Valley View
Drive Fullerton CA
92832
(714) 680-8268
wwwcrittentons
ocalorg
M-F 830 am- 5
pm
Children
and
Youth
Residential
facility providing
mental health
treatment to youth
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS)
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
35Edgewood
Center for
Children and
Families
39AV
1801 Vincente
Street San
Francisco CA
94116
(415) 681-3211
wwwedgewood
org
24
Hrs
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
36Fred Finch
Youth
Center
39AY
3800 Coolidge
AvenueOakland
CA 94602
(510) 482-2244
wwwfredfinch
Org
M-F 830 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
37Grant House
9064
1117 S Grant
Street Stockton
CA 95206
(209) 461-6500
wwwankabhior
g 24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
38Latino
Behavioral Health
and Recovery
Services
9067
445 N San Joaquin
Street
Stockton CA
95202
(209) 444-8910
wwwelconcilio
Org
M-F 8 am- 5 pm
Adult
Spanish
Provides Culturally
Competent
Services to Latinos
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 32 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
39Martin Gipson
Socialization Center
9043
405 E Pine Street
Stockton CA
95204
(209) 464-5519
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
socialization
vocational and
educational
opportunities for
Adult Mentally
ill consumers
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 33 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
40Mountain
Valley Child and
Family Services
Inc
9039
24077 Highway 49
Nevada City CA
95959
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Therapeutic
Behavioral Services
(TBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 34 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
41Mountain
Valley Child and
Family Services
Inc
39A4
7818 Bar Du Lane
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 35 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
42Mountain
Valley Child and
Family Services
Inc
39A3
6171 Bradshaw Rd
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 36 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
43Mountain
Valley Child and
Family Services
Inc
39A2
9200 Sweet Acacia
Way Sacramento
CA 95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 37 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
44Phoenix House
of
Los Angeles Inc
39B6
1600 Eldrige
Avenue Lake View
Terrace CA 91342
(818) 686-3000
wwwphoenixho
useorg
M-F 8 am- 530
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 38 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
45Rebekah
Childrenrsquos
Home
39AU
290 IOOF Avenue
Gilroy CA 95020
(408) 846-2100
wwwrcskidsor
g
M-F 8 am- 530
pm
Children
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 39 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
46Sacramento
Childrens Home
9076
2750 Sutterville
Road Sacramento
CA 95820
(916) 452-3981
wwwkidshome
Org
M-F 830 am - 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 40 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
47San Gabriel
Childrens Center
Out Patient
39B7
4740 N Grand
Avenue Covina CA
91724
(626) 859-2089
wwwsangabriel
childcom
M-F 8 am- 5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 41 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
48Star View
Adolescent Center
OP
39BB
4025 West 226th
Street
Torrance CA
90505
(310)373-4556
wwwstarsincco
m 24 hours
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 42 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
49Summitview
Child Treatment
Center
9061
670 Placerville Dr
2 Placerville CA
95667
(530) 644-2412
wwwsummitvie
wtreatmentorg
M-F 8 am-5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 43 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
50Telecare (aka
Jeremy House)
39AX
5634 Jeremy Way
Stockton CA
95212
(209) 888-4969
wwwtelecareco
rpcom
24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
51Telecare Early
Intervention
Recovery Services
(TEIRS)
39B2
4545 Georgetown
Place Suite A3
Stockton CA
95207
(209) 715-3754
wwwtelecareco
rpcom
M-F 8 am- 5 pm
Adult
Spanish
Provides outpatient
mental health services
for children and
adults
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 44 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
52TLC Child and
Family Services
39A9
1800 Gravenstein
Hwy North Suite A
Sebastopol CA
95472
(707) 823-7300
httpwwwtlc4
kidsorg
M-F 8 am- 430
pm
Children
and
Youth
Community-based
program
providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 45 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
53Valley
Community
Counseling Services
(VCCS) (Manteca)
9040
129 E Center
Street Suite 3
Manteca CA
95336
(209) 239-5553
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health
services for children
and youth in South
County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 46 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
54Valley
Community
Counseling Services
(VCCS) (School
Based Program -
Stockton)
9042
6707 Embarcadero
Drive Suite A
Stockton CA
95219
(209) 956-4240
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Outpatient mental
health services
provided at various
schools in
Stockton Manteca
and Lodi
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 47 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
55Valley
Community
Counseling Services
(VCCS) (Tracy)
9041
19 East 6th Street
Tracy CA 95378
(209) 835-8583
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health services
for children and youth
in South County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 48 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
56Victor
Community
Services and
Support Stockton
(VCSS)
9063
2495 W March
Lane Suite 125
Stockton CA
25207
(209) 465-1080
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services in-home and
in community
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 49 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
57Victor
Treatment
Center - Santa Rosa
9083
3164 Condo Court
Santa Rosa CA
95403
(707) 523-2334
wwwvictororg
M-F 810 am- 4
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 50 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
58Victor
Youth Services
(North Valley
Schools)
39AC
855 Canyon Road
Redding CA
96001
(530) 378-1855
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 51 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
59Womens
Center- Family
and Youth
Services
39B6
729 N California
Street Stockton
CA 95202
(209) 929-6700
wwwwomensce
nteryfsorg
M-F 830 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
CONTRACT PSYCHIATRIC HOSPITALS
60BHC Heritage
Oaks
Hospital
4250 Auburn
Boulevard
(916) 489-3336
wwwheritageoa
kshospitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 52 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
61BHC Sierra
Vista
Hospital
8001 Bruceville
Road
(916) 423-2000
wwwsierravista
hospitalcom
24 hours
All ages
Yes
Yes
Yes
62St Helena
Hospital Center for
Behavioral Health
525 Oregon Street
(707) 648-2200
wwwadventisth
ealthorg
24 hours
All ages
Yes
Yes
Yes
63John Muir
Behavioral Health
Center
2740 Grant Street
(925) 680-6500
wwwjohnmuirh
ealthcom
24 hours
All ages
Yes
Yes
Yes
64Sutter Center for
Psychiatry
7700 Folsom
Boulevard
(916) 388-3045
wwwsuttermedi
calcenterorg
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 53 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
65Fremont
Hospital
39001 Sundale
Drive
(510) 796-1100
wwwfremontho
spitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 54 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake
Unit
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-9600
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Substance Use Disorder
Assessment for
Outpatient amp Inpatient
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 55 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
67 Chemical
Dependency
Counseling Center
(CDCC)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-3720
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Youth
Adult
Perinatal
Spanish
Mon Wed and Fri
8am-5pm
Closed Holidays
Outpatient Treatment
Perinatal Component
Intensive Outpatient
Youth Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 56 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
68 Alcohol amp Drug
Alternative Program
(ADAP)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-6840
Fax (209)468-
8640
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon Wed and Fri
8am-5pm
Tue And Thur
8am-7pm
Closed Holidays
Outpatient Court
Monitoring Education
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 57 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
69 Family Ties
500 W Hospital Rd
French Camp CA
95231
(209) 468-6208
Fax (209)468-
7032
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Adult
Perinatal
Spanish
24 Hour Services
Inpatient Treatment
Perinatal Component
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 58 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
70 Recovery House
500 W Hospital Rd
French Camp CA
95231
(209) 468-6857
Fax (209)468-
6739
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
24 Hour Services
Inpatient Treatment
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 59 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
71 Adolescent Co-
Occurring Treatment
Program (ACT)
Childrens Behavioral
Health Services
1414 N California
St 2nd Floor
Stockton CA 95202
(209) 468-2385
Fax (209)468-
8024
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Individual amp group
counseling and
education in conjunction
with the adolescentrsquos
mental health services a
partnership with Mental
Health Services and
Substance Abuse
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 60 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
72 Prevention
Services
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-2005
Fax (209)468-
2251
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Youth Services Parenting
Students In Prevention
(SIP)
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 61 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
73 Aegis
Treatment Center
8626 N Lower
Sacramento Road
Suite 41 Stockton
CA 95209
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1230pm
Sat Sun and
Holidays
6am-1030am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 62 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
74 5th Street
Medical Clinic
Stockton
1839 S El Dorado
St Stockton CA
95206
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 63 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
75 Aegis
Treatment Center
Healthy Connections
(California St)
Stockton
1947 N California
St Suites B and C
Stockton CA 95210
(209) 463-0870
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 64 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
76 Healthy
Connections Lodi
Clinic
441 South Ham
Lane Suite A
Lodi CA 95242
(209) 224-8490
httpsaegistreat
mentcenterscom
clinicaegis-
lodi-california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
7am-12 noon
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 65 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
77 Manteca
Healthy Connections
Center Street
955 W Center St
Suites 12A amp 14
Manteca CA 95337
(209) 239-9600
httpsaegistreat
mentcenterscom
clinicaegis-
manteca-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
8am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 66 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
78 MedMark
Treatment Center
1111 N El Dorado
St Stockton CA
95202
(209) 938-0228
httpmedmark
commedmark-
treatment-
centers-
stockton
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
Provider Name Facility NameID
Type of Practioner (licensed
amp Waivered)
National
Provider
Identifier
number California license number type of license
Cultu
ral
Comp
etenc
e
Traini
ng
(YN)1 Black
Awaremenss
Community
Outreach
ProgramMulti
cultural
Services Amarpreet Singh BHS BACOPMC Psychiatrist (Locum) 1235182916 Physician and Surgeon N
Aravind Pai BHS BACOPMC Psychiatrist (Locum) 1629076088 Physician and Surgeon A30319 N
Donna Bickham BHS BACOPMC Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Donnelle Tamayo BHS BACOPMC Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS BACOPMC Staff Nurse III 1104375724 Registered Nurse 723203 Y
Kathleen Wilson-Parish BHS BACOPMC Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS BACOPMC MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Nancy Nelson BHS BACOPMC Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Paul Wallace BHS BACOPMC Chief Psychiatric Tech 1114044799 Licensed Psychiatric Technician PT26296 Y
Quynh-Chi Nguyen BHS BACOPMC Staff Nurse III 1417371014 Registered Nurse 845080 Y
Scott Harrison BHS BACOPMC Clinician II 1518089317 Marriage and Family Therapist Intern IMF75861 Y
Shirley Hollowell BHS BACOPMC Registered Nurse 1124143474 Registered Nurse 352081 Y
2 Children and
Youth Services
Stockton Clinic Ganiya (Iyabo) Adediran
Childrens and Youth Services- Stockton
3915 Waivered 1881148690 81666 AMFT Y
Provider Staff Listing
Benjamin Alban
Childrens and Youth Services- Stockton
3915 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Stockton
3915 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Stockton
3915 Licensed 1821294455 105923 Psychiatrist Y
Valentin Avramov
Childrens and Youth Services- Stockton
3915 Licensed 1053488767 109609 Psychiatrist Y
Kristina Birch
Childrens and Youth Services- Stockton
3915 Waivered 1366874844 1809 APCC Y
Linda Brett
Childrens and Youth Services- Stockton
3915 Licensed 1295853299 523914 RN Y
Donna Cassettari
Childrens and Youth Services- Stockton
3915 Licensed 1497887699 43173 LMFT Y
Renessa Castaneda-Jensen
Childrens and Youth Services- Stockton
3915 Licensed 1376664862 81528 LMFT Y
Jacqueline Coulter
Childrens and Youth Services- Stockton
3915 Licensed 1720184765 41366LMFT Y
Courtney Flores
Childrens and Youth Services- Stockton
3915 Licensed 1851437735 29811 LCSQW Y
Maria Garcia
Childrens and Youth Services- Stockton
3915 Licensed 1235400557 80425 LCSW Y
Ikesha Goodwin
Childrens and Youth Services- Stockton
3915 Waivered 1104279728 101632 IMF Y
Kelsey Guidicatti
Childrens and Youth Services- Stockton
3915 Waivered 1245783687 93458 AMFT Y
Antonio Gutierrez
Childrens and Youth Services- Stockton
3915 Licensed 1023473469 71535 LCSW Y
Victoria Hall
Childrens and Youth Services- Stockton
3915 Licensed 1437464179 91065 LMFT Y
Nicole Hodgson
Childrens and Youth Services- Stockton
3915 Licensed 1962727792 85491 LMFT Y
Hudson Mark Hudson
Childrens and Youth Services- Stockton
3915 Licensed 1528190725 78609 LMFT Y
Shadai Lescale Huante
Childrens and Youth Services- Stockton
3915 Waivered 1528340320 59764 ACSW Y
Genevieve Lisenbey
Childrens and Youth Services- Stockton
3915 Waivered 1265698104 80465 AMFT Y
Sharon Lizotte
Childrens and Youth Services- Stockton
3915 Waivered 1851820708 101863 AMFT Y
Angie Nicholas
Childrens and Youth Services- Stockton
3915 Licensed 1679713796 52080 LMFT Y
Shiella Pablico
Childrens and Youth Services- Stockton
3915 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Sheilena Payne
Childrens and Youth Services- Stockton
3915 Licensed 1336437656 94571 LMFT N
Timothy Quinn
Childrens and Youth Services- Stockton
3915 Waivered 1316322381 79556 Marriage amp Family Therapist Intern Y
Joann Rihad
Childrens and Youth Services- Stockton
3915 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet
Childrens and Youth Services- Stockton
3915 Licensed 1366468555 C53401 Psychiatrist Y
Jacqueline Salgado
Childrens and Youth Services- Stockton
3915 Licensed 1043661903 95452 Marriage amp Family Therapist Y
Kristen Schneider
Childrens and Youth Services- Stockton
3915 Waivered 1578963591 72071 ACSW Y
Carla Simien
Childrens and Youth Services- Stockton
3915 Licensed 1629564000 40771 Licensed Psychiatric Technician N
Tamra Smith
Childrens and Youth Services- Stockton
3915 Licensed 1336267608 76975 LCSW Y
Maribel Vargas
Childrens and Youth Services- Stockton
3915 Waivered 1821247149 35622 ACSW Y
J Watkins
Childrens and Youth Services- Stockton
3915 Licensed 1043797871 4200 LPCC Y
Tamara Weber
Childrens and Youth Services- Stockton
3915 Licensed 1992101497 105926 LMFT Y
Amanda Yocham
Childrens and Youth Services- Stockton
3915 Licensed 1326103516 79068 LMFT Y
Nikki Young
Childrens and Youth Services- Stockton
3915 Waivered 1841692159 88891 AMFT Y
3 Children and
Youth Services-
Foster Youth
Full Service
Partnership Benjamin Alban
Childrens and Youth Services- Foster
Youth 9096 Licensed 1932227295 26094 LCSW Y
Maria Garcia
Childrens and Youth Services- Foster
Youth 9096 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Foster
Youth 9096 Licensed 1023473469 71535 LCSW Y
4 Children and
Youth Services-
Juvenile Justice
Full Srvice
Partnership Benjamin Alban
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1821294455 105923 Psychiatrist Y
Maria Garcia
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1023473469 71535 LCSW Y
Shabneet Hira Brar
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1851598452 A112447 Psychiatrist Y
Sheilena Payne
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1336437656 94571 LMFT N
5 Community
Adult
Treatment
Services Amanda Hurlock CATS OUTPATIENT 1836 Waivered 1205369899 AMFT 100834 Y
Adeline Mendez CATS OUTPATIENT 1836 Licensed 1255453353 PT 25868 Y
Anna Perez Testo CATS OUTPATIENT 1836 Licensed 1740309889 LMFT 52444 Y
Angelo Pasa CATS OUTPATIENT 1836 Licensed 1689874125 RN 691250 Y
Beverly Thompson CATS OUTPATIENT 1836 Waivered 1528311230 ACSW 70671 Y
Carolyn Walters CATS OUTPATIENT 1836 Licensed 1891815155 LMFT 43069 Y
Debra Baker CATS OUTPATIENT 1836 Waivered 1740610229 AMFT 95836 Y
Eloisa Velasco CATS OUTPATIENT 1836 Licensed 1740797976 PT 40651 Y
Francisco Arreola CATS OUTPATIENT 1836 waivered 1417359027 AMF 87821 Y
Heidi McHenry CATS OUTPATIENT 1836 Licensed 1861763294 PT 35949 Y
Helen Sprague CATS OUTPATIENT 1836 Waivered 1710325642 AMFT 75120 Y
Jane Sanchez CATS OUTPATIENT 1836 Licensed 1346406824 LMFT 50808 Y
Jannelle Heard CATS OUTPATIENT 1836 Waivered 1467813568 AMFT 95836 Y
Kara Herrick CATS OUTPATIENT 1836 Licensed 1518191659 LMFT 43283 Y
Keith Amador CATS OUTPATIENT 1836 Licensed 1891127403 LMFT 102725 Y
Cynthia Morishige CATS OUTPATIENT 1836 Licensed 1649396045 LCSW 13592 Y
Remedios Wallace CATS OUTPATIENT 1836 Licensed 1639294341 PT 24227 Y
Luis Garcia CATS OUTPATIENT 1836 Licensed 1346599677 LMFT 10398 Y
Maria Ayala CATS OUTPATIENT 1836 Waivered 1174991129 APCCI 3382 Y
Marie Daguman CATS OUTPATIENT 1836 Waivered 1619483237 ACSW 79980 Y
Mary Montgomery CATS OUTPATIENT 1836 Licensed 1538281183 LCSW82129 Y
Megan Curtiss CATS OUTPATIENT 1836 Waivered 1265836027 AMFT 107915 Y
Priscilla Kavanagh CATS OUTPATIENT 1836 Waivered 1528429057 APCC2122 Y
Elizabeth DeGravio CATS OUTPATIENT 1836 Licensed 1497167530 PT 37500 Y
Ramil Doronio CATS OUTPATIENT 1836 Licensed 1871767376 RN 555151 Y
Ronee Martin CATS OUTPATIENT 1836 Waivered 1932644796 AMFT 84987 Y
Sasha Jackson CATS OUTPATIENT 1836 Waivered 1295181295 ACSW 79996 Y
Sherri Helsby CATS OUTPATIENT 1836 Licensed 1669893764 LCSW 29248 Y
Teri Jorgensen CATS OUTPATIENT 1836 Licensed 1295071363 RN 469034 Y
Tiffany DeWitte CATS OUTPATIENT 1836 Licensed 1023143245 LCSW 29826 Y
Valerie-Ann Garcia CATS OUTPATIENT 1836 Licensed 1770606386 RN 704233 Y
Savoeun Phal CATS OUTPATIENT 1836 Waivered 1821513946 APCC 5278 Y
Joshua Merrill CATS OUTPATIENT 1836 Waivered 1114463957 AMFT 102798 Y
Gerado Manansala CATS OUTPATIENT 1836 Licensed 1215195813 A 102439 Y
Paul Mascovich CATS OUTPATIENT 1836 Licensed 1215921184 G 33950 Y
Jin Soofi CATS OUTPATIENT 1836 Licensed 1972592939 G 86240 Y
Sheril Keys CATS OUTPATIENT 1836 Licensed 1942664875 PT 38333 Y
Thomas Firnberg CATS OUTPATIENT 1836 Licensed 1164597472 A 040218 Y
Mohammad Jahangiri CATS OUTPATIENT 1836 Licensed 1720266760 A 56400 Y
Fouad Saddik CATS OUTPATIENT 1836 Licensed 1437254117 A 44865 Y
Kellie Salazar CATS OUTPATIENT 1836 Licensed 1295273654 PT 40326 Y
Suryabamu Javeed CATS OUTPATIENT 1836 Licensed 1568567105 A 56307 Y
Robert Graff CATS OUTPATIENT 1836 Licensed 1366560112 G 70479 Y
Chestermagno De La Cruz CATS OUTPATIENT 1836 Licensed 1619476637 PT40672 Y
6 Community
Corrections
Partnership Rico Molina AB10920 licensed 1255454203 LCSW25450 Y
Lawrence Shaddix AB10920 licensed 1508282286 IMF84560 Y
Randolph Herrington AB10920 licensed 1114141173 LMFT48970 Y
7 Crisis
Community
Response Team
(CCRT) Williams Wendy CCRT
MHC III
1265554638 LMFT 84045
Y
Ballesteros Patricia CCRT MHC 1790058352 LMFT 108455 Y
8 Crisis
Intervention
Services Graff Robert Crisis
MD
1366560112 G70479
Y
Gill Paramijit Crisis MD 1073629218 A49224 Y
Firnberg Thomas Crisis MD 1164597472 A040218 Y
Singh Karamjit Crisis MD 1083930440 A132050 N
Singh Amanpreet Crisis MD 1235182916 A78414 N
Lee Catherine Crisis MHC III 1073729646 LMFT 44225 Y
Saleem Noshela Crisis MHC III 1255585584 LCSW 67154 Y
Williams Wendy Crisis MHC III 1265554638 LMFT 84045 Y
Galindo Teresa Crisis MHC III 1700119369 LCSW 69736 Y
Molina-Eliab Sonya Crisis MHC 1497878482 AMFT 99087 Y
Tran Michelle Crisis MHC 1366642068 LCSW 81278 Y
Figueroa Carlos Crisis MHC 1306193933 LMFT 102315 Y
Ballesteros Patricia Crisis MHC 1790058352 LMFT 108455 Y
Nobles Shannon Crisis MHC 1457699720 AMFT 101531 Y
Saelee Cindy Crisis MHC 1255511614 LCSW 82456 Y
Maney Stephen Crisis MHC 1083985998 ASW 78482 Y
Lewman Brenda Crisis MHC 1821477035 LMFT106905 Y
Morales Leonardo Crisis MHC 1962822643 ASW 72730 Y
Grant Anika Crisis MHC 1649697137 AMFT 104116 Y
Sullivan Aisha Crisis MHC 1861772253 LCSW 75323 Y
Hodge Lewie Crisis MHC 1477044931 ASW 80338 N
Donato Imelda Crisis MHC 1194278085 APCC 2409 N
Redoblado Sheryl Crisis MHC 1871731513 LCSW 75136 Y
Walter Taffie Crisis CPT 1083735096 PT 32090 Y
DeJesus Carolyn Crisis CPT 1861650228 PT 34221 Y
McArthur Milagros Crisis PT 1477809929 PT 36471 Y
Olsen Chandra Crisis PT 1770914061 PT 37210 Y
Isham Loni Crisis PT 1891145033 PT 38233 Y
Bazua Melissa Crisis PT 1972944072 PT 36496 Y
Wright-Freeman Cody Crisis PT 1538584859 PT 37819 Y
Bareng Jeff Crisis PT 1043753478 PT 40284 Y
Gill Sandeep Crisis PT 1871852673 PT 34942 Y
Quitoriano Stephanie Crisis PT 1659798130 PT 37033 Y
Otero Luis Crisis PT 1487015582 PT 38229 Y
Price Jennifer Crisis PT 1932621893 PT 40662 Y
Kemp Sydney Crisis PT 1902383623 PT 34601 Y
9 Crisis
Stabilization
Units (CSU) Graff Robert CSU
MD
1366560112 G70479
Y
Allanki Sailaja CSU MD 1306897723 C138838 Y
Singh Karamjit CSU MD 1083930440 A132050 N
Brown Brandi CSU RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth CSU RN 1255459061 RN 488617 Y
Seraypheap Arunny CSU RN 1013037274 RN 547944 Y
Limas Deborah CSU RN 1073631727 RN 526984 Y
Winck Angela CSU RN 1083002992 RN 701021 Y
Cabrera Gilbert CSU RN 1679693766 RN 565185 Y
Mendoza Michelle CSU RN 1477951812 RN 797022 Y
Blackman Demerica CSU RN 1932619517 RN 850647 Y
Laizer Gloria CSU RN 1255706479 RN 764452 Y
Odametey Ama CSU RN 1700366358 RN 835504 N
Hawkins Lynnetta CSU MHC III 1437436938 LMFT 93110 Y
Lambert Rekha CSU MHC 1164647525 LMFT 10386 Y
Nguyen Thao CSU MHC 1912214065 LMFT 88176 Y
Navarro Grace CSU MHC 1083737753 ASW 72678 Y
Limas Stephanie CSU MHC 1053433748 LMFT 99397 Y
Little Christy CSU PT 1497978795 PT 28731 Y
Abundez Jesse CSU CPT 1841413036 PT 29162 Y
Montantes Michael CSU CPT 1780018390 PT 37071 Y
DeJesus Carolyn CSU CPT 1861650228 PT 34221 Y
Arriola Eulalie CSU CPT 1255573044 PT 34426 Y
Hardy Denise CSU PT 1912202813 PT 33714 Y
Harbin Toni CSU PT 1639475049 PT 28726 Y
Fortes Catherine CSU PT 1346681442 PT 36982 Y
Mocko James CSU PT 1558726224 PT 38249 Y
Menius Victoria CSU PT 1487074258 PT 37534 Y
Brown Kristaline CSU PT 1750723821 PT 32575 Y
Thorpe William CSU PT 1326599770 PT 40154 Y
Look Jasmin CSU PT 1194143198 PT 37492 Y
Mariano Joseph CSU PT 1609208172 PT 36968 Y
Marglin Lisa CSU PT 1558733576 PT 38247 Y
Clutario Dindo CSU PT 1164664512 PT 34295 Y
Ripoyla Jerral CSU PT 1821511700 PT 40644 Y
Varquez Sharon CSU PT 1366682387 PT 34435 Y
Holmes Sherronya CSU PT 1205214228 PT 37605 Y
Duncan Deanna CSU PT 1043674963 PT 38260 Y
Vang Mai CSU PT 1982103081 PT 40697 Y
Vong Tharith CSU PT 1134624802 PT 40678 N
Ridad Anthony CSU PT 1659887750 PT 40713 Y
Hill Brandon CSU PT 1053803890 PT 40412 Y
Singh Jasvir CSU PT 1477833911 PT 36007 Y
Kottke Marline CSU LVN 1891223111 LVN 198957 Y
10 Forensic
Court Full
Service
Partnership Edward Olpin BHSJDDSAS licensed 1477687077 LCSW24055 Y
Betsey McCall-Salerno BHSJDDSAS licensed 1740574672 LMFT42444 Y
Isabella Padilla Pereira Forensic74 licensed 1174871818 LMFT97934 Y
Alexander Anderson Forensic MCST74 licensed 1417183385 ASW70838 Y
Joseph Zummo Forensic74 licensed 1497927487 AMFT105417 Y
11 Gaining
Older Adult Life
Skills
(GOALS) Full
Service
Partnership
(MHSA) Crystal Thao GOALS 7523 Waivered 1609183748 ACSW 35249 Y
Jessica Preston GOALS 7523 Waivered 1649727066 ACSW 79154 Y
Karla Romero GOALS 7523 Waivered 1083133276 AMFT 100573 Y
Tracy House GOALS 7523 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi GOALS 7523 Licensed 1093911224 LMFT 40177 Y
Sue Gruber GOALS 7523 Licensed 1811014780 LCSW 29008 Y
Christine Blue GOALS 7523 Licensed 1093786683 A 10733 Y
Katheine Hedrick GOALS 7523 Licensed 1043699333 RN 683243 Y
Cynthia Resendez GOALS 7523 Licensed 1780877845 A84098 Y
12 InSpire
(MHSA) Debra Baker InSprire 7023 Waivered 1740610229 AMFT 95836 Y
Elizabeth DeGravio InSprire 7023 Licensed 1497167530 PT 37500 Y
13 La Familia
Clinic Full
Service
Partnership Nancy Nelson BHS La Familia Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Jane Fernandez BHS La Familia Psychiatrist 1194799395 Physician and Surgeon A93060 Y
Pamela Smith BHS La Familia Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Aravind Pai BHS La Familia Psychiatrist (Locum) 1235182916 Physician and Surgeon A30319 N
Cynthia Resendez BHS La Familia Psychiatrist 1780877845 Physician and Surgeon A84098 Y
Donna Bickham BHS La Familia Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS La Familia Registered Nurse 1124143474 Registered Nurse 352081 Y
Kathleen Wilson-Parish BHS La Familia Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS La Familia MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Alexander Largaespada BHS La Familia Clinician 1881902161 Marriage and Family Therapist Intern IMF93473 Y
Lynn Tarrant BHS La Familia Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
Adriana Cruz BHS La Familia Clinician II 1871612697 Licensed Clinical Social Worker LCSW81643 Y
Scarlette Aranda BHS La Familia Clinician I 1295929529 Associate Clinical Social Worker 83748 Y
Donnelle Tamayo BHS La Familia Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS La Familia Staff Nurse III 1104375724 Registered Nurse 723203 Y
14 Mary
Graham
Childrens
Shelter Renessa Castaneda-Jensen Mary Graham Childrens Shelter 9008 Licensed 1376664862 81528 LMFT Y
15 MHSA TAY
FSP Heidi McHenry TAY FSP Licensed 1861763294 PT 35949 Y
Jannelle Heard TAY FSP Waivered 1467813568 AMFT 95836 Y
Ronee Martin TAY FSP Waivered 1932644796 AMFT 84987 Y
Sasha Jackson TAY FSP Waivered 1295181295 ACSW 79996 Y
16 Older Adult
Services (OAS) Crystal Thao OAS 8236 Waivered 1609183748 ACSW 35249 Y
Jessica Preston OAS 8236 Waivered 1649727066 ACSW 79154 Y
Karla Romero OAS 8236 Waivered 1083133276 AMFT 100573 Y
Tracy House OAS 8236 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi OAS 8236 Licensed 1093911224 LMFT 40177 Y
Sue Gruber OAS 8236 Licensed 1811014780 LCSW 29008 Y
Christine Blue OAS 8236 Licensed 1093786683 A 10733 Y
Katheine Hedrick OAS 8236 Licensed 1043699333 RN 683243 Y
Cynthia Resendez OAS 8236 Licensed 1780877845 A84098 Y
17 Peterson
Hall Jennifer Domingo Peterson Hall 9009 Licensed 1104097286 50961 LMFT Y
Shabneet Hira Brar Peterson Hall 9009 Licensed 1851598452 A112447 Psychiatrist Y
Karina Jimenez Peterson Hall 9009 Waivered 1477891679 78261 AMFT Y
Helan Nguyen Peterson Hall 9009 Waivered 1801135876 85251 AMFT Y
Shiella Pablico Peterson Hall 9009 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Joann Ridad Peterson Hall 9009 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet Peterson Hall 9009 Licensed 1366468555 C53401 Psychiatrist Y
Carla Simien Peterson Hall 9009 Licensed 1629564000 40771 Licensed Psychiatric Technician Y
Fay Vieira Peterson Hall 9009 Licensed 1982815684 50276 LMFT Y
18 Psychiatric
Health Facility
(PHF)
Gill Paramijit
PHF
MD
1073629218 A49224
Y
Hart Robert PHF MD 1477660074 C38923 Y
Silver Hilary PHF MD 1720201221 C33442 Y
Brown Brandi PHF RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth PHF RN 1255459061 RN 488617 Y
Seraypheap Arunny PHF RN 1013037274 RN 547944 Y
Limas Deborah PHF RN 1073631727 RN 526984 Y
Winck Angela PHF RN 1083002992 RN 701021 Y
Cabrera Gilbert PHF RN 1679693766 RN 565185 Y
Mendoza Michelle PHF RN 1477951812 RN 797022 Y
Blackman Demerica PHF RN 1932619517 RN 850647 Y
Laizer Gloria PHF RN 1255706479 RN 764452 Y
Odametey Ama PHF RN 1700366358 RN 835504 N
Camello Bena PHF MHC 1053581116 LCSW 65302 Y
Shah Mamoona PHF MHC 1407978471 Waivered Y
Mills Rachelle PHF MHC 1326169350 LMFT 81070 Y
Little Christy PHF PT 1497978795 PT 28731 Y
Bomar Dolfa PHF CPT 1881817567 PT 31571 Y
DeJesus Carolyn PHF CPT 1861650228 PT 34221 Y
Varquez Sharon PHF PT 1366682387 PT 34435 Y
Pot Sambo PHF PT 1104378827 PT 33626 Y
Bou Jennifer PHF PT 1033652466 PT40281 Y
Sesante Maria PHF PT 1851515720 PT 30936 Y
Ota Robert PHF PT 1578786554 PT 33792 Y
Pinano Paolo PHF PT 1245352616 PT 33726 Y
Ruiz Ronald PHF PT 1700907094 PT 27494 Y
Villasenor Kendra PHF PT 1447518204 PT 36449 Y
Deol Sukhvinder PHF PT 1508988593 PT 30288 Y
Bokelman Roy PHF PT 1114040003 PT 32628 Y
Seba Vicki PHF PT 1639291636 PT 31714 Y
Siador Jill PHF PT 1366884058 PT 36818 Y
Polk Rhonda PHF PT 1316160146 PT 20798 Y
Zorea Dylan PHF PT 1467573766 PT28206 Y
Chapin Larry PHF PT 1528200169 PT 26162 Y
19 San Joaquin
County MH
Services Lodi
Clinic Ruth Johnson Lodi Outpatient 6036 Licensed 1265535538 LCSW 15213 Y
Judith Dolyniuk Lodi Outpatient 6036 Licensed 1518182534 LMFT 97680 Y
Amy Massie Lodi Outpatient 6036 Waivered 1356798391 AMFT 100785 Y
Shayne Maniti Lodi Outpatient 6036 Licensed 1689854093 PT 33732 Y
Saba Rizvi Lodi Outpatient 6036 Licensed 1619190501 A 95786 Y
Avramov Valentin Lodi Outpatient 6036 Licensed 1053488767 109609 Psychiatrist Y
Hill Patricia Lodi Outpatient 6036 Licensed 1902926231 23764 LCSW Y
Mann Bhupinderpreet Lodi Outpatient 6036 Waivered 1174603039 80464 AMFT Y
20 San Joaquin
County MH
Services Tracy
Clinic Ashley Smerdon Tracy Clinic 6136 Waivered 1265713929 MFT87560 Y
Jennifer Spruill Tracy Clinic 6136 Licensed 1518232321 LCSW 69544 Y
Simone Litsch Tracy Clinic 6136 Licensed 1598882599 A 89254 Y
Aravind Pai Tracy Clinic 6136 Licensed 1629076088 A30319 N
Gabriel Holguin Tracy Clinic 6136 Licensed 1255704094 PT38216 Y
21 SJC- MHS
CYS Katie A
Services Sailaja Allanki CYS Katie A Services 9020 Licensed 1306897723 138838 Psychiatrist Y
Kristina Birch CYS Katie A Services 9020 Waivered 1366874844 1809 APCC Y
Maria Boklund CYS Katie A Services 9020 Licensed 1396157061 48496 LMFT Y
Linda Brett CYS Katie A Services 9020 Licensed 1295853299 523914 RN Y
Renessa Castaneda-Jensen CYS Katie A Services 9020 Licensed 1376664862 81528 LMFT Y
Maria Gamino CYS Katie A Services 9020 Waivered 1710386453 73292 ASW N
Shabneet Hira Brar CYS Katie A Services 9020 Licensed 1851598452 A112447 Psychiatrist Y
Catherine Navarrete CYS Katie A Services 9020 Waivered 1619456076 105076 Marriage amp Family Therapist Y
Leora Pollock CYS Katie A Services 9020 Licensed 1245663426 75192 LCSW Y
Kim Saing CYS Katie A Services 9020 Licensed 1982722666 51242 LMFT Y
Anastacia Stanley CYS Katie A Services 9020 Licensed 1528299724 87417 LMFT N
Patricia Young CYS Katie A Services 9020 Waivered 1780051375 94965 ASSOCIATE MARRIAGE amp FAMILY THERAPIST Y
22
Transcultural
Clinic (TCC) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
23 Southeast
Asian Recovery
Services
(SEARS) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
CONTRACT ORGANIZATIONAL PROVIDERS
24 Anka Lodi (
was Mourfield
House) Meloney West Anka Lodi AMFT 1649523283 Y
Eon Lawrence Losefa Anka Lodi LMFT 1982898276 104807 Y
Aaron Fett Anka Lodi Psychology Intern 1932352424 Y
25 ASPIRAnet Courtney Warfield-Gibbs ASPIRAnet Waivered 1285958520 ACSW 70918 Y
Melissa Wimer ASPIRAnet Licensed 1467946301 LMFT 81226 Y
Patricia A Jackson ASPIRAnet Waivered 1780848853 AMFT 73975 Y
Vijai Pandey ASPIRAnet Waivered 1710497938 AMFT 70416 Y
Amir Siddiqui ASPIRAnet Waivered 1336617844 APCC 5341 N
26 Bright
House Robert Lee Majors Bright House LMFT 1780692806 49236 Y
27 Casa Pacifica - OUT OF COUNTY PROVIDER
28 CBIS (University of the Pacific)- NON LICENSED STAFF ONLY
29 Chamberlains Children Center Inc -OUT OF COUNTY PROVIDER
30 Charis Youth Center- OUT OF COUNTY PROVIDER
31 Child Abuse
Prevention
Council Roger Duke Child Abuse Prevention Council LMFT 1992861082 79588 Y
Cassandra Lowe Child Abuse Prevention Council AMFT 1205278694 75983 Y
Stacey Tidwell Child Abuse Prevention Council ACSW 1790189413 72578 Y
Nazia Khan Child Abuse Prevention Council AMFT 1508227158 81499 Y
Lisa Aguilar Child Abuse Prevention Council ACSW 1417401035 73365 Y
Anabel Montejano Child Abuse Prevention Council ACSW 1740656636 78974 Y
Catherine Thiel Child Abuse Prevention Council LCSW 1134569791 82263 Y
Michelle Nelson Child Abuse Prevention Council AMFT 1891173357 94133 Y
Maria Cardoza Child Abuse Prevention Council AMFT 1467861252 87554 Y
Thear Chum Child Abuse Prevention Council ACSW 1134648231 83947 Y
Kaitlyn Reilly Child Abuse Prevention Council ACSW 1205381613 83651 Y
Laura Rodriguez Child Abuse Prevention Council ACSW 1316498892 78113 Y
Diana Strimling Child Abuse Prevention Council AMFT 1316221765 104452 Y
32 Community Re-Entry Program (CRP)- NON LICENSED STAFF ONLY
33 Crestwood Solano (PHF)- Out of County Provider
34 Crittenton Services For Children and Families -OUT OF COUNTY PROVIDER
35 Edgewood Center for Children and Families- OUT OF COUNTY PROVIDER
36 Fred Finch Youth Center- OUT OF COUNTY PROVIDER
37 Grant
House Meloney West Grant House AMFT 1649523283 Y
JoAnn Marie Cornelius Grant House LPT 1205877727 35804 Y
Melinda Carchidi Grant House Psychology Intern 1609151653 Y
38 Latino
Behavioral
Health and
Recovery
Services Alexander Largaespada Latino Behavioral Health AMFT 181902161 AMFT 93473 Y
Maria De La Luz Torres Latino Behavioral Health ACSW 1003323361 ASW80844 N
Lynn Tarrant Latino Behavioral Health Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
39 Martin Gipson Socialization Center- NON LICENSED STAFF ONLY
40 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
41 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
42 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
43 Mountain Valley Child and Family Services Inc- OUT OF COUNTY PROVIDER
44 Phoenix House of Los Angeles Inc- OUT OF COUNTY PROVIDER
45 Rebekah
Childrens
Home Bhatti Moeen Rebekah Childrens Home licensed 1205023736 A 100193 Physician amp SurgeonMD DEA FB4071332 Y
Cervantes Priscilla Rebekah Childrens Home licensed 1679081582 693037 LVN N
Delgado Melissa Rebekah Childrens Home licensed 1881002186 105380 LMFT Y
Downey Ruth Rebekah Childrens Home licensed 1790161339 100524 LMFT Y
Machuca Lopez Cynthia Rebekah Childrens Home waivered 1386053817 74884 ACSW Y
Moeller Ryan Rebekah Childrens Home waivered 1316303803 91385 AMFT Y
Vaca-Preez Alejandra Rebekah Childrens Home waivered 1629418876 36752 ACSW Y
Vargas-Gladen Rosalva Rebekah Childrens Home licensed 1326114372 46940 LMFT Y
46 Sacramento Childrens Home- OUT OF COUNTY PROVIDER
47 San Gabriel Childrens Center Out Patient- OUT OF COUNTY PROVIDER
48 Star View Adolescent Center OP- OUT OF COUNTY PROVIDER
49 Summitview Child Treatment Center- OUT OF COUNTY PROVIDER
50 Telecare
(aka Jeremy
House) Jessica Reiland Telecare- Jeremy House ASW (waived) Clinician 1003154634 70377 Y
Thuy Huynh Telecare- Jeremy House LPT Nurse 1033485495 36454 Y
Shannan Taylor Telecare- Jeremy House LMFT Regional Director 1528074770 LMFT46081 Y
51 Telecare
Early
Intervention
Recovery
Services (TEIRS) Melissa Planas ` LCSW 1679807994 LCSW66499 Y
Holli Hoffman TEIRS DNP 1144380940 2005000091 Y
Oshalique Bass TEIRS PCCI Waived 1477811677 5490 Y
Tran tran TEIRS LVN 1477084671 VN 275938 Y
Jennifer Miles TEIRS MD 1275541641 G83528 Y
Shannan Taylor TEIRS LMFT 1528074770 LMFT46081 Y
52 TLC Child and Family Services- OUT OF COUNTY PROVIDER
53 Valley
Community
Counseling
Services (VCCS)
(Manteca) 9040 Muhammad Kamran VCCS Manteca 9040 Licensed 1811051337 C53847 Psychiatrist Y
Patricia Goodman VCCS Manteca 9040 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Manteca 9040 Clinician 1578734687 AMFT 80527 Y
Alisha Sweyd VCCS Manteca 9040 Clinician 1689059941 AMFT 96911 Y
Teresa Viles-Reed VCCS Manteca 9040 Clinician 1386762623 PhD PSY14848 Y
54 Valley
Community
Counseling
Services (VCCS)
(School Based
Program-
Stockton) 9042 Cynthia Aguilera VCCS Stockton 9042 Clinician 1003326182 AMFT 102123 Y
Melanie Almada VCCS Stockton 9042 Clinician 1912396532 AMFT 92167 Y
Arica Arucan VCCS Stockton 9042 Clinician 1215258280 LCSW 72691 Y
Megan Bassi VCCS Stockton 9042 Clinician 1669833885 AMFT 91956 Y
Manjit Belanger VCCS Stockton 9042 Clinician 1255780771 AMFT 100537 Y
Ana De Trinidad VCCS Stockton 9042 Clinician 1043501570 AMFT 95408 Y
Tiffany Drake VCCS Stockton 9042 Clinician 1417456617 AMFT 103265 Y
Sarah Gard VCCS Stockton 9042 Clinician 1477966265 LMFT 106055 Y
Patricia Goodman VCCS Stockton 9042 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Stockton 9042 Clinician 1578734687 AMFT 80527 Y
Alicia Jackson VCCS Stockton 9042 Clinician 1912386525 AMFT 93526 Y
Naomi Jimenez VCCS Stockton 9042 Clinician 1669927828 AMFT 80527 Y
Leonard Lippert VCCS Stockton 9042 Clinician 1154691137 AMFT 101758 Y
Sandra McBride VCCS Stockton 9042 Clinician 1033467030 AMFT 75525 Y
Monika Muy VCCS Stockton 9042 Clinician 1982008603 ACSW 67390 Y
Desiree Nease VCCS Stockton 9042 Clinician 1447703491 ACSW 71196 Y
Katelyn Nelson VCCS Stockton 9042 Clinician 1669998290 ACSW 77372 Y
Elaine Pike VCCS Stockton 9042 Clinician 1508875055 LMFT 45258 Y
Cristal Rodriguez VCCS Stockton 9042 Clinician 1760938740 AMFT 93861 Y
Reshma Roy VCCS Stockton 9042 Clinician 1073061784 ACSW 66474 Y
Belem Ruiz VCCS Stockton 9042 Clinician 1508380411 AMFT 100924 Y
Jenna Santoyo VCCS Stockton 9042 Clinician 1457584567 LCSW 29827 Y
Riah Skrinnik VCCS Stockton 9042 Clinician 1295275592 APCC 3532 Y
Kristyn Towers VCCS Stockton 9042 Clinician 1942671052 AMFT 89172 Y
Alexsandra Trejo VCCS Stockton 9042 Clinician 1750837985 AMFT 92738 Y
Vichra You VCCS Stockton 9042 Clinician 1013437714 AMFT 99071 Y
55 Valley
Community
Counseling
Services (VCCS)
(Tracy) 9041 Muhammad Kamran VCCS Tracy 9041 Licensed 1811051337 C53847 Psychiatrist Y
Rosemary Cervantes VCCS Tracy 9041 Clinician 1407299738 AMFT 72397 Y
Laura Strickland VCCS Tracy 9041 Clinician 1538354543 2012633 Y
Lani Westervelt VCCS Tracy 9041 Clinician 1629191366 LMFT 38654 Y
56 Victor
Community
Services and
Support
Stockton
(VCSS) 9063 Loiuse Cerna VCSS Stockton 9063 MFTI 1346794690 92730 - Marriage and Fmily Therapist Intern Y
Aziza Citi VCSS Stockton 9063 LMFT 1831510650 96329 - Licensed Marriage and Family Therapist Y
Melissa Colon VCSS Stockton 9063 MFTI 1871663351 77340 - Marriage and Family Therapist Intern Y
Itzia Cruz VCSS Stockton 9063 ACSW 1639533987 80056 - Associate Clinical Social Worker Y
Tracy Cutino VCSS Stockton 9063 LMFT 1740297902 47897 - Licensed Marriage and Family Therapist Y
Betia Dadkhah VCSS Stockton 9063 LMFT 1083709380 44160 - Licensed Marriage and Family Therapist Y
Mark Edelstein VCSS Stockton 9063 MD 1972516714 C41340 - Physician amp Surgeon Y
Sharee Esparza VCSS Stockton 9063 MFTI 1982145504 102079 - Marriage and Family Therapist Intern Y
Tanner Hickman VCSS Stockton 9063 ACSW 1194272146 78099 - Associate Clinical Social Worker Y
Courtney Ivy VCSS Stockton 9063 MFTI 1679959217 71048 - Marriage and Family Therapist Intern Y
Giana Kooger VCSS Stockton 9063 LMFT 1720318132 86206 - Licensed Marriage and Family Therapist Y
Sheree Lozano VCSS Stockton 9063 MFTI 1538523501 88637 - Marriage and Family Therapist Intern Y
Christina Lopez VCSS Stockton 9063 MFTI 1265705727 102443 - Marriage and Family Therapist Intern Y
Koryn Marshall VCSS Stockton 9063 LMFT 1962881870 86263 - Licensed Marriage and Family Therapist Y
Adrianna Martinez VCSS Stockton 9063 MFTI 1851831242 107761 - Marriage and Family Therapist Intern Y
Laura Rodriguez VCSS Stockton 9063 ACSW 1316498892 78113 - Associate Clinical Social Worker Y
Jacquelyn Seefeldt VCSS Stockton 9063 MFTI 1124250204 74064 - Marriage and Family Therapist Intern Y
Heather Taylor VCSS Stockton 9063 LMFT 1265514251 44021 - Licensed Marriage and Family Therapist Y
Palei Triguero VCSS Stockton 9063 MFTI 1871994285 86335 - Marriage and Family Therapist Intern Y
Wendy True VCSS Stockton 9063 LMFT 1750476438 44262 - Licensed Marriage and Family Therapist Y
Jennifer Tutt VCSS Stockton 9063 LCSW 1316134091 27530 - Licensed Clinical Social Worker Y
Sarah Voss VCSS Stockton 9063 LMFT 1275602914 51406 - Licensed Marriage and Family Therapist Y
Michelle Zuckerman VCSS Stockton 9063 LMFT 1891948691 84298 - Licensed Marriage and Family Therapist Y
57 Victor Treatment Center - Santa Rosa- OUT OF COUNTY PROVIDER
58 Victor Youth Services (North Valley Schools)- OUT OF COUNTY PROVIDER
59 Womens Center- Family and Youth Services httpswwwwomenscenteryfsorgindexphpget-helptherapy-services
CONTRACT PSYCHIATRIC HOSPITALS
60 BHC Heritage Oaks Hospital - Out of County Hospital
61 BHC Sierra Vista Hospital - Out of County Hospital
62 St Helena Hospital Center for Behavioral Health - Out of County Hospital
63 John Muir Behavioral Health Center - Out of County Hospital
64 Sutter Center for Psychiatry - Out of County Hospital
65 Fremont Hospital - Alka Aneja Fremont Hospital ChildAdolescent MD 1619031317 A112029BA9881017 Y
Harmohinder Athwal Fremont Hospital ChildAdolescent MD 1740298256 A81841BA8179473 Y
Kamaljeet Boora Fremont Hospital Psychiatry MD 1356587711 102846FB0978823 N
Vikas Duvvuri Fremont Hospital EDO MD 1255470480 A99706FD0242064 Y
Trevor Fooks Fremont Hospital Psychiatry MD 1730267535 G63964BF1543695 Y
Ravinder Kahlon Fremont Hospital NeuroPsych MD 1386741320 A50823BK2018934 N
Vasdeep Kahlon Fremont Hospital Psychiatry MD 1497852446 A51243BK2742535 N
Padmavathi Kudaravalli Fremont Hospital Internal Medicine MD 1144221953 A67964BK6574974 Y
Pradeep Kumar Fremont Hospital Psychiatry MD 1023188935 A52032BK4202177 N
Deepak Kumar Fremont Hospital Psychiatry MD 1306257910 A130068FK4574299 Y
Sudha Manjunath Fremont Hospital ChildAdolescent MD 1801826797 A87131BM8982818 Y
Syed Munir Fremont Hospital ChildAdolescent MD 1790718815 C55029BM3999553 Y
Nanda Nayak Fremont Hospital Psychiatry MD 1477656262 A43182BN0687597 N
Falguni Patel Fremont Hospital ChildAdolescent MD 1548414337 A105594FP1152949 Y
Surender Punia Fremont Hospital Psychiatry MD 1376589663 A77004BP6477497 Y
Divya Reddy Fremont Hospital Psychiatry MD 1518120211 A103547FR1100306 Y
Devindar Singh Fremont Hospital Internal Medicine MD 1447294624 A48148BS2303422 N
Sunpreet Singh Fremont Hospital Psychiatry MD 1326464462 A132932FS5027087 Y
Bhupinder Waraich Fremont Hospital Psychiatry MD 1689869547 A53968BW4473346 Y
Jaap Kaur Waraich Fremont Hospital Psychiatry MD 1316132285 G67904BW2368391 Y
Nicholas Phillips Fremont Hospital Family Medicine MD 1255727293 A153125FP7288841 N
Harleen Dyal Fremont Hospital Family Medicine MD 1225424327 A153255FD7288839 N
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake Unit-Referrals to Licensed Staff
67 Chemical
Dependency
Counseling
Center ( CDCC) Tyler Moran Chemical Dependency Counseling Center 390002DNAMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Chemical Dependency Counseling Center 390002DNMFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Chemical Dependency Counseling Center 390002DNPsychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Chemical Dependency Counseling Center 390002DNPsychiatrist 1710094057 A72805 Y
68 Alcohol amp Drug Alternative Program (ADAP)-Referrals to Licensed Staff
69 Family Ties Tyler Moran Family Ties 390002EN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Family Ties 390002EN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Family Ties 390002EN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Family Ties 390002EN Psychiatrist 1710094057 A72805 Y
70 Recovery
House Tyler Moran Recovery House 390002AN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Recovery House 390002AN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Recovery House 390002AN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Recovery House 390002AN Psychiatrist 1710094057 A72805 Y
71 Adolescent Co- Occurring Treatment Program (ACT) Childrens Behavioral Health Services- Referrals to Licensed Staff
72 Prevention Services- Referrals to Licensed Staff
NARCOTIC TREATMENT PROGRAMSMEDICATION ASSISTED TREATMENT
73 Aegis
Treatment
Center Dr Randall Paul Aegis Treatment Center Medical License 1912061045 A26361 Y
Linda Beccerra Aegis Treatment Center Vocation Nurse VN 183039 Y
Dora Berry Aegis Treatment Center Vocation Nurse VN 689493 Y
Jeannette Carter-Camp Aegis Treatment Center Vocation Nurse 1740480342 NP 7506 Y
Francisca Marquez Aegis Treatment Center Vocation Nurse VN 287402 Y
74 5th Street
Medical Clinic
Stockton Dr Michael Fox 5th Street Medical Clinic Medical License 1212069758 G53561 Y
Melissa Whitworth 5th Street Medical Clinic Vocation Nurse RN 541037 Y
Divina Palafox 5th Street Medical Clinic Vocation Nurse 1912061995 VN 17300 Y
Divna Lu 5th Street Medical Clinic Vocation Nurse VN 183039 Y
Jeannette Carter-Camp 5th Street Medical Clinic Vocation Nurse 1740480342 NP 7506 Y
75 Aegis
Treatment
CenterHealthy
Connections
(California St)
Stockton Dr Michael Fox Aegis Treatment CenterHealthy ConnectionsMedical License 1212069758 G53561 Y
Melissa Whitworth Aegis Treatment CenterHealthy ConnectionsVocation Nurse RN 541037 Y
Dr Brian Talleur Aegis Treatment CenterHealthy ConnectionsMedical License 1659791101 A154190 Y
Alvin Goat Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 20473 Y
Crystal August Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 695962 Y
Rosenah Durago Aegis Treatment CenterHealthy ConnectionsVocation Nurse 1841629185 VN 235553 Y
Maria Garsuta Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 235825 Y
76 Healthy
Connections
Lodi Clinic Melissa Whitworth Healthy Connections Lodi Clinic Vocation Nurse RN 541037 Y
Dr Brian Talleur Healthy Connections Lodi Clinic Medical License 1659791101 A154190 Y
Angeles Alfaro Healthy Connections Lodi Clinic Vocation Nurse 1649669979 VN 689129 Y
John Campos Healthy Connections Lodi Clinic Vocation Nurse 1407192297 VN 260740 Y
Prabhjot Kaur Healthy Connections Lodi Clinic Vocation Nurse VN 698775 Y
Meenal Prasad Healthy Connections Lodi Clinic Vocation Nurse 1114407368 VN 287331 Y
77 Manteca
Healthy
Connections Dr Michael Fox Manteca Healthy Connections Medical License 1212069758 G53561 Y
Melissa Whitworth Manteca Healthy Connections Vocation Nurse RN 541037 Y
Dr Randall Paul Manteca Healthy Connections Medical License 1912061045 A26361 Y
Mary Jane Davis Manteca Healthy Connections Vocation Nurse 1861822744 VN 72342 Y
Christine Falcon Manteca Healthy Connections Vocation Nurse VN 175628 YDourine Iqiel Manteca Healthy Connections Vocation Nurse 1477008506 VN281162 YRebecca Mohr Manteca Healthy Connections Psyciatric Technician LPT 26531 Y
78 MedMark Treatment Center httpsmedmarkcommedmark-treatment-centers-stockton
LANGUAGE ASSISTANCE
English
ATTENTION If you speak another language language assistance services free of charge are available to you Call 1-888-468-9370 (TTY 1-866-735-2922 )ATTENTION Auxiliary aids and services including but not limited to large print documents and alternative formats are available to you free of charge upon request Call 1-888-468-9370
Espantildeol (Spanish)
ATENCIOacuteN Si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-888-468-9370 (TTY 1-866-735-2922 )
Tiếng Việt (Vietnamese)
CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-888-468-9370 (TTY 1-866-735-2922 )
Services may be delivered by an individual provider or a team of providers who is working under the direction of a licensed practitioner operating within their scope of practice Only licensed
waivered or registered mental health providers and licensed substance use disorder services providers are listed on the Plans provider directory
Tagalog (Tagalog Filipino)
PAUNAWA Kung nagsasalita ka ng Tagalog maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-888-468-9370 (TTY 1-866-735-2922 )한국어 (Korean)주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수 있습니다 1-888-468-9370 (TTY 1-866-735-2922 ) 번으로 전화해 주십시오繁體中文繁體中文繁體中文繁體中文(Chinese)注意如果您使用繁體中文您可以免費獲得語言援助服務請致電1-888-468-9370 (TTY 1-866-735-2922 )ՀայերենՀայերենՀայերենՀայերեն (Armenian)
ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ Զանգահարեք 1-888-468-9370 (TTY 1-866-735-2
Русский (Russian)
ВНИМАНИЕ Если вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-888-468-9370 (TTY 1-866-735-2922 )
(Farsi) فارسیتوجه اگر به زبان فارسی گفتگو می کنيد تسهيلات زبانی بصورت رايگان برای شما
日本語日本語日本語日本語 (Japanese)注意事項日本語を話される場合無料の言語支援をご利用いただけます1-888-468-9370فراهم می باشد با 1 (TTY 1-866-735-2922 ) までお電話にてご連絡くださいHmoob (Hmong)
LUS CEEV Yog tias koj hais lus Hmoob cov kev pab txog lus muaj kev pab dawb rau koj Hu rau 1-888-468-9370 (TTY 1-866-735-2922 )
ਪਜਾਬੀ (Punjabi)
ਿਧਆਨ ਿਦਓ ਜ ਤਸੀ ਪਜਾਬੀ ਬਲਦ ਹ ਤਾ ਭਾਸ਼ਾ ਿਵਚ ਸਹਾਇਤਾ ਸਵਾ ਤਹਾਡ ਲਈ ਮਫਤ ਉਪਲਬਧ ਹ 1-888-468-9370 (TTY 1-866-735-2922) ਤ ਕਾਲ ਕਰ
(Arabic) العربيةملحوظة إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغوية تتوافر لك بالمجان
हिदी (Hindi)
द यदि आप हिदी बोलत ह तो आपक लिए मफत म भाषा सहायता सवाए उपलबध ह [1-888-468-9370 (TTY 1-866-735-2922) पर कॉल कर
ภาษาไทย (Thai)
เรยน ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร 1-888-468-9370 (TTY 1-866-735-2922) धयान
ែខរ (Cambodian)
បយត ររ េស នអកនយ ែខ រសជនយមននក េយមនគត នគចនស ររ អេ នក ច ទ សព+1-888-468-9370 (TTY 1-866-735-2922)
ພາສາລາວ (Lao)
ໂປດຊາບ ຖາວາ ທານເວາພາສາ ລາວ ການບລການຊວຍເຫອດານພາສາໂດຍບເສຽຄາ ແມນມພອມໃຫທານ ໂທຣ 1-888-468-9370 (TTY 1-866-735-2922)
- 18-Font English Medi-Cal Provider Directory(Word Doc) 12-2018 English
- Medi-Cal Directory Provider Staff Listing 18 font English 12-2018
-
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 14 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services)
Include-
ing ASL
YesNo YesNo YesNo
15MHSA TAY
FSP
39B1
1212 N California
Street Stockton
CA 95202
(209) 468-8862
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adults
Full service
partnership providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 15 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
16Older Adult
Services (OAS)
3980
1212 N California
Street Stockton CA
95202
(209) 468-3760
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Older
Adult
Spanish
Cambo-
dian Viet-
namese
Comprehensive
Behavioral Health
Services for older
adults (60+) provided
by a multidisciplinary
team Services
include psychiatric
assessment
medication
support group
individual therapy
and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 16 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
Services
Includin
g ASL
YesNo YesNo YesNo
17 Peterson
Hall
9009
535 W Matthews
Rd French Camp
CA 95231
(209) 468-4240
hiipswwwsjg
ovorgmhs
M-F 8 am- 8
pm SatSun 10-
7 pm
Children
and
Youth
Cambo-
dian
Spanish
Provides outpatient
mental health services
to youth detained at
Peterson Hall
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes Yes Yes
18Psychiatric
Health
Facility (PHF)
3976
1212 N California
Street Stockton
CA 95202
(209) 468-8686
httpswwwsjg
ovorgmhs 24
hours
Adult Spanish
24-hour inpatient
hospitalization
services
Yes Yes Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 17 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
19San Joaquin
County MH
Services Lodi Clinic
3924
1209 W Tokay
Street
Suites 1 3 5 7 9
12 14 and 16
Lodi CA 95240
(209) 331-2070
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Children
Youth
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
North
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 18 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
20San Joaquin
County MH
Services Tracy
Clinic
9048
220 W Eleventh
Street
Tracy CA 95376
(209) 831-5941
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Spanish
Comprehensive
mental health
services for adults
(18-60) living in
South
County area
Services include
psychiatric
assessment
medication support
group and individual
therapy and case
management
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 19 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
21SJC-MHS
CYS Katie A
Services
9020
333 E Washington
Street
Stockton CA
95202
(209) 468-1547
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Children
and
Youth
Spanish
Hmong
Japanese
Provides in-home
and in-community
outpatient mental
health services to
WampI Code 300
dependent SJC
children
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 20 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition to
free Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
22Transcultural
Clinic
(TCC) - full range
of specialty mental
health services and
intensive case
management
program
9014
4422 N Pershing
Ave
Suites D1-D4
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available
in Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
23Southeast
Asian Recovery
Services (SEARS)
for the Southeast
Asian population-
Full Service
Partnership
(MHSA)
9094
4422 N Pershing
Avenue Suite D2
D3 D4 D5 D6
Stockton CA
95207
(209) 953-8843
httpswwwsjg
ovorgmhs
M-F 8 am- 5
pm
Adult
Focus on
out-
reach
and
access
for the
South-
east
Asian
popu-
lation
Cambo-
dian
Laotian
Hmong
Viet-
namese
Thai
Full Service
Partnership with
emphasis on serving
persons from
Southeast Asia
Services available in
Cambodian
(Khmer)
Hmong Laotian
(Lao)
and Vietnamese
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
CONTRACT ORGANIZATIONAL PROVIDERS
24Anka Lodi (was
Mourfield House)
9075
458 Almond Drive
Lodi CA 95240
(209) 982-4697
wwwankabhior
g M-F 8am-5pm
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
25ASPIRAnet
39AR
6 S El Dorado
Street Suite 510
Stockton CA
95202
(209) 478-9862
wwwaspiranet
Org
M-F 8 am- 5
pm
Children
and
Youth
Provides
Therapeutic
Behavioral Services
(TBS) and crisis
stabilization services
as an alternative to
psychiatric
hospitalization
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
26Bright House
9047
8210 Bright Road
French Camp CA
95231
(209) 982-1235
wwwankabhior
g 24 hours
Adult
Adult Transitional
Residential
Treatment Program
Medication Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
27Casa Pacifica
39AB
1722 S Lewis Road
Camarrillo CA
93012
(805) 981-1422
wwwcaspacific
aorg
M-F 8 am- 6 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
28CBIS
(University of the
Pacific)
39A1
405 E Pine Street
Stockton CA
95204
(209) 476-1959
wwwcommunit
yre-
entryprogramco
m M-F 8am-430
pm
Adult
Spanish
Behavioral
Intervention Services
Mental Health Services
Intensive Home Based
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
29Chamberlains
Children Center
Inc
39B4
1850 San Benito
Street
Hollister CA
95023
(831) 636-2121
wwwchamberla
inccorg
M-F 8 am- 5 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
30Charis Youth
Center
9057
714 W Main Street
Grass Valley CA
95945
(530) 477-9800
wwwcharisyout
hcenterorg
M-F 830 am-
430 pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
31Child Abuse
Prevention Council
39A8
540 N California
Street
Stockton CA
95202
(209) 644-5311
wwwnochildab
useorg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health services
utilizing
strengthening family
approach
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 27 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
32Community
Re- Entry
Program (CRP)
9044
405 E Pine Street
Stockton CA
95204
(209) 946-2132
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
independent living
skills training and
rehabilitation
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
33Crestwood
Solano
(PHF)
39A8
2201 Tuolumne
Street Suite B
Vallejo CA 94589
(707) 558-1777
wwwcrestwood
behavioralhealth
com
24
hours
Adult
24-hour
inpatient
hospitalization
services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
34Crittenton
Services For
Children And
Families
39B3
100 E Valley View
Drive Fullerton CA
92832
(714) 680-8268
wwwcrittentons
ocalorg
M-F 830 am- 5
pm
Children
and
Youth
Residential
facility providing
mental health
treatment to youth
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS)
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
35Edgewood
Center for
Children and
Families
39AV
1801 Vincente
Street San
Francisco CA
94116
(415) 681-3211
wwwedgewood
org
24
Hrs
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
36Fred Finch
Youth
Center
39AY
3800 Coolidge
AvenueOakland
CA 94602
(510) 482-2244
wwwfredfinch
Org
M-F 830 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
BrokerageIntensive
Care Coordination
(ICC) Mental Health
Services including
Intensive Home Based
Services (IHBS)
Therapeutic Behavioral
Services (TBS) Crisis
Intervention
Yes
Yes
Yes
37Grant House
9064
1117 S Grant
Street Stockton
CA 95206
(209) 461-6500
wwwankabhior
g 24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
38Latino
Behavioral Health
and Recovery
Services
9067
445 N San Joaquin
Street
Stockton CA
95202
(209) 444-8910
wwwelconcilio
Org
M-F 8 am- 5 pm
Adult
Spanish
Provides Culturally
Competent
Services to Latinos
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
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Providers
Provider Numbers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
39Martin Gipson
Socialization Center
9043
405 E Pine Street
Stockton CA
95204
(209) 464-5519
wwwcommunit
yre-
entryprogramco
m
M-F 8 am- 5 pm
Adult
Spanish
Provides
socialization
vocational and
educational
opportunities for
Adult Mentally
ill consumers
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
40Mountain
Valley Child and
Family Services
Inc
9039
24077 Highway 49
Nevada City CA
95959
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Therapeutic
Behavioral Services
(TBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
41Mountain
Valley Child and
Family Services
Inc
39A4
7818 Bar Du Lane
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
42Mountain
Valley Child and
Family Services
Inc
39A3
6171 Bradshaw Rd
Sacramento CA
95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
43Mountain
Valley Child and
Family Services
Inc
39A2
9200 Sweet Acacia
Way Sacramento
CA 95829
(530) 265-9057
wwwmountainv
alleyfamilyorg
M-F 8 am- 430
pm
Children
and
Youth
Provides outpatient
mental health
services and full-day
Day Treatment
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Day Treatment
Intensive Full Day
Medication Support
Crisis Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
44Phoenix House
of
Los Angeles Inc
39B6
1600 Eldrige
Avenue Lake View
Terrace CA 91342
(818) 686-3000
wwwphoenixho
useorg
M-F 8 am- 530
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
45Rebekah
Childrenrsquos
Home
39AU
290 IOOF Avenue
Gilroy CA 95020
(408) 846-2100
wwwrcskidsor
g
M-F 8 am- 530
pm
Children
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
46Sacramento
Childrens Home
9076
2750 Sutterville
Road Sacramento
CA 95820
(916) 452-3981
wwwkidshome
Org
M-F 830 am - 5
pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
47San Gabriel
Childrens Center
Out Patient
39B7
4740 N Grand
Avenue Covina CA
91724
(626) 859-2089
wwwsangabriel
childcom
M-F 8 am- 5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
48Star View
Adolescent Center
OP
39BB
4025 West 226th
Street
Torrance CA
90505
(310)373-4556
wwwstarsincco
m 24 hours
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
49Summitview
Child Treatment
Center
9061
670 Placerville Dr
2 Placerville CA
95667
(530) 644-2412
wwwsummitvie
wtreatmentorg
M-F 8 am-5 pm
Children
and
Youth
Provides outpatient
mental health
services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHSB) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
50Telecare (aka
Jeremy House)
39AX
5634 Jeremy Way
Stockton CA
95212
(209) 888-4969
wwwtelecareco
rpcom
24 hours
Adult
Crisis Residential
Treatment Program
Yes
Yes
Yes
51Telecare Early
Intervention
Recovery Services
(TEIRS)
39B2
4545 Georgetown
Place Suite A3
Stockton CA
95207
(209) 715-3754
wwwtelecareco
rpcom
M-F 8 am- 5 pm
Adult
Spanish
Provides outpatient
mental health services
for children and
adults
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 44 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
52TLC Child and
Family Services
39A9
1800 Gravenstein
Hwy North Suite A
Sebastopol CA
95472
(707) 823-7300
httpwwwtlc4
kidsorg
M-F 8 am- 430
pm
Children
and
Youth
Community-based
program
providing
outpatient mental
health services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
53Valley
Community
Counseling Services
(VCCS) (Manteca)
9040
129 E Center
Street Suite 3
Manteca CA
95336
(209) 239-5553
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health
services for children
and youth in South
County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
54Valley
Community
Counseling Services
(VCCS) (School
Based Program -
Stockton)
9042
6707 Embarcadero
Drive Suite A
Stockton CA
95219
(209) 956-4240
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Outpatient mental
health services
provided at various
schools in
Stockton Manteca
and Lodi
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
55Valley
Community
Counseling Services
(VCCS) (Tracy)
9041
19 East 6th Street
Tracy CA 95378
(209) 835-8583
Website NA
M-F 8 am- 5
pm
Children
and
Youth
Full range specialty
mental health services
for children and youth
in South County area
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
56Victor
Community
Services and
Support Stockton
(VCSS)
9063
2495 W March
Lane Suite 125
Stockton CA
25207
(209) 465-1080
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Provides outpatient
mental health
services in-home and
in community
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 49 of 66
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
57Victor
Treatment
Center - Santa Rosa
9083
3164 Condo Court
Santa Rosa CA
95403
(707) 523-2334
wwwvictororg
M-F 810 am- 4
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
58Victor
Youth Services
(North Valley
Schools)
39AC
855 Canyon Road
Redding CA
96001
(530) 378-1855
wwwvictororg
M-F 8 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Medication
Support Crisis
Intervention
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
59Womens
Center- Family
and Youth
Services
39B6
729 N California
Street Stockton
CA 95202
(209) 929-6700
wwwwomensce
nteryfsorg
M-F 830 am- 5
pm
Children
and
Youth
Outpatient Mental
Health Services
Case Management
Brokerage including
Intensive Care
Coordination (ICC)
Mental Health Services
including Intensive
Home Based Services
(IHBS) Crisis
Intervention
Yes
Yes
Yes
CONTRACT PSYCHIATRIC HOSPITALS
60BHC Heritage
Oaks
Hospital
4250 Auburn
Boulevard
(916) 489-3336
wwwheritageoa
kshospitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
61BHC Sierra
Vista
Hospital
8001 Bruceville
Road
(916) 423-2000
wwwsierravista
hospitalcom
24 hours
All ages
Yes
Yes
Yes
62St Helena
Hospital Center for
Behavioral Health
525 Oregon Street
(707) 648-2200
wwwadventisth
ealthorg
24 hours
All ages
Yes
Yes
Yes
63John Muir
Behavioral Health
Center
2740 Grant Street
(925) 680-6500
wwwjohnmuirh
ealthcom
24 hours
All ages
Yes
Yes
Yes
64Sutter Center for
Psychiatry
7700 Folsom
Boulevard
(916) 388-3045
wwwsuttermedi
calcenterorg
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
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Telephone
Website
Addresses
Hours of
Operation
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
65Fremont
Hospital
39001 Sundale
Drive
(510) 796-1100
wwwfremontho
spitalcom
24 hours
All ages
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake
Unit
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-9600
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Substance Use Disorder
Assessment for
Outpatient amp Inpatient
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
67 Chemical
Dependency
Counseling Center
(CDCC)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-3720
Fax (209)468-
9611
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Youth
Adult
Perinatal
Spanish
Mon Wed and Fri
8am-5pm
Closed Holidays
Outpatient Treatment
Perinatal Component
Intensive Outpatient
Youth Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
68 Alcohol amp Drug
Alternative Program
(ADAP)
620 N Aurora St
Suite 1 Stockton
CA 95202
(209) 468-6840
Fax (209)468-
8640
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
Mon Wed and Fri
8am-5pm
Tue And Thur
8am-7pm
Closed Holidays
Outpatient Court
Monitoring Education
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
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Providers
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Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
69 Family Ties
500 W Hospital Rd
French Camp CA
95231
(209) 468-6208
Fax (209)468-
7032
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult and
Adult
Perinatal
Spanish
24 Hour Services
Inpatient Treatment
Perinatal Component
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 58 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
70 Recovery House
500 W Hospital Rd
French Camp CA
95231
(209) 468-6857
Fax (209)468-
6739
httpwwwsjcb
hsorgProgram_
Locationsaspx
Adult
Spanish
24 Hour Services
Inpatient Treatment
Assessments
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 59 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
71 Adolescent Co-
Occurring Treatment
Program (ACT)
Childrens Behavioral
Health Services
1414 N California
St 2nd Floor
Stockton CA 95202
(209) 468-2385
Fax (209)468-
8024
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Individual amp group
counseling and
education in conjunction
with the adolescentrsquos
mental health services a
partnership with Mental
Health Services and
Substance Abuse
Services
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 60 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
72 Prevention
Services
620 N Aurora St
Suite 6 Stockton
CA 95202
(209) 468-2005
Fax (209)468-
2251
httpwwwsjcb
hsorgProgram_
Locationsaspx
Youth
Spanish
Mon-Fri 8am-5pm
Closed Holidays
Youth Services Parenting
Students In Prevention
(SIP)
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 61 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
73 Aegis
Treatment Center
8626 N Lower
Sacramento Road
Suite 41 Stockton
CA 95209
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1230pm
Sat Sun and
Holidays
6am-1030am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 62 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
74 5th Street
Medical Clinic
Stockton
1839 S El Dorado
St Stockton CA
95206
(209) 478-2487
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 63 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
75 Aegis
Treatment Center
Healthy Connections
(California St)
Stockton
1947 N California
St Suites B and C
Stockton CA 95210
(209) 463-0870
httpsaegistreat
mentcenterscom
clinicaegis-
stockton-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 64 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
76 Healthy
Connections Lodi
Clinic
441 South Ham
Lane Suite A
Lodi CA 95242
(209) 224-8490
httpsaegistreat
mentcenterscom
clinicaegis-
lodi-california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
7am-12 noon
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 65 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
77 Manteca
Healthy Connections
Center Street
955 W Center St
Suites 12A amp 14
Manteca CA 95337
(209) 239-9600
httpsaegistreat
mentcenterscom
clinicaegis-
manteca-
california
Adult and
Adult
Perinatal
Spanish
Mon-Fri
530am-1pm
Sat Sun and
Holidays
8am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
San Joaquin County Behavioral Health Services
County and Contract Medi-Cal Providers
SJCBHS Medi-Cal Provider Directory_Rev122018 332018322018 Page 66 of 66
See Provider Staff Listing Non-English Languages as well as American Sign Language are available upon request
Providers
Provider Numbers
Address
Telephone
Website
Addresses
Popu-
lations
Served
Non-
English
Lang-
uages (in
addition
to free
Inter-
preter
Services)
Including
ASL
Provider
Characteristics
Cultural
Competency
Hours of
Operation
Medi-Cal Certified
Service Categories
Accept-
ing New
Clients
Com-
pleted
Cultural
Compe-
tency
Training
Accommo-
dations for
people
with Dis-
abilities
YesNo
YesNo
YesNo
78 MedMark
Treatment Center
1111 N El Dorado
St Stockton CA
95202
(209) 938-0228
httpmedmark
commedmark-
treatment-
centers-
stockton
Adult and
Adult
Perinatal
Spanish
Mon-Fri
5am-1pm
Sat Sun and
Holidays
7am-11am
Medically Supervised
Methadone Maintenance
Detoxification (OTP)
Outpatient Treatment
(OTP) Medication
Assisted Treatment
Yes
Yes
Yes
Provider Name Facility NameID
Type of Practioner (licensed
amp Waivered)
National
Provider
Identifier
number California license number type of license
Cultu
ral
Comp
etenc
e
Traini
ng
(YN)1 Black
Awaremenss
Community
Outreach
ProgramMulti
cultural
Services Amarpreet Singh BHS BACOPMC Psychiatrist (Locum) 1235182916 Physician and Surgeon N
Aravind Pai BHS BACOPMC Psychiatrist (Locum) 1629076088 Physician and Surgeon A30319 N
Donna Bickham BHS BACOPMC Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Donnelle Tamayo BHS BACOPMC Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS BACOPMC Staff Nurse III 1104375724 Registered Nurse 723203 Y
Kathleen Wilson-Parish BHS BACOPMC Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS BACOPMC MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Nancy Nelson BHS BACOPMC Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Paul Wallace BHS BACOPMC Chief Psychiatric Tech 1114044799 Licensed Psychiatric Technician PT26296 Y
Quynh-Chi Nguyen BHS BACOPMC Staff Nurse III 1417371014 Registered Nurse 845080 Y
Scott Harrison BHS BACOPMC Clinician II 1518089317 Marriage and Family Therapist Intern IMF75861 Y
Shirley Hollowell BHS BACOPMC Registered Nurse 1124143474 Registered Nurse 352081 Y
2 Children and
Youth Services
Stockton Clinic Ganiya (Iyabo) Adediran
Childrens and Youth Services- Stockton
3915 Waivered 1881148690 81666 AMFT Y
Provider Staff Listing
Benjamin Alban
Childrens and Youth Services- Stockton
3915 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Stockton
3915 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Stockton
3915 Licensed 1821294455 105923 Psychiatrist Y
Valentin Avramov
Childrens and Youth Services- Stockton
3915 Licensed 1053488767 109609 Psychiatrist Y
Kristina Birch
Childrens and Youth Services- Stockton
3915 Waivered 1366874844 1809 APCC Y
Linda Brett
Childrens and Youth Services- Stockton
3915 Licensed 1295853299 523914 RN Y
Donna Cassettari
Childrens and Youth Services- Stockton
3915 Licensed 1497887699 43173 LMFT Y
Renessa Castaneda-Jensen
Childrens and Youth Services- Stockton
3915 Licensed 1376664862 81528 LMFT Y
Jacqueline Coulter
Childrens and Youth Services- Stockton
3915 Licensed 1720184765 41366LMFT Y
Courtney Flores
Childrens and Youth Services- Stockton
3915 Licensed 1851437735 29811 LCSQW Y
Maria Garcia
Childrens and Youth Services- Stockton
3915 Licensed 1235400557 80425 LCSW Y
Ikesha Goodwin
Childrens and Youth Services- Stockton
3915 Waivered 1104279728 101632 IMF Y
Kelsey Guidicatti
Childrens and Youth Services- Stockton
3915 Waivered 1245783687 93458 AMFT Y
Antonio Gutierrez
Childrens and Youth Services- Stockton
3915 Licensed 1023473469 71535 LCSW Y
Victoria Hall
Childrens and Youth Services- Stockton
3915 Licensed 1437464179 91065 LMFT Y
Nicole Hodgson
Childrens and Youth Services- Stockton
3915 Licensed 1962727792 85491 LMFT Y
Hudson Mark Hudson
Childrens and Youth Services- Stockton
3915 Licensed 1528190725 78609 LMFT Y
Shadai Lescale Huante
Childrens and Youth Services- Stockton
3915 Waivered 1528340320 59764 ACSW Y
Genevieve Lisenbey
Childrens and Youth Services- Stockton
3915 Waivered 1265698104 80465 AMFT Y
Sharon Lizotte
Childrens and Youth Services- Stockton
3915 Waivered 1851820708 101863 AMFT Y
Angie Nicholas
Childrens and Youth Services- Stockton
3915 Licensed 1679713796 52080 LMFT Y
Shiella Pablico
Childrens and Youth Services- Stockton
3915 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Sheilena Payne
Childrens and Youth Services- Stockton
3915 Licensed 1336437656 94571 LMFT N
Timothy Quinn
Childrens and Youth Services- Stockton
3915 Waivered 1316322381 79556 Marriage amp Family Therapist Intern Y
Joann Rihad
Childrens and Youth Services- Stockton
3915 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet
Childrens and Youth Services- Stockton
3915 Licensed 1366468555 C53401 Psychiatrist Y
Jacqueline Salgado
Childrens and Youth Services- Stockton
3915 Licensed 1043661903 95452 Marriage amp Family Therapist Y
Kristen Schneider
Childrens and Youth Services- Stockton
3915 Waivered 1578963591 72071 ACSW Y
Carla Simien
Childrens and Youth Services- Stockton
3915 Licensed 1629564000 40771 Licensed Psychiatric Technician N
Tamra Smith
Childrens and Youth Services- Stockton
3915 Licensed 1336267608 76975 LCSW Y
Maribel Vargas
Childrens and Youth Services- Stockton
3915 Waivered 1821247149 35622 ACSW Y
J Watkins
Childrens and Youth Services- Stockton
3915 Licensed 1043797871 4200 LPCC Y
Tamara Weber
Childrens and Youth Services- Stockton
3915 Licensed 1992101497 105926 LMFT Y
Amanda Yocham
Childrens and Youth Services- Stockton
3915 Licensed 1326103516 79068 LMFT Y
Nikki Young
Childrens and Youth Services- Stockton
3915 Waivered 1841692159 88891 AMFT Y
3 Children and
Youth Services-
Foster Youth
Full Service
Partnership Benjamin Alban
Childrens and Youth Services- Foster
Youth 9096 Licensed 1932227295 26094 LCSW Y
Maria Garcia
Childrens and Youth Services- Foster
Youth 9096 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Foster
Youth 9096 Licensed 1023473469 71535 LCSW Y
4 Children and
Youth Services-
Juvenile Justice
Full Srvice
Partnership Benjamin Alban
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1932227295 26094 LCSW Y
Sailaja Allanki
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1306897723 138838 Psychiatrist Y
Shaukat Ansari
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1821294455 105923 Psychiatrist Y
Maria Garcia
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1235400557 80425 LCSW Y
Antonio Gutierrez
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1023473469 71535 LCSW Y
Shabneet Hira Brar
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1851598452 A112447 Psychiatrist Y
Sheilena Payne
Childrens and Youth Services- Juvenile
Justice 9095 Licensed 1336437656 94571 LMFT N
5 Community
Adult
Treatment
Services Amanda Hurlock CATS OUTPATIENT 1836 Waivered 1205369899 AMFT 100834 Y
Adeline Mendez CATS OUTPATIENT 1836 Licensed 1255453353 PT 25868 Y
Anna Perez Testo CATS OUTPATIENT 1836 Licensed 1740309889 LMFT 52444 Y
Angelo Pasa CATS OUTPATIENT 1836 Licensed 1689874125 RN 691250 Y
Beverly Thompson CATS OUTPATIENT 1836 Waivered 1528311230 ACSW 70671 Y
Carolyn Walters CATS OUTPATIENT 1836 Licensed 1891815155 LMFT 43069 Y
Debra Baker CATS OUTPATIENT 1836 Waivered 1740610229 AMFT 95836 Y
Eloisa Velasco CATS OUTPATIENT 1836 Licensed 1740797976 PT 40651 Y
Francisco Arreola CATS OUTPATIENT 1836 waivered 1417359027 AMF 87821 Y
Heidi McHenry CATS OUTPATIENT 1836 Licensed 1861763294 PT 35949 Y
Helen Sprague CATS OUTPATIENT 1836 Waivered 1710325642 AMFT 75120 Y
Jane Sanchez CATS OUTPATIENT 1836 Licensed 1346406824 LMFT 50808 Y
Jannelle Heard CATS OUTPATIENT 1836 Waivered 1467813568 AMFT 95836 Y
Kara Herrick CATS OUTPATIENT 1836 Licensed 1518191659 LMFT 43283 Y
Keith Amador CATS OUTPATIENT 1836 Licensed 1891127403 LMFT 102725 Y
Cynthia Morishige CATS OUTPATIENT 1836 Licensed 1649396045 LCSW 13592 Y
Remedios Wallace CATS OUTPATIENT 1836 Licensed 1639294341 PT 24227 Y
Luis Garcia CATS OUTPATIENT 1836 Licensed 1346599677 LMFT 10398 Y
Maria Ayala CATS OUTPATIENT 1836 Waivered 1174991129 APCCI 3382 Y
Marie Daguman CATS OUTPATIENT 1836 Waivered 1619483237 ACSW 79980 Y
Mary Montgomery CATS OUTPATIENT 1836 Licensed 1538281183 LCSW82129 Y
Megan Curtiss CATS OUTPATIENT 1836 Waivered 1265836027 AMFT 107915 Y
Priscilla Kavanagh CATS OUTPATIENT 1836 Waivered 1528429057 APCC2122 Y
Elizabeth DeGravio CATS OUTPATIENT 1836 Licensed 1497167530 PT 37500 Y
Ramil Doronio CATS OUTPATIENT 1836 Licensed 1871767376 RN 555151 Y
Ronee Martin CATS OUTPATIENT 1836 Waivered 1932644796 AMFT 84987 Y
Sasha Jackson CATS OUTPATIENT 1836 Waivered 1295181295 ACSW 79996 Y
Sherri Helsby CATS OUTPATIENT 1836 Licensed 1669893764 LCSW 29248 Y
Teri Jorgensen CATS OUTPATIENT 1836 Licensed 1295071363 RN 469034 Y
Tiffany DeWitte CATS OUTPATIENT 1836 Licensed 1023143245 LCSW 29826 Y
Valerie-Ann Garcia CATS OUTPATIENT 1836 Licensed 1770606386 RN 704233 Y
Savoeun Phal CATS OUTPATIENT 1836 Waivered 1821513946 APCC 5278 Y
Joshua Merrill CATS OUTPATIENT 1836 Waivered 1114463957 AMFT 102798 Y
Gerado Manansala CATS OUTPATIENT 1836 Licensed 1215195813 A 102439 Y
Paul Mascovich CATS OUTPATIENT 1836 Licensed 1215921184 G 33950 Y
Jin Soofi CATS OUTPATIENT 1836 Licensed 1972592939 G 86240 Y
Sheril Keys CATS OUTPATIENT 1836 Licensed 1942664875 PT 38333 Y
Thomas Firnberg CATS OUTPATIENT 1836 Licensed 1164597472 A 040218 Y
Mohammad Jahangiri CATS OUTPATIENT 1836 Licensed 1720266760 A 56400 Y
Fouad Saddik CATS OUTPATIENT 1836 Licensed 1437254117 A 44865 Y
Kellie Salazar CATS OUTPATIENT 1836 Licensed 1295273654 PT 40326 Y
Suryabamu Javeed CATS OUTPATIENT 1836 Licensed 1568567105 A 56307 Y
Robert Graff CATS OUTPATIENT 1836 Licensed 1366560112 G 70479 Y
Chestermagno De La Cruz CATS OUTPATIENT 1836 Licensed 1619476637 PT40672 Y
6 Community
Corrections
Partnership Rico Molina AB10920 licensed 1255454203 LCSW25450 Y
Lawrence Shaddix AB10920 licensed 1508282286 IMF84560 Y
Randolph Herrington AB10920 licensed 1114141173 LMFT48970 Y
7 Crisis
Community
Response Team
(CCRT) Williams Wendy CCRT
MHC III
1265554638 LMFT 84045
Y
Ballesteros Patricia CCRT MHC 1790058352 LMFT 108455 Y
8 Crisis
Intervention
Services Graff Robert Crisis
MD
1366560112 G70479
Y
Gill Paramijit Crisis MD 1073629218 A49224 Y
Firnberg Thomas Crisis MD 1164597472 A040218 Y
Singh Karamjit Crisis MD 1083930440 A132050 N
Singh Amanpreet Crisis MD 1235182916 A78414 N
Lee Catherine Crisis MHC III 1073729646 LMFT 44225 Y
Saleem Noshela Crisis MHC III 1255585584 LCSW 67154 Y
Williams Wendy Crisis MHC III 1265554638 LMFT 84045 Y
Galindo Teresa Crisis MHC III 1700119369 LCSW 69736 Y
Molina-Eliab Sonya Crisis MHC 1497878482 AMFT 99087 Y
Tran Michelle Crisis MHC 1366642068 LCSW 81278 Y
Figueroa Carlos Crisis MHC 1306193933 LMFT 102315 Y
Ballesteros Patricia Crisis MHC 1790058352 LMFT 108455 Y
Nobles Shannon Crisis MHC 1457699720 AMFT 101531 Y
Saelee Cindy Crisis MHC 1255511614 LCSW 82456 Y
Maney Stephen Crisis MHC 1083985998 ASW 78482 Y
Lewman Brenda Crisis MHC 1821477035 LMFT106905 Y
Morales Leonardo Crisis MHC 1962822643 ASW 72730 Y
Grant Anika Crisis MHC 1649697137 AMFT 104116 Y
Sullivan Aisha Crisis MHC 1861772253 LCSW 75323 Y
Hodge Lewie Crisis MHC 1477044931 ASW 80338 N
Donato Imelda Crisis MHC 1194278085 APCC 2409 N
Redoblado Sheryl Crisis MHC 1871731513 LCSW 75136 Y
Walter Taffie Crisis CPT 1083735096 PT 32090 Y
DeJesus Carolyn Crisis CPT 1861650228 PT 34221 Y
McArthur Milagros Crisis PT 1477809929 PT 36471 Y
Olsen Chandra Crisis PT 1770914061 PT 37210 Y
Isham Loni Crisis PT 1891145033 PT 38233 Y
Bazua Melissa Crisis PT 1972944072 PT 36496 Y
Wright-Freeman Cody Crisis PT 1538584859 PT 37819 Y
Bareng Jeff Crisis PT 1043753478 PT 40284 Y
Gill Sandeep Crisis PT 1871852673 PT 34942 Y
Quitoriano Stephanie Crisis PT 1659798130 PT 37033 Y
Otero Luis Crisis PT 1487015582 PT 38229 Y
Price Jennifer Crisis PT 1932621893 PT 40662 Y
Kemp Sydney Crisis PT 1902383623 PT 34601 Y
9 Crisis
Stabilization
Units (CSU) Graff Robert CSU
MD
1366560112 G70479
Y
Allanki Sailaja CSU MD 1306897723 C138838 Y
Singh Karamjit CSU MD 1083930440 A132050 N
Brown Brandi CSU RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth CSU RN 1255459061 RN 488617 Y
Seraypheap Arunny CSU RN 1013037274 RN 547944 Y
Limas Deborah CSU RN 1073631727 RN 526984 Y
Winck Angela CSU RN 1083002992 RN 701021 Y
Cabrera Gilbert CSU RN 1679693766 RN 565185 Y
Mendoza Michelle CSU RN 1477951812 RN 797022 Y
Blackman Demerica CSU RN 1932619517 RN 850647 Y
Laizer Gloria CSU RN 1255706479 RN 764452 Y
Odametey Ama CSU RN 1700366358 RN 835504 N
Hawkins Lynnetta CSU MHC III 1437436938 LMFT 93110 Y
Lambert Rekha CSU MHC 1164647525 LMFT 10386 Y
Nguyen Thao CSU MHC 1912214065 LMFT 88176 Y
Navarro Grace CSU MHC 1083737753 ASW 72678 Y
Limas Stephanie CSU MHC 1053433748 LMFT 99397 Y
Little Christy CSU PT 1497978795 PT 28731 Y
Abundez Jesse CSU CPT 1841413036 PT 29162 Y
Montantes Michael CSU CPT 1780018390 PT 37071 Y
DeJesus Carolyn CSU CPT 1861650228 PT 34221 Y
Arriola Eulalie CSU CPT 1255573044 PT 34426 Y
Hardy Denise CSU PT 1912202813 PT 33714 Y
Harbin Toni CSU PT 1639475049 PT 28726 Y
Fortes Catherine CSU PT 1346681442 PT 36982 Y
Mocko James CSU PT 1558726224 PT 38249 Y
Menius Victoria CSU PT 1487074258 PT 37534 Y
Brown Kristaline CSU PT 1750723821 PT 32575 Y
Thorpe William CSU PT 1326599770 PT 40154 Y
Look Jasmin CSU PT 1194143198 PT 37492 Y
Mariano Joseph CSU PT 1609208172 PT 36968 Y
Marglin Lisa CSU PT 1558733576 PT 38247 Y
Clutario Dindo CSU PT 1164664512 PT 34295 Y
Ripoyla Jerral CSU PT 1821511700 PT 40644 Y
Varquez Sharon CSU PT 1366682387 PT 34435 Y
Holmes Sherronya CSU PT 1205214228 PT 37605 Y
Duncan Deanna CSU PT 1043674963 PT 38260 Y
Vang Mai CSU PT 1982103081 PT 40697 Y
Vong Tharith CSU PT 1134624802 PT 40678 N
Ridad Anthony CSU PT 1659887750 PT 40713 Y
Hill Brandon CSU PT 1053803890 PT 40412 Y
Singh Jasvir CSU PT 1477833911 PT 36007 Y
Kottke Marline CSU LVN 1891223111 LVN 198957 Y
10 Forensic
Court Full
Service
Partnership Edward Olpin BHSJDDSAS licensed 1477687077 LCSW24055 Y
Betsey McCall-Salerno BHSJDDSAS licensed 1740574672 LMFT42444 Y
Isabella Padilla Pereira Forensic74 licensed 1174871818 LMFT97934 Y
Alexander Anderson Forensic MCST74 licensed 1417183385 ASW70838 Y
Joseph Zummo Forensic74 licensed 1497927487 AMFT105417 Y
11 Gaining
Older Adult Life
Skills
(GOALS) Full
Service
Partnership
(MHSA) Crystal Thao GOALS 7523 Waivered 1609183748 ACSW 35249 Y
Jessica Preston GOALS 7523 Waivered 1649727066 ACSW 79154 Y
Karla Romero GOALS 7523 Waivered 1083133276 AMFT 100573 Y
Tracy House GOALS 7523 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi GOALS 7523 Licensed 1093911224 LMFT 40177 Y
Sue Gruber GOALS 7523 Licensed 1811014780 LCSW 29008 Y
Christine Blue GOALS 7523 Licensed 1093786683 A 10733 Y
Katheine Hedrick GOALS 7523 Licensed 1043699333 RN 683243 Y
Cynthia Resendez GOALS 7523 Licensed 1780877845 A84098 Y
12 InSpire
(MHSA) Debra Baker InSprire 7023 Waivered 1740610229 AMFT 95836 Y
Elizabeth DeGravio InSprire 7023 Licensed 1497167530 PT 37500 Y
13 La Familia
Clinic Full
Service
Partnership Nancy Nelson BHS La Familia Psychiatrist 1376635680 Physician and Surgeon C50283 Y
Jane Fernandez BHS La Familia Psychiatrist 1194799395 Physician and Surgeon A93060 Y
Pamela Smith BHS La Familia Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Aravind Pai BHS La Familia Psychiatrist (Locum) 1235182916 Physician and Surgeon A30319 N
Cynthia Resendez BHS La Familia Psychiatrist 1780877845 Physician and Surgeon A84098 Y
Donna Bickham BHS La Familia Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS La Familia Registered Nurse 1124143474 Registered Nurse 352081 Y
Kathleen Wilson-Parish BHS La Familia Program ManagerLMFT 1780807636 Licensed Marriage and Family Therapist LMFT50051 Y
Marium Walker BHS La Familia MH Clinician III LMFT 1316064975 Licensed Marriage and Family Therapist LMFT30367 Y
Alexander Largaespada BHS La Familia Clinician 1881902161 Marriage and Family Therapist Intern IMF93473 Y
Lynn Tarrant BHS La Familia Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
Adriana Cruz BHS La Familia Clinician II 1871612697 Licensed Clinical Social Worker LCSW81643 Y
Scarlette Aranda BHS La Familia Clinician I 1295929529 Associate Clinical Social Worker 83748 Y
Donnelle Tamayo BHS La Familia Staff Nurse IV 1073871216 Registered Nurse 551864 Y
Gloria Cruz BHS La Familia Staff Nurse III 1104375724 Registered Nurse 723203 Y
14 Mary
Graham
Childrens
Shelter Renessa Castaneda-Jensen Mary Graham Childrens Shelter 9008 Licensed 1376664862 81528 LMFT Y
15 MHSA TAY
FSP Heidi McHenry TAY FSP Licensed 1861763294 PT 35949 Y
Jannelle Heard TAY FSP Waivered 1467813568 AMFT 95836 Y
Ronee Martin TAY FSP Waivered 1932644796 AMFT 84987 Y
Sasha Jackson TAY FSP Waivered 1295181295 ACSW 79996 Y
16 Older Adult
Services (OAS) Crystal Thao OAS 8236 Waivered 1609183748 ACSW 35249 Y
Jessica Preston OAS 8236 Waivered 1649727066 ACSW 79154 Y
Karla Romero OAS 8236 Waivered 1083133276 AMFT 100573 Y
Tracy House OAS 8236 Licensed 1720503550 PT 32050 Y
Michelle Garibaldi OAS 8236 Licensed 1093911224 LMFT 40177 Y
Sue Gruber OAS 8236 Licensed 1811014780 LCSW 29008 Y
Christine Blue OAS 8236 Licensed 1093786683 A 10733 Y
Katheine Hedrick OAS 8236 Licensed 1043699333 RN 683243 Y
Cynthia Resendez OAS 8236 Licensed 1780877845 A84098 Y
17 Peterson
Hall Jennifer Domingo Peterson Hall 9009 Licensed 1104097286 50961 LMFT Y
Shabneet Hira Brar Peterson Hall 9009 Licensed 1851598452 A112447 Psychiatrist Y
Karina Jimenez Peterson Hall 9009 Waivered 1477891679 78261 AMFT Y
Helan Nguyen Peterson Hall 9009 Waivered 1801135876 85251 AMFT Y
Shiella Pablico Peterson Hall 9009 Licensed 1588036321 37620 Licensed Psychiatric Technician Y
Joann Ridad Peterson Hall 9009 Licensed 1922598135 40823 Licensed Psychiatric Technician Y
Abdollah Sabet Peterson Hall 9009 Licensed 1366468555 C53401 Psychiatrist Y
Carla Simien Peterson Hall 9009 Licensed 1629564000 40771 Licensed Psychiatric Technician Y
Fay Vieira Peterson Hall 9009 Licensed 1982815684 50276 LMFT Y
18 Psychiatric
Health Facility
(PHF)
Gill Paramijit
PHF
MD
1073629218 A49224
Y
Hart Robert PHF MD 1477660074 C38923 Y
Silver Hilary PHF MD 1720201221 C33442 Y
Brown Brandi PHF RN 1316060023 RN 713008 Y
Arroyo Maria Elizabeth PHF RN 1255459061 RN 488617 Y
Seraypheap Arunny PHF RN 1013037274 RN 547944 Y
Limas Deborah PHF RN 1073631727 RN 526984 Y
Winck Angela PHF RN 1083002992 RN 701021 Y
Cabrera Gilbert PHF RN 1679693766 RN 565185 Y
Mendoza Michelle PHF RN 1477951812 RN 797022 Y
Blackman Demerica PHF RN 1932619517 RN 850647 Y
Laizer Gloria PHF RN 1255706479 RN 764452 Y
Odametey Ama PHF RN 1700366358 RN 835504 N
Camello Bena PHF MHC 1053581116 LCSW 65302 Y
Shah Mamoona PHF MHC 1407978471 Waivered Y
Mills Rachelle PHF MHC 1326169350 LMFT 81070 Y
Little Christy PHF PT 1497978795 PT 28731 Y
Bomar Dolfa PHF CPT 1881817567 PT 31571 Y
DeJesus Carolyn PHF CPT 1861650228 PT 34221 Y
Varquez Sharon PHF PT 1366682387 PT 34435 Y
Pot Sambo PHF PT 1104378827 PT 33626 Y
Bou Jennifer PHF PT 1033652466 PT40281 Y
Sesante Maria PHF PT 1851515720 PT 30936 Y
Ota Robert PHF PT 1578786554 PT 33792 Y
Pinano Paolo PHF PT 1245352616 PT 33726 Y
Ruiz Ronald PHF PT 1700907094 PT 27494 Y
Villasenor Kendra PHF PT 1447518204 PT 36449 Y
Deol Sukhvinder PHF PT 1508988593 PT 30288 Y
Bokelman Roy PHF PT 1114040003 PT 32628 Y
Seba Vicki PHF PT 1639291636 PT 31714 Y
Siador Jill PHF PT 1366884058 PT 36818 Y
Polk Rhonda PHF PT 1316160146 PT 20798 Y
Zorea Dylan PHF PT 1467573766 PT28206 Y
Chapin Larry PHF PT 1528200169 PT 26162 Y
19 San Joaquin
County MH
Services Lodi
Clinic Ruth Johnson Lodi Outpatient 6036 Licensed 1265535538 LCSW 15213 Y
Judith Dolyniuk Lodi Outpatient 6036 Licensed 1518182534 LMFT 97680 Y
Amy Massie Lodi Outpatient 6036 Waivered 1356798391 AMFT 100785 Y
Shayne Maniti Lodi Outpatient 6036 Licensed 1689854093 PT 33732 Y
Saba Rizvi Lodi Outpatient 6036 Licensed 1619190501 A 95786 Y
Avramov Valentin Lodi Outpatient 6036 Licensed 1053488767 109609 Psychiatrist Y
Hill Patricia Lodi Outpatient 6036 Licensed 1902926231 23764 LCSW Y
Mann Bhupinderpreet Lodi Outpatient 6036 Waivered 1174603039 80464 AMFT Y
20 San Joaquin
County MH
Services Tracy
Clinic Ashley Smerdon Tracy Clinic 6136 Waivered 1265713929 MFT87560 Y
Jennifer Spruill Tracy Clinic 6136 Licensed 1518232321 LCSW 69544 Y
Simone Litsch Tracy Clinic 6136 Licensed 1598882599 A 89254 Y
Aravind Pai Tracy Clinic 6136 Licensed 1629076088 A30319 N
Gabriel Holguin Tracy Clinic 6136 Licensed 1255704094 PT38216 Y
21 SJC- MHS
CYS Katie A
Services Sailaja Allanki CYS Katie A Services 9020 Licensed 1306897723 138838 Psychiatrist Y
Kristina Birch CYS Katie A Services 9020 Waivered 1366874844 1809 APCC Y
Maria Boklund CYS Katie A Services 9020 Licensed 1396157061 48496 LMFT Y
Linda Brett CYS Katie A Services 9020 Licensed 1295853299 523914 RN Y
Renessa Castaneda-Jensen CYS Katie A Services 9020 Licensed 1376664862 81528 LMFT Y
Maria Gamino CYS Katie A Services 9020 Waivered 1710386453 73292 ASW N
Shabneet Hira Brar CYS Katie A Services 9020 Licensed 1851598452 A112447 Psychiatrist Y
Catherine Navarrete CYS Katie A Services 9020 Waivered 1619456076 105076 Marriage amp Family Therapist Y
Leora Pollock CYS Katie A Services 9020 Licensed 1245663426 75192 LCSW Y
Kim Saing CYS Katie A Services 9020 Licensed 1982722666 51242 LMFT Y
Anastacia Stanley CYS Katie A Services 9020 Licensed 1528299724 87417 LMFT N
Patricia Young CYS Katie A Services 9020 Waivered 1780051375 94965 ASSOCIATE MARRIAGE amp FAMILY THERAPIST Y
22
Transcultural
Clinic (TCC) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
23 Southeast
Asian Recovery
Services
(SEARS) Syed Kazmi BHS TCCSEARS Psychiatrist 1437310273 Physician and Surgeon A33815 Y
Pamela Smith BHS TCCSEARS Psychiatrist (Locum) 1902889694 Physician and Surgeon G84663 Y
Donna Bickham BHS TCCSEARS Deputy DirectorLCSW 1003099177 Licensed Clincial Social Worker LCSW27558 Y
Shirley Hollowell BHS TCCSEARS Registered Nurse 1124143474 Registered Nurse 352081 Y
Michelle Salter BHS TCCSEARS Program ManagerLMFT 1558483412 Licensed Clinical Social Worker LCSW11665 Y
Maly Xiong BHS TCCSEARS MH Clinician III LMFT 1932218849 Licensed Marriage amp Family Therapist LMFT86055 Y
Alexsandria Lose BHS TCCSEARS Clilnician I 1053557306 Associate Marriage amp Family Therapist AMFT98396 Y
Angela Egbuchulam BHS TCCSEARS Clinician II 1700231321 Associate Clinical Social Worker ASW61343 Y
Myrna Navarro BHS TCCSEARS Clinician II 1689796708 Licensed Clinical Social Worker LCSW75937 y
Quynh-Chi Nguyen BHS TCCSEARS Staff Nurse III 1417371014 Registered Nurse 845080 Y
Christopher Chow BHS TCCSEARS MH Psychiatric Technician 1124530100 Licensed psychiatric Technician PT38077 Y
Gloria Cruz BHS TCCSEARS Staff Nurse III 1104375724 Registered Nurse 723203 Y
Donnelle Tamayo BHS TCCSEARS Staff Nurse IV 1073871216 Registered Nurse 551864 Y
CONTRACT ORGANIZATIONAL PROVIDERS
24 Anka Lodi (
was Mourfield
House) Meloney West Anka Lodi AMFT 1649523283 Y
Eon Lawrence Losefa Anka Lodi LMFT 1982898276 104807 Y
Aaron Fett Anka Lodi Psychology Intern 1932352424 Y
25 ASPIRAnet Courtney Warfield-Gibbs ASPIRAnet Waivered 1285958520 ACSW 70918 Y
Melissa Wimer ASPIRAnet Licensed 1467946301 LMFT 81226 Y
Patricia A Jackson ASPIRAnet Waivered 1780848853 AMFT 73975 Y
Vijai Pandey ASPIRAnet Waivered 1710497938 AMFT 70416 Y
Amir Siddiqui ASPIRAnet Waivered 1336617844 APCC 5341 N
26 Bright
House Robert Lee Majors Bright House LMFT 1780692806 49236 Y
27 Casa Pacifica - OUT OF COUNTY PROVIDER
28 CBIS (University of the Pacific)- NON LICENSED STAFF ONLY
29 Chamberlains Children Center Inc -OUT OF COUNTY PROVIDER
30 Charis Youth Center- OUT OF COUNTY PROVIDER
31 Child Abuse
Prevention
Council Roger Duke Child Abuse Prevention Council LMFT 1992861082 79588 Y
Cassandra Lowe Child Abuse Prevention Council AMFT 1205278694 75983 Y
Stacey Tidwell Child Abuse Prevention Council ACSW 1790189413 72578 Y
Nazia Khan Child Abuse Prevention Council AMFT 1508227158 81499 Y
Lisa Aguilar Child Abuse Prevention Council ACSW 1417401035 73365 Y
Anabel Montejano Child Abuse Prevention Council ACSW 1740656636 78974 Y
Catherine Thiel Child Abuse Prevention Council LCSW 1134569791 82263 Y
Michelle Nelson Child Abuse Prevention Council AMFT 1891173357 94133 Y
Maria Cardoza Child Abuse Prevention Council AMFT 1467861252 87554 Y
Thear Chum Child Abuse Prevention Council ACSW 1134648231 83947 Y
Kaitlyn Reilly Child Abuse Prevention Council ACSW 1205381613 83651 Y
Laura Rodriguez Child Abuse Prevention Council ACSW 1316498892 78113 Y
Diana Strimling Child Abuse Prevention Council AMFT 1316221765 104452 Y
32 Community Re-Entry Program (CRP)- NON LICENSED STAFF ONLY
33 Crestwood Solano (PHF)- Out of County Provider
34 Crittenton Services For Children and Families -OUT OF COUNTY PROVIDER
35 Edgewood Center for Children and Families- OUT OF COUNTY PROVIDER
36 Fred Finch Youth Center- OUT OF COUNTY PROVIDER
37 Grant
House Meloney West Grant House AMFT 1649523283 Y
JoAnn Marie Cornelius Grant House LPT 1205877727 35804 Y
Melinda Carchidi Grant House Psychology Intern 1609151653 Y
38 Latino
Behavioral
Health and
Recovery
Services Alexander Largaespada Latino Behavioral Health AMFT 181902161 AMFT 93473 Y
Maria De La Luz Torres Latino Behavioral Health ACSW 1003323361 ASW80844 N
Lynn Tarrant Latino Behavioral Health Clinician 1609993021 Licensed Marriage and Family Therapist LMFT18630 N
39 Martin Gipson Socialization Center- NON LICENSED STAFF ONLY
40 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
41 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
42 Mountain Valley Child and Family Services Inc - OUT OF COUNTY PROVIDER
43 Mountain Valley Child and Family Services Inc- OUT OF COUNTY PROVIDER
44 Phoenix House of Los Angeles Inc- OUT OF COUNTY PROVIDER
45 Rebekah
Childrens
Home Bhatti Moeen Rebekah Childrens Home licensed 1205023736 A 100193 Physician amp SurgeonMD DEA FB4071332 Y
Cervantes Priscilla Rebekah Childrens Home licensed 1679081582 693037 LVN N
Delgado Melissa Rebekah Childrens Home licensed 1881002186 105380 LMFT Y
Downey Ruth Rebekah Childrens Home licensed 1790161339 100524 LMFT Y
Machuca Lopez Cynthia Rebekah Childrens Home waivered 1386053817 74884 ACSW Y
Moeller Ryan Rebekah Childrens Home waivered 1316303803 91385 AMFT Y
Vaca-Preez Alejandra Rebekah Childrens Home waivered 1629418876 36752 ACSW Y
Vargas-Gladen Rosalva Rebekah Childrens Home licensed 1326114372 46940 LMFT Y
46 Sacramento Childrens Home- OUT OF COUNTY PROVIDER
47 San Gabriel Childrens Center Out Patient- OUT OF COUNTY PROVIDER
48 Star View Adolescent Center OP- OUT OF COUNTY PROVIDER
49 Summitview Child Treatment Center- OUT OF COUNTY PROVIDER
50 Telecare
(aka Jeremy
House) Jessica Reiland Telecare- Jeremy House ASW (waived) Clinician 1003154634 70377 Y
Thuy Huynh Telecare- Jeremy House LPT Nurse 1033485495 36454 Y
Shannan Taylor Telecare- Jeremy House LMFT Regional Director 1528074770 LMFT46081 Y
51 Telecare
Early
Intervention
Recovery
Services (TEIRS) Melissa Planas ` LCSW 1679807994 LCSW66499 Y
Holli Hoffman TEIRS DNP 1144380940 2005000091 Y
Oshalique Bass TEIRS PCCI Waived 1477811677 5490 Y
Tran tran TEIRS LVN 1477084671 VN 275938 Y
Jennifer Miles TEIRS MD 1275541641 G83528 Y
Shannan Taylor TEIRS LMFT 1528074770 LMFT46081 Y
52 TLC Child and Family Services- OUT OF COUNTY PROVIDER
53 Valley
Community
Counseling
Services (VCCS)
(Manteca) 9040 Muhammad Kamran VCCS Manteca 9040 Licensed 1811051337 C53847 Psychiatrist Y
Patricia Goodman VCCS Manteca 9040 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Manteca 9040 Clinician 1578734687 AMFT 80527 Y
Alisha Sweyd VCCS Manteca 9040 Clinician 1689059941 AMFT 96911 Y
Teresa Viles-Reed VCCS Manteca 9040 Clinician 1386762623 PhD PSY14848 Y
54 Valley
Community
Counseling
Services (VCCS)
(School Based
Program-
Stockton) 9042 Cynthia Aguilera VCCS Stockton 9042 Clinician 1003326182 AMFT 102123 Y
Melanie Almada VCCS Stockton 9042 Clinician 1912396532 AMFT 92167 Y
Arica Arucan VCCS Stockton 9042 Clinician 1215258280 LCSW 72691 Y
Megan Bassi VCCS Stockton 9042 Clinician 1669833885 AMFT 91956 Y
Manjit Belanger VCCS Stockton 9042 Clinician 1255780771 AMFT 100537 Y
Ana De Trinidad VCCS Stockton 9042 Clinician 1043501570 AMFT 95408 Y
Tiffany Drake VCCS Stockton 9042 Clinician 1417456617 AMFT 103265 Y
Sarah Gard VCCS Stockton 9042 Clinician 1477966265 LMFT 106055 Y
Patricia Goodman VCCS Stockton 9042 Clinician 1497979256 LMFT 51544 Y
Carolyn Hider VCCS Stockton 9042 Clinician 1578734687 AMFT 80527 Y
Alicia Jackson VCCS Stockton 9042 Clinician 1912386525 AMFT 93526 Y
Naomi Jimenez VCCS Stockton 9042 Clinician 1669927828 AMFT 80527 Y
Leonard Lippert VCCS Stockton 9042 Clinician 1154691137 AMFT 101758 Y
Sandra McBride VCCS Stockton 9042 Clinician 1033467030 AMFT 75525 Y
Monika Muy VCCS Stockton 9042 Clinician 1982008603 ACSW 67390 Y
Desiree Nease VCCS Stockton 9042 Clinician 1447703491 ACSW 71196 Y
Katelyn Nelson VCCS Stockton 9042 Clinician 1669998290 ACSW 77372 Y
Elaine Pike VCCS Stockton 9042 Clinician 1508875055 LMFT 45258 Y
Cristal Rodriguez VCCS Stockton 9042 Clinician 1760938740 AMFT 93861 Y
Reshma Roy VCCS Stockton 9042 Clinician 1073061784 ACSW 66474 Y
Belem Ruiz VCCS Stockton 9042 Clinician 1508380411 AMFT 100924 Y
Jenna Santoyo VCCS Stockton 9042 Clinician 1457584567 LCSW 29827 Y
Riah Skrinnik VCCS Stockton 9042 Clinician 1295275592 APCC 3532 Y
Kristyn Towers VCCS Stockton 9042 Clinician 1942671052 AMFT 89172 Y
Alexsandra Trejo VCCS Stockton 9042 Clinician 1750837985 AMFT 92738 Y
Vichra You VCCS Stockton 9042 Clinician 1013437714 AMFT 99071 Y
55 Valley
Community
Counseling
Services (VCCS)
(Tracy) 9041 Muhammad Kamran VCCS Tracy 9041 Licensed 1811051337 C53847 Psychiatrist Y
Rosemary Cervantes VCCS Tracy 9041 Clinician 1407299738 AMFT 72397 Y
Laura Strickland VCCS Tracy 9041 Clinician 1538354543 2012633 Y
Lani Westervelt VCCS Tracy 9041 Clinician 1629191366 LMFT 38654 Y
56 Victor
Community
Services and
Support
Stockton
(VCSS) 9063 Loiuse Cerna VCSS Stockton 9063 MFTI 1346794690 92730 - Marriage and Fmily Therapist Intern Y
Aziza Citi VCSS Stockton 9063 LMFT 1831510650 96329 - Licensed Marriage and Family Therapist Y
Melissa Colon VCSS Stockton 9063 MFTI 1871663351 77340 - Marriage and Family Therapist Intern Y
Itzia Cruz VCSS Stockton 9063 ACSW 1639533987 80056 - Associate Clinical Social Worker Y
Tracy Cutino VCSS Stockton 9063 LMFT 1740297902 47897 - Licensed Marriage and Family Therapist Y
Betia Dadkhah VCSS Stockton 9063 LMFT 1083709380 44160 - Licensed Marriage and Family Therapist Y
Mark Edelstein VCSS Stockton 9063 MD 1972516714 C41340 - Physician amp Surgeon Y
Sharee Esparza VCSS Stockton 9063 MFTI 1982145504 102079 - Marriage and Family Therapist Intern Y
Tanner Hickman VCSS Stockton 9063 ACSW 1194272146 78099 - Associate Clinical Social Worker Y
Courtney Ivy VCSS Stockton 9063 MFTI 1679959217 71048 - Marriage and Family Therapist Intern Y
Giana Kooger VCSS Stockton 9063 LMFT 1720318132 86206 - Licensed Marriage and Family Therapist Y
Sheree Lozano VCSS Stockton 9063 MFTI 1538523501 88637 - Marriage and Family Therapist Intern Y
Christina Lopez VCSS Stockton 9063 MFTI 1265705727 102443 - Marriage and Family Therapist Intern Y
Koryn Marshall VCSS Stockton 9063 LMFT 1962881870 86263 - Licensed Marriage and Family Therapist Y
Adrianna Martinez VCSS Stockton 9063 MFTI 1851831242 107761 - Marriage and Family Therapist Intern Y
Laura Rodriguez VCSS Stockton 9063 ACSW 1316498892 78113 - Associate Clinical Social Worker Y
Jacquelyn Seefeldt VCSS Stockton 9063 MFTI 1124250204 74064 - Marriage and Family Therapist Intern Y
Heather Taylor VCSS Stockton 9063 LMFT 1265514251 44021 - Licensed Marriage and Family Therapist Y
Palei Triguero VCSS Stockton 9063 MFTI 1871994285 86335 - Marriage and Family Therapist Intern Y
Wendy True VCSS Stockton 9063 LMFT 1750476438 44262 - Licensed Marriage and Family Therapist Y
Jennifer Tutt VCSS Stockton 9063 LCSW 1316134091 27530 - Licensed Clinical Social Worker Y
Sarah Voss VCSS Stockton 9063 LMFT 1275602914 51406 - Licensed Marriage and Family Therapist Y
Michelle Zuckerman VCSS Stockton 9063 LMFT 1891948691 84298 - Licensed Marriage and Family Therapist Y
57 Victor Treatment Center - Santa Rosa- OUT OF COUNTY PROVIDER
58 Victor Youth Services (North Valley Schools)- OUT OF COUNTY PROVIDER
59 Womens Center- Family and Youth Services httpswwwwomenscenteryfsorgindexphpget-helptherapy-services
CONTRACT PSYCHIATRIC HOSPITALS
60 BHC Heritage Oaks Hospital - Out of County Hospital
61 BHC Sierra Vista Hospital - Out of County Hospital
62 St Helena Hospital Center for Behavioral Health - Out of County Hospital
63 John Muir Behavioral Health Center - Out of County Hospital
64 Sutter Center for Psychiatry - Out of County Hospital
65 Fremont Hospital - Alka Aneja Fremont Hospital ChildAdolescent MD 1619031317 A112029BA9881017 Y
Harmohinder Athwal Fremont Hospital ChildAdolescent MD 1740298256 A81841BA8179473 Y
Kamaljeet Boora Fremont Hospital Psychiatry MD 1356587711 102846FB0978823 N
Vikas Duvvuri Fremont Hospital EDO MD 1255470480 A99706FD0242064 Y
Trevor Fooks Fremont Hospital Psychiatry MD 1730267535 G63964BF1543695 Y
Ravinder Kahlon Fremont Hospital NeuroPsych MD 1386741320 A50823BK2018934 N
Vasdeep Kahlon Fremont Hospital Psychiatry MD 1497852446 A51243BK2742535 N
Padmavathi Kudaravalli Fremont Hospital Internal Medicine MD 1144221953 A67964BK6574974 Y
Pradeep Kumar Fremont Hospital Psychiatry MD 1023188935 A52032BK4202177 N
Deepak Kumar Fremont Hospital Psychiatry MD 1306257910 A130068FK4574299 Y
Sudha Manjunath Fremont Hospital ChildAdolescent MD 1801826797 A87131BM8982818 Y
Syed Munir Fremont Hospital ChildAdolescent MD 1790718815 C55029BM3999553 Y
Nanda Nayak Fremont Hospital Psychiatry MD 1477656262 A43182BN0687597 N
Falguni Patel Fremont Hospital ChildAdolescent MD 1548414337 A105594FP1152949 Y
Surender Punia Fremont Hospital Psychiatry MD 1376589663 A77004BP6477497 Y
Divya Reddy Fremont Hospital Psychiatry MD 1518120211 A103547FR1100306 Y
Devindar Singh Fremont Hospital Internal Medicine MD 1447294624 A48148BS2303422 N
Sunpreet Singh Fremont Hospital Psychiatry MD 1326464462 A132932FS5027087 Y
Bhupinder Waraich Fremont Hospital Psychiatry MD 1689869547 A53968BW4473346 Y
Jaap Kaur Waraich Fremont Hospital Psychiatry MD 1316132285 G67904BW2368391 Y
Nicholas Phillips Fremont Hospital Family Medicine MD 1255727293 A153125FP7288841 N
Harleen Dyal Fremont Hospital Family Medicine MD 1225424327 A153255FD7288839 N
SUBSTANCE ABUSE SERVICES PROVIDER DIRECTORY
66 Central Intake Unit-Referrals to Licensed Staff
67 Chemical
Dependency
Counseling
Center ( CDCC) Tyler Moran Chemical Dependency Counseling Center 390002DNAMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Chemical Dependency Counseling Center 390002DNMFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Chemical Dependency Counseling Center 390002DNPsychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Chemical Dependency Counseling Center 390002DNPsychiatrist 1710094057 A72805 Y
68 Alcohol amp Drug Alternative Program (ADAP)-Referrals to Licensed Staff
69 Family Ties Tyler Moran Family Ties 390002EN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Family Ties 390002EN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Family Ties 390002EN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Family Ties 390002EN Psychiatrist 1710094057 A72805 Y
70 Recovery
House Tyler Moran Recovery House 390002AN AMFT Intern 1114346848 AMFT100257 Y
Lawrence Shaddix Recovery House 390002AN MFT Intern 1508282286 IMF84560 Y
Robert Raymond Hart Recovery House 390002AN Psychiatrist 1477660074 C38923 Y
Khurram Khan Durrani Recovery House 390002AN Psychiatrist 1710094057 A72805 Y
71 Adolescent Co- Occurring Treatment Program (ACT) Childrens Behavioral Health Services- Referrals to Licensed Staff
72 Prevention Services- Referrals to Licensed Staff
NARCOTIC TREATMENT PROGRAMSMEDICATION ASSISTED TREATMENT
73 Aegis
Treatment
Center Dr Randall Paul Aegis Treatment Center Medical License 1912061045 A26361 Y
Linda Beccerra Aegis Treatment Center Vocation Nurse VN 183039 Y
Dora Berry Aegis Treatment Center Vocation Nurse VN 689493 Y
Jeannette Carter-Camp Aegis Treatment Center Vocation Nurse 1740480342 NP 7506 Y
Francisca Marquez Aegis Treatment Center Vocation Nurse VN 287402 Y
74 5th Street
Medical Clinic
Stockton Dr Michael Fox 5th Street Medical Clinic Medical License 1212069758 G53561 Y
Melissa Whitworth 5th Street Medical Clinic Vocation Nurse RN 541037 Y
Divina Palafox 5th Street Medical Clinic Vocation Nurse 1912061995 VN 17300 Y
Divna Lu 5th Street Medical Clinic Vocation Nurse VN 183039 Y
Jeannette Carter-Camp 5th Street Medical Clinic Vocation Nurse 1740480342 NP 7506 Y
75 Aegis
Treatment
CenterHealthy
Connections
(California St)
Stockton Dr Michael Fox Aegis Treatment CenterHealthy ConnectionsMedical License 1212069758 G53561 Y
Melissa Whitworth Aegis Treatment CenterHealthy ConnectionsVocation Nurse RN 541037 Y
Dr Brian Talleur Aegis Treatment CenterHealthy ConnectionsMedical License 1659791101 A154190 Y
Alvin Goat Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 20473 Y
Crystal August Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 695962 Y
Rosenah Durago Aegis Treatment CenterHealthy ConnectionsVocation Nurse 1841629185 VN 235553 Y
Maria Garsuta Aegis Treatment CenterHealthy ConnectionsVocation Nurse VN 235825 Y
76 Healthy
Connections
Lodi Clinic Melissa Whitworth Healthy Connections Lodi Clinic Vocation Nurse RN 541037 Y
Dr Brian Talleur Healthy Connections Lodi Clinic Medical License 1659791101 A154190 Y
Angeles Alfaro Healthy Connections Lodi Clinic Vocation Nurse 1649669979 VN 689129 Y
John Campos Healthy Connections Lodi Clinic Vocation Nurse 1407192297 VN 260740 Y
Prabhjot Kaur Healthy Connections Lodi Clinic Vocation Nurse VN 698775 Y
Meenal Prasad Healthy Connections Lodi Clinic Vocation Nurse 1114407368 VN 287331 Y
77 Manteca
Healthy
Connections Dr Michael Fox Manteca Healthy Connections Medical License 1212069758 G53561 Y
Melissa Whitworth Manteca Healthy Connections Vocation Nurse RN 541037 Y
Dr Randall Paul Manteca Healthy Connections Medical License 1912061045 A26361 Y
Mary Jane Davis Manteca Healthy Connections Vocation Nurse 1861822744 VN 72342 Y
Christine Falcon Manteca Healthy Connections Vocation Nurse VN 175628 YDourine Iqiel Manteca Healthy Connections Vocation Nurse 1477008506 VN281162 YRebecca Mohr Manteca Healthy Connections Psyciatric Technician LPT 26531 Y
78 MedMark Treatment Center httpsmedmarkcommedmark-treatment-centers-stockton
LANGUAGE ASSISTANCE
English
ATTENTION If you speak another language language assistance services free of charge are available to you Call 1-888-468-9370 (TTY 1-866-735-2922 )ATTENTION Auxiliary aids and services including but not limited to large print documents and alternative formats are available to you free of charge upon request Call 1-888-468-9370
Espantildeol (Spanish)
ATENCIOacuteN Si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia linguumliacutestica Llame al 1-888-468-9370 (TTY 1-866-735-2922 )
Tiếng Việt (Vietnamese)
CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn Gọi số 1-888-468-9370 (TTY 1-866-735-2922 )
Services may be delivered by an individual provider or a team of providers who is working under the direction of a licensed practitioner operating within their scope of practice Only licensed
waivered or registered mental health providers and licensed substance use disorder services providers are listed on the Plans provider directory
Tagalog (Tagalog Filipino)
PAUNAWA Kung nagsasalita ka ng Tagalog maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad Tumawag sa 1-888-468-9370 (TTY 1-866-735-2922 )한국어 (Korean)주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수 있습니다 1-888-468-9370 (TTY 1-866-735-2922 ) 번으로 전화해 주십시오繁體中文繁體中文繁體中文繁體中文(Chinese)注意如果您使用繁體中文您可以免費獲得語言援助服務請致電1-888-468-9370 (TTY 1-866-735-2922 )ՀայերենՀայերենՀայերենՀայերեն (Armenian)
ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ Զանգահարեք 1-888-468-9370 (TTY 1-866-735-2
Русский (Russian)
ВНИМАНИЕ Если вы говорите на русском языке то вам доступны бесплатные услуги перевода Звоните 1-888-468-9370 (TTY 1-866-735-2922 )
(Farsi) فارسیتوجه اگر به زبان فارسی گفتگو می کنيد تسهيلات زبانی بصورت رايگان برای شما
日本語日本語日本語日本語 (Japanese)注意事項日本語を話される場合無料の言語支援をご利用いただけます1-888-468-9370فراهم می باشد با 1 (TTY 1-866-735-2922 ) までお電話にてご連絡くださいHmoob (Hmong)
LUS CEEV Yog tias koj hais lus Hmoob cov kev pab txog lus muaj kev pab dawb rau koj Hu rau 1-888-468-9370 (TTY 1-866-735-2922 )
ਪਜਾਬੀ (Punjabi)
ਿਧਆਨ ਿਦਓ ਜ ਤਸੀ ਪਜਾਬੀ ਬਲਦ ਹ ਤਾ ਭਾਸ਼ਾ ਿਵਚ ਸਹਾਇਤਾ ਸਵਾ ਤਹਾਡ ਲਈ ਮਫਤ ਉਪਲਬਧ ਹ 1-888-468-9370 (TTY 1-866-735-2922) ਤ ਕਾਲ ਕਰ
(Arabic) العربيةملحوظة إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغوية تتوافر لك بالمجان
हिदी (Hindi)
द यदि आप हिदी बोलत ह तो आपक लिए मफत म भाषा सहायता सवाए उपलबध ह [1-888-468-9370 (TTY 1-866-735-2922) पर कॉल कर
ภาษาไทย (Thai)
เรยน ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร 1-888-468-9370 (TTY 1-866-735-2922) धयान
ែខរ (Cambodian)
បយត ររ េស នអកនយ ែខ រសជនយមននក េយមនគត នគចនស ររ អេ នក ច ទ សព+1-888-468-9370 (TTY 1-866-735-2922)
ພາສາລາວ (Lao)
ໂປດຊາບ ຖາວາ ທານເວາພາສາ ລາວ ການບລການຊວຍເຫອດານພາສາໂດຍບເສຽຄາ ແມນມພອມໃຫທານ ໂທຣ 1-888-468-9370 (TTY 1-866-735-2922)
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