IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES


Address: 1501 West Imperial Avenue, Calexico, CA 92231-1851
Phone: 4422656340

IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES (NPI# 1033652078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033652078
Entity Type Organization
Organization Name IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES
Other Organization Name CALEXICO ANXIETY AND DEPRESSION CLINIC AND FSP PROGRAM
Practice Address 1501 West Imperial Avenue
Calexico
CA 92231-1851
Practice Telephone 4422656340
Enumeration Date 2016-11-23
Last Update Date 2020-06-19
Authorized Official Name MRS. ANDREA KUHLEN (DIRECTOR)
Authorized Official Telephone 4422651602
Is Organization Subpart Y
Parent Organization Name IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Calexico Anxiety and Depression Clinic and FSP Program Other Name - Individual/Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
1501 West Imperial Avenue, Calexico, CA 922311851
25 E Third St, Calexico, CA 922312659 4422657200

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033745757 Imperial County Behavioral Health Services Clinic/Center 23 East 3rd Street, Calexico, CA 92231 2020-03-13
1679126247 Imperial County Behavioral Health Services Rehabilitation, Substance Use Disorder Unit 101 Hacienda Dr, Calexico, CA 92231-1889 2019-07-22
1568920569 Imperial County Behavioral Health Services Clinic/Center 101 Hacienda Dr Ste A, Calexico, CA 92231-1889 2019-03-08
1053896241 Imperial County Behavioral Health Services Clinic/Center 1209 Van Buren Ave., Ste 1, Thermal, CA 92274-8800 2018-10-03
1669969846 Imperial County Behavioral Health Services Clinic/Center 480 N Imperial Ave Rm 95, Brawley, CA 92227-1625 2018-04-13
1003313537 Imperial County Behavioral Health Services Clinic/Center 1014 W Brighton Ave, El Centro, CA 92243-3111 2018-04-11
1497275291 Imperial County Behavioral Health Services Clinic/Center 2001 Ocotillo Dr Rm R38, El Centro, CA 92243 2017-06-22
1821455395 Imperial County Behavioral Health Services Clinic/Center 195 S. 9th St., Brawley, CA 92227-9762 2016-01-28
1023474905 Imperial County Behavioral Health Services Clinic/Center 313 Waterman Ave, El Centro, CA 92243-2215 2016-01-08
1235327768 Imperial County Behavioral Health Services Clinic/Center 1501 I St, Brawley, CA 92227-3603 2007-10-10

Office Location

Street Address 1501 WEST IMPERIAL AVENUE
City CALEXICO
State CA
Zip Code 92231-1851

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912512567 Clinicas Del Valle, Inc Anesthesiology 120 W. Cole Blvd, Ste. B, Calexico, CA 92231 2020-09-10
1033745757 Imperial County Behavioral Health Services Clinic/Center 23 East 3rd Street, Calexico, CA 92231 2020-03-13
1508143827 Imperial Valley Optomtric Corporation Optometrist 1113 Imperial Ave. W., Ste 103, Calexico, CA 92231 2011-11-15
1902065428 Mariana Nogales Registered Nurse 233 West Cole Road, Calexico, CA 92231 2008-06-09
1447462924 Calexico Unified School District Local Education Agency (LEA) 901 Andrade Ave., Calexico, CA 92231 2007-05-04
1740327238 Manuel Ypina Registered Nurse 604 Birch St, Calexico, CA 92231 2007-01-31
1851457725 Michelle Lynn Melendez Pediatrics 233 W. Cole Blvd, Calexico, CA 92231 2006-12-28
1952310898 Edna R. Esquer Registered Nurse 1001 E. U.S. Hwy 98, Suite 1, Calexico, CA 92231 2006-08-07
1083633499 Charles Garrick Webb Family Medicine 801 E Birch St, Suite 2, Calexico, CA 92231 2006-07-18
1689691644 Gilbert Pangilinan Physical Therapist 120 W Cole Rd. Ste B, Calexico, CA 92231 2006-07-16
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
1598365652 Hearts for Sight Foundation Clinic/Center 1540 Prospect Ave Apt A, San Gabriel, CA 91776-4484 2020-10-28
1679172290 Cyti Psychology PC Clinic/Center 3025 Calico St, Santee, CA 92071-5678 2020-10-23
1427655810 An Elegant Sufficiency, A Psychological Corporation Clinic/Center 672 W 11th St Ste 354, Tracy, CA 95376-3821 2020-10-08
1184231508 Rh Community Builders Lp. Clinic/Center 1040 N Pleasant Ave, Fresno, CA 93728-2434 2020-09-29
1730795337 Full Circle Psychotherapy Clinic/Center 6741 Sebastopol Ave Ste 110, Sebastopol, CA 95472-3838 2020-09-18
1871108928 Executive Recovery Group, Inc Clinic/Center 77725 Enfield Ln Ste 200, Palm Desert, CA 92211-0468 2020-09-14
1619581337 Family Tree Psychology Group Inc. Clinic/Center 3655 Grand Ave, Oakland, CA 94610-2009 2020-09-01
1306459029 Lisa Eaton Therapy and Coaching, A Licensed Clinical Social Worker Cor Clinic/Center 3014 Lupine, Lake Forest, CA 92630-8439 2020-08-24
1972112712 County of Kern Clinic/Center 316 Kentucky, Bakersfield, CA 93305 2020-07-28
1417566605 Freedom Family Counseling Group Corp. Clinic/Center 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 2020-07-23
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Competitor

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City CALEXICO
Zip Code 92231

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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