BEHAVIORAL HEALTH SERVICES (NPI# 1104154657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104154657 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL HEALTH SERVICES |
| Practice Address |
15519 Crenshaw Blvd Gardena CA 90249-4525 |
| Practice Telephone | 3106799126 |
| Practice Fax Number | 3106792800 |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-20 |
| Authorized Official Name | MRS. TERESA CANNON (CHEIF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 3106792920 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720450497 | Behavioral Health Services | Substance Abuse Rehabilitation Facility | 25911 Hillworth Ave, Lomita, CA 90717-2316 | 2015-10-21 |
| 1699049650 | Behavioral Health Services | Community/Behavioral Health | 505 S Pacific Ave, San Pedro, CA 90731-2656 | 2012-03-08 |
| 1538360995 | Behavioral Health Services | Psychologist | 1901 N Hudson St, Altus, OK 73521-2027 | 2007-05-31 |
| 1912037797 | Behavioral Health Services | Community/Behavioral Health | 404 Edgewood St, Inglewood, CA 90302-3415 | 2007-03-07 |
| 1619008380 | Behavioral Health Services | Substance Abuse Rehabilitation Facility | 12917 Cerise Ave, Hawthorne, CA 90250-5520 | 2007-03-07 |
| 1992835706 | Behavioral Health Services | Community/Behavioral Health | 4065 Whittier Blvd, Suite 202-203, Los Angeles, CA 90023-2556 | 2007-03-07 |
| 1528126422 | Behavioral Health Services | Point of Service | 5575 Hospital Drive, Atascadero, CA 93422 | 2006-12-04 |
| 1144204926 | Behavioral Health Services | Social Worker | 3225 W Gordon Ave, Layton, UT 84041-6508 | 2005-12-05 |
| 1982135307 | Behavioral Health Services | Counselor | 6838 W Sunset Blvd, Hollywood, CA 90028-7008 | 2017-03-27 |
| 1922451780 | Behavioral Health Services | Case Management | 590 W 8th St, San Pedro, CA 90731-3120 | 2016-07-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEHAVIORAL HEALTH SERVICES | 891 Mountain Ranch Rd, San Andreas, CA 95249-9713 |
| System for Award Management (SAM) Entities | BEHAVIORAL HEALTH SERVICES FOUNDATION OF SOUTH CAROLINA, INC | 421 Mission Ct, Irmo, SC 29063-2378 |
| System for Award Management (SAM) Entities | BEHAVIORAL HEALTH SERVICES INC | 15519 Crenshaw Blvd, Gardena, CA 90249-4525 |
| North Carolina Corporations | BEHAVIORAL HEALTH SERVICES INC | 3100 Memorial Dr, Greenville, NC 27834 |
| Washington State Corporations | BEHAVIORAL HEALTH SERVICES LLC | 310 3rd Ave Ne Ste 104, Issaquah, WA 98027-3345 |
| Virginia Business Entities | Behavioral Health Services LLC | 4221 Buckman Road, Alexandria, Virginia 22309 |
| System for Award Management (SAM) Entities | BEHAVIORAL HEALTH SERVICES NORTH (BHSN) | 22 Us Oval Ste 218, Plattsburgh, NY 12903-5902 |
| New York State Corporations | BEHAVIORAL HEALTH SERVICES NORTH, INC. | 22 U.S. Oval, Plattsburgh, New York 12903 |
| Ohio Business Entities | BEHAVIORAL HEALTH SERVICES OF GREATER CLEVELAND, INC. | 21851 Center Ridge Road, Rocky River, OH 44116 |
| Oklahoma Business Registrations | BEHAVIORAL HEALTH SERVICES OF GREEN COUNTRY, PLLC | 463 Sw 579 Loop, Chouteau, OK 74337 |
| Street Address |
15519 CRENSHAW BLVD |
| City | GARDENA |
| State | CA |
| Zip Code | 90249-4525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225177587 | Stacey Lynn Gurgel I | Case Manager/Care Coordinator | 15519 Crenshaw Blvd, Gardena, CA 90249-4525 | 2007-02-05 |
| 1386243442 | Roxanne Young | Counselor | 15519 Crenshaw Blvd, Gardena, CA 90249-4525 | 2020-10-20 |
| 1518585058 | Tracy Solis | Counselor | 15519 Crenshaw Blvd, Gardena, CA 90249-4525 | 2020-07-10 |
| 1710507553 | Elizabeth Velazquez | Counselor | 15519 Crenshaw Blvd, Gardena, CA 90249-4525 | 2020-04-22 |
| 1578101713 | Kimberly Pink | Counselor | 15519 Crenshaw Blvd, Gardena, CA 90249-4525 | 2019-12-18 |
| 1588215859 | Eve Somers | Counselor | 15519 Crenshaw Blvd, Gardena, CA 90249-4525 | 2019-09-26 |
| 1871158790 | Tahnesia Hall | Counselor | 15519 Crenshaw Blvd, Gardena, CA 90249-4525 | 2019-05-06 |
| 1730654427 | James Dennis Mcdowell Sr. | Counselor | 15519 Crenshaw Blvd, Gardena, CA 90249-4525 | 2018-10-09 |
| 1285113613 | Victoria Arielle Towler | Rehabilitation Practitioner | 15519 Crenshaw Blvd, Gardena, CA 90249-9024 | 2018-08-07 |
| 1902383417 | Antonia Lemus | Counselor | 15519 Crenshaw Blvd, Gardena, CA 90249-4597 | 2018-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821518085 | Jin Taek Limb | Chiropractor | 2911 W 135th Pl, Gardena, CA 90249 | 2017-06-20 |
| 1083084651 | Charde Antoinette | Home Health | 2923 W 138th, Gardena, CA 90249 | 2015-09-25 |
| 1316330145 | Lupita Martinez | Marriage & Family Therapist | 15120 Atkinson Ave Ste 7, Gardena, CA 90249 | 2015-03-18 |
| 1699100487 | Asian American Drug Abuse Program, Inc | Community/Behavioral Health | 14112 S. Kingsley Dr., Gardena, CA 90249 | 2013-09-11 |
| 1992142327 | Vin'ash Coaching, LLC | Private Vehicle | 3163 W 154th Place, Gardena, CA 90249 | 2013-05-24 |
| 1811287048 | Best-option Home Health Agency Inc. | Home Health | 15223 S Crenshaw Blvd Suite A, Gardena, CA 90249 | 2011-04-08 |
| 1356644439 | Ameripride Ambulance Service, Inc. | Ambulance | 13509 South Raymond Avenue, Gardena, CA 90249 | 2010-12-13 |
| 1164732327 | Ctc Healthcare Services Inc | In Home Supportive Care | 13108 Arcturus Avenue, Gardena, CA 90249 | 2010-10-20 |
| 1407170996 | Marl Soon Chung | Dentist | 15622 S. Crenshaw Blvd #b, Gardena, CA 90249 | 2010-03-26 |
| 1164677464 | Grace Jiyoung Park | Family Medicine | 15446 S. Western Ave, Southern California Permanente Medical Group, Gardena, CA 90249 | 2008-12-01 |
| Find all providers in zip 90249 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774086 | Transformations Care Inc | Substance Abuse Rehabilitation Facility | 17921 S Avery Pl, Gardena, CA 90248-3710 | 2019-08-07 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1881149623 | Michael Harvey Sr. | Substance Abuse Rehabilitation Facility | 15519 Crenshaw Blvd, Gardena, CA 90249-4525 | 2016-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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| 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.