MENTAL HEALTH SYSTEMS, INC. (NPI# 1104954056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104954056 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH SYSTEMS, INC. |
| Other Organization Name | VICTOR VALLEY CENTER FOR CHANGE |
| Practice Address |
15770 Mojave Dr Suites K & L Victorville CA 92394-1934 |
| Mailing Address |
9465 Farnham St San Diego CA 92123-1308 |
| Practice Telephone | 7608437809 |
| Practice Fax Number | 7608437810 |
| Mailing Telephone | 8585732600 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | JAMES C CALLAGHAN JR. (PRESIDENT/CEO) |
| Authorized Official Telephone | 8585732600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 3695 | 05 |
| Other Name | Type Code |
|---|---|
| Victor Valley Center for Change | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306483284 | Mental Health Systems, Inc. | Community/Behavioral Health | 5121 Stockdale Hwy Ste 212, Bakersfield, CA 93309-2656 | 2019-12-10 |
| 1831620871 | Mental Health Systems, Inc. | Community/Behavioral Health | 410 Hidden Trails Rd, Escondido, CA 92027-5333 | 2017-03-22 |
| 1144678996 | Mental Health Systems, Inc. | Community/Behavioral Health | 1401 Hanson Ln, Ramona, CA 92065-3304 | 2016-06-01 |
| 1407294564 | Mental Health Systems, Inc. | Community/Behavioral Health | 58945 Business Center Dr Ste Jp&n, Yucca Valley, CA 92284-7307 | 2013-06-11 |
| 1639343544 | Mental Health Systems, Inc. | Community/Behavioral Health | 591 E Elder St Ste C, Fallbrook, CA 92028-5001 | 2008-04-22 |
| 1881722429 | Mental Health Systems, Inc. | Community/Behavioral Health | 2020 N Waterman Ave Ste C, San Bernardino, CA 92404-4849 | 2007-03-02 |
| 1891824371 | Mental Health Systems, Inc. | Community/Behavioral Health | 3340 Kemper St Ste 105&207, San Diego, CA 92110-4906 | 2007-03-02 |
| 1821126889 | Mental Health Systems, Inc. | Community/Behavioral Health | 300 H St, Needles, CA 92363-2928 | 2007-03-01 |
| 1952439804 | Mental Health Systems, Inc. | Community/Behavioral Health | 1172 3rd Ave, Suite D1, Chula Vista, CA 91911-3116 | 2007-03-01 |
| 1821126897 | Mental Health Systems, Inc. | Community/Behavioral Health | 504 W Vista Way, Vista, CA 92083-5704 | 2007-03-01 |
| Street Address |
15770 MOJAVE DR SUITES K & L |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92394-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871030221 | Gary Alan Yzaguirre | Counselor | 15770 Mojave Dr, Suite L, Victorville, CA 92394-1934 | 2017-01-24 |
| 1356799464 | Gabriela Lopez | Counselor | 15770 Mojave Dr, # L, Victorville, CA 92394-1934 | 2016-05-31 |
| 1114371465 | Alexandra Galindo | Counselor | 15770 Mojave Dr, Victorville, CA 92394-1934 | 2016-04-22 |
| 1649392713 | Dimitri Cox | Counselor | 15770 Mojave Dr, Suite L, Victorville, CA 92394-1934 | 2007-04-06 |
| 1043332109 | Lawrence D Mangiapane IIi | Counselor | 15770 Mojave Dr, Suite L, Victorville, CA 92394-1934 | 2007-04-06 |
| 1770603417 | Karen Lynne O'rear II | Counselor | 15770 Mojave Dr, Suite L, Victorville, CA 92394-1934 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045803 | Desert Horizon Residential Care | Assisted Living Facility | 15952 Condor Rd, Victorville, CA 92394 | 2020-05-28 |
| 1467000943 | Tawanna Lasha Young | Counselor | 15095 Armargosa, Ste 208, Victorville, CA 92394 | 2019-08-28 |
| 1811543473 | Silvano Gonzalez | Transportation Broker | 13767 Hidden Mesa Ct, Victorville, CA 92394 | 2019-08-09 |
| 1215442793 | Yun Jung Choi | Pharmacist | 15318 Roy Rogers Dr., Victorville, CA 92394 | 2017-12-06 |
| 1770942914 | Monica Castro | Marriage & Family Therapist | 15095 Armargosa Rd, 208, Victorville, CA 92394 | 2016-02-16 |
| 1902289226 | Daesoon Leem | Family Medicine | 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 | 2015-07-06 |
| 1093068322 | City Taxi | Taxi | 14871 Totem Pole St, Victorville, CA 92394 | 2012-10-24 |
| 1467701318 | Margarita Renee Ortega | Counselor | 16224 Tawney Ridge Lane, Victorville, CA 92394 | 2012-09-06 |
| 1326328584 | Pro Line Transportation LLC | Non-emergency Medical Transport (VAN) | 10604 Karen Dr, Victorville, CA 92394 | 2011-08-19 |
| 1164604906 | Maxim Healthcare Services, Inc. | Home Health | 15095 Amargosa Road, Suite 102, Victorville, CA 92394 | 2007-12-04 |
| Find all providers in zip 92394 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568947323 | County of San Bernardino | Community/Behavioral Health | 15345 Bonanza Rd, Victorville, CA 92392-2499 | 2018-09-27 |
| 1558849141 | Valley Star Behavioral Health, Inc. | Community/Behavioral Health | 12188 Hesperia Road, Victorville, CA 92395-5822 | 2018-08-06 |
| 1407365430 | Life Skills Awareness | Community/Behavioral Health | 15353 Bonanza Rd Ste 2, Victorville, CA 92392-2465 | 2017-09-21 |
| 1235582404 | Greater Hope Foundation | Community/Behavioral Health | 14344 Cajon Avenue, Suite 101, 103, Victorville, CA 92392 | 2016-07-22 |
| 1881078517 | Harmeling Enterprises LLC | Community/Behavioral Health | 14443 Park Ave Ste A2, Victorville, CA 92392-2388 | 2015-07-13 |
| 1457626889 | Reallifedreams | Community/Behavioral Health | 14240 Saint Andrews Dr, Suite 101, Victorville, CA 92395-4308 | 2012-03-19 |
| 1215208921 | People's Care Autism Services, Inc. | Community/Behavioral Health | 13901 Amargosa Rd Ste 2, Victorville, CA 92392-2409 | 2012-01-26 |
| 1649498593 | San Bernardino County Department of Behavioral Health | Community/Behavioral Health | 15505 Civic Dr, Victorville, CA 92392-2357 | 2007-04-23 |
| 1568813129 | Greater Hope Foundation for Children Inc | Community/Behavioral Health | 14344 Cajon Ave, Suite 101, 102, 103, Victorville, CA 92392-4300 | 2016-06-24 |
| 1275947426 | Valley Star Behavioral Health, Inc. | Community/Behavioral Health | 12240 Hesperia Rd, Victorville, CA 92395-8309 | 2014-06-16 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92394 |
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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.