SAN BERNARDINO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH


Address: 900 E Gilbert St, San Bernardino, CA 92415-1003
Phone: 9093877793

SAN BERNARDINO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH (NPI# 1114154259) 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) 1114154259
Entity Type Organization
Organization Name SAN BERNARDINO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH
Other Organization Name GATEWAY WEST
Practice Address 900 E Gilbert St
San Bernardino
CA 92415-1003
Mailing Address 268 W Hospitality Ln
Ste 400
San Bernardino
CA 92415-1028
Practice Telephone 9093877793
Mailing Telephone 9093823133
Mailing Fax Number 9093823105
Enumeration Date 2009-06-16
Last Update Date 2012-04-16
Authorized Official Name MR. ALLAN RAWLAND (DIRECTOR)
Authorized Official Telephone 9093823133
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
Gateway West Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649498593 San Bernardino County Department of Behavioral Health Community/Behavioral Health 15505 Civic Dr, Victorville, CA 92392-2357 2007-04-23
1679956106 San Bernardino County Department of Behavioral Health Community/Behavioral Health 780 E Gilbert St, San Bernardino, CA 92415-1003 2015-07-01
1275760589 San Bernardino County Department of Behavioral Health Community/Behavioral Health 740 E Gilbert St, San Bernardino, CA 92415-1003 2009-06-12
1619197761 San Bernardino County Department of Behavioral Health Community/Behavioral Health 780 E Gilbert St, San Bernardino, CA 92415-1003 2007-04-30
1528288677 San Bernardino County Department of Behavioral Health Community/Behavioral Health 780 E Gilbert St, San Bernardino, CA 92415 2007-04-30
1689892630 San Bernardino County Department of Behavioral Health Community/Behavioral Health 934 N Mountain Ave Ste C, Upland, CA 91786-3659 2007-04-23

Office Location

Street Address 900 E GILBERT ST
City SAN BERNARDINO
State CA
Zip Code 92415-1003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578616496 Jo Ann Laster Marriage & Family Therapist 900 E Gilbert St, San Bernardino, CA 92415-1004 2007-01-22
1386165322 Jenina Lontok Salvador Counselor 900 E Gilbert St, San Bernardino, CA 92415-0911 2017-06-29
1265969794 Maria Elena Cortes Registered Nurse 900 E Gilbert St, San Bernardino, CA 92415-0911 2017-05-15
1952858961 Uchenna Nnaji Psychologist 900 E Gilbert St, Cottage 4, San Bernardino, CA 92415-0911 2016-09-07
1457805392 Stacey Manley Registered Nurse 900 E Gilbert St, Cottage 4, San Bernardino, CA 92415-0911 2016-08-09
1306290267 Breanna Stanley Marriage & Family Therapist 900 E Gilbert St, San Bernardino, CA 92415-3542 2016-04-18
1609244367 Amber Israel Marriage & Family Therapist 900 E Gilbert St, San Bernardino, CA 92415-0911 2015-09-10
1295133080 Olivia Oliveros Social Worker 900 E Gilbert St, Cottage 4, San Bernardino, CA 92415-0911 2014-12-11
1376947739 Juan Felipe Murillo Counselor 900 E Gilbert St, San Bernardino, CA 92415-0940 2014-10-14
1205255106 Blessing Chinedu-obi Social Worker 900 E Gilbert St, San Bernardino, CA 92415-9356 2014-04-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578041042 Karina Judith Barragan Student in an Organized Health Care Education/Training Program 19500 South Sunwest Lane, San Bernardino, CA 92415 2018-08-06
1841714839 Layla Subhani Marriage & Family Therapist 780 E Gilbert Street, Bldg H, San Bernardino, CA 92415 2017-08-01
1023546637 Angelica Ruiz Marriage & Family Therapist 900 E. Gilbert Street, Cottage 4, San Bernardino, CA 92415 2017-05-25
1750825030 Jordyn Ackerman Marriage & Family Therapist 900 E Gilbert Street, Cottage 4, San Bernardino, CA 92415 2016-12-06
1083063663 San Bernardino County Department of Public Health Public Health or Welfare 1505 South D Street, San Bernardino, CA 92415 2016-06-06
1366821233 Jodi Cerney Counselor 1950 S. Sunwest Lane, Suite #200, San Bernardino, CA 92415 2015-05-26
1427442268 Yessenia Cruz Case Manager/Care Coordinator 780 E Gilbert St Bldg H, San Bernardino, CA 92415 2015-03-18
1861808859 Hector Armando Ortega Student in an Organized Health Care Education/Training Program 1950 S. Sunwest Ln., Rialto, CA 92415 2014-07-10
1437564762 Ashlee Barker Marriage & Family Therapist 900 E Gilbert St. Cottage 4, San Bernardino, CA 92415 2014-06-25
1669802708 County of San Bernardino In Home Supportive Care 784 E Hospitality Ln, San Bernardino, CA 92415 2013-11-26
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528688892 Berhe Group Home Inc. Community/Behavioral Health 5994 Mckinley Ave, San Bernardino, CA 92404-3530 2020-04-16
1902436744 Koinonia Foster Homes, Inc. Community/Behavioral Health 1881 Business Center Dr Ste 10, San Bernardino, CA 92408-3465 2020-01-21
1750931572 County of San Bernardino Community/Behavioral Health 351 N Mt View Ave San Bernardino Ca 92415, San Bernardino, CA 92415-0001 2019-09-13
1922579598 Expert Aba Consulting Community/Behavioral Health 3975 Modesto Dr, San Bernardino, CA 92404-1946 2018-12-07
1619452547 County of San Bernardino Community/Behavioral Health 900 E Gilbert St Bldg 31, San Bernardino, CA 92415-0911 2018-09-26
1558878819 Latasha Shenise Jones Community/Behavioral Health 2030 E 19th St Apt C, San Bernardino, CA 92404-5800 2018-01-08
1609392729 Berhe Group Home, Inc. Community/Behavioral Health 1604 N Pennsylvania Ave, San Bernardino, CA 92411-1171 2017-08-21
1003331018 Bianka Elsie Sanchez Community/Behavioral Health 7812 Merito Ave, San Bernardino, CA 92410-4631 2017-08-10
1821511908 Wendy Martinez Community/Behavioral Health 5550 University Pkwy, San Bernardino, CA 92407-2318 2017-07-20
1801319124 Ernesto Alonso Community/Behavioral Health 325 W Hospitality Ln Ste 104, San Bernardino, CA 92408-3210 2017-07-18
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Competitor

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City SAN BERNARDINO
Zip Code 92415

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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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