COLLEGE COMMUNITY SERVICES (NPI# 1235274804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235274804 |
Entity Type | Organization |
Organization Name | COLLEGE COMMUNITY SERVICES |
Other Organization Name | AMHS CCS CAMINO NUEVO RECOVERY CENTER |
Practice Address |
2001 E 4th St Ste 200&205 Santa Ana CA 92705-3916 |
Practice Telephone | 7148248144 |
Practice Fax Number | 7148248141 |
Mailing Telephone | 7148248144 |
Mailing Fax Number | 7148248141 |
Enumeration Date | 2007-02-21 |
Last Update Date | 2020-08-24 |
Authorized Official Name | TRACY GINTER (LEAD BILLING MANAGER) |
Authorized Official Telephone | 7145036880 |
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 | MEDI-CAL PROVIDER NUMBER | 30DK | 01 |
Other Name | Type Code |
---|---|
AMHS CCS Camino Nuevo Recovery Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104154533 | College Community Services | Community/Behavioral Health | 2717 Nugget Avenue, Lake Isabella, CA 93240 | 2009-11-23 |
1730391376 | College Community Services | Community/Behavioral Health | 29341 Kimberlina Rd Ste 102, Wasco, CA 93280-7617 | 2007-05-04 |
1528197662 | College Community Services | Community/Behavioral Health | 2001 E 4th St Ste 116, Santa Ana, CA 92705 | 2007-03-05 |
1841335692 | College Community Services | Community/Behavioral Health | 11277 Garden Grove Blvd Ste 100, Garden Grove, CA 92843-1340 | 2007-02-20 |
1790256766 | College Community Services | Community/Behavioral Health | 928 F St, Wasco, CA 93280-2040 | 2018-12-17 |
1336610302 | College Community Services | Community/Behavioral Health | 930 F St, Wasco, CA 93280-2040 | 2018-12-17 |
1083185136 | College Community Services | Community/Behavioral Health | 2821 H St, Bakersfield, CA 93301-1913 | 2018-12-16 |
1750831889 | College Community Services | Health Maintenance Organization | 401 S Tustin St, Building #c, Orange, CA 92866-2550 | 2016-10-13 |
1144578816 | College Community Services | Community/Behavioral Health | 13950 Milton Ave, Suite 306, Westminster, CA 92683-2900 | 2012-08-28 |
1689934440 | College Community Services | Community/Behavioral Health | 401 S Tustin St, Orange, CA 92866-2503 | 2012-05-25 |
Street Address |
2001 E 4TH ST STE 200&205 |
City | SANTA ANA |
State | CA |
Zip Code | 92705-3916 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
Find all providers in zip 92705 |
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 |
---|---|---|---|---|
1609343078 | Behavioral Health Services, Inc. | Community/Behavioral Health | 2015 W 1st St Ste J, Santa Ana, CA 92703-3516 | 2018-10-24 |
1376021345 | Taylyn Rage Sevilla | Community/Behavioral Health | 3509 Ramona Dr, Santa Ana, CA 92707-3955 | 2018-08-01 |
1013421643 | Latino Center for Prevention & Action In Health & Welfare | Community/Behavioral Health | 450 W 4th St, Santa Ana, CA 92701-4562 | 2017-11-17 |
1326591538 | Path of Light, Inc | Community/Behavioral Health | 3417 S Plaza Dr Apt I, Santa Ana, CA 92704-7259 | 2016-07-25 |
1144681503 | Lutheran Social Services of Souterh California | Community/Behavioral Health | 2101 E. 4th Street, Santa Ana, CA 92705 | 2016-03-14 |
1922464940 | Orangewood Foundation | Community/Behavioral Health | 1615 E 17th St 2nd Floor, Santa Ana, CA 92705-8529 | 2016-01-06 |
1659748218 | Gay &lesbian Community Services Center of Orange County | Community/Behavioral Health | 1605 N Spurgeon St, Santa Ana, CA 92701-2355 | 2015-08-28 |
1548640311 | Norooz Clinic Foundation | Community/Behavioral Health | 1560 Brookhollow Dr Ste 212, Santa Ana, CA 92705-5411 | 2015-06-05 |
1518392133 | Orange County Health Care Agency | Community/Behavioral Health | 1540 E. First St., Ste. 114, Santa Ana, CA 92702 | 2013-09-13 |
1255779989 | Creative Family Support | Community/Behavioral Health | 1851 E 1st St, Suite 900, Santa Ana, CA 92705-4017 | 2013-06-04 |
Find all providers in SANTA ANA |
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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.