COLLEGE COMMUNITY SERVICES


Address: 2001 E 4th St Ste 200&205, Santa Ana, CA 92705-3916
Phone: 7148248144

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDI-CAL PROVIDER NUMBER 30DK 01

Other Provider/Organization Names

Other Name Type Code
AMHS CCS Camino Nuevo Recovery Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 2001 E 4TH ST STE 200&205
City SANTA ANA
State CA
Zip Code 92705-3916

Providers in the same zip code

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
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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
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

Competitor

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City SANTA ANA
Zip Code 92705

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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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