DEPARTMENT OF BEHAVIORAL HEALTH, SAN BERNARDINO COUNTY CA (NPI# 1245447507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245447507 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF BEHAVIORAL HEALTH, SAN BERNARDINO COUNTY CA |
| Other Organization Name | CHILDREN'S CRISIS RESPONSE TEAM |
| Practice Address |
268 W Hospitality Ln Suite 400 San Bernardino CA 92415-0001 |
| Practice Telephone | 9093823080 |
| Practice Fax Number | 9093833105 |
| Mailing Telephone | 9093823080 |
| Mailing Fax Number | 9093833105 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL J. DAY (INFORMATION TECHNOLOGY MANAGER) |
| Authorized Official Telephone | 9093880570 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
LSC166000 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Children's Crisis Response Team | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326257759 | Department of Behavioral Health, San Bernardino County Ca | Clinic/Center | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2007-05-22 |
| 1124237425 | Department of Behavioral Health, San Bernardino County Ca | Clinic/Center | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2007-05-22 |
| Street Address |
268 W HOSPITALITY LN SUITE 400 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92415-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588701064 | Rajesh Patel | Psychiatry & Neurology | 268 W Hospitality Ln, Ste. 400, San Bernardino, CA 92415-0001 | 2007-01-31 |
| 1902211774 | Veronica Lynn Kelley | Social Worker | 268 W Hospitality Ln, Ste 400, San Bernardino, CA 92415-0026 | 2014-06-30 |
| 1063827848 | Michael Lee Schertell | Marriage & Family Therapist | 268 W Hospitality Ln, San Bernardino, CA 92415-0026 | 2014-06-30 |
| 1851654073 | Patricia R Bird | Counselor | 268 W Hospitality Ln, Suite 400, San Bernardino, CA 92415-0026 | 2012-06-21 |
| 1780966465 | Kerry Ann Ortloff | Student in an Organized Health Care Education/Training Program | 268 W Hospitality Ln, Ste. 400, San Bernardino, CA 92415-0026 | 2011-09-19 |
| 1972776763 | Lauren Jean Kissner | Psychiatry & Neurology | 268 W Hospitality Ln, Suite 400, San Bernardino, CA 92415-0026 | 2008-04-11 |
| 1083805121 | Marilyn Ross | Marriage & Family Therapist | 268 W Hospitality Ln, Suite 400, San Bernardino, CA 92415-0026 | 2007-08-05 |
| 1225163140 | Salvador E. Lasala | Psychiatry & Neurology | 268 W Hospitality Ln, Ste. 400, San Bernardino, CA 92415-0001 | 2007-02-22 |
| 1558496455 | Romeo D. Villar | Psychiatry & Neurology | 268 W Hospitality Ln, Ste. 400, San Bernardino, CA 92415-0001 | 2007-02-22 |
| 1720123722 | Guia M. Montenegro | Psychiatry & Neurology | 268 W Hospitality Ln, Ste. 400, San Bernardino, CA 92415-0001 | 2007-02-20 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 92415 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912418930 | Telecare Corporation | Clinic/Center | 1481 North Windsor Drive, San Bernardino, CA 92404-5416 | 2017-10-17 |
| 1801270137 | Sac Health System | Clinic/Center | 250 South G Street, San Bernardino, CA 92410 | 2015-07-16 |
| 1124100383 | Telecare Corporation | Clinic/Center | 2080 S E St Ste 100, San Bernardino, CA 92408-2706 | 2006-10-19 |
| 1346850211 | County of San Bernardino | Clinic/Center | 658 E Brier Dr, San Bernardino, CA 92408-2880 | 2020-08-05 |
| 1497310593 | Telecare Corporation | Clinic/Center | 2080 S E St Ste 200, San Bernardino, CA 92408-2746 | 2019-05-03 |
| 1952865511 | Telecare Corporation | Clinic/Center | 2080 S E St Ste 200, San Bernardino, CA 92408-2746 | 2019-01-29 |
| 1326444662 | Telecare Corporation | Clinic/Center | 2080 S E St, Suite 200, San Bernardino, CA 92408-2773 | 2014-11-14 |
| 1427385558 | County of San Bernardino | Clinic/Center | 2372 Sterling Ave, San Bernardino, CA 92404-4624 | 2009-11-10 |
| 1609101344 | Core San Bernardino | Clinic/Center | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2009-10-14 |
| 1609046002 | Telecare Corporation | Clinic/Center | 2080 S E St Ste 250, San Bernardino, CA 92408-2706 | 2008-03-03 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92415 |
Please comment or provide details below to improve the information on DEPARTMENT OF BEHAVIORAL HEALTH, SAN BERNARDINO COUNTY CA.
| 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.