DPARTMENT OF BEHAVIORAL HEALTH


Address: 1330 E Cooley Dr, Colton, CA 92324-3905
Phone: 9095803705

DPARTMENT OF BEHAVIORAL HEALTH (NPI# 1255957486) 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) 1255957486
Entity Type Organization
Organization Name DPARTMENT OF BEHAVIORAL HEALTH
Practice Address 1330 E Cooley Dr
Colton
CA 92324-3905
Practice Telephone 9095803705
Enumeration Date 2020-06-23
Last Update Date 2020-06-23
Authorized Official Name ERICA PORTEOUS (CHIEF COMPLIANCE OFFICER)
Authorized Official Telephone 9093880882
Is Organization Subpart Y
Parent Organization Name COUNTY OF SAN BERNARDINO

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Diversion Opportunity for Outpatient Recovery Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154503969 Dpartment of Behavioral Health Health Maintenance Organization 1637 E Holt Blvd, Ontario, CA 91761-2107 2007-12-04

Office Location

Street Address 1330 E COOLEY DR
City COLTON
State CA
Zip Code 92324-3905

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457459877 Randall Lyle Kerr Counselor 1330 E Cooley Dr, Colton, CA 92324-3905 2006-09-20
1417569070 Veronica Saenz Counselor 1330 E Cooley Dr, Colton, CA 92324-3905 2020-08-17
1871113548 Winston James Williams Counselor 1330 E Cooley Dr, Colton, CA 92324-3905 2020-04-22
1114579117 Shaneece Williams Case Manager/Care Coordinator 1330 E Cooley Dr, Colton, CA 92324-3905 2019-07-10
1437658929 Mary Sodiyan Registered Nurse 1330 E Cooley Dr, Colton, CA 92324-3905 2018-02-09
1982124897 Elizabeth Marie Maldonado Counselor 1330 E Cooley Dr, Colton, CA 92324-3905 2017-06-21
1346778446 Zachary Robert Eckert Counselor 1330 E Cooley Dr, Colton, CA 92324-3905 2017-06-01
1972030575 Angel Magallanes Counselor 1330 E Cooley Dr, Colton, CA 92324-3905 2017-05-15
1740720580 Melissa Daniels Counselor 1330 E Cooley Dr, Colton, CA 92324-3905 2017-02-27
1164875324 Joshua Ellis-kennedy Case Manager/Care Coordinator 1330 E Cooley Dr, Colton, CA 92324-3905 2016-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134739949 Ava Vascular Radiology 1281 W. C. Street, Suite 200, Colton, CA 92324 2020-08-06
1063042851 Making A Difference Association, Inc. Psychologist 1430 E Cooley Drive, Ste 111, Colton, CA 92324 2020-01-21
1326685488 Allstar Medical Respite and Recuperative Care Case Management 450 N Sperry Drive, Colton, CA 92324 2019-12-06
1558916379 Garfield Beach Cvs LLC Durable Medical Equipment & Medical Supplies 1010 North Pepper Ave, Colton, CA 92324 2019-08-08
1326692633 Kadi Lyn Pearce Licensed Practical Nurse 970 N. Latham St, Colton, CA 92324 2019-07-25
1184281966 Steven Andrew Cardoza Physician Assistant Armc, 400 N. Pepper Ave, Colton, CA 92324 2019-05-28
1528540952 Daniel Tochukwu Umah-mgborogwu Physician Assistant 400 N Pepper Ave, Ste 107, Coton, CA 92324 2018-09-01
1255826038 Cal Med Vascular Center LLC Clinic/Center 1281 W C St, Colton, CA 92324 2018-06-25
1891288072 A. Arroyo Lourenco Dds, Inc Dentist 827 W Valley Blvd., Colton, CA 92324 2018-06-12
1700396165 Emily Covington Registered Nurse 1550 E. Washington St., Ste 101, Colton, CA 92324 2017-10-11
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952504508 Armc Csu Clinic/Center 400 N. Pepper Ave, Colton, CA 92324 2007-06-08
1265637524 County of San Bernardino Clinic/Center 400 N. Pepper Ave, Colton, CA 92324 2007-06-18
1821209743 County of San Bernardino Clinic/Center 290 N 10th St, Suite 102, Colton, CA 92324-3052 2007-05-24
1386765345 Lds Family Services Clinic/Center 791 N Pepper Ave, Colton, CA 92324-1800 2007-04-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114527041 M. Attarian A Marriage and Family Therapy Professional Corporation Clinic/Center 433 N Camden Dr Ste 400, Beverly Hills, CA 90210-4408 2020-10-29
1295335743 Mindful Living Psychotherapy Clinic/Center 24340 Ca-78, Ramona, CA 95065 2020-10-26
1013523174 Vitalis Wellness Center Inc. Clinic/Center 1519 Constitution Blvd Apt 201, Salinas, CA 93906-3150 2020-09-23
1083220453 Sasha Jackson, LLC Clinic/Center 480 Ridge Creek Ln, Patterson, CA 95363-8776 2020-09-21
1003422486 Nicholas Patrick Brown, Do Clinic/Center 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 2020-09-21
1609481753 Telecare Corporation Clinic/Center 8471 Enterprise Way, Oakland, CA 94621-1317 2020-09-14
1346854973 A Home for Our Veterans Clinic/Center 1811 W 236th St, Torrance, CA 90501-5742 2020-09-01
1184238875 Integrative Psychotherapy Group, A Marriage and Family Therapy Corp Clinic/Center 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 2020-09-01
1962016527 Los Angeles County Department of Mental Health Clinic/Center 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 2020-09-01
1649883828 Soul Solutions, LLC Clinic/Center 5100 N 6th St Ste 148, Fresno, CA 93710-7514 2020-08-26
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Competitor

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City COLTON
Zip Code 92324

Improve Information

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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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