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).
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 |
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 Name | Type Code |
---|---|
Diversion Opportunity for Outpatient Recovery Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154503969 | Dpartment of Behavioral Health | Health Maintenance Organization | 1637 E Holt Blvd, Ontario, CA 91761-2107 | 2007-12-04 |
Street Address |
1330 E COOLEY DR |
City | COLTON |
State | CA |
Zip Code | 92324-3905 |
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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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 |
Find all providers in zip 92324 |
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 |
---|---|---|---|---|
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 |
NPI | Name | Taxonomy | Address | Enumeration |
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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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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.