MENTAL HEALTH SYSTEMS, INC. (NPI# 1316424195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316424195 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH SYSTEMS, INC. |
| Other Organization Name | SAN BERNARDINO ACTION PROGRAM |
| Practice Address |
1738 N Waterman Ave Ste 1 San Bernardino CA 92404 |
| Mailing Address |
9465 Farnham St San Diego CA 92123-1308 |
| Practice Telephone | 9096933302 |
| Practice Fax Number | 9094749610 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | JAMES C. CALLAGHAN JR. (PRESIDENT/CEO) |
| Authorized Official Telephone | 8585732600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| San Bernardino Action Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306483284 | Mental Health Systems, Inc. | Community/Behavioral Health | 5121 Stockdale Hwy Ste 212, Bakersfield, CA 93309-2656 | 2019-12-10 |
| 1831620871 | Mental Health Systems, Inc. | Community/Behavioral Health | 410 Hidden Trails Rd, Escondido, CA 92027-5333 | 2017-03-22 |
| 1144678996 | Mental Health Systems, Inc. | Community/Behavioral Health | 1401 Hanson Ln, Ramona, CA 92065-3304 | 2016-06-01 |
| 1407294564 | Mental Health Systems, Inc. | Community/Behavioral Health | 58945 Business Center Dr Ste Jp&n, Yucca Valley, CA 92284-7307 | 2013-06-11 |
| 1639343544 | Mental Health Systems, Inc. | Community/Behavioral Health | 591 E Elder St Ste C, Fallbrook, CA 92028-5001 | 2008-04-22 |
| 1881722429 | Mental Health Systems, Inc. | Community/Behavioral Health | 2020 N Waterman Ave Ste C, San Bernardino, CA 92404-4849 | 2007-03-02 |
| 1891824371 | Mental Health Systems, Inc. | Community/Behavioral Health | 3340 Kemper St Ste 105&207, San Diego, CA 92110-4906 | 2007-03-02 |
| 1821126889 | Mental Health Systems, Inc. | Community/Behavioral Health | 300 H St, Needles, CA 92363-2928 | 2007-03-01 |
| 1952439804 | Mental Health Systems, Inc. | Community/Behavioral Health | 1172 3rd Ave, Suite D1, Chula Vista, CA 91911-3116 | 2007-03-01 |
| 1104954056 | Mental Health Systems, Inc. | Community/Behavioral Health | 15770 Mojave Dr, Suites K & L, Victorville, CA 92394-1934 | 2007-03-01 |
| Street Address |
1738 N WATERMAN AVE STE 1 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528288602 | Lawrence Edward Jones | Counselor | 1738 N Waterman Ave Ste 1, San Bernardino, CA 92404 | 2007-04-30 |
| 1518425347 | Eula B Charles | Case Manager/Care Coordinator | 1738 N Waterman Ave Ste 1, San Bernardino, CA 92404-5131 | 2019-03-11 |
| 1083172563 | Jamela Jovan Layton | Counselor | 1738 N Waterman Ave Ste 1, San Bernardino, CA 92404-5131 | 2019-03-04 |
| 1790259588 | Monica J Luna | Licensed Vocational Nurse | 1738 N Waterman Ave Ste 1, San Bernardino, CA 92404-5131 | 2019-01-15 |
| 1184194383 | Ivannia Alay | Counselor | 1738 N Waterman Ave Ste 1, San Bernardino, CA 92404-5131 | 2018-11-29 |
| 1457827313 | Christian Siophane Moye | Counselor | 1738 N Waterman Ave Ste 1, San Bernardino, CA 92404-5131 | 2018-10-18 |
| 1699276352 | Keyla Z Sanchez | Peer Specialist | 1738 N Waterman Ave Ste 1, San Bernardino, CA 92404-5131 | 2018-02-27 |
| 1194114397 | Susana Corona | Case Manager/Care Coordinator | 1738 N Waterman Ave Ste 1, San Bernardino, CA 92404-5131 | 2015-01-12 |
| 1477968477 | Deanna Kivett | Marriage & Family Therapist | 1738 N Waterman Ave Ste 1, San Bernardino, CA 92404-5131 | 2014-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| 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 |
|---|---|---|---|---|
| 1528688892 | Berhe Group Home Inc. | Community/Behavioral Health | 5994 Mckinley Ave, San Bernardino, CA 92404-3530 | 2020-04-16 |
| 1902436744 | Koinonia Foster Homes, Inc. | Community/Behavioral Health | 1881 Business Center Dr Ste 10, San Bernardino, CA 92408-3465 | 2020-01-21 |
| 1750931572 | County of San Bernardino | Community/Behavioral Health | 351 N Mt View Ave San Bernardino Ca 92415, San Bernardino, CA 92415-0001 | 2019-09-13 |
| 1922579598 | Expert Aba Consulting | Community/Behavioral Health | 3975 Modesto Dr, San Bernardino, CA 92404-1946 | 2018-12-07 |
| 1619452547 | County of San Bernardino | Community/Behavioral Health | 900 E Gilbert St Bldg 31, San Bernardino, CA 92415-0911 | 2018-09-26 |
| 1558878819 | Latasha Shenise Jones | Community/Behavioral Health | 2030 E 19th St Apt C, San Bernardino, CA 92404-5800 | 2018-01-08 |
| 1609392729 | Berhe Group Home, Inc. | Community/Behavioral Health | 1604 N Pennsylvania Ave, San Bernardino, CA 92411-1171 | 2017-08-21 |
| 1003331018 | Bianka Elsie Sanchez | Community/Behavioral Health | 7812 Merito Ave, San Bernardino, CA 92410-4631 | 2017-08-10 |
| 1821511908 | Wendy Martinez | Community/Behavioral Health | 5550 University Pkwy, San Bernardino, CA 92407-2318 | 2017-07-20 |
| 1801319124 | Ernesto Alonso | Community/Behavioral Health | 325 W Hospitality Ln Ste 104, San Bernardino, CA 92408-3210 | 2017-07-18 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
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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.