CENTRAL STAR BEHAVIORAL HEALTH, INC. (NPI# 1427461136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427461136 |
| Entity Type | Organization |
| Organization Name | CENTRAL STAR BEHAVIORAL HEALTH, INC. |
| Other Organization Name | CENTRAL STAR PSYCHIATRIC HEALTH FACILITY |
| Practice Address |
4411 East Kings Canyon Road Bldg. 319 Fresno CA 93702-3604 |
| Mailing Address |
1501 Hughes Way Suite 150 Long Beach CA 90810-1878 |
| Practice Telephone | 4082849012 |
| Practice Fax Number | 4082849050 |
| Mailing Telephone | 3102216336 |
| Mailing Fax Number | 4082849050 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-10-13 |
| Authorized Official Name | MR. KENT DUNLAP (VP OPERATIONS) |
| Authorized Official Telephone | 3102216336 |
| Authorized Official Credential | M.P.H. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | TBD | CA | Hospitals |
| Other Name | Type Code |
|---|---|
| Central Star Psychiatric Health Facility | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912463852 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 3800 Watt Ave., Suite 110, Sacramento, CA 95821-2622 | 2019-02-15 |
| 1902379068 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 401 S. Street, Suite 101, Sacramento, CA 95811-6919 | 2019-01-10 |
| 1447740063 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 3433 W Shaw Ave, Fresno, CA 93711-3229 | 2018-05-18 |
| 1770088718 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 401 S St Ste 101, Sacramento, CA 95811-6919 | 2018-03-29 |
| 1932603990 | Central Star Behavioral Health, Inc. | Psychiatric Hospital | 496 South Barton Ave, Fresno, CA 93750-0001 | 2018-03-22 |
| 1841732302 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 1539 Mchenry Ave., Modesto, CA 95350-4528 | 2016-11-14 |
| 1891170668 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 2934 N. Fresno St., Fresno, CA 93721-1405 | 2015-07-22 |
| 1518367705 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 2140 Merced Street, Suite 101, Fresno, CA 93721-1721 | 2014-08-26 |
| 1487277570 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 300 E 15th St Ste C, Merced, CA 95341-6217 | 2020-05-22 |
| 1285118588 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 2416 W Shaw Ave Ste 114, Fresno, CA 93711-3303 | 2018-09-21 |
| Street Address |
4411 EAST KINGS CANYON ROAD BLDG. 319 |
| City | FRESNO |
| State | CA |
| Zip Code | 93702-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644543 | Brandy Eugena Dickey | Licensed Vocational Nurse | 496 S. Barton St., Fresno, CA 93702 | 2019-02-06 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1518437995 | Kimberlin Ann Klein | Licensed Vocational Nurse | 4411 E Kings Canyon Rd #319, Fresno, CA 93702 | 2018-11-28 |
| 1932677317 | Simone Danielle Cato | Counselor | 496 S Barton St, Fresno, CA 93702 | 2018-11-05 |
| 1558879841 | Mekdes Elizabeth Yilma | Marriage & Family Therapist | 4144 E. Kings Canyon Rd., Fresno, CA 93702 | 2018-01-20 |
| 1831647874 | Rick Foster | Registered Nurse | 441 East Kings Canyon Ave, Fresno, CA 93702 | 2016-09-20 |
| 1770935140 | Diana L. Eaglin | Registered Nurse | 4409 E. Inyo St., Modular A, Fresno, CA 93702 | 2016-07-08 |
| 1700257243 | Elizabeth Lee | Registered Nurse | 4411 E.kings Canyon Rd, Fresno, CA 93702 | 2015-10-09 |
| 1548657299 | Brandi Lynn Rieux | Counselor | 496 S. Barton Ave, Fresno, CA 93702 | 2015-04-21 |
| 1891069548 | Tamara Taylor | Case Manager/Care Coordinator | 890 S. Tenth Street, Fresno, CA 93702 | 2012-02-28 |
| Find all providers in zip 93702 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603990 | Central Star Behavioral Health, Inc. | Psychiatric Hospital | 496 South Barton Ave, Fresno, CA 93750-0001 | 2018-03-22 |
| 1982071072 | Isaac Garibay | Psychiatric Hospital | 5898 E Madison Ave, Fresno, CA 93727-3515 | 2015-08-25 |
| 1124308275 | Michael E Debakey Vamc | Psychiatric Hospital | 4030 Longway Estates Ct, Fresno, TX 77545-8645 | 2011-08-22 |
| 1679602080 | Fresno County Community Behavioral Health Center | Psychiatric Hospital | 7171 N Cedar Ave, Fresno, CA 93720-3311 | 2007-03-02 |
| 1093816472 | Michael E. Debakey Va Hospital | Psychiatric Hospital | 4038 Teal Run Place Court, Fresno, TX 77545 | 2006-09-26 |
| 1942665484 | Exodus Recovery, Inc. | Psychiatric Hospital | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2015-12-29 |
| 1891091286 | Crestwood Behavioral Health, Inc. | Psychiatric Hospital | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2011-02-01 |
| 1457428856 | County of Fresno Dept. of Behavioral Health | Psychiatric Hospital | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740892017 | Avamed Inc. | Psychiatric Hospital | 12955 Riverside Dr Apt 204, Sherman Oaks, CA 91423-2202 | 2020-08-18 |
| 1437769957 | North Valley Behavioral Health, LLC | Psychiatric Hospital | 1253 Stabler Lane, Yuba City, CA 95993 | 2020-08-10 |
| 1811549504 | Sacramento Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 1400 Expo Pkwy, Sacramento, CA 95815-4230 | 2019-07-12 |
| 1639601933 | Restpadd Health Corp | Psychiatric Hospital | 925 Walnut St, Red Bluff, CA 96080-3707 | 2017-03-28 |
| 1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
| 1558812404 | Sonnia A. Ahinasi | Psychiatric Hospital | 4192 Via Napoli, Montclair, CA 91763-4750 | 2016-10-16 |
| 1316399660 | Itzel Lopez | Psychiatric Hospital | 1869 Lombard St, San Francisco, CA 94123-2909 | 2016-07-11 |
| 1770931032 | Ruby Lorraine Summus | Psychiatric Hospital | 4111 Jonathon St, Oceanside, CA 92056-4217 | 2016-05-27 |
| 1760841126 | County of Los Angeles | Psychiatric Hospital | 5800 South St Apt 163, Lakewood, CA 90713-1331 | 2016-02-15 |
| 1780081158 | Sharon Medina | Psychiatric Hospital | 5613 Mariolyn Ct, Elk Grove, CA 95757-1626 | 2014-12-01 |
| Find all providers with the same taxonomy | ||||
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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.