CRESTWOOD BEHAVIORAL HEALTH, INC (NPI# 1447572557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447572557 |
| Entity Type | Organization |
| Organization Name | CRESTWOOD BEHAVIORAL HEALTH, INC |
| Other Organization Name | BRIDGE PROGRAM - BAKERSFIELD |
| Practice Address |
6744 Eucalyptus Drive Bakersfield CA 93306 |
| Mailing Address |
6744 Eucalyptus Dr Bakersfield CA 93306 |
| Practice Telephone | 6613636654 |
| Mailing Telephone | 6613636654 |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |
| Authorized Official Name | LORI BLACKBURN (VICE PRESIDENT) |
| Authorized Official Telephone | 2099552322 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Bridge Program - Bakersfield | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376623256 | Crestwood Behavioral Health, Inc | Intermediate Care Facility, Mental Illness | 1425 Fruitdale Ave, San Jose, CA 95128-3234 | 2006-10-16 |
| 1255657490 | Crestwood Behavioral Health, Inc | Clinic/Center | 2370 Buhne St, Eureka, CA 95501-3237 | 2010-04-13 |
| Street Address |
6744 EUCALYPTUS DRIVE |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962069559 | Anaheed Ayoobzadehshirazi | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave Bakersfield, Ca 93306, Bakersfield, CA 93306 | 2019-05-20 |
| 1770007049 | Caryn Gover | Speech-Language Pathologist | 3939 Bernard Street, Suite 6, Bakersfield, CA 93306 | 2017-07-28 |
| 1124549829 | Kern Congregate Facility, Inc | Skilled Nursing Facility | 4803 Christmas Tree Ln, Bakersfield, CA 93306 | 2017-07-03 |
| 1497294474 | Pedro Fajardo | Occupational Therapy Assistant | 3796 Dana Street, Bakersfield, CA 93306 | 2017-02-23 |
| 1053864546 | Marisol Rios | Social Worker | 2621 Oswell Street, Ste #119, Bakersfield, CA 93306 | 2016-08-01 |
| 1205295698 | Manjinder Singh | Physical Therapy Assistant | 2701 Bernard St, Apt 71, Bakersfield, CA 93306 | 2016-02-15 |
| 1285007864 | Jessica Sierra | Licensed Vocational Nurse | 1800 Mt. Vernon Ave, Bakersfield, CA 93306 | 2015-11-04 |
| 1801277769 | Special Treatment, Education and Prevention Services | Preferred Provider Organization | 3533 Mt Vernon Ave, Bakersfield, CA 93306 | 2015-06-16 |
| 1538549852 | Bakersfield Specialists Surgical Center, LLC | Clinic/Center | 4500 Morning Drive, Ste. 102, Bakersfield, CA 93306 | 2015-06-02 |
| 1629475538 | Shiva Farvon | Nurse Practitioner | 1700 Mt. Vernon, Bakersfield, CA 93306 | 2014-11-21 |
| Find all providers in zip 93306 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285283101 | Brighter Horizon Group Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 10918 Villa Hermosa Dr, Bakersfield, CA 93311-9373 | 2019-09-04 |
| 1568967313 | The Art of Tru Light Inc | Community Based Residential Treatment Facility, Mental Illness | 4313 Monitor St, Bakersfield, CA 93307-4743 | 2018-03-26 |
| 1932643350 | Markell & Marquell Enterprises, LLC | Community Based Residential Treatment Facility, Mental Illness | 15923 San Marco Pl, Bakersfield, CA 93314-6650 | 2016-12-05 |
| 1124371935 | Bethany Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1600 E Truxtun Ave., Bakersfield, CA 93305 | 2012-10-17 |
| 1023310430 | Crestwood Bakersfield Bridge Program | Community Based Residential Treatment Facility, Mental Illness | 6711 Eucalyptus Dr, Bakersfield, CA 93306 | 2010-11-18 |
| 1154536688 | Asc Riverside Ranch - River House | Community Based Residential Treatment Facility, Mental Illness | 18200 Highway 178, Bakersfield, CA 93306-9510 | 2007-05-10 |
| 1265501597 | Crestwood Behavioral Health, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6744 Eucalyptus Dr, Bakersfield, CA 93306-6053 | 2006-11-08 |
| 1588110506 | Victory Family Services | Community Based Residential Treatment Facility, Mental Illness | 4200 Truxtun Ave Ste 202, Bakersfield, CA 93309-0523 | 2016-08-30 |
| 1124479845 | Crestwood Behavioral Health, Inc. | Community Based Residential Treatment Facility, Mental Illness | 721 8th St, Bakersfield, CA 93304-2224 | 2016-06-23 |
| 1689889115 | Zaena Araneta | Community Based Residential Treatment Facility, Mental Illness | 18200 Highway 178, Bakersfield, CA 93306-9510 | 2007-05-10 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93306 |
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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.