BEHAVIORAL HEALTH SERVICES INC. (NPI# 1548659105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548659105 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL HEALTH SERVICES INC. |
| Practice Address |
2501 W El Segundo Blvd Suite B Hawthorne CA 90250-3317 |
| Mailing Address |
15519 Crenshaw Blvd Gardena CA 90249-4525 |
| Practice Telephone | 3106799126 |
| Practice Fax Number | 3106792920 |
| Mailing Telephone | 3106799126 |
| Mailing Fax Number | 3106792920 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2016-01-22 |
| Authorized Official Name | MS. SHIRLEY ANN SUMMERS (PRESIDENT/CEO) |
| Authorized Official Telephone | 3106799126 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536992 | Behavioral Health Services Inc. | Clinic/Center | 1334 N Avalon Blvd, Wilmington, CA 90744-2639 | 2017-08-31 |
| 1932230505 | Behavioral Health Services Inc. | Community/Behavioral Health | 2180 West Valley Blvd, Pomona, CA 91768-3325 | 2007-03-08 |
| 1891825667 | Behavioral Health Services Inc. | Community/Behavioral Health | 1318 N Avalon Blvd, Suite 1318a & 1314b, Wilmington, CA 90744-2639 | 2007-03-07 |
| 1578079919 | Behavioral Health Services Inc. | Clinic/Center | 2015 W 1st St Ste L, Santa Ana, CA 92703-3516 | 2017-12-21 |
| 1134259088 | Behavioral Health Services Inc. | Substance Abuse Rehabilitation Facility | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2007-03-07 |
| 1245360130 | Behavioral Health Services Inc. | Substance Abuse Rehabilitation Facility | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2007-03-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEHAVIORAL HEALTH SERVICES INC | 15519 Crenshaw Blvd, Gardena, CA 90249-4525 |
| North Carolina Corporations | BEHAVIORAL HEALTH SERVICES INC | 3100 Memorial Dr, Greenville, NC 27834 |
| Street Address |
2501 W EL SEGUNDO BLVD SUITE B |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801988118 | Nima Robert Zahedi | Social Worker | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2006-09-28 |
| 1760091466 | Candalaria Rodriguez | Counselor | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2020-07-28 |
| 1760025902 | Dennis Lee Lyons Sr. | Counselor | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2019-10-21 |
| 1962052290 | Mallory Ann Myers | Counselor | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2019-09-18 |
| 1669034146 | Victoria Ansell | Nurse's Aide | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2019-07-03 |
| 1750944468 | Ebony M Maxie | Counselor | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2019-04-18 |
| 1922567353 | Nydia C Garcia | Counselor | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2019-03-15 |
| 1558844845 | Theresa Louise Brooks | Counselor | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2018-09-12 |
| 1275028037 | Christina Saenz | Counselor | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2018-06-25 |
| 1336633874 | Tashemia Marshall | Licensed Vocational Nurse | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629632476 | Saint Catherine Family Health Center | Clinic/Center | 12321 Hawthorne Blvd Ste A, Hawthorne, CA 90250-3832 | 2019-04-26 |
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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.