COUNTY OF SAN BERNARDINO (NPI# 1598328072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598328072 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SAN BERNARDINO |
| Other Organization Name | DAAS AGE WISE |
| Practice Address |
686 E Mill St San Bernardino CA 92415-0647 |
| Practice Telephone | 9097988455 |
| Practice Fax Number | 9097988582 |
| Mailing Telephone | 9097988573 |
| Mailing Fax Number | 9097988582 |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2019-06-28 |
| Authorized Official Name | MR. MARK EDWARD THOMAS (MENTAL HEALTH CLINIC SUPERVISOR) |
| Authorized Official Telephone | 9516623730 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DAAS Age Wise | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1063061117 | County of San Bernardino | Community/Behavioral Health | 9445 Fairway View Pl Ste 110, Rancho Cucamonga, CA 91730-0930 | 2019-09-10 |
| 1306495627 | County of San Bernardino | Community/Behavioral Health | 63665 29 Palms Hwy, Joshua Tree, CA 92252-6613 | 2019-09-09 |
| 1891344115 | County of San Bernardino | Community/Behavioral Health | 14931 Dale Evans Pkwy, Apple Valley, CA 92307-3061 | 2019-09-09 |
| 1568947323 | County of San Bernardino | Community/Behavioral Health | 15345 Bonanza Rd, Victorville, CA 92392-2499 | 2018-09-27 |
| 1619452547 | County of San Bernardino | Community/Behavioral Health | 900 E Gilbert St Bldg 31, San Bernardino, CA 92415-0911 | 2018-09-26 |
| 1669802708 | County of San Bernardino | In Home Supportive Care | 784 E Hospitality Ln, San Bernardino, CA 92415 | 2013-11-26 |
| 1912258633 | County of San Bernardino | Clinic/Center | 17830 Arrow Blvd., Fontana, CA 92335 | 2012-09-20 |
| 1285870469 | County of San Bernardino | Public Health or Welfare | 11336 Bartlett Ave #11, Adelanto, CA 92301 | 2008-12-18 |
| 1871764175 | County of San Bernardino | Early Intervention Provider Agency | North & South Bound I-15, @ Zzz, Baker, CA 92309 | 2008-03-14 |
| Street Address |
686 E MILL ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92415-0647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609919349 | Mark Edward Thomas | Marriage & Family Therapist | 686 E Mill St, San Bernardino, CA 92415-5230 | 2007-02-14 |
| 1356955207 | Vanessa Leanete Gonzalez | Student in an Organized Health Care Education/Training Program | 686 E Mill St, San Bernardino, CA 92415-0647 | 2020-09-08 |
| 1821601063 | County of San Bernardino | Clinic/Center | 686 E Mill St, San Bernardino, CA 92415-0647 | 2020-08-27 |
| 1619507035 | Juuna'e Dolores Dai're | Marriage & Family Therapist | 686 E Mill St, San Bernardino, CA 92415-0647 | 2020-01-24 |
| 1104468644 | Julie Schraner Egle | Student in an Organized Health Care Education/Training Program | 686 E Mill St, San Bernardino, CA 92415-0647 | 2019-10-16 |
| 1306488689 | Mi Young Son | Student in an Organized Health Care Education/Training Program | 686 E Mill St, San Bernardino, CA 92415-0647 | 2019-10-08 |
| 1801361829 | Carolina Samano | Marriage & Family Therapist | 686 E Mill St, San Bernardino, CA 92415-0647 | 2018-10-05 |
| 1073032389 | Krystle Rose Frazier-philo | Psychologist | 686 E Mill St, San Bernardino, CA 92415-0647 | 2017-09-18 |
| 1558805242 | Theresa Herbert | Occupational Therapist | 686 E Mill St, San Bernardino, CA 92415-0647 | 2016-12-14 |
| 1891142733 | Adrienne Grayson | Case Manager/Care Coordinator | 686 E Mill St, San Bernardino, CA 92415-5230 | 2016-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578041042 | Karina Judith Barragan | Student in an Organized Health Care Education/Training Program | 19500 South Sunwest Lane, San Bernardino, CA 92415 | 2018-08-06 |
| 1841714839 | Layla Subhani | Marriage & Family Therapist | 780 E Gilbert Street, Bldg H, San Bernardino, CA 92415 | 2017-08-01 |
| 1023546637 | Angelica Ruiz | Marriage & Family Therapist | 900 E. Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2017-05-25 |
| 1750825030 | Jordyn Ackerman | Marriage & Family Therapist | 900 E Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2016-12-06 |
| 1083063663 | San Bernardino County Department of Public Health | Public Health or Welfare | 1505 South D Street, San Bernardino, CA 92415 | 2016-06-06 |
| 1366821233 | Jodi Cerney | Counselor | 1950 S. Sunwest Lane, Suite #200, San Bernardino, CA 92415 | 2015-05-26 |
| 1427442268 | Yessenia Cruz | Case Manager/Care Coordinator | 780 E Gilbert St Bldg H, San Bernardino, CA 92415 | 2015-03-18 |
| 1861808859 | Hector Armando Ortega | Student in an Organized Health Care Education/Training Program | 1950 S. Sunwest Ln., Rialto, CA 92415 | 2014-07-10 |
| 1437564762 | Ashlee Barker | Marriage & Family Therapist | 900 E Gilbert St. Cottage 4, San Bernardino, CA 92415 | 2014-06-25 |
| 1669802708 | County of San Bernardino | In Home Supportive Care | 784 E Hospitality Ln, San Bernardino, CA 92415 | 2013-11-26 |
| Find all providers in zip 92415 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601063 | County of San Bernardino | Clinic/Center | 686 E Mill St, San Bernardino, CA 92415-0647 | 2020-08-27 |
| 1528559333 | County of San Bernardino | Clinic/Center | 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 | 2018-05-29 |
| 1558880260 | Jacob Joseph and Jabez Family Counseling and Professional Services Gro | Clinic/Center | 275 W Hospitality Ln Ste 325, San Bernardino, CA 92408-3249 | 2017-09-13 |
| 1740532647 | County of San Bernardino | Clinic/Center | 104 W 4th St, San Bernardino, CA 92415-0035 | 2012-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365652 | Hearts for Sight Foundation | Clinic/Center | 1540 Prospect Ave Apt A, San Gabriel, CA 91776-4484 | 2020-10-28 |
| 1679172290 | Cyti Psychology PC | Clinic/Center | 3025 Calico St, Santee, CA 92071-5678 | 2020-10-23 |
| 1427655810 | An Elegant Sufficiency, A Psychological Corporation | Clinic/Center | 672 W 11th St Ste 354, Tracy, CA 95376-3821 | 2020-10-08 |
| 1184231508 | Rh Community Builders Lp. | Clinic/Center | 1040 N Pleasant Ave, Fresno, CA 93728-2434 | 2020-09-29 |
| 1730795337 | Full Circle Psychotherapy | Clinic/Center | 6741 Sebastopol Ave Ste 110, Sebastopol, CA 95472-3838 | 2020-09-18 |
| 1871108928 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln Ste 200, Palm Desert, CA 92211-0468 | 2020-09-14 |
| 1619581337 | Family Tree Psychology Group Inc. | Clinic/Center | 3655 Grand Ave, Oakland, CA 94610-2009 | 2020-09-01 |
| 1306459029 | Lisa Eaton Therapy and Coaching, A Licensed Clinical Social Worker Cor | Clinic/Center | 3014 Lupine, Lake Forest, CA 92630-8439 | 2020-08-24 |
| 1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
| 1417566605 | Freedom Family Counseling Group Corp. | Clinic/Center | 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92415 |
Please comment or provide details below to improve the information on COUNTY OF SAN BERNARDINO.
| 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.