CENTRAL STAR BEHAVIORAL HEALTH, INC. (NPI# 1629574777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629574777 |
Entity Type | Organization |
Organization Name | CENTRAL STAR BEHAVIORAL HEALTH, INC. |
Other Organization Name | CENTRAL STAR CRISIS RESIDENTIAL UNIT |
Practice Address |
301 E 13th St Ste D Merced CA 95341-6211 |
Mailing Address |
1501 Hughes Way Ste 150 Long Beach CA 90810-1878 |
Practice Telephone | 5596002382 |
Mailing Telephone | 3102216336 |
Enumeration Date | 2018-04-05 |
Last Update Date | 2018-05-21 |
Authorized Official Name | KENT DUNLAP (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
Authorized Official Telephone | 3102216336 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
Central Star Crisis Residential Unit | 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 |
1427461136 | Central Star Behavioral Health, Inc. | Psychiatric Hospital | 4411 East Kings Canyon Road, Bldg. 319, Fresno, CA 93702-3604 | 2014-06-10 |
1487277570 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 300 E 15th St Ste C, Merced, CA 95341-6217 | 2020-05-22 |
Street Address |
301 E 13TH ST STE D |
City | MERCED |
State | CA |
Zip Code | 95341-6211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528444148 | Mirian Cardenas | Counselor | 301 E 13th St Ste D, Merced, CA 95341 | 2015-08-05 |
1417564287 | Angelina Santiago | Counselor | 301 E 13th St Ste D, Merced, CA 95341-6211 | 2020-09-25 |
1225648769 | Joshua Nava | Licensed Vocational Nurse | 301 E 13th St Ste D, Merced, CA 95341-6211 | 2020-08-07 |
1699391151 | Jocelyn Jasmyn Isais | Licensed Vocational Nurse | 301 E 13th St Ste D, Merced, CA 95341-6211 | 2020-06-21 |
1295351088 | Consuelo Caldera | Licensed Vocational Nurse | 301 E 13th St Ste D, Merced, CA 95341-6211 | 2020-06-18 |
1720604572 | Aylin Margarita Garcia | Counselor | 301 E 13th St Ste D, Merced, CA 95341-6211 | 2020-06-17 |
1770111585 | Sia V. Lor | Licensed Vocational Nurse | 301 E 13th St Ste D, Merced, CA 95341-6211 | 2020-03-28 |
1134755549 | Jose Armando Isais | Licensed Vocational Nurse | 301 E 13th St Ste D, Merced, CA 95341-6211 | 2020-03-17 |
1154955672 | Brenda Cristina Carmona | Counselor | 301 E 13th St Ste D, Merced, CA 95341-6211 | 2020-02-24 |
1619508686 | Melissa Weaver | Counselor | 301 E 13th St Ste D, Merced, CA 95341-6211 | 2020-01-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255942520 | Samantha Canal | Counselor | 300 E 13th St Suite C, Merced, CA 95341 | 2020-08-11 |
1043874100 | Phyllis A Patterson | Peer Specialist | 490 E 13th Street, Merced, CA 95341 | 2019-04-24 |
1093209488 | Cierra Nicole Sweet | Case Manager/Care Coordinator | 490 E 13th St, Merced, CA 95341 | 2018-06-19 |
1962839290 | Jessica Perez | Counselor | 480 East 13th Street, Building, Merced, CA 95341 | 2013-10-01 |
1235417171 | Mayla T Carlos | Physician Assistant | 847 W. Childs Ave., Merced, CA 95341 | 2011-07-26 |
1588951883 | Altia N Johnson | Registered Nurse | 260 E 15th Street, Merced, CA 95341 | 2011-07-07 |
1598061657 | County of Merced | Clinic/Center | 490 E. 13th Street, Merced, CA 95341 | 2011-02-07 |
1275710741 | Kathryn Renee Rodriguez | Social Worker | 2777 N Highway 59, Merced County Adult Services, Merced, CA 95341 | 2008-01-28 |
1700060324 | Irene Miranda-henson | Registered Nurse | 797 West Childs Avenue, Merced, CA 95341 | 2007-12-18 |
1023139516 | County of Merced | Clinic/Center | 1275 B Street, Merced, CA 95341 | 2007-04-02 |
Find all providers in zip 95341 |
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 |
---|---|---|---|---|
1942748348 | Rainbow Valley Group Home, Inc. | Community/Behavioral Health | 2831 G St, Merced, CA 95340-2133 | 2017-02-06 |
1306272240 | Mai K Yang | Community/Behavioral Health | 682 Laughlin Ln, Merced, CA 95341-5483 | 2013-09-24 |
1023327376 | Aspiranet | Community/Behavioral Health | 806 W 19th St, Merced, CA 95340-4609 | 2010-10-05 |
1689805756 | Aspiranet | Community/Behavioral Health | 3360 N Highway 59, Suite K, Merced, CA 95348-9404 | 2009-08-06 |
1417188749 | Aspira Behavioral Health | Community/Behavioral Health | 1820 P St, Merced, CA 95340-4630 | 2009-08-04 |
1033356464 | Life Center of America | Community/Behavioral Health | 1057 N St, Merced, CA 95341-5962 | 2009-01-07 |
1619098274 | Turning Point Community Programs | Community/Behavioral Health | 3333 M St, Merced, CA 95348 | 2007-04-02 |
1861525081 | Stanislaus County | Community/Behavioral Health | 12555 B Street, Merced, CA 95340 | 2007-03-14 |
1487277570 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 300 E 15th St Ste C, Merced, CA 95341-6217 | 2020-05-22 |
1255813374 | Leticia Jimenez-espinoza | Community/Behavioral Health | 627 W Main St, Merced, CA 95340-4717 | 2018-09-05 |
Find all providers in MERCED |
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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.