CRESTWOOD BEHAVIORAL HEALTH, INC.


Address: 1425 Fruitdale Ave, San Jose, CA 95128-3234
Phone: 4082751010

CRESTWOOD BEHAVIORAL HEALTH, INC. (NPI# 1720157050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720157050
Entity Type Organization
Organization Name CRESTWOOD BEHAVIORAL HEALTH, INC.
Other Organization Name CRESTWOOD CENTER
Practice Address 1425 Fruitdale Ave
San Jose
CA 95128-3234
Mailing Address 7590 Shoreline Dr
Stockton
CA 95219-5455
Practice Telephone 4082751010
Practice Fax Number 4082751066
Mailing Telephone 2099552328
Mailing Fax Number 2099525314
Enumeration Date 2006-11-08
Last Update Date 2020-08-22
Authorized Official Name MRS. LORI BLACKBURN (VICE PRESIDENT)
Authorized Official Telephone 2099552322
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3104A0625X Assisted Living Facility
Specialization: Assisted Living, Mental Illness
Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
CRESTWOOD CENTER Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1487282273 Crestwood Behavioral Health, Inc. Intermediate Care Facility, Mental Illness 303 S C St, Lompoc, CA 93436-7305 2020-03-29
1023495181 Crestwood Behavioral Health, Inc. Intermediate Care Facility, Mental Illness 960 Third Ave, Chula Vista, CA 91911 2015-04-28
1295146934 Crestwood Behavioral Health, Inc. Intermediate Care Facility, Mental Illness 5550 University Ave Ste A, San Diego, CA 92105 2014-05-15
1780009142 Crestwood Behavioral Health, Inc. Psychiatric Hospital 2201 Tuolumne St Ste B, Vallejo, CA 94589-2524 2014-02-21
1669734075 Crestwood Behavioral Health, Inc. Psychiatric Hospital 2600 Stockton Blvd Ste B, Sacramento, CA 95817-2210 2012-06-12
1194034645 Crestwood Behavioral Health, Inc. Psychiatric Hospital 6700 Eucalyptus Dr Ste C, Bakersfield, CA 93306-6075 2010-10-01
1821269093 Crestwood Behavioral Health, Inc. Psychiatric Hospital 6700 Eucalyptus Dr, Suite B, Bakersfield, CA 93306-6075 2008-03-17
1275668840 Crestwood Behavioral Health, Inc. Clinic/Center 409 N Adams St, Dixon, CA 95620-2925 2007-02-22
1073648747 Crestwood Behavioral Health, Inc. Clinic/Center 1945 Kidder Ave, Fairfield, CA 94533-3919 2007-02-22
1356411656 Crestwood Behavioral Health, Inc. Intermediate Care Facility, Mental Illness 2600 Stockton Blvd, Sacramento, CA 95817-2210 2006-11-08

Office Location

Street Address 1425 FRUITDALE AVE
City SAN JOSE
State CA
Zip Code 95128-3234

Providers in the same location

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
1851916415 Zekarias Eyassu Licensed Psychiatric Technician 1425 Fruitdale Ave, San Jose, CA 95128-3234 2020-06-10
1467096099 Limalyn Cortez Valera Licensed Vocational Nurse 1425 Fruitdale Ave, San Jose, CA 95128-3234 2019-11-06
1598065047 Crestwood Behavioral Health, Inc. Psychiatric Hospital 1425 Fruitdale Ave, San Jose, CA 95128-3234 2010-11-01
1164555686 Stanislaus County Community/Behavioral Health 1425 Fruitdale Ave, San Jose, CA 95128-3234 2007-03-13
1609908276 Neal H Jacobi Psychiatry & Neurology 1425 Fruitdale Ave, San Jose, CA 95128-3234 2007-03-09
1942357645 Robert D Daigle Family Medicine 1425 Fruitdale Ave, San Jose, CA 95128-3234 2007-01-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982227138 Ruth Larsen Social Worker 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 2020-05-22
1265067185 Of Two Minds Psychotherapy Marriage & Family Therapist 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 2020-03-11
1982244166 Cindy Pantoja Escobar Behavior Technician 100 O'connor Drive, Suites 21, San Jose, CA 95128 2020-01-15
1104460591 Katherine Alexandra Misogas Pharmacist 777 Turner Dr # 330, San Jose, CA 95128 2019-10-29
1942842216 Jodie Pierce Marriage & Family Therapist 871 Enborg Lane, San Jose, CA 95128 2019-10-08
1003466434 Dong Mi Cha Pharmacist 777 Turner Dr Ste 330, San Jose, CA 95128 2019-09-17
1114571759 Sleep Well Acupuncture, Inc Acupuncturist 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 2019-08-01
1083277677 Wellocity, Inc Health Educator 334 Santana Row, 318, San Jose, CA 95128 2019-04-18
1518428812 Alexander Diaz Radiology 75 South Bascom Ave, San Jose, CA 95128 2019-03-28
1720542103 Nanci R Price Inc Chiropractor 100 O'connor Dr., Ste 27, San Jose, CA 95128 2019-01-30
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Taxonomy Information

Taxonomy Code 3104A0625X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility
Specialization Assisted Living, Mental Illness

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922584903 Diya Senior Care Corp Assisted Living Facility 366 Lassenpark Cir, San Jose, CA 95136-2159 2018-07-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700409356 Ever Well Health Systems, LLC Assisted Living Facility 1201 W Swain Rd, Stockton, CA 95207-4228 2020-05-18
1952935538 Integrated Family Enrichment Services Assisted Living Facility 11423 Citrus Glen Ln, Fontana, CA 92337-1040 2020-02-23
1174157721 Oakview-eldorado Oaks, Inc Assisted Living Facility 1762 Dale Rd, Glendora, CA 91740-5431 2020-02-22
1952955841 Green Merrylands Inc Assisted Living Facility 15986 Baltray Way, Fontana, CA 92336-4546 2019-07-29
1639722002 Golden Living In Sylmar, Inc. Assisted Living Facility 14060 Astoria Street, Sylmar, CA 91342-2949 2019-07-24
1437701307 Arlington Management LLC Assisted Living Facility 4609 Arlington Ave, Riverside, CA 92504-2705 2019-07-11
1215404769 Arm Group Homes LLC. Assisted Living Facility 53 Newburn Ct, Beaumont, CA 92223-3131 2018-11-01
1679052849 Laulelei Care Solutions LLC Assisted Living Facility 7551 Sweetfern Way, Sacramento, CA 95822-5726 2018-08-09
1992293732 Recuperative and Supportive Services, LLC Assisted Living Facility 21200 Ventura Blvd, Woodland Hills, CA 91364-2106 2018-04-26
1033644570 Monze Senior Residential Care Inc Assisted Living Facility 1143 Purdy St, Spring Valley, CA 91977-4754 2017-04-21
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Competitor

Search similar providers

City SAN JOSE
Zip Code 95128

Improve Information

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Dataset Information

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.

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