IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES (NPI# 1821455395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821455395 |
| Entity Type | Organization |
| Organization Name | IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES |
| Other Organization Name | BRAWLEY CHILDREN AND ADOLESCENTS OUTPATIENT CLINIC |
| Practice Address |
195 S. 9th St. Brawley CA 92227-9762 |
| Practice Telephone | 4422655080 |
| Practice Fax Number | 7603517701 |
| Mailing Telephone | 4422655080 |
| Mailing Fax Number | 7603517701 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Authorized Official Name | MR. MICHAEL HORN (DIRECTOR) |
| Authorized Official Telephone | 4422651605 |
| Is Organization Subpart | Y |
| Parent Organization Name | IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Brawley Children and Adolescents Outpatient Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745757 | Imperial County Behavioral Health Services | Clinic/Center | 23 East 3rd Street, Calexico, CA 92231 | 2020-03-13 |
| 1679126247 | Imperial County Behavioral Health Services | Rehabilitation, Substance Use Disorder Unit | 101 Hacienda Dr, Calexico, CA 92231-1889 | 2019-07-22 |
| 1568920569 | Imperial County Behavioral Health Services | Clinic/Center | 101 Hacienda Dr Ste A, Calexico, CA 92231-1889 | 2019-03-08 |
| 1053896241 | Imperial County Behavioral Health Services | Clinic/Center | 1209 Van Buren Ave., Ste 1, Thermal, CA 92274-8800 | 2018-10-03 |
| 1669969846 | Imperial County Behavioral Health Services | Clinic/Center | 480 N Imperial Ave Rm 95, Brawley, CA 92227-1625 | 2018-04-13 |
| 1003313537 | Imperial County Behavioral Health Services | Clinic/Center | 1014 W Brighton Ave, El Centro, CA 92243-3111 | 2018-04-11 |
| 1497275291 | Imperial County Behavioral Health Services | Clinic/Center | 2001 Ocotillo Dr Rm R38, El Centro, CA 92243 | 2017-06-22 |
| 1033652078 | Imperial County Behavioral Health Services | Clinic/Center | 1501 West Imperial Avenue, Calexico, CA 92231-1851 | 2016-11-23 |
| 1023474905 | Imperial County Behavioral Health Services | Clinic/Center | 313 Waterman Ave, El Centro, CA 92243-2215 | 2016-01-08 |
| 1235327768 | Imperial County Behavioral Health Services | Clinic/Center | 1501 I St, Brawley, CA 92227-3603 | 2007-10-10 |
| Street Address |
195 S. 9TH ST. |
| City | BRAWLEY |
| State | CA |
| Zip Code | 92227-9762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548755283 | Imperial Valleyrespite, Inc. | Behavioral Analyst | 630 S. Imperial Ave., Ste. 2, Brawley, CA 92227 | 2018-06-26 |
| 1013424704 | Denise Vizcarra | Behavior Technician | 630 S Brawley Ave Ste 2, Brawley, CA 92227 | 2018-01-04 |
| 1831465178 | Marylou Cayetano Thelmo | Obstetrics & Gynecology | 1166 K Street, Brawley, CA 92227 | 2012-03-30 |
| 1396046983 | Dominga Marquez De Vera | Pharmacist | 475 West Main Street, Vons Pharmacy, Brawley, CA 92227 | 2010-11-12 |
| 1033441795 | Marshall Ray Debruler | Physician Assistant | 207 W. Legion Rd, Brawley, CA 92227 | 2010-02-05 |
| 1073758280 | Brawley Physical Therapy | Clinic/Center | 529 E Street, Brawley, CA 92227 | 2008-12-03 |
| 1609058924 | Leticia Bustamante | Nurse Practitioner | 751 West Legion Road, Suite 102, Brawley, CA 92227 | 2007-11-28 |
| 1073701504 | Imperial County Behavioral Health Services | Clinic/Center | 385 D St Rm 30, Brawley, CA 92227 | 2007-10-10 |
| 1013118801 | Joseph Kurt Bivens | Plastic Surgery | 751 W Legion Rd Ste 300, Brawley, CA 92227 | 2007-05-30 |
| 1083771489 | Yong Tan | Family Medicine | 751 West Legion Road, Suite 102, Brawley, CA 92227 | 2007-01-03 |
| Find all providers in zip 92227 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112157 | 10-20 Club Inc. | Clinic/Center | 8221 3rd St Ste 403, Downey, CA 90241-3733 | 2020-10-20 |
| 1447857040 | Mary Cox, Lmft | Clinic/Center | 13800 Heacock St Ste 230a, Moreno Valley, CA 92553-8824 | 2020-10-06 |
| 1821607771 | Tonya Octave, Lcsw, Prof Corp | Clinic/Center | 237 S Lakeview Ave Ste A, Placentia, CA 92870-6756 | 2020-07-27 |
| 1972121762 | Environmental Alternatives Susanville | Clinic/Center | 2003 Main St, Susanville, CA 96130-4501 | 2020-07-08 |
| 1083231781 | Treehouse Child Therapy Professional Corporation | Clinic/Center | 514 N California Ave Ste 13, Beaumont, CA 92223-2120 | 2020-06-29 |
| 1083230262 | Socal Adolescent Wellness, Inc. | Clinic/Center | 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899 | 2020-06-23 |
| 1447876123 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 454 E Cerritos St, Rialto, CA 92376-3658 | 2020-06-18 |
| 1669098505 | Rowi Valencia, Inc. | Clinic/Center | 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 | 2020-06-16 |
| 1386267870 | Bni Treatment Centers | Clinic/Center | 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 | 2020-05-19 |
| 1538781042 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 3872 Carthage St, Riverside, CA 92501-2102 | 2020-05-07 |
| Find all providers with the same taxonomy | ||||
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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.