BEHAVIORAL HEALTH SERVICES, INC. (NPI# 1912257163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912257163 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL HEALTH SERVICES, INC. |
| Practice Address |
615 Elm Ave Long Beach CA 90802-1406 |
| Mailing Address |
15519 Crenshaw Blvd Gardena CA 90249-4525 |
| Practice Telephone | 5624357350 |
| Practice Fax Number | 5624354532 |
| Mailing Telephone | 3106799126 |
| Mailing Fax Number | 3106792920 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |
| Authorized Official Name | MR. HENRY VAN OUDHEUSDEN (PRESIDENT/CEO) |
| Authorized Official Telephone | 3106799126 |
| Authorized Official Credential | MA, MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 190007SN | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801407945 | Behavioral Health Services, Inc. | Community/Behavioral Health | 1424 4th St Ste 205, Santa Monica, CA 90401-2352 | 2020-08-12 |
| 1013528108 | Behavioral Health Services, Inc. | Clinic/Center | 12954 Hawthorne Blvd Ste 100, Hawthorne, CA 90250-4418 | 2020-08-12 |
| 1699385971 | Behavioral Health Services, Inc. | Substance Abuse Rehabilitation Facility | 2180 West Valley Blvd., Floor 200, Pomona, CA 91768 | 2020-08-03 |
| 1609343078 | Behavioral Health Services, Inc. | Community/Behavioral Health | 2015 W 1st St Ste J, Santa Ana, CA 92703-3516 | 2018-10-24 |
| 1619422755 | Behavioral Health Services, Inc. | Community/Behavioral Health | 9100 S Sepulveda Blvd Ste 105, Los Angeles, CA 90045-4849 | 2016-08-18 |
| 1073951992 | Behavioral Health Services, Inc. | Community/Behavioral Health | 2515 Whittier Blvd., Los Angeles, CA 90023 | 2013-06-13 |
| 1801147731 | Behavioral Health Services, Inc. | Community/Behavioral Health | 590 W 8th St, San Pedro, CA 90731-3120 | 2012-10-02 |
| 1902156169 | Behavioral Health Services, Inc. | Substance Abuse Rehabilitation Facility | 351 E 6th St, Long Beach, CA 90802-1402 | 2012-09-14 |
| 1417218678 | Behavioral Health Services, Inc. | Community/Behavioral Health | 1624 S Hope St, Los Angeles, CA 90015-4119 | 2012-06-05 |
| 1326322405 | Behavioral Health Services, Inc. | Community/Behavioral Health | 1334 Post Ave, Torrance, CA 90501-2620 | 2011-10-06 |
| Street Address |
615 ELM AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90802-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981791 | Nena Danieles Meador | Technician | 505 West 5th St. Unit 201, Long Beach, CA 90802 | 2019-09-17 |
| 1881241487 | Edward De La Cruz | Technician | 425 E 3rd St., 413, Long Beach, CA 90802 | 2019-08-20 |
| 1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
| 1073175881 | David Coleman | Counselor | 735 West 4th St, Unit D, Long Beach, CA 90802 | 2019-07-01 |
| 1235612193 | Linda Nyagaya | Nurse Practitioner | 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 | 2018-09-06 |
| 1669998670 | Jessica Huerta | Student in an Organized Health Care Education/Training Program | 456 Elm, Long Beach, CA 90802 | 2017-08-22 |
| 1316462484 | Kathlyn Pearl Parlet | Counselor | 351 E. 6th. Street, Long Beach, CA 90802 | 2017-08-09 |
| 1386168136 | Shena Young | Psychologist | 404 East First St #1191, Long Beach, CA 90802 | 2017-08-02 |
| 1215472758 | Vanessa Pons | Marriage & Family Therapist | 735 W 4th St Unit A, Long Beach, CA 90802 | 2016-12-19 |
| 1821459330 | Surabhi Shah | Occupational Therapist | 330 Golden Shores, Suite 250, Long Beach, CA 90802 | 2016-03-10 |
| Find all providers in zip 90802 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609369313 | American Indian Changing Spirits | Substance Abuse Rehabilitation Facility | 2120 W Williams St Bldg 3, Long Beach, CA 90810-3636 | 2018-06-08 |
| 1669907523 | Ashley Clary | Substance Abuse Rehabilitation Facility | 6621 Pacific Coast Highway, Long Beach, CA 90803 | 2017-04-27 |
| 1730623299 | Bpp Lb Recovery, LLC | Substance Abuse Rehabilitation Facility | 1535 E 1st St, Long Beach, CA 90802-5931 | 2016-12-16 |
| 1629439898 | Tranquility Counseling Services | Substance Abuse Rehabilitation Facility | 720 W 4th St Unit 404, Long Beach, CA 90802-2100 | 2016-03-15 |
| 1053784264 | Safe Refuge | Substance Abuse Rehabilitation Facility | 3113 E 7th St, Long Beach, CA 90804-4932 | 2015-11-10 |
| 1033582242 | Safe Refuge | Substance Abuse Rehabilitation Facility | 3115 E 7th St, Long Beach, CA 90804-4932 | 2015-11-10 |
| 1932572146 | Safe Refuge | Substance Abuse Rehabilitation Facility | 3119 E 7th St, Long Beach, CA 90804-4932 | 2015-11-10 |
| 1104299312 | Safe Refuge | Substance Abuse Rehabilitation Facility | 3131 E 7th St, Long Beach, CA 90804-4935 | 2015-11-10 |
| 1811360027 | Safe Refuge | Substance Abuse Rehabilitation Facility | 719 Obispo Ave, Long Beach, CA 90804-5028 | 2015-11-10 |
| 1386017598 | Safe Refuge | Substance Abuse Rehabilitation Facility | 727 Obispo Ave, Long Beach, CA 90804-5027 | 2015-11-10 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90802 |
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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.