LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER, INC. (NPI# 1922015833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922015833 |
| Entity Type | Organization |
| Organization Name | LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER, INC. |
| Practice Address |
1710 Barton Rd Redlands CA 92373-5304 |
| Mailing Address |
11234 Anderson St Room 1140 Loma Linda CA 92354-2804 |
| Practice Telephone | 9095584456 |
| Practice Fax Number | 9095580455 |
| Mailing Telephone | 9095584456 |
| Mailing Fax Number | 9095580455 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2015-04-03 |
| Authorized Official Name | MR. STEVEN L MOHR (SR. V. P., FINANCE) |
| Authorized Official Telephone | 9095584456 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 240000281 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HSM34093G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720500457 | Loma Linda University Behavioral Medicine Center, Inc. | Psychiatric Hospital | 1686 Barton Rd, Redlands, CA 92373-1488 | 2017-07-14 |
| 1336156470 | Loma Linda University Behavioral Medicine Center, Inc. | Psychiatric Hospital | 1710 Barton Rd, Redlands, CA 92373-5304 | 2006-08-02 |
| 1194732008 | Loma Linda University Behavioral Medicine Center, Inc. | Psychiatric Hospital | 1710 Barton Rd, Redlands, CA 92373-5304 | 2006-08-02 |
| 1003823915 | Loma Linda University Behavioral Medicine Center, Inc. | Psychiatric Hospital | 1710 Barton Rd, Redlands, CA 92373-5304 | 2006-08-02 |
| Street Address |
1710 BARTON RD |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275565533 | Faculty Physicians and Surgeons of Llusm | Psychiatry & Neurology | 1710 Barton Rd, Redlands, CA 92373-5304 | 2006-07-07 |
| 1174160444 | Allison Beard | Marriage & Family Therapist | 1710 Barton Rd, Redlands, CA 92373-5304 | 2019-12-05 |
| 1710529425 | Janice D Agdigos | Marriage & Family Therapist | 1710 Barton Rd, Redlands, CA 92373-5304 | 2019-10-14 |
| 1851867147 | Colleen April Brenner | Psychologist | 1710 Barton Rd, Redlands, CA 92373-5304 | 2018-10-15 |
| 1104301126 | Daniel Strosky | Psychologist | 1710 Barton Rd, Redlands, CA 92373-5304 | 2018-09-25 |
| 1053810341 | Dorothy Kay Geiger | Marriage & Family Therapist | 1710 Barton Rd, Redlands, CA 92373-5304 | 2018-02-01 |
| 1205215936 | Zachary Charles Herzfeldt | Psychiatry & Neurology | 1710 Barton Rd, Redlands, CA 92373-5304 | 2015-05-27 |
| 1902203458 | Kristie Leong | Pharmacist | 1710 Barton Rd, Redlands, CA 92373-5304 | 2014-11-28 |
| 1477969079 | Jessica De La Rosa | Counselor | 1710 Barton Rd, Redlands, CA 92373-5304 | 2014-07-03 |
| 1013264811 | Richard Mark Rusovick | Marriage & Family Therapist | 1710 Barton Rd, Php, Redlands, CA 92373-5304 | 2012-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720500457 | Loma Linda University Behavioral Medicine Center, Inc. | Psychiatric Hospital | 1686 Barton Rd, Redlands, CA 92373-1488 | 2017-07-14 |
| 1336156470 | Loma Linda University Behavioral Medicine Center, Inc. | Psychiatric Hospital | 1710 Barton Rd, Redlands, CA 92373-5304 | 2006-08-02 |
| 1194732008 | Loma Linda University Behavioral Medicine Center, Inc. | Psychiatric Hospital | 1710 Barton Rd, Redlands, CA 92373-5304 | 2006-08-02 |
| 1003823915 | Loma Linda University Behavioral Medicine Center, Inc. | Psychiatric Hospital | 1710 Barton Rd, Redlands, CA 92373-5304 | 2006-08-02 |
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| 1740892017 | Avamed Inc. | Psychiatric Hospital | 12955 Riverside Dr Apt 204, Sherman Oaks, CA 91423-2202 | 2020-08-18 |
| 1437769957 | North Valley Behavioral Health, LLC | Psychiatric Hospital | 1253 Stabler Lane, Yuba City, CA 95993 | 2020-08-10 |
| 1811549504 | Sacramento Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 1400 Expo Pkwy, Sacramento, CA 95815-4230 | 2019-07-12 |
| 1932603990 | Central Star Behavioral Health, Inc. | Psychiatric Hospital | 496 South Barton Ave, Fresno, CA 93750-0001 | 2018-03-22 |
| 1639601933 | Restpadd Health Corp | Psychiatric Hospital | 925 Walnut St, Red Bluff, CA 96080-3707 | 2017-03-28 |
| 1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
| 1558812404 | Sonnia A. Ahinasi | Psychiatric Hospital | 4192 Via Napoli, Montclair, CA 91763-4750 | 2016-10-16 |
| 1316399660 | Itzel Lopez | Psychiatric Hospital | 1869 Lombard St, San Francisco, CA 94123-2909 | 2016-07-11 |
| 1770931032 | Ruby Lorraine Summus | Psychiatric Hospital | 4111 Jonathon St, Oceanside, CA 92056-4217 | 2016-05-27 |
| 1760841126 | County of Los Angeles | Psychiatric Hospital | 5800 South St Apt 163, Lakewood, CA 90713-1331 | 2016-02-15 |
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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.