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SJBH LLC NPI 1508252149


NPI Information

NPI: 1508252149
Provider Name: SJBH, LLC

Doing Business As: SAN JOSE BEHAVIORAL HEALTH

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 05D2110225

Address:
455 SILICON VALLEY BLVD
SAN JOSE, CA
ZIP 95138
Phone: (615) 861-6000
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SJBH, LLC is a psychiatric hospital in San Jose, CA. The provider is 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. SJBH, LLC NPI is 1508252149. The provider is registered as an organization entity type.
The provider Is Doing Business As San Jose Behavioral Health.

The provider's business location address is:

455 SILICON VALLEY BLVD
SAN JOSE, CA
ZIP 95138-858
Phone: (615) 861-6000

The provider's authorized official is Brian P. Farley .
The authorized official title is Vice President & Secretary and has the following contact phone number (615) 861-6000.

The CLIA number assigned to this NPI record is 05D2110225 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2015 and was last updated on 8/26/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
3283Q00000XPsychiatric HospitalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105-4154MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.