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COUNTY OF SAN BERNARDINO NPI 1043415037


NPI Information

NPI: 1043415037
Provider Name: COUNTY OF SAN BERNARDINO

Doing Business As: CENTRALIZED CHILD INTENSIVE CASE MGMT SERVICES

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
658 E BRIER DR STE 200
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 501-0700
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COUNTY OF SAN BERNARDINO is an adolescent and children mental health clinic center in San Bernardino, CA. The provider is 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. COUNTY OF SAN BERNARDINO NPI is 1043415037. The provider is registered as an organization entity type.
The provider Is Doing Business As Centralized Child Intensive Case Mgmt Services.

The provider's business location address is:

658 E BRIER DR STE 200
SAN BERNARDINO, CA
ZIP 92408-847
Phone: (909) 501-0700
Fax: (909) 381-2330

The provider's authorized official is Erica Ochoa .
The authorized official title is Chief Compliance Officer and has the following contact phone number (909) 388-0882.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 6/16/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM0855XClinic/CenterAdolescent and Children Mental HealthCALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1360003681OTHERCALIFORNIAMEDICAL PROVIDER NUMBER

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: 5/5/2024

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