CORRECTIONAL HEALTH PSYCH SERVICES NPI 1902766470

NPI Information

  • NPI: 1902766470
  • Provider Name: CORRECTIONAL HEALTH PSYCH SERVICES
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 473 S CARNEGIE DR STE 200
    SAN BERNARDINO, CA
    ZIP 92408
  • Phone: (800) 842-1598

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NPI Details

CORRECTIONAL HEALTH PSYCH SERVICES is a mental health counselor in San Bernardino, CA. CORRECTIONAL HEALTH PSYCH SERVICES NPI is 1902766470. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

473 S CARNEGIE DR STE 200
SAN BERNARDINO, CA
ZIP 92408-201
Phone: (800) 842-1598
Fax: (909) 884-0388

The provider's authorized official is Kelly Martin .
The authorized official title is Managing Director and has the following contact phone number (800) 842-1598.

The enumeration date for this NPI number is 11/17/2025 and was last updated on 11/17/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
22084P0800XPsychiatry & NeurologyPsychiatryNo
32084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
4103TA0400XPsychologistAddiction (Substance Use Disorder)No
51041C0700XSocial WorkerClinicalNo
6106H00000XMarriage & Family TherapistNo
72084A0401XPsychiatry & NeurologyAddiction MedicineNo
8103T00000XPsychologistNo
9101YM0800XCounselorMental HealthYes

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: 11/21/2025

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