CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) NPI 1952113102

NPI Information

  • NPI: 1952113102
  • Provider Name: CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC)
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: CARR PR 122 KM 0.6 AVE CASTRO PEREZ
    BO. GUAMA
    SAN GERMAN, PR
    ZIP 00683
  • Phone: (787) 527-5616

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NPI Details

CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) is a mental health (including community mental health center) clinic center in San German, PR. CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) NPI is 1952113102. The provider is registered as an organization entity type.

The provider's business location address is:

CARR PR 122 KM 0.6 AVE CASTRO PEREZ
BO. GUAMA
SAN GERMAN, PR
ZIP 00683
Phone: (787) 527-5616

The provider's authorized official is Tania Rodriguez .
The authorized official title is Ceo and has the following contact phone number (787) 831-5800.

The enumeration date for this NPI number is 1/24/2025 and was last updated on 1/24/2025.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
3261QM1300XClinic/CenterMulti-SpecialtyNo

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: 3/30/2025

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