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INNOVATE BEHAVIORAL HEALTH MEDICAL GROUP INC NPI 1972129948


NPI Information

NPI: 1972129948
Provider Name: INNOVATE BEHAVIORAL HEALTH MEDICAL GROUP INC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
732 N MOUNTAIN AVE STE A
UPLAND, CA
ZIP 91786
Phone: (909) 579-2555
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INNOVATE BEHAVIORAL HEALTH MEDICAL GROUP INC is a psychiatry psychiatry neurology in Upland, CA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. INNOVATE BEHAVIORAL HEALTH MEDICAL GROUP INC NPI is 1972129948. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

732 N MOUNTAIN AVE STE A
UPLAND, CA
ZIP 91786-372
Phone: (909) 579-2555
Fax: (909) 579-2118

The provider's authorized official is Henry Htewlay Khin .
The authorized official title is Owner and has the following contact phone number (909) 579-2555.

The enumeration date for this NPI number is 6/24/2020 and was last updated on 2/17/2023.


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
1101YM0800XCounselorMental HealthNo
2104100000XSocial WorkerNo
31041C0700XSocial WorkerClinicalNo
4106H00000XMarriage & Family TherapistNo
52084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
62084P0805XPsychiatry & NeurologyGeriatric PsychiatryNo
72084P0800XPsychiatry & NeurologyPsychiatryYes

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

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