Organization · Type 2 NPI

County of San Bernardino

Adolescent and Children Mental Health Clinic/Center · San Bernardino, CA

NPI number 1043415037 Active

Practice location

658 E Brier Dr Ste 200
San Bernardino, CA 92408-2847

Call (909) 501-0700 Map

Fax (909) 381-2330

Mailing address

303 E Vanderbilt Way
San Bernardino, CA 92415-0026

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed
Adolescent and Children Mental Health Clinic/Center Primary	261QM0855X	None listed

Adolescent and Children Mental Health Clinic/Center: 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.

49 other providers at this address

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NPI record

NPI: 1043415037
Entity type: Organization (Type 2)
Issued: Jun 19, 2007
Last updated: Jun 16, 2022
Status: Active
Subpart: Yes of Department of Behavioral Health

Other names

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Centralized Child Intensive Case MGMT Services · doing business as
Centralized Child Intensive Case MGMT Services · doing business as

Authorized official

Ms. Erica Ochoa
Chief Compliance Officer
(909) 388-0882

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043415037

County of San Bernardino's National Provider Identifier is 1043415037, issued on Jun 19, 2007. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in San Bernardino, CA. The record was last updated on Jun 16, 2022.