Organization · Type 2 NPI

County of San Bernardino

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

NPI number 1467658187 Active

Practice location

780 E Gilbert St
San Bernardino, CA 92415

Call (909) 387-7194 Map

Mailing address

303 E Vanderbilt Way
San Bernardino, CA 92415-0026

Specialties and licenses

Taxonomy	Code	License
Adolescent and Children Mental Health Clinic/Center Primary	261QM0855X	ZZZ74743Z (CA)

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.

65 other providers at this address

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NPI record

NPI: 1467658187
Entity type: Organization (Type 2)
Issued: Jun 21, 2007
Last updated: Sep 7, 2022
Status: Active
Subpart: Yes of Departmentof Behavioral Health

Other names

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One Stop Tay Center · doing business as
One Stop Tay Center · doing business as

Authorized official

Erica Ochoa
Chief Compliance Officer
(909) 388-0882

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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 1467658187

County of San Bernardino's National Provider Identifier is 1467658187, issued on Jun 21, 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 Sep 7, 2022.