NPIMap

Organization Active NPI

College Community Services

Doing business as AMHS Clarvida Anaheim Adult Behavioral Health Outpatient Services

  • Community/Behavioral Health Agency
  • Anaheim, CA
National Provider Identifier
1043354624
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COLLEGE COMMUNITY SERVICES
Doing business as
AMHS Clarvida Anaheim Adult Behavioral Health Outpatient Services
AMHS Clarvida Anaheim Recovery Center
Practice address
100 S Anaheim Blvd Ste 150
Anaheim, CA 92805-3870
Phone
(562) 467-5440
Fax
(562) 467-5553
NPI assigned
Feb 16, 2007
Last updated
Aug 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracy Ginter, MBA, CBCS
Title
Director of State Operations
Phone
(657) 465-9497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

100 S Anaheim Blvd Ste 150
Anaheim, CA 92805-3870

Mailing address

8337 Telegraph Rd Ste 300
Pico Rivera, CA 90660-4957
Phone (562) 467-5577

Other practice location 1

511 N Brookhurst St Ste 200
Anaheim, CA 92801-5229
Phone (714) 780-0750

Other identifiers 1

IdentifierTypeStateIssuer
30CSOtherCAMEDI-CAL PROVIDER NUMBER

Other names 2

  • AMHS Clarvida Anaheim Adult Behavioral Health Outpatient Services Doing business as
  • AMHS Clarvida Anaheim Recovery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100415000405 CA Part B Supplier - Clinic/Group Practice 4183767999 Receives reassigned benefits from 26 practitioners
16 other NPIs on this enrollment
Practice locations: Wasco, CA; Tehachapi, CA; Taft, CA; Santa Ana, CA; Ridgecrest, CA; Mojave, CA; Orange, CA; Anaheim, CA…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
College Community Servi22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1043354624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8337 TELEGRAPH RD STE 300",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906604957",
            "telephone_number": "562-467-5577",
            "fax_number": "562-467-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ANAHEIM BLVD STE 150",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053870",
            "telephone_number": "562-467-5440",
            "fax_number": "562-467-5553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 N Brookhurst St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928015229",
            "country_code": "US",
            "telephone_number": "714-780-0750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLLEGE COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "GINTER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "DIRECTOR OF STATE OPERATIONS",
        "authorized_official_telephone_number": "657-465-9497",
        "authorized_official_credential": "MBA, CBCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "30CS",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMHS Clarvida Anaheim Adult Behavioral Health Outpatient Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AMHS Clarvida Anaheim Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.