Crestwood Behavioral Health, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CRESTWOOD BEHAVIORAL HEALTH, INC.

Practice address

550 Patterson Blvd
Pleasant Hill, CA 94523-4155

Phone

(925) 938-8050

Fax

(925) 938-8040

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Michelle Smith

Title

Executive Director Ar and Reimb.

Phone

(209) 955-2364

Specialties & licenses 1

Addresses

Other names 1

• CRESTWOOD WELLNESS CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Crestwood Behavioral Health, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Bakersfield, CA
  • NPI 1265501597

  O20120117000684

  Same enrollment
• Crestwood Behavioral Health, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Pleasant Hill, CA
  • NPI 1578634911

  O20120117000684

  Same enrollment

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Crestwood Behavioral Health Inc

  • Skilled Nursing Facility
  • Fremont, CA
  • NPI 1902828403

  Member Of

  NPD member

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1043389372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7590 SHORELINE DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952195455",
            "telephone_number": "209-955-2328",
            "fax_number": "209-952-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PATTERSON BLVD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234155",
            "telephone_number": "925-938-8050",
            "fax_number": "925-938-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWOOD BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR AR AND REIMB.",
        "authorized_official_telephone_number": "209-955-2364"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRESTWOOD WELLNESS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CRESTWOOD WELLNESS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Anne Couto
• Pamela Lea Coyne, FNP
• Nancy Craft, LCSW
• Jacqueline Ann Crawford, LCSW
• Crestwood Behavioral Health
• Crestwood Behavioral Health, Inc.
• Crestwood Behavioral Health, Inc.
• Crestwood Behavioral Health, Inc.
• Crestwood Healing Center
• Cecia Cruz, M.S.

• All providers in Pleasant Hill, CA
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.