NPIMap

Organization Active NPI

Mountain View Behavioral Health,Inc.

  • Mental Health Counselor
  • Upland, CA
National Provider Identifier
1043391295
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MOUNTAIN VIEW BEHAVIORAL HEALTH,INC.
Practice address
585 N Mountain Ave Ste B
Upland, CA 91786-8516
Phone
(909) 931-9988
Fax
(909) 931-7311
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
Kenneth Joseph Kaiser, LCSWNPI 1306818653
Title
President
Phone
(909) 702-2068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X CA Primary

Addresses

Primary practice location

585 N Mountain Ave Ste B
Upland, CA 91786-8516

Mailing address

585 N Mountain Ave Ste B
Upland, CA 91786-8516
Phone (909) 931-9988

Other practice location 1

876 N Mountain Ave
Ste.200
Upland, CA 91786-4166
Phone (909) 931-9988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080116000761 CA Part B Supplier - Clinic/Group Practice 4385725266 Receives reassigned benefits from 5 practitioners
Practice locations: Upland, CA

National Provider Directory

National Provider Directory

Locations

876 N Mountain Ave
Ste 200
Upland, CA 91786
Phone (909) 931-3388

585 N Mountain Ave
Ste B
Upland, CA 91786
Phone (909) 702-2068

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1043391295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 N MOUNTAIN AVE STE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868516",
            "telephone_number": "909-931-9988",
            "fax_number": "909-931-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 N MOUNTAIN AVE STE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868516",
            "telephone_number": "909-931-9988",
            "fax_number": "909-931-7311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "876 N Mountain Ave",
            "address_2": "Ste.200",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864166",
            "country_code": "US",
            "telephone_number": "909-931-9988",
            "fax_number": "909-931-7311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNTAIN VIEW BEHAVIORAL HEALTH,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-702-2068",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.