NPIMap

Organization Active NPI

Platinum Behavioral Management

  • Community/Behavioral Health Agency
  • Canyon Country, CA
National Provider Identifier
1114300597
Registry record updated Jul 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1-12-11854 Issued in CA
Legal business name
PLATINUM BEHAVIORAL MANAGEMENT
Practice address
18003 Flynn Dr
Unit 542
Canyon Country, CA 91387-4919
Phone
(661) 992-3610
NPI assigned
Jul 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2015

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

Authorized official

Name
Kimberly Michelle Benjamin, BCBANPI 1255676490
Title
Co Owner
Phone
(661) 992-3610

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1-12-11854 CA Primary
Early Intervention Provider Agency 252Y00000X 1-12-11854 CA

Addresses

Primary practice location

18003 Flynn Dr
Unit 542
Canyon Country, CA 91387-4919

Mailing address

18003 Flynn Dr
Unit 542
Canyon Country, CA 91387-4919
Phone (661) 992-3610

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1435881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435881600000",
    "number": "1114300597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18003 FLYNN DR",
            "address_2": "UNIT 542",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913874919",
            "telephone_number": "661-992-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18003 FLYNN DR",
            "address_2": "UNIT 542",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913874919",
            "telephone_number": "661-992-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM BEHAVIORAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-03",
        "last_updated": "2015-07-03",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "661-992-3610",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "1-12-11854",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "1-12-11854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.