Organization Active NPI

Elevation Behavioral Health

  • Psychiatric Residential Treatment Facility
  • Agoura Hills, CA
National Provider Identifier
1215545652
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
ELEVATION BEHAVIORAL HEALTH
Practice address
3836 Kanan Rd
Agoura Hills, CA 91301-3237
Phone
(888) 643-7135
NPI assigned
Jul 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Krista Lynn Dennis
Title
Insurance Manager
Phone
(805) 579-3537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

3836 Kanan Rd
Agoura Hills, CA 91301-3237

Mailing address

28632 Roadside Dr Ste 170
Agoura Hills, CA 91301-6083
Phone (310) 951-6340

National Provider Directory

National Provider Directory
Tax ID family
Elevation Behavioral Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

28632 Roadside Dr
Ste 170
Agoura Hills, CA 91301
Phone (805) 383-2702

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1215545652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28632 ROADSIDE DR STE 170",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913016083",
            "telephone_number": "310-951-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3836 KANAN RD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913013237",
            "telephone_number": "888-643-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "805-579-3537"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.