Valley Star Behavioral Health, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VALLEY STAR BEHAVIORAL HEALTH, INC.

Practice address

9355 Opal Ave
Mentone, CA 92359-9605

Phone

(510) 635-9705

NPI assigned

Feb 4, 2008

Last updated

Jan 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kent Dunlap

Title

President and Chief Executive Offic

Phone

(310) 221-6336

Specialties & licenses 1

Addresses

Other names 1

• Valley Star CFS-Mentone Other name

Locations

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1265610091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9355 OPAL AVE",
            "city": "MENTONE",
            "state": "CA",
            "postal_code": "923599605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9355 OPAL AVE",
            "city": "MENTONE",
            "state": "CA",
            "postal_code": "923599605",
            "telephone_number": "510-635-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY STAR BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT AND CHIEF EXECUTIVE OFFIC",
        "authorized_official_telephone_number": "310-221-6336"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Star CFS-Mentone",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laurel Elizabeth Slater, RNC
• Lawrence Lamar Smith
• Questley J Smith
• Jennifer Uithoven
• Unica HC, LLC (University Post Acute)
• Urmi Vasaiwala, LCSW
• Lynn Thi Vu, BSN
• Tiombe E Wise, CHW
• Kristina Marie Woods, PHD, RN, CLNC
• Jennifer Lynn Yaghoubian, PPS

• Community/Behavioral Health Agency in Mentone, CA
• Providers in Mentone, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.