Active NPI
Genesis Behavioral Health, Inc
- Psychiatric Hospital
- Bakersfield, CA
National Provider Identifier
1306247689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- GENESIS BEHAVIORAL HEALTH, INC
- Practice address
- 5201 White LN
Bakersfield, CA 93309-6200 - Phone
- (661) 398-1800
- Fax
- (661) 241-6252
- NPI assigned
- Sep 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rogelio Monzon III, MBA
- Title
- Chief Financial Officer
- Phone
- (661) 241-5509
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | |||
| Psychiatric Hospital | 283Q00000X | Primary |
Addresses
Primary practice location
5201 White LN
Bakersfield, CA 93309-6200
Mailing address
5201 White LN
Bakersfield, CA 93309-6200
Phone (661) 398-1800
Other names 1
- Affinity Behavioral Health
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409875200000",
"number": "1306247689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 WHITE LN",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933096200",
"telephone_number": "661-398-1800",
"fax_number": "661-241-6252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 WHITE LN",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933096200",
"telephone_number": "661-398-1800",
"fax_number": "661-241-6252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS BEHAVIORAL HEALTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-05",
"last_updated": "2014-09-05",
"status": "A",
"authorized_official_last_name": "MONZON",
"authorized_official_first_name": "ROGELIO",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "661-241-5509",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": null,
"license": null,
"primary": false
},
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Affinity Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.