NPIMap

Organization Active NPI

Therapeutic Behavioral Services

  • Community/Behavioral Health Agency
  • El Cajon, CA
National Provider Identifier
1366597601
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THERAPEUTIC BEHAVIORAL SERVICES
Practice address
1000 Broadway
Suite 105
El Cajon, CA 92021-4899
Phone
(619) 401-4630
Fax
(619) 401-4627
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alfredo Aguirre, LCSW
Title
Deputy Director Mental Health SRVC
Phone
(619) 563-2711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1000 Broadway
Suite 105
El Cajon, CA 92021-4899

Mailing address

PO Box 85524
Ms P-503
San Diego, CA 92186-5524
Phone (619) 401-4630

Other identifiers 1

IdentifierTypeStateIssuer
37EDMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Edgemoor Geriatric Hospital101 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1000 Broadway
Ste 105
El Cajon, CA 92021
Phone (619) 401-4630

Practitioners & affiliated clinicians

Practitioners 1

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366597601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85524",
            "address_2": "MS P-503",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921865524",
            "telephone_number": "619-401-4630",
            "fax_number": "619-401-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BROADWAY",
            "address_2": "SUITE 105",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214899",
            "telephone_number": "619-401-4630",
            "fax_number": "619-401-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR MENTAL HEALTH SRVC",
        "authorized_official_telephone_number": "619-563-2711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37ED",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

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