NPIMap

Organization Active NPI

HDMC Holdings, LLC

Doing business as Hi Desert Behavioral Health Centere

  • Psychiatry Physician
  • Yucca Valley, CA
National Provider Identifier
1366837825
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HDMC HOLDINGS, LLC
Doing business as
Hi Desert Behavioral Health Centere
Practice address
57407 29 Palms Hwy
Suite B
Yucca Valley, CA 92284-2907
Phone
(760) 366-7542
NPI assigned
Apr 1, 2015
Last updated
Mar 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Mike King
Title
Cfo
Phone
(209) 985-3317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

57407 29 Palms Hwy
Suite B
Yucca Valley, CA 92284-2907

Mailing address

6601 White Feather Rd
Joshua Tree, CA 92252-6607
Phone (760) 366-7542

Other names 1

  • Hi Desert Behavioral Health Centere Doing business as

National Provider Directory

National Provider Directory
Tax ID family
HDMC Holdings LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

57407 29 Palms Hwy
Ste B
Yucca Valley, CA 92284
Phone (760) 366-1541

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1366837825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 WHITE FEATHER RD",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "922526607",
            "telephone_number": "760-366-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57407 29 PALMS HWY",
            "address_2": "SUITE B",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842907",
            "telephone_number": "760-366-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HDMC HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "209-985-3317"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hi Desert Behavioral Health Centere",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hi Desert Behavioral Health Centere",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.