NPIMap

Organization Active NPI

Novata Behavioral Health

  • Community/Behavioral Health Agency
  • San Diego, CA
National Provider Identifier
1386949584
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NOVATA BEHAVIORAL HEALTH
Practice address
10065 Old Grove Rd
#200
San Diego, CA 92131-1664
Phone
(858) 566-6439
NPI assigned
Jan 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Kimberly R Bond, MFT
Title
President
Phone
(858) 573-2600

Specialties & licenses 1

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

Addresses

Primary practice location

10065 Old Grove Rd
#200
San Diego, CA 92131-1664

Mailing address

10065 Old Grove Rd
#200
San Diego, CA 92131-1664
Phone (858) 566-6439

Other names 1

  • Novata Counseling Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center for Autism Research Evaluation and Service Cares2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1386949584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10065 OLD GROVE RD",
            "address_2": "#200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311664",
            "telephone_number": "858-566-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10065 OLD GROVE RD",
            "address_2": "#200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311664",
            "telephone_number": "858-566-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVATA BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-573-2600",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novata Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.