NPIMap

Organization Active NPI

Imperial County Behavioral Health Services

  • Adolescent and Children Mental Health Clinic/Center
  • El Centro, CA
National Provider Identifier
1407076011
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES
Practice address
1295 State St
101,102,103,106
El Centro, CA 92243-2845
Phone
(442) 265-1525
NPI assigned
Apr 26, 2007
Last updated
Feb 22, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Michael Horn
Title
Director
Phone
(442) 265-1602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

1295 State St
101,102,103,106
El Centro, CA 92243-2845

Mailing address

202 N 8TH St
El Centro, CA 92243-2302

Other names 1

  • Youth and Young Adult Services - First Floor Menvielle Building Other name

National Provider Directory

National Provider Directory
Tax ID family
Imperial General HSP53 organizations share this tax ID, including this one
Part of
Imperial General HSP

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

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1407076011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N 8TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 STATE ST",
            "address_2": "101,102,103,106",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432845",
            "telephone_number": "442-265-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES",
        "enumeration_date": "2007-04-26",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "442-265-1602"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth and Young Adult Services - First Floor Menvielle Building",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.