Organization Active NPI

Agoura Behavioral Health LLC

  • Adult Mental Health Clinic/Center
  • Agoura Hills, CA
National Provider Identifier
1447745054
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
AGOURA BEHAVIORAL HEALTH LLC
Practice address
28632 Roadside Dr Ste 170
Agoura Hills, CA 91301-6064
Phone
(805) 383-2702
Fax
(818) 698-6442
NPI assigned
Jun 26, 2018
Last updated
Jun 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Authorized official

Name
Joann Zuniga
Title
Administrative Director
Phone
(805) 383-2702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

28632 Roadside Dr Ste 170
Agoura Hills, CA 91301-6064

Mailing address

28632 Roadside Dr Ste 170
Agoura Hills, CA 91301-6064
Phone (805) 383-2702

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1447745054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28632 ROADSIDE DR STE 170",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913016064",
            "telephone_number": "805-383-2702",
            "fax_number": "818-698-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28632 ROADSIDE DR STE 170",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913016064",
            "telephone_number": "805-383-2702",
            "fax_number": "818-698-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGOURA BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "ZUNIGA",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "805-383-2702"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.