Organization Active NPI

Neurobehavioral Health Care Med GRP Inc

  • Child & Adolescent Psychiatry Physician
  • Dana Point, CA
National Provider Identifier
1457567257
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
G 19275 Issued in CA
Legal business name
NEUROBEHAVIORAL HEALTH CARE MED GRP INC
Practice address
33971 Selva Rd
Suite 120
Dana Point, CA 92629-3342
Phone
(949) 707-4757
Fax
(949) 488-7840
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Robert Samuel Dobrin, MD
Title
President
Phone
(949) 707-4757

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X G 19275 CA
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X G 19275 CA
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X G 19275 CA Primary

Addresses

Primary practice location

33971 Selva Rd
Suite 120
Dana Point, CA 92629-3342

Mailing address

32446 Crown Valley Parkway
#204
Dana Point, CA 92629-3342
Phone (949) 707-4757

Other names 1

  • Pediatric Critical Care Med Grp Former legal business name

National Provider Directory

National Provider Directory

Locations

33971 Selva Rd
Ste 120
Dana Point, CA 92629
Phone (949) 707-4757

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1457567257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32446 CROWN VALLEY PARKWAY",
            "address_2": "#204",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293342",
            "telephone_number": "949-707-4757",
            "fax_number": "949-488-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33971 SELVA RD",
            "address_2": "SUITE 120",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293342",
            "telephone_number": "949-707-4757",
            "fax_number": "949-488-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBEHAVIORAL HEALTH CARE MED GRP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "DOBRIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-707-4757",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G 19275",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G 19275",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G 19275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Critical Care Med Grp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dana Point, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.