Active NPI
Neurobehavioral Health Care Med GRP Inc
- Child & Adolescent Psychiatry Physician
- Dana Point, CA
National Provider Identifier
1457567257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- G 19275
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G 19275 | CA | |
| Psychiatry Physician | 2084P0800X | G 19275 | CA | |
| Child & Adolescent Psychiatry Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.