Valley Star Behavioral Health, Inc.
Organization Active NPI Community/Behavioral Health Agency · Yucca Valley, CA
NPI 1457731606 · NPPES record last updated May 28, 2021
Key facts
- NPI
- 1457731606
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- VALLEY STAR BEHAVIORAL HEALTH, INC.
- Practice address
- 58471 29 Palms Hwy Ste 101-102
Yucca Valley, CA 92284-5818 - Phone
- (760) 853-4888
- NPI assigned
- Jun 3, 2015
- Organization subpart
- No
Authorized official
- Name
- Kent Dunlap
- Title
- President and Chief Executive Offic
- Phone
- (310) 221-6336
Other NPIs on the same Medicare enrollment 13
Corporate family (same tax ID) 20
Practitioners 32
-
Mariah Batin, LMFT
-
Caren Estelle Brady, LCSW
-
Kelly Hake, MSED
-
Kimberly Meier, LPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210630000796 | CA | Part B Supplier - Clinic/Group Practice | 8628479441 |
Receives reassigned benefits from 2 practitioners 13 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Downey, CA; Yucca Valley, CA; Victorville, CA; San Bernardino, CA; Los Angeles, CA; Joshua Tree, CA; Sylmar, CA |
National Provider Directory
- Tax ID family
- Valley Star Behavioral Health Inc
Locations
58471 29 Palms Hwy
Ste 101102
Yucca Valley, CA 92284
58471 29 Palms Hwy
Ste 102
Yucca Valley, CA 92284
Phone (760) 365-7209
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
58471 29 Palms Hwy Ste 101-102
Yucca Valley, CA 92284-5818
Mailing address
1501 Hughes Way
Suite 150
Long Beach, CA 90810-1878
Phone (310) 221-6336
Other names
- Valley Star Community Services One Stop Tay Center
Other providers in Yucca Valley, CA
- Vanessa Gabriela Valle
- Jennifer Vallely
- Valley Heart Physician Medical Group, Inc.
- Valley Heart Physicians Medical Group, Inc
- Valley Star Behavioral Health, Inc.
- Valley Star Behavioral Health, Inc.
- Danielle R. Vanover
- Cendy Varela
- Ruby Ranigo Ventura
- Julie S. Viall
All providers in Yucca Valley, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.