NPIMap

Organization Active NPI

Sunny Hills Behavioral Health, Inc.

  • Psychiatry Physician
  • Fullerton, CA
National Provider Identifier
1467551200
Registry record updated Apr 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A46239 Issued in CA
Legal business name
SUNNY HILLS BEHAVIORAL HEALTH, INC.
Practice address
140 E. Commonwealth Ave.
Suite 101
Fullerton, CA 92832-3616
Phone
(714) 773-4111
Fax
(714) 773-4222
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2023

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

Authorized official

Name
Sandhya R Gudapati, MDNPI 1962625384
Title
Medical Director
Phone
(714) 773-4111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A46239 CA Primary

Addresses

Primary practice location

140 E. Commonwealth Ave.
Suite 101
Fullerton, CA 92832-3616

Mailing address

140 E. Commonwealth Ave.
Suite 101
Fullerton, CA 92832-3616
Phone (714) 773-4111

Other identifiers 1

IdentifierTypeStateIssuer
00A462391MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041006001069 CA Part B Supplier - Clinic/Group Practice 0244299139 Receives reassigned benefits from 11 practitioners
Practice locations: Fullerton, CA

National Provider Directory

National Provider Directory

Locations

1950 Sunny Crest Dr
Ste 3100
Fullerton, CA 92835
Phone (714) 773-4111

285 Imperial Hwy
Ste 100
Fullerton, CA 92835
Phone (714) 773-4111

140 E Commonwealth Ave
Ste 101
Fullerton, CA 92832
Phone (714) 773-4111

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682121600000",
    "number": "1467551200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E. COMMONWEALTH AVE.",
            "address_2": "SUITE 101",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323616",
            "telephone_number": "714-773-4111",
            "fax_number": "714-773-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E. COMMONWEALTH AVE.",
            "address_2": "SUITE 101",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323616",
            "telephone_number": "714-773-4111",
            "fax_number": "714-773-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY HILLS BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-04-22",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "GUDAPATI",
        "authorized_official_first_name": "SANDHYA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-773-4111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A46239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A462391",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.