NPIMap

Organization Active NPI

SJBH, LLC

  • Psychiatric Hospital
  • San Jose, CA
National Provider Identifier
1508252149
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
SJBH, LLC
Practice address
455 Silicon Valley Blvd
San Jose, CA 95138-1858
Phone
(615) 861-6000
NPI assigned
Apr 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Brian P. Farley
Title
Vice President & Secretary
Phone
(615) 861-6000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

455 Silicon Valley Blvd
San Jose, CA 95138-1858

Mailing address

4020 Aspen Grove Dr Ste 900
Franklin, TN 37067-3134
Phone (615) 861-6000

Other practice location 1

1121 Pacific Ave
Santa Cruz, CA 95060-4431
Phone (831) 216-4198

Other identifiers 1

IdentifierTypeStateIssuer
05-4154MedicaidCA

Other names 1

  • San Jose Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151006001006 CA Part A Provider - Hospital 5496063729 Practice locations: San Jose, CA; Santa Cruz, CA
O20161114002205 CA Part B Supplier - Clinic/Group Practice 5496063729 Receives reassigned benefits from 2 practitioners
Practice locations: San Jose, CA

Hospital certification: CCN 054154

Legal name
SJBH LLC
Doing business as
SAN JOSE BEHAVIORAL HEALTH
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jun 21, 2016
Last certification
Apr 18, 2025
Beds
80
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Nov 24, 2014 in DE
Enrollment address
455 Silicon Valley Blvd
San Jose, CA 95138-1858
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Hospital certification: CCN 054119

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHARTER BEHAVIORAL HLTH SYSTEM OF SJ
Certification status
Terminated Voluntary: risk of involuntary termination, Nov 15, 1999
Provider type (POS)
Hospital – Psychiatric
Participating since
Feb 8, 1991
Last certification
Jun 16, 1999
Beds
80
Ownership / control type
Private (for profit)
Facility address
455 Silicon Valley Blvd
San Jose, CA 95138

Care Compare: Hospital

Medicare Care Compare
Listed as
San Jose Behavioral HealthCCN 054154
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2110225SJBH, LLC455 Silicon Valley Blvd, San Jose, CA 95138Certificate of waiverMar 9, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Deborah S Kraemer Individual W-2 Managing EmployeeVP of Business Office Operations Jun 11, 2012
Todd S Young Individual Corporate OfficerVice President & Treasurer Oct 27, 2025
Acadia Healthcare Company Inc Organization, Franklin, TN Corporation, For-profit, Chain home office 5% Or Greater Direct Ownership Interest Nov 24, 2014 100%
Stacie L Harty Individual W-2 Managing EmployeeVice President of Managed Care Jun 18, 2018
Brian Philip Farley Individual Corporate OfficerVice President & Secretary Jul 26, 2023
Steven J Vanderpoel Individual W-2 Managing Employee Jul 11, 2022
Timothy a Sides Individual W-2 Managing EmployeeSenior VP Operations & Finance Jun 5, 2023
Debra K Osteen Individual Corporate OfficerPresident Jan 20, 2026

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1508252149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 ASPEN GROVE DR STE 900",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370673134",
            "telephone_number": "615-861-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SILICON VALLEY BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381858",
            "telephone_number": "615-861-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 Pacific Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950604431",
            "country_code": "US",
            "telephone_number": "831-216-4198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SJBH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05-4154",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Jose Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Jose Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.