Organization Active NPI

Bee Haven Psychological & Behavioral Health Wellness, Inc.

  • Psychologist
  • Artesia, CA
National Provider Identifier
1548091077
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
BEE HAVEN PSYCHOLOGICAL & BEHAVIORAL HEALTH WELLNESS, INC.
Practice address
12140 Artesia Blvd Ste 111
Artesia, CA 90701-4054
Phone
(562) 605-4247
NPI assigned
Aug 7, 2024
Last updated
Nov 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Ana M. Gamez, PHDNPI 1033525696
Title
President/Owner
Phone
(562) 715-1246

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
Psychologist 103T00000X Primary

Addresses

Primary practice location

12140 Artesia Blvd Ste 111
Artesia, CA 90701-4054

Mailing address

12140 Artesia Blvd Ste 111
Artesia, CA 90701-4054
Phone (562) 605-4247

Other names 1

  • Bee Haven Psychological & Behavioral Health Wellness, Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241230003175 CA Part B Supplier - Clinic/Group Practice 8921535121 Receives reassigned benefits from 1 practitioner
Practice locations: Artesia, CA

National Provider Directory

National Provider Directory

Locations

12140 Artesia Blvd
Ste 111
Artesia, CA 90701
Phone (562) 605-4247

11728 Magnolia Ave
Ste D2
Riverside, CA 92503

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1548091077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12140 ARTESIA BLVD STE 111",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907014054",
            "telephone_number": "562-605-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12140 ARTESIA BLVD STE 111",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907014054",
            "telephone_number": "562-605-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEE HAVEN PSYCHOLOGICAL & BEHAVIORAL HEALTH WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "GAMEZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "562-715-1246",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bee Haven Psychological & Behavioral Health Wellness, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Artesia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.