High Desert Child Adolescent and Family Services Center, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

29347 Issued in CA

Legal business name

HIGH DESERT CHILD ADOLESCENT AND FAMILY SERVICES CENTER, INC.

Practice address

16248 Victor St
Victorville, CA 92395-3934

Phone

(760) 243-7151

Fax

(760) 952-1432

NPI assigned

May 26, 2009

Last updated

May 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cindi E. Burklow, BA

Title

Executive Director

Phone

(760) 243-7151

Specialties & licenses 2

Addresses

Other names 1

• High Desert Center Other name

Tax ID family

High Desert Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• High Desert Center

  • Voluntary or Charitable Agency
  • Victorville, CA
  • NPI 1831496421
  NPD tax ID
• High Desert Center, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Victorville, CA
  • NPI 1528276797
  NPD tax ID
• High Desert Child Adolescent and Family Services Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Yucca Valley, CA
  • NPI 1124898234
  NPD tax ID
• High Desert Child, Adolescent and Family Services Center , Inc.

  • Community/Behavioral Health Agency
  • Victorville, CA
  • NPI 1083928220
  NPD tax ID
• High Desert Child, Adolescent and Family Services Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Barstow, CA
  • NPI 1568808509
  NPD tax ID

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1548495260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3275",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923933275",
            "telephone_number": "760-243-7151",
            "fax_number": "760-952-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16248 VICTOR ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953934",
            "telephone_number": "760-243-7151",
            "fax_number": "760-952-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT CHILD ADOLESCENT AND FAMILY SERVICES CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "BURKLOW",
        "authorized_official_first_name": "CINDI",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-243-7151",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "29347",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Desert Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• High Desert Child, Adolescent and Family Services Center , Inc.
• High Desert Foot & Ankle Clinic a
• High Desert General Surgery, PC
• High Desert Haven, Inc
• High Desert Heart Institute Medical Corporation

• Marriage & Family Therapist in Victorville, CA
• Providers in Victorville, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.