NPIMap

Organization Active NPI

South Coast Behavioral Health

Doing business as Wilson House, LLC

  • Substance Abuse Rehabilitation Facility
  • Irvine, CA
National Provider Identifier
1578051710
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300313BP Issued in CA
Legal business name
SOUTH COAST BEHAVIORAL HEALTH
Doing business as
Wilson House, LLC
Practice address
6 Banyan Tree
Irvine, CA 92612-2231
Phone
(949) 877-1821
NPI assigned
Apr 24, 2018
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Kylee Briney
Title
Executive Director
Phone
(949) 531-1821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300313BP CA Primary

Addresses

Primary practice location

6 Banyan Tree
Irvine, CA 92612-2231

Mailing address

2220 University Dr
Newport Beach, CA 92660-3319

Other names 1

  • Wilson House, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South Coast Behavioral Health11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

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": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1578051710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 UNIVERSITY DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BANYAN TREE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122231",
            "telephone_number": "949-877-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "BRINEY",
        "authorized_official_first_name": "KYLEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-531-1821"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300313BP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilson House, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilson House, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.