Organization Active NPI

Sequoia Behavioral Health a Professional Psychology Corporation

  • Psychiatric Residential Treatment Facility
  • Bakersfield, CA
National Provider Identifier
1619792843
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
SEQUOIA BEHAVIORAL HEALTH A PROFESSIONAL PSYCHOLOGY CORPORATION
Practice address
15663 Azalea Springs Ave
Bakersfield, CA 93314-5323
Phone
(559) 667-4111
NPI assigned
Nov 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Mr. Hayden Moser
Title
Billing Director
Phone
(949) 446-6280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

15663 Azalea Springs Ave
Bakersfield, CA 93314-5323

Mailing address

1781 E Fir Ave Ste 102
Fresno, CA 93720-3865

National Provider Directory

National Provider Directory
Tax ID family
Sequoia Behavioral Health a Professional Psychology Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1619792843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 E FIR AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15663 AZALEA SPRINGS AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933145323",
            "telephone_number": "559-667-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA BEHAVIORAL HEALTH A PROFESSIONAL PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "HAYDEN",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "949-446-6280",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.