NPIMap

Organization Active NPI

Imperial County Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • El Centro, CA
National Provider Identifier
1639796659
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES
Practice address
651 Wake Ave
El Centro, CA 92243-9490
Phone
(442) 265-1546
NPI assigned
Jun 26, 2020
Last updated
Jun 26, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF IMPERIALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Andea Kuhlen
Title
Director
Phone
(442) 265-1546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

651 Wake Ave
El Centro, CA 92243-9490

Mailing address

651 Wake Ave
El Centro, CA 92243-9490
Phone (442) 265-1546

Other names 1

  • El Centro Children and Adolescent Outpatient Clinic Team 12 Other name

National Provider Directory

National Provider Directory
Tax ID family
Imperial General HSP53 organizations share this tax ID, including this one
Part of
Imperial General HSP

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1639796659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 WAKE AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439490",
            "telephone_number": "442-265-1546",
            "fax_number": "442-265-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WAKE AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439490",
            "telephone_number": "442-265-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF IMPERIAL",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "KUHLEN",
        "authorized_official_first_name": "ANDEA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "442-265-1546"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Centro Children and Adolescent Outpatient Clinic Team 12",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.