Organization Active NPI

North Valley Behavioral Health, LLC

  • Psychiatric Residential Treatment Facility
  • Davis, CA
National Provider Identifier
1669249983
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
NORTH VALLEY BEHAVIORAL HEALTH, LLC
Doing business as
Pine Tree Gardens East House
Pine Tree Gardens West House
Practice address
1214 E 8TH St
Davis, CA 95616-3902
Phone
(530) 758-7574
Fax
(530) 790-2530
NPI assigned
Dec 6, 2023
Organization subpart
Yes
Parent organization
NORTH VALLEY BEHAVIORAL HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Arne Edward Hyson
Title
Ceo
Phone
(530) 790-2530

Specialties & licenses 1

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

Addresses

Primary practice location

1214 E 8TH St
Davis, CA 95616-3902

Mailing address

1535 Plumas CT
Yuba City, CA 95991-2960
Phone (530) 790-2530

Other practice location 1

607 11th St
Davis, CA 95616-2015
Phone (530) 758-5304

Other names 2

  • Pine Tree Gardens East House Doing business as
  • Pine Tree Gardens West House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Valley Behavioral Health LLC5 organizations share this tax ID, including this one
Part of
North Valley Behavioral Health LLC

Other organizations with this tax ID 4

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

Locations

1535 Plumas Ct
Yuba City, CA 95991
Phone (530) 790-2520

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1669249983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 PLUMAS CT",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912960",
            "telephone_number": "530-790-2530",
            "fax_number": "530-790-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 E 8TH ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163902",
            "telephone_number": "530-758-7574",
            "fax_number": "530-790-2530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 11th St",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "CA",
            "postal_code": "956162015",
            "country_code": "US",
            "telephone_number": "530-758-5304",
            "fax_number": "530-790-2533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH VALLEY BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH VALLEY BEHAVIORAL HEALTH, LLC",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "HYSON",
        "authorized_official_first_name": "ARNE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-790-2530"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Tree Gardens East House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pine Tree Gardens West House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.