NPIMap

Organization Active NPI

Imperial County Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brawley, CA
National Provider Identifier
1669969846
Registry record updated Apr 13, 2018
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
480 N Imperial Ave RM 95
Brawley, CA 92227-1625
Phone
(442) 265-5000
NPI assigned
Apr 13, 2018
Organization subpart
Yes
Parent organization
COUNTY OF IMPERIALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Authorized official

Name
Andrea Kuhlen
Title
Director
Phone
(442) 265-1525

Specialties & licenses 1

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

Addresses

Primary practice location

480 N Imperial Ave RM 95
Brawley, CA 92227-1625

Mailing address

202 N 8TH St
El Centro, CA 92243-2302

Other names 1

  • Youth and Young Adult Services Brawley Family Resource Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Imperial County Behavioral Health53 organizations share this tax ID, including this one
Part of
Imperial County Behavioral Health

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

Locations

480 N Imperial Ave
Rm 95
Brawley, CA 92227
Phone (442) 265-5000

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": "1523577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1669969846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N 8TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 N IMPERIAL AVE RM 95",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922271625",
            "telephone_number": "442-265-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF IMPERIAL",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-04-13",
        "status": "A",
        "authorized_official_last_name": "KUHLEN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "442-265-1525"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth and Young Adult Services Brawley Family Resource Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Youth and Young Adult Services Brawley Family Resource Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brawley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.