Depatment of Behavioral Health

Primary specialty

Special HospitalTaxonomy code 284300000X

License

32634 Issued in CA

Legal business name

DEPATMENT OF BEHAVIORAL HEALTH

Practice address

1300 E Cooley Dr
Colton, CA 92324-3905

Phone

(909) 423-0750

NPI assigned

Jun 8, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Ellen Bridget Olsen, L.P.T.

Title

Licensed Psychiatric Technician

Phone

(909) 598-6462

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1710249461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E COOLEY DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243905",
            "telephone_number": "909-423-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E COOLEY DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243905",
            "telephone_number": "909-423-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPATMENT OF BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "BRIDGET",
        "authorized_official_title_or_position": "LICENSED PSYCHIATRIC TECHNICIAN",
        "authorized_official_telephone_number": "909-598-6462",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.P.T."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "CA",
            "license": "32634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brandi Deuel
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• Special Hospital in Colton, CA
• Providers in Colton, CA by specialty
• Special Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.