Organization Active NPI

California Behavioral Health, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cathedral City, CA
National Provider Identifier
1710443940
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CALIFORNIA BEHAVIORAL HEALTH, LLC
Practice address
37066 Bankside Dr
Cathedral City, CA 92234-7815
Phone
(760) 459-3736
Fax
(760) 459-3607
NPI assigned
Feb 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Melissa Legere, LMFTNPI 1982966610
Title
Chief Operating Officer
Phone
(951) 764-3950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

37066 Bankside Dr
Cathedral City, CA 92234-7815

Mailing address

67782 E Palm Canyon Dr Ste B104-205
Cathedral City, CA 92234-5433
Phone (760) 459-3736

National Provider Directory

National Provider Directory

Locations

67782 E Palm Canyon Dr
Ste B104205
Cathedral City, CA 92234

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": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1710443940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67782 E PALM CANYON DR STE B104-205",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922345433",
            "telephone_number": "760-459-3736",
            "fax_number": "760-459-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37066 BANKSIDE DR",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347815",
            "telephone_number": "760-459-3736",
            "fax_number": "760-459-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "LEGERE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "951-764-3950",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.