Organization Active NPI

Pacific Coast Healthsystems, Inc.

  • Psychologist
  • Cerritos, CA
National Provider Identifier
1720299183
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 4331 Issued in CA
Legal business name
PACIFIC COAST HEALTHSYSTEMS, INC.
Practice address
17215 Studebaker Rd
Suite 300
Cerritos, CA 90703-2548
Phone
(562) 924-7307
Fax
(562) 860-9398
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dennis Dick Steele, PHD.
Title
Owner
Phone
(562) 924-7307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY 4331 CA Primary

Addresses

Primary practice location

17215 Studebaker Rd
Suite 300
Cerritos, CA 90703-2548

Mailing address

17215 Studebaker Rd
Suite 300
Cerritos, CA 90703-2548
Phone (562) 924-7307

Other names 1

  • Advanced Behavioral Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

17215 Studebaker Rd
Ste 300
Cerritos, CA 90703
Phone (562) 408-4106

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720299183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17215 STUDEBAKER RD",
            "address_2": "SUITE 300",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032548",
            "telephone_number": "562-924-7307",
            "fax_number": "562-860-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17215 STUDEBAKER RD",
            "address_2": "SUITE 300",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032548",
            "telephone_number": "562-924-7307",
            "fax_number": "562-860-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST HEALTHSYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "DICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-924-7307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 4331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Behavioral Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.