NPIMap

Organization Active NPI

Central Star Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Sacramento, CA
National Provider Identifier
1770088718
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CENTRAL STAR BEHAVIORAL HEALTH, INC.
Practice address
401 S St Ste 101
Sacramento, CA 95811-6919
Phone
(510) 635-9705
NPI assigned
Mar 29, 2018
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL STAR BEHAVIORAL HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Kent Dunlap
Title
President and Chief Executive Offic
Phone
(310) 221-6336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

401 S St Ste 101
Sacramento, CA 95811-6919

Mailing address

7677 Oakport St Ste 1010
Oakland, CA 94621-1943
Phone (510) 635-9705

Other names 1

  • Central Star FSP Other name

National Provider Directory

National Provider Directory
Tax ID family
Central Star Behavioral Health Inc19 organizations share this tax ID, including this one
Part of
Central Star Behavioral Health Inc

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1770088718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7677 OAKPORT ST STE 1010",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946211943",
            "telephone_number": "510-635-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S ST STE 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958116919",
            "telephone_number": "510-635-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL STAR BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL STAR BEHAVIORAL HEALTH, INC.",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT AND CHIEF EXECUTIVE OFFIC",
        "authorized_official_telephone_number": "310-221-6336"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Star FSP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.