NPIMap

Organization Active NPI

Inland Behavioral and Health Services, Inc.

Doing business as Highland Avenue Community Health Center

  • Federally Qualified Health Center (FQHC)
  • San Bernardino, CA
National Provider Identifier
1770263287
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
INLAND BEHAVIORAL AND HEALTH SERVICES, INC.
Doing business as
Highland Avenue Community Health Center
Practice address
754 E Highland Ave
San Bernardino, CA 92404-4005
Phone
(909) 577-0024
Fax
(909) 577-0025
NPI assigned
Jul 19, 2023
Last updated
Sep 5, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
INLAND BEHAVIORAL AND HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Dr. Temetry Ann Lindsey, PH.D.
Title
Ceo/President
Phone
(909) 708-8148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

754 E Highland Ave
San Bernardino, CA 92404-4005

Mailing address

754 E Highland Ave
San Bernardino, CA 92404-4005
Phone (909) 577-0024

Other identifiers 2

IdentifierTypeStateIssuer
551878OtherCAOTHER
FHC70520FMedicaidCA

Other names 2

  • Highland Avenue Community Health Center Doing business as
  • Inland Behavioral and Health Services, Inc. Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2296394Highland Avenue Community Health Center754 East Highland Ave, San Bernardino, CA 92404Certificate of waiverDec 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Inland Behavioral Servi6 organizations share this tax ID, including this one
Part of
Inland Behavioral Servi

Other organizations with this tax ID 5

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

Locations

1070 E Ramsey St
Banning, CA 92220
Phone (951) 846-2560

754 E Highland Ave
Sn Bernrdno, CA 92404
Phone (559) 930-8444

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1770263287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 E HIGHLAND AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044005",
            "telephone_number": "909-577-0024",
            "fax_number": "909-577-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 E HIGHLAND AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044005",
            "telephone_number": "909-577-0024",
            "fax_number": "909-577-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND BEHAVIORAL AND HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INLAND BEHAVIORAL AND HEALTH SERVICES, INC.",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "TEMETRY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "909-708-8148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "551878",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70520F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Avenue Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Inland Behavioral and Health Services, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.