Organization Active NPI

Institute of Behavioral Sciences and Technology Family Counseling P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • El Cajon, CA
National Provider Identifier
1790390359
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
INSTITUTE OF BEHAVIORAL SCIENCES AND TECHNOLOGY FAMILY COUNSELING P.C.
Practice address
2160 Fletcher Pkwy Ste 105
El Cajon, CA 92020-2117
Phone
(619) 387-8272
Fax
(619) 314-5161
NPI assigned
Sep 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

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

Authorized official

Name
Phillip E Salas, LMFTNPI 1134621485
Title
President / Ceo
Phone
(619) 387-8272

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2160 Fletcher Pkwy Ste 105
El Cajon, CA 92020-2117

Mailing address

2160 Fletcher Pkwy Ste 105
El Cajon, CA 92020-2117
Phone (619) 387-8272

Other identifiers 1

IdentifierTypeStateIssuer
1134621485MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240124000826 CA Part B Supplier - Clinic/Group Practice 3779936968 Receives reassigned benefits from 1 practitioner
Practice locations: El Cajon, CA

National Provider Directory

National Provider Directory

Locations

2160 Fletcher Pkwy
Ste 105
El Cajon, CA 92020
Phone (619) 379-0653

9655 Granite Ridge Dr
Ofc 2005
San Diego, CA 92123

Practitioners & affiliated clinicians

Practitioners 4

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": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714176000000",
    "number": "1790390359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 FLETCHER PKWY STE 105",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202117",
            "telephone_number": "619-387-8272",
            "fax_number": "619-314-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 FLETCHER PKWY STE 105",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202117",
            "telephone_number": "619-387-8272",
            "fax_number": "619-314-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF BEHAVIORAL SCIENCES AND TECHNOLOGY FAMILY COUNSELING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "619-387-8272",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134621485",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.