NPIMap

Organization Active NPI

Comprehensive Unique Behavioral Services, LLC

  • Community/Behavioral Health Agency
  • Ridgecrest, CA
National Provider Identifier
1841006871
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMPREHENSIVE UNIQUE BEHAVIORAL SERVICES, LLC
Practice address
517 Randall St
Ridgecrest, CA 93555-3305
Phone
(818) 445-7856
NPI assigned
Dec 4, 2024
Organization subpart
Yes
Parent organization
COMPREHENSIVE UNIQUE BEHAVIORAL SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Emma Nicole Gardner, MA,BCBANPI 1124689427
Title
Ceo
Phone
(818) 445-7856

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

517 Randall St
Ridgecrest, CA 93555-3305

Mailing address

517 Randall St
Ridgecrest, CA 93555-3305
Phone (818) 445-7856

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Unique Behavioral Services LLC2 organizations share this tax ID, including this one
Part of
Comprehensive Unique Behavioral Services LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1841006871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 RANDALL ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553305",
            "telephone_number": "818-445-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 RANDALL ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553305",
            "telephone_number": "818-445-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE UNIQUE BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE UNIQUE BEHAVIORAL SERVICES, LLC",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-445-7856",
        "authorized_official_credential": "MA,BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.