NPIMap

Organization Active NPI

Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • San Pedro, CA
National Provider Identifier
1861744500
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
190007QN Issued in CA
Legal business name
BEHAVIORAL HEALTH SERVICES, INC.
Practice address
505 S Pacific Ave
Suite 201
San Pedro, CA 90731-2656
Phone
(310) 831-2358
Fax
(310) 831-2356
NPI assigned
Oct 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Mr. Henry Van Oudheusden, MA, MSW
Title
President/Ceo
Phone
(310) 679-9126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 190007QN CA Primary

Addresses

Primary practice location

505 S Pacific Ave
Suite 201
San Pedro, CA 90731-2656

Mailing address

15519 Crenshaw Blvd
Gardena, CA 90249-4525
Phone (310) 679-9126

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Health Services Incorporated41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Locations

505 S Pacific Ave
Ste 201
San Pedro, CA 90731
Phone (310) 831-2358

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1861744500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15519 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494525",
            "telephone_number": "310-679-9126",
            "fax_number": "310-679-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S PACIFIC AVE",
            "address_2": "SUITE 201",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312656",
            "telephone_number": "310-831-2358",
            "fax_number": "310-831-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "VAN OUDHEUSDEN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-679-9126",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "190007QN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.