Novata Behavioral Health

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NOVATA BEHAVIORAL HEALTH

Practice address

10065 Old Grove Rd.
Suite #200
San Diego, CA 92131-1664

Phone

(858) 444-8823

Fax

(858) 444-8827

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly R Bond, MFT

Title

President

Phone

(858) 573-2600

Specialties & licenses 1

Addresses

Other names 1

• Center for Autism Research, Evaluation, and Service (CARES) Doing business as

Tax ID family

Center for Autism Research Evaluation and Service Cares2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Novata Behavioral Health

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1386949584
  NPD tax ID

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1881704872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10065 OLD GROVE RD.",
            "address_2": "SUITE #200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311664",
            "telephone_number": "858-444-8823",
            "fax_number": "858-444-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10065 OLD GROVE RD.",
            "address_2": "SUITE #200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311664",
            "telephone_number": "858-444-8823",
            "fax_number": "858-444-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVATA BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-573-2600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Autism Research, Evaluation, and Service (CARES)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Violet Novakovich, RDN
• Michelle Therese Novales, D.O.
• Novara Family Counseling, a Professional Corporation
• Novata Behavioral Health
• Novata Behavioral Health
• Regina Azarcon Noveda, RN
• Frederick Roy Novella, SFIDC
• Novellus Clairemont
• Gabriela E Novelo Lugo
• Hilario Cruzada Noveno Jr., PHD, NP-C

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.