NPIMap

Organization Active NPI

Indio Behavioral Hospital, LLC

Doing business as Coachella Valley Behavioral Health

  • Psychiatric Hospital
  • Indio, CA
National Provider Identifier
1902529209
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
INDIO BEHAVIORAL HOSPITAL, LLC
Doing business as
Coachella Valley Behavioral Health
Practice address
Coachella Valley Behavioral Health
81555 JFK Court
Indio, CA 92210-7726
Phone
(615) 861-6000
NPI assigned
Sep 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Mr. Brian P. Farley
Title
Vice President & Secretary
Phone
(615) 861-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

Coachella Valley Behavioral Health
81555 JFK Court
Indio, CA 92210-7726

Mailing address

4020 Aspen Grove Dr Ste 900
Franklin, TN 37067-3134
Phone (615) 861-6000

Other names 1

  • Coachella Valley Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231102003888 CA Part A Provider - Hospital 8426405028 Practice locations: Indio, CA
O20251002002870 CA Part B Supplier - Clinic/Group Practice 8426405028 Receives reassigned benefits from 1 practitioner
Practice locations: Indio, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902529209. Details of each certification follow.

Hospital certification: CCN 054134

Legal name
INDIO BEHAVIORAL HOSPITAL LLC
Doing business as
COACHELLA VALLEY BEHAVIORAL HEALTH
Certification status
Terminated Voluntary: merger or closure, Jun 30, 1997
Provider type (POS)
Hospital – Psychiatric
Participating since
Jan 3, 1994
Last certification
Nov 9, 1993
Beds
193
Ownership / control type
State
Organization structure
LLCProprietary
Incorporated
Feb 22, 2018 in DE
Enrollment address
81555 JFK CT
Indio, CA 92201-7726
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

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
05D2296065Coachella Valley Behavioral Health81555 JFK Court, Indio, CA 92201Certificate of waiverDec 19, 2027

National Provider Directory

National Provider Directory

Locations

81555 JFK Ct
Indio, CA 92201
Phone (442) 372-2300

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Deborah S Kraemer Individual W-2 Managing EmployeeVice President of Business Offic Feb 22, 2018
Todd S Young Individual Corporate OfficerVice President & Treasurer Oct 27, 2025
Scott Hullinger Individual W-2 Managing EmployeeFacility Ceo Jul 10, 2023
Acadia Healthcare Company Inc Organization, Franklin, TN Corporation, For-profit, Chain home office 5% Or Greater Direct Ownership Interest Feb 22, 2018 100%
Stacie L Harty Individual W-2 Managing EmployeeVice President of Managed Care Jun 18, 2018
Brian Philip Farley Individual Corporate OfficerVice President and Secretary Jul 26, 2023
Timothy a Sides Individual W-2 Managing EmployeeSenior VP Operations and Finance Jun 5, 2023
Debra K Osteen Individual Corporate OfficerPresident Jan 20, 2026

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

Practitioners & affiliated clinicians

Practitioners 1

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": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1902529209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 ASPEN GROVE DR STE 900",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370673134",
            "telephone_number": "615-861-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COACHELLA VALLEY BEHAVIORAL HEALTH",
            "address_2": "81555 JFK COURT",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922107726",
            "telephone_number": "615-861-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIO BEHAVIORAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coachella Valley Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.