Active NPI
Correctional Health Psych Services
- Mental Health Counselor
- San Bernardino, CA
National Provider Identifier
1902766470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CORRECTIONAL HEALTH PSYCH SERVICES
- Practice address
- 473 S Carnegie Dr Ste 200
San Bernardino, CA 92408-4201 - Phone
- (800) 842-1598
- Fax
- (909) 884-0388
- NPI assigned
- Nov 17, 2025
- Organization subpart
- Yes
- Parent organization
- CORRECTIONAL HEALTH TREATMENT CENTERS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kelly Martin, MANAGING DIRECTOR
- Title
- Managing Director
- Phone
- (800) 842-1598
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Psychologist | 103T00000X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | |||
| Psychiatry Physician | 2084P0800X | |||
| Addiction Psychiatry Physician | 2084P0802X |
Addresses
Primary practice location
473 S Carnegie Dr Ste 200
San Bernardino, CA 92408-4201
Mailing address
473 S Carnegie Dr Ste 200
San Bernardino, CA 92408-4201
Phone (800) 842-1598
Other names 1
- Correctional Health Psych Services
National Provider Directory
National Provider Directory- Tax ID family
- Correctional Health Treatment Centers Inc
- Part of
- Correctional Health Treatment Centers Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- San Bernardino, CA
- NPI 1306534797
Locations
473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- San Bernardino, CA
- NPI 1306534797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763337600000",
"number": "1902766470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 S CARNEGIE DR STE 200",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924084201",
"telephone_number": "800-842-1598",
"fax_number": "909-884-0388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 S CARNEGIE DR STE 200",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924084201",
"telephone_number": "800-842-1598",
"fax_number": "909-884-0388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORRECTIONAL HEALTH PSYCH SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CORRECTIONAL HEALTH TREATMENT CENTERS INC",
"enumeration_date": "2025-11-17",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "800-842-1598",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MANAGING DIRECTOR"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Correctional Health Psych Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.