Organization Active NPI

Unified Behavioral Health LLC

  • Substance Abuse Rehabilitation Facility
  • Santa Ana, CA
National Provider Identifier
1912423385
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
UNIFIED BEHAVIORAL HEALTH LLC
Practice address
12672 Charmaine LN
Santa Ana, CA 92705-1222
Phone
(949) 344-2742
NPI assigned
Aug 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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

Authorized official

Name
Scott Wilson
Title
Program Director
Phone
(949) 344-2742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

12672 Charmaine LN
Santa Ana, CA 92705-1222

Mailing address

2350 SE Bristol St Ste 200
Newport Beach, CA 92660-1528
Phone (949) 344-2742

National Provider Directory

National Provider Directory
Tax ID family
Unified Behavioral Health LLC2 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.

Locations

2350 SE Bristol St
Ste 200
Newport Beach, CA 92660
Phone (949) 430-7824

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1912423385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 SE BRISTOL ST STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601528",
            "telephone_number": "949-344-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12672 CHARMAINE LN",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051222",
            "telephone_number": "949-344-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "949-344-2742"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.