BTC Heg, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BTC HEG, INC.

Practice address

411 E Betteravia Rd Ste 201
Santa Maria, CA 93454-8803

Phone

(818) 880-0800

Fax

(818) 880-8910

NPI assigned

Aug 9, 2019

Organization subpart

Yes

Parent organization

BTC HEG, INC.As reported in NPPES

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

Authorized official

Name

Jennifer Cusack

Title

Coo

Phone

(818) 960-6830

Specialties & licenses 4

Addresses

Other names 1

• Balance Treatment Santa Maria Doing business as

Tax ID family

BTC Heg Inc3 organizations share this tax ID, including this one

Part of

BTC Heg Inc

Other organizations with this tax ID 2

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

• BTC Heg, Inc

  • Adult Mental Health Clinic/Center
  • Fresno, CA
  • NPI 1497474795
  NPD tax ID
• BTC Heg, Inc.

  • Adult Mental Health Clinic/Center
  • Visalia, CA
  • NPI 1598311151
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adilene Cisneros Juarez, MASTERS

  • Professional Counselor
  • Santa Maria, CA
  • NPI 1326406513
  NPD

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1962058529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 LAS VIRGENES RD STE 201",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021956",
            "telephone_number": "818-880-0800",
            "fax_number": "818-880-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E BETTERAVIA RD STE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548803",
            "telephone_number": "818-880-0800",
            "fax_number": "818-880-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BTC HEG, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BTC HEG, INC.",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "CUSACK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "818-960-6830"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balance Treatment Santa Maria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bruce a Ourieff MD Inc.
• Bruce F. Mize, M.D., Inc.
• Gino John Brunello, P.T.
• Theresa Brunello
• Isabel Bryant
• Richelle Bucayu
• Ashley Buchanan
• Mary Beth Bucher, MSW
• Andrea Budzon, PA-C
• Buenaventura Evaluation Services and Testing

• Adult Mental Health Clinic/Center in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.