Crestwood Behavioral Health Inc
Organization Active NPI Psychiatric Hospital · Lathrop, CA
NPI 1992053631 · NPPES record last updated Sep 16, 2025
Key facts
- NPI
- 1992053631
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital 283Q00000X
- License
- LP36472 (CA)
- Legal business name
- CRESTWOOD BEHAVIORAL HEALTH INC
- Practice address
- 482 Aztec LN
Lathrop, CA 95330-9142 - Phone
- (209) 922-9902
- NPI assigned
- Aug 28, 2012
- Organization subpart
- No
Authorized official
- Name
- Michelle Smith, LPT
- Title
- Executive Director Reimbursement
- Phone
- (209) 955-2364
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Crestwood Behavioral Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | LP36472 | CA | Yes |
| Skilled Nursing Facility | 314000000X | LP36472 | CA |
Addresses
Primary practice location
482 Aztec LN
Lathrop, CA 95330-9142
Mailing address
482 Aztec LN
Lathrop, CA 95330-9142
Other providers in Lathrop, CA
- Cesar Cervantes
- Dennis C Clave
- Elysa M Correia
- Michelle Marie Costa
- Ashley Covarrubias
- Samuel Appiah Dankyi
- Shuntae Dawson
- Edwin Bulaong Del Rosario
- Kelvin Clarence Aquilizan Derrada
- Jasroop Jit Dhaliwal
All providers in Lathrop, CA · Psychiatric Hospital in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.