VALLEY STAR BEHAVIORAL HEALTH, INC. (NPI# 1275947426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275947426 |
| Entity Type | Organization |
| Organization Name | VALLEY STAR BEHAVIORAL HEALTH, INC. |
| Other Organization Name | VALLEY STAR CRISIS WALK-IN CENTER |
| Practice Address |
12240 Hesperia Rd Victorville CA 92395-8309 |
| Mailing Address |
1501 Hughes Way Suite 150 Long Beach CA 90810-1878 |
| Practice Telephone | 7602458837 |
| Practice Fax Number | 7602458854 |
| Mailing Telephone | 3102216336 |
| Mailing Fax Number | 3102216350 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2017-01-26 |
| Authorized Official Name | KENT DUNLAP (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| Authorized Official Telephone | 3102216336 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CA | Agencies |
| Other Name | Type Code |
|---|---|
| Valley Star Crisis Walk-In Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558849141 | Valley Star Behavioral Health, Inc. | Community/Behavioral Health | 12188 Hesperia Road, Victorville, CA 92395-5822 | 2018-08-06 |
| 1306223516 | Valley Star Behavioral Health, Inc. | Community/Behavioral Health | 7293 Dumosa Ave., Suite 2, Yucca Valley, CA 92284-3700 | 2015-04-27 |
| 1033269543 | Valley Star Behavioral Health, Inc. | Community/Behavioral Health | 1585 South D Street, Suite 101, 205, San Bernardino, CA 92408-3257 | 2007-01-10 |
| 1649758236 | Valley Star Behavioral Health, Inc. | Community/Behavioral Health | 7281 Dumosa Ave Ste 4, Yucca Valley, CA 92284-3781 | 2018-08-06 |
| 1396265336 | Valley Star Behavioral Health, Inc. | Community Based Residential Treatment Facility, Mental Illness | 720 E Gilbert St, San Bernardino, CA 92415-0001 | 2017-06-21 |
| 1457731606 | Valley Star Behavioral Health, Inc. | Community/Behavioral Health | 58471 29 Palms Hwy, Suite 102, Yucca Valley, CA 92284-5818 | 2015-06-03 |
| 1851637151 | Valley Star Behavioral Health, Inc. | Community Based Residential Treatment Facility, Mental Illness | 780 E Gilbert St, San Bernardino, CA 92415-1003 | 2012-12-14 |
| 1265610091 | Valley Star Behavioral Health, Inc. | Community/Behavioral Health | 9355 Opal Ave, Mentone, CA 92359-9605 | 2008-02-04 |
| Street Address |
12240 HESPERIA RD |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-8309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033453691 | Brittney Dawn Hardy | Marriage & Family Therapist | 12240 Hesperia Rd, Victorville, CA 92395-8309 | 2012-11-20 |
| 1881292498 | Sari Petrus | Licensed Vocational Nurse | 12240 Hesperia Rd, Victorville, CA 92395-8309 | 2020-10-15 |
| 1194263400 | Sharon Stanford | Licensed Vocational Nurse | 12240 Hesperia Rd, Victorville, CA 92395 | 2017-02-07 |
| 1063865905 | Marlene Garcia | Licensed Psychiatric Technician | 12240 Hesperia Rd, Suite A, Victorville, CA 92395-8309 | 2016-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568947323 | County of San Bernardino | Community/Behavioral Health | 15345 Bonanza Rd, Victorville, CA 92392-2499 | 2018-09-27 |
| 1558849141 | Valley Star Behavioral Health, Inc. | Community/Behavioral Health | 12188 Hesperia Road, Victorville, CA 92395-5822 | 2018-08-06 |
| 1407365430 | Life Skills Awareness | Community/Behavioral Health | 15353 Bonanza Rd Ste 2, Victorville, CA 92392-2465 | 2017-09-21 |
| 1235582404 | Greater Hope Foundation | Community/Behavioral Health | 14344 Cajon Avenue, Suite 101, 103, Victorville, CA 92392 | 2016-07-22 |
| 1881078517 | Harmeling Enterprises LLC | Community/Behavioral Health | 14443 Park Ave Ste A2, Victorville, CA 92392-2388 | 2015-07-13 |
| 1457626889 | Reallifedreams | Community/Behavioral Health | 14240 Saint Andrews Dr, Suite 101, Victorville, CA 92395-4308 | 2012-03-19 |
| 1215208921 | People's Care Autism Services, Inc. | Community/Behavioral Health | 13901 Amargosa Rd Ste 2, Victorville, CA 92392-2409 | 2012-01-26 |
| 1649498593 | San Bernardino County Department of Behavioral Health | Community/Behavioral Health | 15505 Civic Dr, Victorville, CA 92392-2357 | 2007-04-23 |
| 1104954056 | Mental Health Systems, Inc. | Community/Behavioral Health | 15770 Mojave Dr, Suites K & L, Victorville, CA 92394-1934 | 2007-03-01 |
| 1568813129 | Greater Hope Foundation for Children Inc | Community/Behavioral Health | 14344 Cajon Ave, Suite 101, 102, 103, Victorville, CA 92392-4300 | 2016-06-24 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
Please comment or provide details below to improve the information on VALLEY STAR BEHAVIORAL HEALTH, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.