COUNTY OF SAN BERNARDINO


Address: 686 E Mill St, San Bernardino, CA 92415-0647
Phone: 9097988573

COUNTY OF SAN BERNARDINO (NPI# 1821601063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821601063
Entity Type Organization
Organization Name COUNTY OF SAN BERNARDINO
Practice Address 686 E Mill St
San Bernardino
CA 92415-0647
Practice Telephone 9097988573
Practice Fax Number 9097988582
Mailing Telephone 9097988573
Mailing Fax Number 9097988582
Enumeration Date 2020-08-27
Last Update Date 2020-08-27
Authorized Official Name MR. MARK EDWARD THOMAS (MENTAL HEALTH CLINIC SUPERVISOR)
Authorized Official Telephone 9516623730
Authorized Official Credential LMFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
OPG Mental Health Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1750931572 County of San Bernardino Community/Behavioral Health 351 N Mt View Ave San Bernardino Ca 92415, San Bernardino, CA 92415-0001 2019-09-13
1063061117 County of San Bernardino Community/Behavioral Health 9445 Fairway View Pl Ste 110, Rancho Cucamonga, CA 91730-0930 2019-09-10
1306495627 County of San Bernardino Community/Behavioral Health 63665 29 Palms Hwy, Joshua Tree, CA 92252-6613 2019-09-09
1891344115 County of San Bernardino Community/Behavioral Health 14931 Dale Evans Pkwy, Apple Valley, CA 92307-3061 2019-09-09
1568947323 County of San Bernardino Community/Behavioral Health 15345 Bonanza Rd, Victorville, CA 92392-2499 2018-09-27
1619452547 County of San Bernardino Community/Behavioral Health 900 E Gilbert St Bldg 31, San Bernardino, CA 92415-0911 2018-09-26
1669802708 County of San Bernardino In Home Supportive Care 784 E Hospitality Ln, San Bernardino, CA 92415 2013-11-26
1912258633 County of San Bernardino Clinic/Center 17830 Arrow Blvd., Fontana, CA 92335 2012-09-20
1285870469 County of San Bernardino Public Health or Welfare 11336 Bartlett Ave #11, Adelanto, CA 92301 2008-12-18
1871764175 County of San Bernardino Early Intervention Provider Agency North & South Bound I-15, @ Zzz, Baker, CA 92309 2008-03-14

Office Location

Street Address 686 E MILL ST
City SAN BERNARDINO
State CA
Zip Code 92415-0647

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609919349 Mark Edward Thomas Marriage & Family Therapist 686 E Mill St, San Bernardino, CA 92415-5230 2007-02-14
1356955207 Vanessa Leanete Gonzalez Student in an Organized Health Care Education/Training Program 686 E Mill St, San Bernardino, CA 92415-0647 2020-09-08
1619507035 Juuna'e Dolores Dai're Marriage & Family Therapist 686 E Mill St, San Bernardino, CA 92415-0647 2020-01-24
1104468644 Julie Schraner Egle Student in an Organized Health Care Education/Training Program 686 E Mill St, San Bernardino, CA 92415-0647 2019-10-16
1306488689 Mi Young Son Student in an Organized Health Care Education/Training Program 686 E Mill St, San Bernardino, CA 92415-0647 2019-10-08
1598328072 County of San Bernardino Clinic/Center 686 E Mill St, San Bernardino, CA 92415-0647 2019-04-19
1801361829 Carolina Samano Marriage & Family Therapist 686 E Mill St, San Bernardino, CA 92415-0647 2018-10-05
1073032389 Krystle Rose Frazier-philo Psychologist 686 E Mill St, San Bernardino, CA 92415-0647 2017-09-18
1558805242 Theresa Herbert Occupational Therapist 686 E Mill St, San Bernardino, CA 92415-0647 2016-12-14
1891142733 Adrienne Grayson Case Manager/Care Coordinator 686 E Mill St, San Bernardino, CA 92415-5230 2016-05-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578041042 Karina Judith Barragan Student in an Organized Health Care Education/Training Program 19500 South Sunwest Lane, San Bernardino, CA 92415 2018-08-06
1841714839 Layla Subhani Marriage & Family Therapist 780 E Gilbert Street, Bldg H, San Bernardino, CA 92415 2017-08-01
1023546637 Angelica Ruiz Marriage & Family Therapist 900 E. Gilbert Street, Cottage 4, San Bernardino, CA 92415 2017-05-25
1750825030 Jordyn Ackerman Marriage & Family Therapist 900 E Gilbert Street, Cottage 4, San Bernardino, CA 92415 2016-12-06
1083063663 San Bernardino County Department of Public Health Public Health or Welfare 1505 South D Street, San Bernardino, CA 92415 2016-06-06
1366821233 Jodi Cerney Counselor 1950 S. Sunwest Lane, Suite #200, San Bernardino, CA 92415 2015-05-26
1427442268 Yessenia Cruz Case Manager/Care Coordinator 780 E Gilbert St Bldg H, San Bernardino, CA 92415 2015-03-18
1861808859 Hector Armando Ortega Student in an Organized Health Care Education/Training Program 1950 S. Sunwest Ln., Rialto, CA 92415 2014-07-10
1437564762 Ashlee Barker Marriage & Family Therapist 900 E Gilbert St. Cottage 4, San Bernardino, CA 92415 2014-06-25
1669802708 County of San Bernardino In Home Supportive Care 784 E Hospitality Ln, San Bernardino, CA 92415 2013-11-26
Find all providers in zip 92415

Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598328072 County of San Bernardino Clinic/Center 686 E Mill St, San Bernardino, CA 92415-0647 2019-04-19
1528559333 County of San Bernardino Clinic/Center 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 2018-05-29
1558880260 Jacob Joseph and Jabez Family Counseling and Professional Services Gro Clinic/Center 275 W Hospitality Ln Ste 325, San Bernardino, CA 92408-3249 2017-09-13
1740532647 County of San Bernardino Clinic/Center 104 W 4th St, San Bernardino, CA 92415-0035 2012-10-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598365652 Hearts for Sight Foundation Clinic/Center 1540 Prospect Ave Apt A, San Gabriel, CA 91776-4484 2020-10-28
1679172290 Cyti Psychology PC Clinic/Center 3025 Calico St, Santee, CA 92071-5678 2020-10-23
1427655810 An Elegant Sufficiency, A Psychological Corporation Clinic/Center 672 W 11th St Ste 354, Tracy, CA 95376-3821 2020-10-08
1184231508 Rh Community Builders Lp. Clinic/Center 1040 N Pleasant Ave, Fresno, CA 93728-2434 2020-09-29
1730795337 Full Circle Psychotherapy Clinic/Center 6741 Sebastopol Ave Ste 110, Sebastopol, CA 95472-3838 2020-09-18
1871108928 Executive Recovery Group, Inc Clinic/Center 77725 Enfield Ln Ste 200, Palm Desert, CA 92211-0468 2020-09-14
1619581337 Family Tree Psychology Group Inc. Clinic/Center 3655 Grand Ave, Oakland, CA 94610-2009 2020-09-01
1306459029 Lisa Eaton Therapy and Coaching, A Licensed Clinical Social Worker Cor Clinic/Center 3014 Lupine, Lake Forest, CA 92630-8439 2020-08-24
1972112712 County of Kern Clinic/Center 316 Kentucky, Bakersfield, CA 93305 2020-07-28
1417566605 Freedom Family Counseling Group Corp. Clinic/Center 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 2020-07-23
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Competitor

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City SAN BERNARDINO
Zip Code 92415

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Dataset Information

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.

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