FOUNDATION FOR CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO (NPI# 1982728689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982728689 |
| Entity Type | Organization |
| Organization Name | FOUNDATION FOR CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO |
| Other Organization Name | START PEDIATRIC NEURODEVELOPMENTAL ASSESSMENT AND TREATMENT CENTER |
| Practice Address |
164 W Hospitality Ln Suite 1a San Bernardino CA 92408-3316 |
| Mailing Address |
5500 University Parkway San Bernardino CA 92407 |
| Practice Telephone | 9093791525 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DEBORAH BURNS (INTERIM GENERAL MANAGER) |
| Authorized Official Telephone | 9095373939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| START Pediatric Neurodevelopmental Assessment and Treatment Center | Other Name - Individual/Organization |
| Street Address |
164 W HOSPITALITY LN SUITE 1A |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92408-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093846198 | Augustine J Amerigo I | Chiropractor | 164 W Hospitality Ln, Ste 110, San Bernardino, CA 92408-3316 | 2007-03-08 |
| 1982016838 | Irving M. Feldkamp Dds | Dentist | 164 W Hospitality Ln, Suite 14, San Bernardino, CA 92408-3316 | 2014-05-27 |
| 1578804696 | Tri Star Medical Group & Rehab | Physical Medicine & Rehabilitation | 164 W Hospitality Ln, Ste. 16, San Bernardino, CA 92408-3316 | 2013-03-14 |
| 1104187103 | Family Planning Associates Medical Group,inc. | Clinic/Center | 164 W Hospitality Ln, 1a, San Bernardino, CA 92408-3316 | 2012-06-06 |
| 1619119328 | Rachel L Steward | Obstetrics & Gynecology | 164 W Hospitality Ln, Suite 1a, San Bernardino, CA 92408-3316 | 2009-03-26 |
| 1356516322 | Edith Herrejon | Counselor | 164 W Hospitality Ln, Ste. 4, San Bernardino, CA 92408-3316 | 2008-04-29 |
| 1699943175 | Courtney Ann Wild | Case Manager/Care Coordinator | 164 W Hospitality Ln, Suite 1-a, San Bernardino, CA 92408-3316 | 2008-02-18 |
| 1902083553 | April Faith Valento | Counselor | 164 W Hospitality Ln, Suite 1a, San Bernardino, CA 92408-3316 | 2008-01-25 |
| 1629254354 | Jennifer Marlana Rohrman | Counselor | 164 W Hospitality Ln, San Bernardino, CA 92408-3316 | 2008-01-11 |
| 1780879791 | Ginger R Myren | Marriage & Family Therapist | 164 W Hospitality Ln, Suite 1-a, San Bernardino, CA 92408-3316 | 2007-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
| 1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
| 1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
| 1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
| 1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
| Find all providers in zip 92408 | ||||
| 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 |
|---|---|---|---|---|
| 1528688892 | Berhe Group Home Inc. | Community/Behavioral Health | 5994 Mckinley Ave, San Bernardino, CA 92404-3530 | 2020-04-16 |
| 1902436744 | Koinonia Foster Homes, Inc. | Community/Behavioral Health | 1881 Business Center Dr Ste 10, San Bernardino, CA 92408-3465 | 2020-01-21 |
| 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 |
| 1922579598 | Expert Aba Consulting | Community/Behavioral Health | 3975 Modesto Dr, San Bernardino, CA 92404-1946 | 2018-12-07 |
| 1619452547 | County of San Bernardino | Community/Behavioral Health | 900 E Gilbert St Bldg 31, San Bernardino, CA 92415-0911 | 2018-09-26 |
| 1558878819 | Latasha Shenise Jones | Community/Behavioral Health | 2030 E 19th St Apt C, San Bernardino, CA 92404-5800 | 2018-01-08 |
| 1609392729 | Berhe Group Home, Inc. | Community/Behavioral Health | 1604 N Pennsylvania Ave, San Bernardino, CA 92411-1171 | 2017-08-21 |
| 1003331018 | Bianka Elsie Sanchez | Community/Behavioral Health | 7812 Merito Ave, San Bernardino, CA 92410-4631 | 2017-08-10 |
| 1821511908 | Wendy Martinez | Community/Behavioral Health | 5550 University Pkwy, San Bernardino, CA 92407-2318 | 2017-07-20 |
| 1801319124 | Ernesto Alonso | Community/Behavioral Health | 325 W Hospitality Ln Ste 104, San Bernardino, CA 92408-3210 | 2017-07-18 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
Please comment or provide details below to improve the information on FOUNDATION FOR CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO.
| 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.