CRESTWOOD BEHAVIORAL HEALTH INC (NPI# 1992053631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992053631 |
| Entity Type | Organization |
| Organization Name | CRESTWOOD BEHAVIORAL HEALTH INC |
| Practice Address |
482 Aztec Ln Lathrop CA 95330-9142 |
| Practice Telephone | 2099229902 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |
| Authorized Official Name | AMANDA MICHELLE SNYDER (LICENSED PSYCH TECH) |
| Authorized Official Telephone | 2099229902 |
| Authorized Official Credential | LPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | LP36472 | CA | Nursing & Custodial Care Facilities |
| Y | 283Q00000X | Psychiatric Hospital | LP36472 | CA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992206734 | Crestwood Behavioral Health Inc | Community Based Residential Treatment Facility, Mental Illness | 5550 University Ave Ste B, San Diego, CA 92105-2307 | 2018-02-27 |
| 1447758024 | Crestwood Behavioral Health Inc | Intermediate Care Facility, Mental Illness | 450 Stanyan St Fl 5, San Francisco, CA 94117-1019 | 2018-01-29 |
| 1902828403 | Crestwood Behavioral Health Inc | Skilled Nursing Facility | 4303 Stevenson Blvd, Fremont, CA 94538-2645 | 2006-07-24 |
| Street Address |
482 AZTEC LN |
| City | LATHROP |
| State | CA |
| Zip Code | 95330-9142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861919938 | Lathrop Pharmacy, LLC. | Pharmacy | 201 E. Louise Ave, Lathrop, CA 95330 | 2017-08-29 |
| 1063936052 | Japneet S Dhillon Dds Inc | Dentist | 15366 S Harlan Rd, Lathrop, CA 95330 | 2017-08-01 |
| 1992966253 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 16858 Golden Valley Pkwy, Lathrop, CA 95330 | 2008-06-19 |
| 1508023235 | Marysol B. Realon Dds A Prof. Dental Corp | Dentist | 259 E. Louise Ave, Lathrop, CA 95330 | 2008-05-20 |
| 1104048107 | Myduyen Tran | Dentist | 15136 Harlan Rd., Lathrop, CA 95330 | 2007-05-02 |
| 1043689193 | Joy Viscia Victoria Bareng | Pharmacist | 16858 Golden Valley Pkwy, Lathrop, CA 95330 | 2015-09-18 |
| 1851645287 | Amarpreet Kaur Sidhu | Pharmacist | 16858 Golden Valley Parkway, Lathrop, CA 95330 | 2012-11-07 |
| 1275801946 | Han Nguyen | Pharmacist | 16858 Golden Valley Pkwy, T2347, Lathrop, CA 95330 | 2011-12-08 |
| 1184910820 | Jennifer Leung | Pharmacist | 16858 Golden Valley Parkway, T-2347, Lathrop, CA 95330-7296 | 2011-06-21 |
| 1154959666 | Edgar D Lardizabal | Registered Nurse | 1705 Cranbrook Ct, Lathrop, CA 95330-8244 | 2020-03-30 |
| Find all providers in zip 95330 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740892017 | Avamed Inc. | Psychiatric Hospital | 12955 Riverside Dr Apt 204, Sherman Oaks, CA 91423-2202 | 2020-08-18 |
| 1437769957 | North Valley Behavioral Health, LLC | Psychiatric Hospital | 1253 Stabler Lane, Yuba City, CA 95993 | 2020-08-10 |
| 1811549504 | Sacramento Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 1400 Expo Pkwy, Sacramento, CA 95815-4230 | 2019-07-12 |
| 1932603990 | Central Star Behavioral Health, Inc. | Psychiatric Hospital | 496 South Barton Ave, Fresno, CA 93750-0001 | 2018-03-22 |
| 1639601933 | Restpadd Health Corp | Psychiatric Hospital | 925 Walnut St, Red Bluff, CA 96080-3707 | 2017-03-28 |
| 1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
| 1558812404 | Sonnia A. Ahinasi | Psychiatric Hospital | 4192 Via Napoli, Montclair, CA 91763-4750 | 2016-10-16 |
| 1316399660 | Itzel Lopez | Psychiatric Hospital | 1869 Lombard St, San Francisco, CA 94123-2909 | 2016-07-11 |
| 1770931032 | Ruby Lorraine Summus | Psychiatric Hospital | 4111 Jonathon St, Oceanside, CA 92056-4217 | 2016-05-27 |
| 1760841126 | County of Los Angeles | Psychiatric Hospital | 5800 South St Apt 163, Lakewood, CA 90713-1331 | 2016-02-15 |
| Find all providers with the same taxonomy | ||||
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| 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.