CHILDREN'S CRISIS RESPONSE TEAM MORONGO BASIN – NPI #1699976597
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
CHILDREN'S CRISIS RESPONSE TEAM MORONGO BASIN is an AHC clinic located in YUCCA VALLEY, CA. NPPES has assigned the NPI number 1699976597 to CHILDREN'S CRISIS RESPONSE TEAM MORONGO BASIN on May 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health
The NPI profile was previously updated about 19 years ago on Jul 13, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHILDREN'S CRISIS RESPONSE TEAM MORONGO BASIN below.
NPI Profile for
CHILDREN'S CRISIS RESPONSE TEAM MORONGO BASIN
(more than 19 years ago)
YUCCA VALLEY, CA 92284 Phone: (909) 382-3080 Fax: (909) 382-3105
SUITE 400
SAN BERNARDINO, CA 92415-0026 Phone: (909) 382-3080 Fax: (909) 382-3105
INFORMATION TECHNOLOGY MANAGER
Phone: (909) 388-0570
Identifiers for CHILDREN'S CRISIS RESPONSE TEAM MORONGO BASIN
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | MEDICAL PROVIDER NUMBER | CA | 3600036DG |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM0855X - Clinic/Center / Adolescent and Children Mental Health (Primary) |
CA | ZZZ74743Z |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.