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PHOENIX SUBSTANCE USE DISORDER RECOVERY SERVICES
NPI 1518550987
Community/Behavioral Health in San Bernardino, CA

Active since February 17, 2021CLIA 05D2280013 · Waiver
820 E GILBERT ST, SAN BERNARDINO, CA 92415(909) 387-7200(909) 387-7717 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 7, 2022, Jul 1, 2021, Feb 17, 2021 (3 updates tracked since 2021).

About Phoenix Substance Use Disorder Recovery Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX SUBSTANCE USE DISORDER RECOVERY SERVICES (NPI 1518550987) is a healthcare organization registered as a community/behavioral health in San Bernardino, California and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists Erica Ochoa, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1518550987
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDEPARTMENT OF BEHAVIORAL HEALTH, SAN BERNARDINO COUNTY
Location Address820 E GILBERT STSan Bernardino, CA 92415-0928
Mailing Address820 E Gilbert StSan Bernardino, CA 92415-0928
Phone(909) 387-7200
Fax(909) 387-7717
Organization SubpartYesParent: Department Of Behavioral Health, San Bernardino County Ca
Authorized OfficialErica OchoaChief Compliance Officer · (909) 388-0879
Enumeration DateFebruary 17, 2021
Last NPPES UpdateSeptember 7, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2022
✔ NPI 1518550987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
820 E GILBERT ST, San Bernardino, CA 92415
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Other Names 1

Other NamePhoenix Substance Use Disorder Recovery Services

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2280013

Phoenix Substance Use Disorder Recovery Services · San Bernardino, CA
Active · expires Apr 10, 2027
CLIA Number05D2280013
Laboratory TypeCommunity Outpatient Clin
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorJonathan Avalos
Laboratory Phone(909) 501-0728
Laboratory LocationPhoenix Substance Use Disorder Recovery Services820 E Gilbert St, San Bernardino, CA 92415
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN F ACHUFF MFT
Marriage & Family Therapist
820 E GILBERT ST
SAN BERNARDINO, CA 92415
San Bernardino County (909) 387-7200
HENRY K. CHANG
Marriage & Family Therapist
820 E GILBERT ST
SAN BERNARDINO, CA 92415
San Bernardino County (909) 367-7200
MR. STEPHEN JOHN GRAVES M.S.
Marriage & Family Therapist
820 E GILBERT ST, SAN BERNARDINO COUNTY DEPT. OF BEHAVIORAL HEALTH
SAN BERNARDINO, CA 92415
San Bernardino County (909) 387-7769
MONIQUE CASTANEDA
Counselor (Mental Health)
820 E GILBERT ST
SAN BERNARDINO, CA 92415
San Bernardino County (909) 387-7200
FLORESTINA BENCH RN
Registered Nurse
820 E GILBERT ST
SAN BERNARDINO, CA 92415
San Bernardino County (909) 387-7200
HEIDIE KAY PAGE LCSW
Social Worker (Clinical)
820 E GILBERT ST
SAN BERNARDINO, CA 92415
San Bernardino County (909) 387-7200
LINDSEY ANN CHESUS
Marriage & Family Therapist
820 E GILBERT ST
SAN BERNARDINO, CA 92415
San Bernardino County (909) 387-7200
DERRICK CANNON I
Peer Specialist
820 E GILBERT ST
SAN BERNARDINO, CA 92415
San Bernardino County (909) 388-5644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Department Of Behavioral Health, San Bernardino County's NPI number?

The NPI number for Department Of Behavioral Health, San Bernardino County is 1518550987. It was assigned to this organization in the NPPES registry on February 17, 2021. The provider is also known as Phoenix Substance Use Disorder Recovery Services.

Where is Department Of Behavioral Health, San Bernardino County located?

Department Of Behavioral Health, San Bernardino County is located at 820 E Gilbert St, San Bernardino, CA 92415. The listed phone number is (909) 387-7200.

What is Department Of Behavioral Health, San Bernardino County's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Department Of Behavioral Health, San Bernardino County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2280013) is associated with this NPI, valid through April 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Department Of Behavioral Health, San Bernardino County was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.