CRESTWOOD SAN LUIS OBISPO PSYCHIATRIC HEALTH FACILITY
NPI 1629771811
Psychiatric Hospital in San Luis Obispo, CA

Q: What is Crestwood Behavioral Health, Inc.'s NPI number?

The NPI number for Crestwood Behavioral Health, Inc. is 1629771811. It was assigned to this organization in the NPPES registry on March 24, 2023.

Q: What is Crestwood Behavioral Health, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Active since March 24, 2023

2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401(209) 955-2364(209) 671-1520 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 22, 2024, Mar 30, 2023, Mar 24, 2023 (3 updates tracked since 2023).

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About Crestwood San Luis Obispo Psychiatric Health Facility NPPES

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

CRESTWOOD SAN LUIS OBISPO PSYCHIATRIC HEALTH FACILITY (NPI 1629771811) is a healthcare organization registered as a psychiatric hospital in San Luis Obispo, California and active in the NPI registry since March 2023. The organization lists Michelle Smith, Executive Director Ar And Reimb., as its authorized official.

NPPES Registry Identity

NPI1629771811

Entity TypeOrganization

Primary Taxonomy283Q00000X

Legal Business NameCRESTWOOD BEHAVIORAL HEALTH, INC.

Location Address2178 JOHNSON AVESan Luis Obispo, CA 93401-4535

Mailing Address7590 Shoreline DrStockton, CA 95219-5455 · (209) 955-2339 · Fax (209) 671-1520

Phone(209) 955-2364

Fax(209) 671-1520

Organization SubpartNo

Authorized OfficialMichelle SmithExecutive Director Ar And Reimb. · (209) 955-2364

Enumeration DateMarch 24, 2023

Last NPPES UpdateOctober 21, 20243 updates tracked since enumeration

NPPES CertifiedOctober 21, 2024

✔ NPI 1629771811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals

Taxonomy Code283Q00000X

Definition

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.

2178 JOHNSON AVE, San Luis Obispo, CA 93401

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Other Names 1

Doing Business AsCrestwood San Luis Obispo Psychiatric Health Facility

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.

DR. JEFFREY BRUCE ELLIOTT PSYD

Psychologist (Clinical)

2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 781-5525

RONALD G MORGAN M.D.

Psychiatry & Neurology (Psychiatry)

2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 473-7060

MR. CHRISTOPHER WILLIAM CUSICK B.S.

Counselor

2178 JOHNSON AVE, SAN LUIS OBISPO COUNTY MENTAL HEALTH SERVICES
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 541-5144

MARJORIE LYNN GRIZZARD LMFT

Marriage & Family Therapist

2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 226-3208

MS. JANET CUSHING AMANZIO RN

Registered Nurse (Psychiatric/Mental Health, Adult)

2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 781-4732

MR. GERALD EUGENE CLARE LCSW

Social Worker (Clinical)

2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 781-4733

MS. THERESA CECILIA DESMOND R.N.

Registered Nurse

2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 781-4700

WILAIM DAVID BOORMAN PSYCHIATRIC TECHNICI

Licensed Psychiatric Technician

2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 237-3170

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 Crestwood Behavioral Health, Inc.'s NPI number?

The NPI number for Crestwood Behavioral Health, Inc. is 1629771811. It was assigned to this organization in the NPPES registry on March 24, 2023.

Where is Crestwood Behavioral Health, Inc. located?

Crestwood Behavioral Health, Inc. is located at 2178 Johnson Ave, San Luis Obispo, CA 93401. The listed phone number is (209) 955-2364.

What is Crestwood Behavioral Health, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

When was this NPI record last updated?

The NPPES record for Crestwood Behavioral Health, Inc. was last updated on October 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.