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

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: August 23, 2026.

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

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.

CALLIE ROSE BOLLER
Marriage & Family Therapist
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4700
CAMDEN SCHLEISNER
Psychiatric Hospital
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4711
SUSIE JULIANA BAUTISTA
Marriage & Family Therapist
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4960
THOMAS BURDICK
Counselor (Mental Health)
2178 JOHNSON AVE
SAN LUIS OBISBO, CA 93401
San Luis Obispo County (805) 781-4711
KIMBERLY SEAMAN
Counselor (Mental Health)
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4700
JENNIFER N KUIKEN LPT
Licensed Psychiatric Technician
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4712
RONALD ANTHONY VERDUSCO
Nurse's Aide
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4711
RANDY LEE SCHEIDERER PSYCHIATRIC TECH
Licensed Psychiatric Technician
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4723

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. The provider is doing business as Crestwood San Luis Obispo Psychiatric Health Facility.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.