CRESTWOOD BEHAVIORAL HEALTH, INC.
NPI 1720157050
Assisted Living Facility - Assisted Living, Mental Illness in San Jose, CA

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

The NPI number for Crestwood Behavioral Health, Inc. is 1720157050. It was assigned to this organization in the NPPES registry on November 8, 2006. The provider is doing business as Crestwood Center.

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

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since November 08, 2006

1425 FRUITDALE AVE, SAN JOSE, CA 95128(408) 275-1010(408) 275-1066 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Crestwood Behavioral Health, Inc. NPPES

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

CRESTWOOD BEHAVIORAL HEALTH, INC. (NPI 1720157050), doing business as Crestwood Center, is a healthcare organization registered as an assisted living, mental illness in San Jose, California and active in the NPI registry since November 2006. The organization lists Michelle Smith, Executive Director Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1720157050

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameCRESTWOOD BEHAVIORAL HEALTH, INC.

Location Address1425 FRUITDALE AVESan Jose, CA 95128-3234

Mailing Address7590 Shoreline DrStockton, CA 95219-5455 · (209) 955-2328 · Fax (209) 952-5314

Phone(408) 275-1010

Fax(408) 275-1066

Organization SubpartNo

Authorized OfficialMichelle SmithExecutive Director Reimbursement · (209) 955-2316

Enumeration DateNovember 8, 2006

Last NPPES UpdateMay 20, 20252 updates tracked since enumeration

NPPES CertifiedMay 20, 2025

✔ NPI 1720157050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

1425 FRUITDALE AVE, San Jose, CA 95128

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Other Names 1

Doing Business AsCrestwood Center

Other Providers at the Same Location NPPES 6

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

STANISLAUS COUNTY

Community/Behavioral Health