| Mountain View Behavioral Health,inc. | |
|
585 N Mountain Ave Ste B Upland CA 91786-8516 | |
| (909) 931-9988 | |
| (909) 931-7311 |
| Full Name | Mountain View Behavioral Health,inc. |
|---|---|
| Speciality | Counselor |
| Location | 585 N Mountain Ave Ste B, Upland, California |
| Authorized Official Name and Position | Kenneth Joseph Kaiser (PRESIDENT) |
| Authorized Official Contact | 9097022068 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain View Behavioral Health,inc. 585 N Mountain Ave Ste B Upland CA 91786-8516 Ph: (909) 931-9988 | Mountain View Behavioral Health,inc. 585 N Mountain Ave Ste B Upland CA 91786-8516 Ph: (909) 931-9988 |
| NPI Number | 1043391295 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 12/12/2019 |
| Certification Date | 12/12/2019 |
| Medicare PECOS PAC ID | 4385725266 |
|---|---|
| Medicare Enrollment ID | O20080116000761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043391295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (California) | Primary |
| Provider Name | Kenneth J Kaiser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306818653 PECOS PAC ID: 8527045343 Enrollment ID: I20050428001282 |
| Provider Name | Soe-moe Kyaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871534461 PECOS PAC ID: 6002835436 Enrollment ID: I20051115000892 |
| Provider Name | Hla Hla Yee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790865822 PECOS PAC ID: 7517147937 Enrollment ID: I20110202000201 |
| Provider Name | Holly Hammack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295939338 PECOS PAC ID: 7719168970 Enrollment ID: I20110221000707 |
| Provider Name | Iman Nabil Hanna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831247766 PECOS PAC ID: 2567523319 Enrollment ID: I20140109000563 |
| Provider Name | Harrell M Reznick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295085660 PECOS PAC ID: 3971853201 Enrollment ID: I20180907001900 |
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