| Telecare San Bernardino Act | |
|
2080 S E St Ste 100 San Bernardino CA 92408-2706 | |
| (909) 388-9191 | |
| (909) 388-9195 |
| Full Name | Telecare San Bernardino Act |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2080 S E St Ste 100, San Bernardino, California |
| Authorized Official Name and Position | Lorena Lopez (PROVIDER RELATIONS SUPERVISOR) |
| Authorized Official Contact | 5102927024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Telecare San Bernardino Act 1080 Marina Village Pkwy Suite 100 Alameda CA 94501-6427 Ph: (510) 337-7950 | Telecare San Bernardino Act 2080 S E St Ste 100 San Bernardino CA 92408-2706 Ph: (909) 388-9191 |
| NPI Number | 1124100383 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124100383 | NPI | - | NPPES |
| CR722H | Other | CA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Cynthia J Soto Md Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 223, San Bernardino, CA 92404 Phone: 909-475-5200 | |
Pride Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1874 Business Center Dr Ste B, San Bernardino, CA 92408 Phone: 909-386-0437 Fax: 909-386-0529 | |
Valley Star Community Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1585 South D Street, Suite 101, 205, San Bernardino, CA 92408 Phone: 909-388-2222 | |
Youth Hope Licensed Clinical Social Worker Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 N D St Ste 400, San Bernardino, CA 92401 Phone: 909-567-2808 | |
Centralized Child Intensive Case Mgmt Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 658 E Brier Dr Ste 200, San Bernardino, CA 92408 Phone: 909-501-0700 Fax: 909-381-2330 | |
Ffs Psychologist Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-388-0801 Fax: 909-890-0435 | |
Taylor Almquist Lcsw Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 473 E Carnegie Drive, Suite 200, San Bernardino, CA 92408 Phone: 909-300-5058 |