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Coastline Behavioral Health
Psychiatric/Mental Health Nurse Practitioner in Irvine, California
NPI 1407216906

Coastline Behavioral Health is a Psychiatric/Mental Health Nurse Practitioner based in Irvine, CA and is specialized in Psychiatric/Mental Health. Coastline Behavioral Health practices in Irvine, CA. The NPI Number for Coastline Behavioral Health is 1407216906 and holds a License No. 300630AP (California).

The current practice location address for Coastline Behavioral Health is 2102 Business Center Dr # 121, Irvine, CA and can be reached out via phone at 949-300-1657. You can also correspond with Coastline Behavioral Health through the mailing address at 2102 BUSINESS CENTER DR # 121, IRVINE, CA - 92612-1001 (mailing address contact number: 949-300-1657).

Location: 2102 Business Center Dr # 121, Irvine, CA, 92612-1001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407216906
Provider Name
Coastline Behavioral Health
Credential
Provider Entity Type
Organization
Address
2102 Business Center Dr # 121, Irvine, CA, 92612-1001
Phone Number
949-300-1657
Fax Number
Provider Enumeration Date
02/26/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300630AP 01 CA DEPARTMENT OF HEALTHCARE SERVICES
institution
Provider Business Practice Location Address Details
Address
2102 Business Center Dr # 121
City
Irvine
State
California
Zip
92612-1001
Phone Number
949-300-1657
Fax Number
person
Provider Business Mailing Address Details
Address
2102 Business Center Dr # 121
City
Irvine
State
California
Zip
92612-1001
Phone Number
949-300-1657
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
14445 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
14445 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
300630AP (California)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Group Psychotherapy
Taxonomy
103TP2701X
License No.
300630AP (California)
Definition
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
person
Provider's Taxonomy Details 5
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
300630AP (California)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 6
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
300630AP (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 7
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
300630AP (California)
Definition
Definition to come...
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