Kohut Psychiatric Medical Group Inc

LBN: Kohut Psychiatric Medical Group Inc
Kohut Psychiatric Medical Group Inc is an health care organization with primary practice located at 1800 Medical Center Drive Suite 300, San Bernardino CA 92411. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Kohut Psychiatric Medical Group Inc can be contacted via phone (909) 887-6222, or through Kohut, John Joel via phone (909) 887-6222.

Contact Information

Primary practice address
1800 Medical Center Drive Suite 300 San Bernardino CA 92411
Phone: (909) 887-6222
Fax: (909) 887-4565
Website:
Map and Directions
Authorized official contact:
Name: Kohut, John Joel Doctor of Medicine (MD)
Phone: (909) 887-6222

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1245259258
LBN Legal business name Kohut Psychiatric Medical Group Inc
DBA Doing business as
Authorized official Kohut, John Joel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Jun 22nd, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245259258 NPPES
Other ZZZ59319Z BLUE SHIELD
Other GR0040560 BLUE SHIELD

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