MENTAL HEALTH PLANwp.sbcounty.gov/dbh/wp-content/uploads/2019/10/MHP... · 1 of 201 Revision Date:...

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1 of 201 Revision Date: October 25, 2019 MENTAL HEALTH PLAN ORGANIZATIONAL/RENDERING PROVIDER DIRECTORY For Mental Health Services call the Access Line at (909) 386-8256 or (888) 743-1478 or 711 for TTY Users

Transcript of MENTAL HEALTH PLANwp.sbcounty.gov/dbh/wp-content/uploads/2019/10/MHP... · 1 of 201 Revision Date:...

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Revision Date: October 25, 2019

MENTAL HEALTH PLANORGANIZATIONAL/RENDERING

PROVIDER DIRECTORY

For Mental Health Services call the Access Line at (909) 386-8256 or (888) 743-1478 or 711 for TTY Users

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San Bernardino County Department of Behavioral Health administers specialty mental health services to children, youth, transitional age youth (TAY), adults and older adults who live in San Bernardino County and need these services. This

Provider Directory provides information on all mental health treatment providers that are part of the County's network of care. Some of the services and providers listed require authorization or referral from the County before the service can be

provided. The Department of Behavioral Health Access Unit can help you determine what provider may be best for you or a family member. Please call the Access Unit at (888) 743-1478 or 711 for TTY users.

Services listed in this directory may be provided by an individual provider, or a team of providers, who are working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental

health providers and licensed substance use disorder services providers are listed on the Plan's directory.

San Bernardino County Department of Behavioral Health Administration

Phone: 909-388-0801http://wp.sbcounty.gov/dbh/

303 E. Vanderbilt Way, San Bernardino, CA 92415-0026

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• ADA Compliant - The Provider’s office/facility has accommodations for people with physical disabilities, including offices, exam room(s) and equipment• Cultural Capability - Training and experience serving a specific cultural population(s).• Specialty- Further education/training, experience and specialization, including board certification (i.e. Trauma Counseling, Eating Disorder, Addiction Psychiatry).

• ASW - Associate Clinical Social Worker• AMF - Associate Marriage Family Therapist• CI - Crisis Intervention• CM - Case Management• CYBH – Children and Youth Behavioral Health• ICC – Intensive Care Coordination• IHBS – Intensive Home Based Services• LMFT – Licensed Marriage and Family Therapist• LCSW – Licensed Clinical Social Worker• LPCC – Licensed Professional Clinical Counselor• LVN – Licensed Vocational Nurse• MD – Doctor of Medicine (Provide Medication Support Services)• MHRS – Mental Health Rehabilitation Specialist• MHS – Mental Health Services• MSS – Medication Support Services• NP – Nurse Practitioner (Provide Medication Support Services)• OT – Occupational Therapist• PA – Physician Assistant• PLAN – Mental Health Plan• RN – Registered Nurse• PhD/PsyD/PSY – Psychologist• PT – Psychiatric Technician

DEFINITIONS

LIST OF ACRONYMS

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Service Area: San Bernardino County/ Central ValleyType of Provider: Psychiatrist, LMFT, RN, LVN, PTType of Program: County

Outpatient 1265637524

Program Name: 400 N. Pepper Ave., Colton, CA 92324

Phone Number (909) 382-3127N/A

YesTDD/TTY Equipment Available: Yes

Languages Served:Populations Served:

Yes

Address:

Email Address:

Service Location and Provider ADA Compliant :

Special Cultural Capability:

English, Spanish, TagalogAll Ages

Service Type: MHS, CM, CI, MSSAccepting New Beneficiaries:

Arrowhead Regional Medical Center Behavioral Health

Website:

Modality: NPI Number:

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Staff Last Name Staff First Name NPI NumberLicensure Type/ Number Service Type

Population Served

Language Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Abba Patricia 1013188838 RN/536834MHS, CM, CI, MSS English Yes Yes

Abodoh Georgina 1548692833 PT/34986MHS, CM, CI, MSS English Yes Yes

Adom Ben 1417473034 RN/95042846MHS, CM, CI, MSS English Yes Yes

Allen Tricia 1114199643 LVN/178847MHS, CM, CI, MSS English Yes Yes

Amo-Mensah Sarah 1770032724 RN/95093809MHS, CM, CI, MSS English Yes Yes

Antonio Carlo 1013189638 RN/657338MHS, CM, CI, MSS

English, Tagalog Yes Yes

Arellanes Pamela 1710295373 PT/29347MHS, CM, CI, MSS English Yes Yes

Baylon Marialinda 1104097096 RN/616714MHS, CM, CI, MSS

English, Tagalog Yes Yes

Challakere Kedarnath 1972610335Psychiatrist/ A45337

MHS, CM, CI, MSS English Yes Yes

Cheatham Virginia 1598093775 RN/301241MHS, CM, CI, MSS

English, Spanish Yes Yes

Chen Iwen 1770083586 RN/95073993MHS, CM, CI, MSS English Yes Yes

Chow Alice 1386810364 RN/738250MHS, CM, CI, MSS English Yes Yes

Service Providers:

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Staff Last Name Staff First Name NPI NumberLicensure Type/ Number Service Type

Population Served

Language Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Coleman Denise 1982094173 RN/654441MHS, CM, CI, MSS English Yes Yes

Cretarola Scott 1972774693 PT/27009MHS, CM, CI, MSS English Yes Yes

David Dave 1932696663 RN/492736MHS, CM, CI, MSS English Yes Yes

De La Rosa Jessica 1477969079 LMFT/90858MHS, CM, CI, MSS English Yes Yes

Donkorh Emilia 1225467970 RN/843083MHS, CM, CI, MSS English Yes Yes

Dzimiri Grace 1740619493 RN/842674MHS, CM, CI, MSS English Yes Yes

Echon Ronell 1861839326 RN/747811MHS, CM, CI, MSS English Yes Yes

Farr Blackpearl 1992145536 PT/36073MHS, CM, CI, MSS

English, Spanish Yes Yes

Flores Alex 1578992244 LVN/247031MHS, CM, CI, MSS English Yes Yes

Frimpomg Lordina 1093184772 LVN/268759MHS, CM, CI, MSS English Yes Yes

Gonzalez Sandra 1215474697 LVN/267478MHS, CM, CI, MSS English Yes Yes

Gordon Bennie 1104097823 LVN/176537MHS, CM, CI, MSS English Yes Yes

Hernandez Nadia 1700313129 RN/95106909MHS, CM, CI, MSS English Yes Yes

Hoong Jenny 1477948891 RN/736553MHS, CM, CI, MSS English Yes Yes

Ikegbu Henrietta 1891967170 RN/607005MHS, CM, CI, MSS English Yes Yes

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Staff Last Name Staff First Name NPI NumberLicensure Type/ Number Service Type

Population Served

Language Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Init Gwendeline 1437320157 RN/550942MHS, CM, CI, MSS

English, Tagalog Yes Yes

Jimenez Brandy 1881005171 LVN/266814MHS, CM, CI, MSS English Yes Yes

Kubai John 1740752062 RN/95101149MHS, CM, CI, MSS English Yes Yes

Maletsky Norman 1215109533 LVN/163807MHS, CM, CI, MSS

English, Tagalog Yes Yes

Massey Haroon 1922272590 RN/538994MHS, CM, CI, MSS English Yes Yes

Montes Samuel 1316316094 PT/37745MHS, CM, CI, MSS English Yes Yes

Ndlela Johannes 1699837898Psychiatrist/ A53938

MHS, CM, CI, MSS English Yes Yes

Nunez Steven 1932370822 LVN/151340MHS, CM, CI, MSS English Yes Yes

Nyiramahirwe Martine 1093112526 RN/786609MHS, CM, CI, MSS English Yes Yes

Oba Angelina 1558740746 RN/714326MHS, CM, CI, MSS English Yes Yes

Oladipo Fausat 1467989525 RN/756235MHS, CM, CI, MSS English Yes Yes

Ordona Noemi 1679926281 RN/95022128MHS, CM, CI, MSS English Yes Yes

Pandeli Helen 1033380753 RN/585146MHS, CM, CI, MSS English Yes Yes

Pantaleon Oliver 1184898652 RN/578023MHS, CM, CI, MSS

English, Tagalog Yes Yes

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Staff Last Name Staff First Name NPI NumberLicensure Type/ Number Service Type

Population Served

Language Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Parungao Andrea 1891213914 RN/95076215MHS, CM, CI, MSS English Yes Yes

Patel Pooja 1972005858 RN/95116152MHS, CM, CI, MSS English Yes Yes

Pham Mailan 1255531687Psychiatrist/ A95985

MHS, CM, CI, MSS English Yes Yes

Quinones Geronimo 1023289741 RN/705275MHS, CM, CI, MSS English Yes Yes

Rarangol Anna 1891222055 RN/95038823MHS, CM, CI, MSS English Yes Yes

Rasmussen Scott 1649778523 RN/835279MHS, CM, CI, MSS English Yes Yes

Reyes Jeannie 1851883912 RN/95156161MHS, CM, CI, MSS English Yes Yes

Roggenkamp Jon 1730518374 RN/725623MHS, CM, CI, MSS English Yes Yes

Sanders Angela 1689847162 RN/653735MHS, CM, CI, MSS English Yes Yes

Santos Cristina 1215182647 LVN/208442MHS, CM, CI, MSS English Yes Yes

Schoneveld Kathrine 1124425095 LVN/244663MHS, CM, CI, MSS English Yes Yes

Steele Roena 1770904161 RN/806337MHS, CM, CI, MSS English Yes Yes

Thompson Mario 1609212786 PT/34566MHS, CM, CI, MSS English Yes Yes

Tolentino Jame 1295165264 RN/785214MHS, CM, CI, MSS English Yes Yes

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Staff Last Name Staff First Name NPI NumberLicensure Type/ Number Service Type

Population Served

Language Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Torres Kyle 1841463973 RN/619567MHS, CM, CI, MSS

English, Tagalog Yes Yes

Tran Phouc 1104969153Psychiatrist/ A69833

MHS, CM, CI, MSS English Yes Yes

Tran Quy 1477680866Psychiatrist/ A50649

MHS, CM, CI, MSS English Yes Yes

Ugorji Rosekate 1043481922 RN/578627MHS, CM, CI, MSS English Yes Yes

Unwalla Khushro 1568514610Psychiatrist/ A56445

MHS, CM, CI, MSS English Yes Yes

Vang Kenneth 1699153544 RN/95137415MHS, CM, CI, MSS English Yes Yes

Zamora Ronny 1073900866 RN/848856MHS, CM, CI, MSS English Yes Yes

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Service Area: San Bernardino County/High Desert RegionType of Provider: Type of Program: County

Outpatient1992913511

Program Name:

Phone Number:

http://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

Yes

Languages Served:

Populations Served: All Ages

YesService Providers:

Email Address:Website:Service Location and Provider ADA Compliant :

Special Cultural Capability:

Service Type: MHS, CM, CI, MSS, ICCAccepting New Beneficiaries:

Modality: NPI Number:

Barstow Counseling CenterAddress: 1841 E. Main St., Barstow, CA

Psychiatrist, MD, LCSW, LMFT, RN, PT, AMFT

(760) 255-5700

Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsAvalos Jonathan 1386050805 MD/A139612 MHS, MSS English Yes Yes

Eklund Steve 1417090648Psychiatrist/ A72281 MHS, MSS English Yes Yes

Etienne Anthonie 1023428117 AMFT/88278 MHS, CI English Yes Yes

Howard Henry 1992830426 PT/23912 MHS, CM, MSS English Yes YesJohnson Kathleen 1659862068 RN/610741 MHS, MSS English Yes YesOlson Kimberly 1306906755 LMFT/41200 MHS, CI English Yes YesPann Li Ju Lisa 1447700315 RN/542750 MHS, CI, MSS English Yes Yes

Pequeno Juan 1477537942Psychiatrist/ A61571 MHS, MSS

English, Spanish Yes Yes

Persichino Denise 1871721647Psychiatrist/ 20A9889 MHS, MSS English Yes Yes

Taylor Calise 1669634598 LMFT/96316 MHS, CM, CI English Yes Yes

Thigpen Diann 1992013544 LCSW/85196MHS, CM, CI, ICC English Yes Yes

Wiechert Kaitlin 1669808028 AMFT/103427 MHS, CM, CI English Yes Yes

Wigfall Donnell 1841465556Psychiatrist/ 20A11625 MHS, MSS English Yes Yes

Wong Truman 1871668673Psychiatrist/ A32901 MHS, MSS English Yes Yes

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Service Area: San Bernardino County/Central RegionType of Provider: Type of Program: Contract

Outpatient 1437313624

Program Name: Family Service Agency of San Bernardino1661 North E Street, San Bernardino, CA 92405

Phone Number 909-886-6737N/AFSASB.org

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, SpanishPopulations Served: Children/Youth

MHS, CM, CI, MSSYes

Service Providers:

Accepting New Beneficiaries:

Service Location and Provider ADA Compliant :

Special Cultural Capability:

Modality:

Email Address:

Service Type:

Address:

Website:

NPI Number:

Psychiatrist, LCSW, APCC

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsChali Colleen Nomsa 1912033747 LCSW/29187 MHS, CM, CI English Yes YesColes Ludenia 1083015952 APCC/I3994 MHS, CM, CI English Yes Yes

Rajput Muhammad 1881757342Psychiatrist/ A92812 MHS, MSS English Yes Yes

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Service Area: San Bernardino County/MountainsType of Provider: Type of Program: Contract Modality: NPI Number: 1275739492Program Name: Address: 23406 Crest Forest Drive, Crestline, CA 92325Phone Number 909-338-4689Email Address: N/AWebsite: FSASB.org

Yes

TDD/TTY Equipment Available Yes

Languages Served: English, SpanishPopulations Served: All Ages

MHS, CM, CI, MSSYes

Service Providers:

Accepting New Beneficiaries:

Service Location and Provider ADA Compliant :

Service Type:

Special Cultural Capability:

Outpatient

LCSW, AMFT

Family Service Agency of San Bernardino

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Cretarola Michele 1770624868 LCSW/18435MHS, CM, CI, ICC, IHBS English Yes Yes

Taboada Mary 1235476722 AMFT/78235MHS, CM, CI, ICC, IHBS English Yes Yes

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Service Area: San Bernardino County/High DesertType of Provider: Type of Program: Contract

Outpatient 1245680735

Program Name: Family Service Agency of San Bernardino11424 Chamberlaine Way, Suite 11-12, Adelanto, CA 92301

Phone Number 909-338-4689N/AFSASB.org

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, SpanishPopulations Served: All Ages

MHS, CM, CI, MSSYes

Service Providers:

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsBarr Richard 1306282828 LCSW/76119 MHS, CM, CI English Yes Yes

Horton Christina 1871005322 PT/38095 MHS, CM, MSS English Yes Yes

Accepting New Beneficiaries:

NPI Number:

Service Location and Provider ADA Compliant :

Service Type:

LCSW, PT

Address:

Website:Email Address:

Special Cultural Capability:

Modality:

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Service Area: San Bernardino County/Morongo Basin

Outpatient 1548656994

Program Name: Hi Desert Behavioral Health Services57407 29 Palms Hwy, Yucca Valley, CA 92284

Phone Number 760-366-1541N/A

Yes

TDD/TTY Equipment Available: No

Languages Served: English, SpanishPopulations Served: All Ages

MHS, CM, CI, MSS Yes

Service Providers:

Service Location and Provider ADA Compliant :

Accepting New Beneficiaries:

Type of Provider: MD, LCSW, LMFT, AMFTModality: NPI Number:

Website: www.hdmc.org

Service Type:

Email Address:

Address:

Special Cultural Capability:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsAllen Cheryl 1962633065 LCSW/70625 MHS, CM, CI English Yes YesBurton Alison 1184968083 LMFT/78877 MHS English Yes YesFink Jordan 1982120663 AMFT/94419 MHS, CM, CI English Yes YesGray Richard 1992894984 LMFT/42014 MHS, CM, CI English Yes YesRamsey Homer 1811190937 MD/A31240 MHS, MSS English Yes YesThornton Mary 1033302443 LMFT/19653 MHS, CM, CI English Yes Yes

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Service Area: San Bernardino County/Central RegionType of Provider: Type of Program: Contract

Outpatient 1831506534

Program Name: Koinonia Family Services 1881 S. Business Center Drive Suite 10-B, San Bernardino, CA 92408

Phone Number 909-890-2381N/A

Yes

TDD/TTY Equipment Available: No

Languages Served: English Populations Served:

MHS, CM, CI, ICCYes

Service Providers:

Service Type:Accepting New Beneficiaries:

www.kfh.org

All Ages

Special Cultural Capability:

Address:

Email Address:Website:Service Location and Provider ADA Compliant :

LCSW, ACSW, AMFT

Modality: NPI Number:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Cooper Addison 1578809463 LCSW/27804MHS, CM, CI,

ICC English No Yes

Lamberth Scott 1710423504 AMFT/I92984MHS, CM, CI,

ICC English No YesScott Betina 1962560417 LCSW/70057 MHS, CM, CI English No Yes

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Service Area: San Bernardino County/High Desert/MountainsType of Provider: Type of Program: Contract

Outpatient 1942640818

Program Name: Lutheran Social Services32770 Old Woman Springs Rd., Suite C, Lucerne Valley, CA 92356

Phone Number 760-248-6612N/Ahttps://www.lsssc.org/location/san-bernardino-county/

Yes

TDD/TTY Equipment Available: Yes

Languages Served:

Populations Served: All AgesMHS, CM, CI, MSSYes

Service Providers:

Modality:

Service Location and Provider ADA Compliant :

Email Address:Website:

Psychiatrist, LMFT, RN, LVN, AMFT

Service Type:Accepting New Beneficiaries:

Special Cultural Capability:

NPI Number:

Address:

English, Spanish, Arabic, Armenian, Cambodian, Cantonese, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Tagalog, Vietnamese, American Sign Language, Urdu, Punjabi

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsAllen Cassandra 1427349992 AMFT/91594 MHS, CM, CI English Yes YesCounts Tawanda 1265874028 LMFT/89057 MHS, CM, CI English Yes YesHofer Eileen 1811034192 RN/302144 CI, MSS English Yes Yes

Malik Asif 1265637532Psychiatrist/ C127702 MHS, CI, MSS English Yes Yes

Newton Kelly 1841788262 LVN/697010 CI, MSS English Yes YesTansey-Blust Dolores 1417326281 AMFT/94484 MHS, CM, CI English Yes Yes

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Service Area: San Bernardino County/High Desert Type of Provider: LMFTType of Program: Contract

Outpatient1528494796

Program Name: Lutheran Social Services Trona 82820 Trona Rd. Suite C, Trona, CA 93562

Phone Number: 760-372-5159N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: EnglishPopulations Served: All Ages

MHS, CM, CIYes

Service Providers:

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsCounts Tawanda 1265874028 LMFT/89057 MHS, CM, CI English Yes Yes

http://www.lsssc.org/location/san-bernardino-county/

Modality: NPI Number:

Address:

Email Address:

Website:

Service Location and Provider ADA Compliant :

Special Cultural Capability:

Service Type:Accepting New Beneficiaries:

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Service Area: San Bernardino County/High DesertType of Provider: Type of Program: Contract

Outpatient 1184061210

Program Name: Lutheran Social Services Southern California Barstow309 East Mountain View Suites 100, 101, 102, 103, 104, Barstow, CA 92311

Phone Number 760-256-7279N/Ahttps://www.lsssc.org/location/san-bernardino-county/

No

TDD/TTY Equipment Available: No

Languages Served:Populations Served: Children/Youth

YesService Providers:

Modality:

Special Cultural Capability:

Service Type:

Address:

Email Address:Website:

English

MHS, CM, CI, ICC, IHBS

NPI Number:

Accepting New Beneficiaries:

LMFT, AMFT

Service Location and Provider ADA Compliant :

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Cheong Kirsten 1346606407 AMFT/108881MHS, CM, CI, ICC, IHBS English Yes Yes

Clark Donna 1639211949 LMFT/40585MHS, CM, CI, ICC

English, Spanish No Yes

Wong Karen 1831324946 LMFT/105364MHS, CM, CI, ICC, IHBS

English, Spanish No Yes

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Service Area: San Bernardino County/MountainsType of Provider: LMFT, ACSW, AMFTType of Program: Contract

Outpatient 1720033103

Program Name: Lutheran Social Services Southern California Big Bear41945 Big Bear Blvd. Suites 221, 222, 223, Big Bear Lake, CA 92315

Phone Number 909-866-5070N/Ahttps://www.lsssc.org/location/san-bernardino-county/

No

TDD/TTY Equipment Available: No

Languages Served:Populations Served:

YesService Providers:

Email Address:

Special Cultural Capability:

Service Type:Accepting New Beneficiaries:

Website:Service Location and Provider ADA Compliant :

Modality: NPI Number:

Address:

MHS, CM, CI, ICC, IHBS

EnglishChild/Youth

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Ballard Latisha 1487173001 AMFT/92717MHS, CM, CI, ICC, IHBS English Yes Yes

Becker Leslie 1346378163 LMFT/27676MHS, CM, CI, ICC, IHBS English Yes Yes

Fontecchio Malia 1750662573 ACSW/36499MHS, CM, CI, ICC, IHBS English Yes Yes

Strickland Louanne 1972643310 LMFT/30132MHS, CM, CI, ICC, IHBS English Yes Yes

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Service Area: San Bernardino County/Morongo BasinType of Provider: Type of Program: Contract

Outpatient 1437555117

Program Name: Lutheran Social Services Southern California Yucca Valley58923 Business Center Drive, Yucca Valley, CA 92284

Phone Number 760-365-7209N/Ahttps://www.lsssc.org/location/san-bernardino-county/

No

TDD/TTY Equipment Available: No

Languages Served:Populations Served:

YesService Providers:

Children/YouthService Type: MHS, CM, CI, ICC, IHBS

LMFT, PCC, AMFT

NPI Number:

Address:

Email Address:Website:Service Location and Provider ADA Compliant :

Special Cultural Capability: English, Spanish, Arabic, Armenian, Cambodian, Cantonese, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Tagalog, Vietnamese, American Sign Language

Accepting New Beneficiaries:

Modality:

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Staff Last Name Staff First Name NPI NumberLicensure Type/Number Service Type

Population Served

Language Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsCombs Walter 1376786582 ACSW/86348

ICC English Yes Yes

Jackson Andre 1477928562 AMFT/84202MHS, CM, CI, ICC English Yes Yes

Smith Jaziah 1518176767 ACSW/86345MHS, CM, CI, ICC, IHBS English Yes Yes

Stoneburner Jennifer 1053852558 AMFT/95189MHS, CM, CI, ICC, IHBS English Yes Yes

TRUE Paul 1346378163 LMFT/84202MHS, CM, CI, ICC, IHBS English Yes Yes

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Service Area: San Bernardino County/Western RegionType of Provider: Type of Program: County

Outpatient1962612549

Program Name: Mariposa Community Counseling2940 Inland Empire Blvd., Ontario, CA 91764

Phone Number: (909) 458-1350

http://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

Yes

Languages Served:

Populations Served: All AgesMHS, CM, CI, MSSYes

Service Providers:

Service Location and Provider ADA Compliant :

Special Cultural Capability:

Service Type:Accepting New Beneficiaries:

NPI Number:

Address:

Email Address:Website:

Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

Psychiatrist, MD, Psychologist, LCSW, LMFT, RN, LVN, PT, ACSW, AMFT

Modality:

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34 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Baig Syeda 1760464226Psychiatrist/ A71834 MHS, MSS English Yes Yes

Block David 1346302064Psychiatrist/ A103648 MHS, MSS English Yes Yes

Camacho Veronica 1003956681 LCSW/26474 MHS, CM, CIEnglish, Spanish Yes Yes

Ceron Janett 1922418003 ACSW/78465 MHS, CM, CIEnglish, Spanish Yes Yes

Clark Susan 1598219388 LVN/173627MHS, CM, CI, MSS English Yes Yes

Cortes Natasha 1588074090Psychiatrist/ 20A14679 MHS, MSS English Yes Yes

Crowe Shena 1467815290 ACSW/70309 MHS, CM, CI English Yes Yes

De Espinosa Kelline 1407981541Psychologist/ 19312 MHS, CM, CI English Yes Yes

Firoz Sofia 1598739252Psychiatrist/ A74793 MHS, MSS English Yes Yes

Haus Kelly 1699800086 LMFT/37870 MHS, CM, CIEnglish, Spanish Yes Yes

Hedrick-Harwell Stephanie 1780955450 LMFT/85101 MHS, CM, CI English Yes Yes

Johnson Erik 1245641935Psychiatrist/ 20A14580 MHS, MSS English Yes Yes

Lopez Yesenia 1689092926 AMFT/87521 MHS, CM, CIEnglish, Spanish Yes Yes

Mitchell Alexis 1861783052 ACSW/78465 MHS, CM, CI English Yes Yes

Myers Julie 1225221906 Psychologist/ 24512 MHS, CM, CI English Yes Yes

Myint Than 1083709711 Psychiatrist/ A69451 MHS, MSS English Yes Yes

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Nguyen Dau 1578515375 Psychiatrist/ A67773 MHS, MSS English Yes Yes

Osuna David 1184923500 Psychiatrist/ A132688 MHS, MSS English Yes Yes

Pacheco-Ramirez Sandy 1760898670 LCSW/70876 MHS, CM, CIEnglish, Spanish Yes Yes

Parikh Rishi 1902151962 Psychiatrist/ A132327 MHS, MSS English Yes Yes

Petersen Erik 1922210251 Psychiatrist/ A137589 MHS, MSS English Yes Yes

Secuya Jessica 1275821175 AMFT/87521 MHS, CM, CIEnglish, Spanish Yes Yes

Seehrai Inderjit 1437294436 Psychiatrist/ A64403 MHS, MSS English Yes Yes

Stroud Phyllis 1487843132 LMFT/53166 MHS, CM, CI English Yes Yes

Tama-Lewis Heather 1790822575 PT/29519 MHS, CM, CI, MSS English Yes Yes

Trannon Kecia 1518359009 RN/697378 MHS, CM, CI, MSS English Yes Yes

Wali Sushma 1952407694 Psychiatrist/ A32236 MHS, MSS English Yes Yes

Young Eugene 1629111208 Psychiatrist/ 20A6879 MHS, MSS English Yes Yes

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Service Area: San Bernardino County/High Desert RegionType of Provider: Type of Program: County

Outpatient1508075805

Program Name: Needles Clinic1600 Bailey Ave., Suite 2, Needles, CA 92363

Phone Number: (760) 326-9313

http://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

Yes

Languages Served:

Populations Served: All AgesMHS, CM, CI, MSSYes

Service Providers:

Psychiatrist, LCSW, LMFT, RN

Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

Modality:

Email Address:Website:

Service Location and Provider ADA Compliant :

Special Cultural Capability:

Service Type:Accepting New Beneficiaries:

Address:

NPI Number:

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37 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Baig Syeda 1760464226 Psychiatrist/ A71834 MHS, MSS English Yes Yes

Gallegos Sonia 1083158224 LCSW/76067 MHS, CM, CI English Yes YesJones Stephanie 1255504957 LCSW/27377 MHS, CM, CI English Yes Yes

McCorkle Donna 1720456445 RN/566557 MHS, CM, CI, MSS English Yes Yes

Smith Alia 1780906156 LMFT/101247 MHS, CM, CI English Yes Yes

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Service Area: San Bernardino County/Central RegionType of Provider: Type of Program: County

Outpatient1326259151

Program Name: Mesa Counseling Services850 E. Foothill Blvd., Rialto, CA 92376

Phone Number: (909) 421-9301

http://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

Yes

Languages Served:

Populations Served: All AgesMHS, CM, CI, MSSYes

Service Providers:

Psychiatrist, MD, LCSW, LMFT, RN, PT, ACSW, AMFT

Modality:

Email Address:Website:

Service Location and Provider ADA Compliant :

Special Cultural Capability:

Service Type:Accepting New Beneficiaries:

Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

Address:

NPI Number:

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39 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Anceno Marlene 1699228205 ACSW/84337MHS, CI

English, Spanish

Yes Yes

Arene Tagbo 1457474033 Psychiatrist/ A139396 MHS, MSS English Yes Yes

Brown Monique 1932240611 LCSW/27381 MHS, CIEnglish, Spanish Yes Yes

Canizalez Mercedes 1356856827 PT/79644MHS, CM, CI

English, Spanish

Yes Yes

Chung Russelle 1982025904 ACSW/33524 MHS, MSS English Yes YesCosey Shykish 1407215395 PT/38349 MHS, MSS English Yes Yes

Deleon-Figueroa Nenia 1598168361 LMFT/101255 MHS, CIEnglish, Spanish Yes Yes

Dittemore Denise 1326259151 Psychiatrist/ G85009 MHS, MSS English Yes Yes

Erwin Peggy 1447548235 ACSW/84290 MHS, CM, CI English Yes Yes

Fernandez Beverly 1487197190 RN/717410 MHS, CM, MSSEnglish, Tagalog Yes Yes

Flowers Calvin 1669492948 Psychiatrist/ G77508 MHS, MSS English Yes Yes

Foglesong Christopher 1316212848 MD/A140877 MHS, MSS English Yes YesGill Sandeep 1972910016 MD/A145698 MSS English Yes Yes

Gonzalez Martha 1215472105 PT/34747 MHS, CM, MSSEnglish, Spanish Yes Yes

Guadez Jennifer 1902248545 ACSW/73612 MHS, CM, CI English Yes YesGuinn Katja 1093842379 LMFT/39581 MHS, CI English Yes Yes

Kassem Zoheir 1992718654 Psychiatrist/ A52724 MHS, MSS English Yes Yes

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Lasala Salvador 1225163140 Psychiatrist/ A52616 MHS, MSS

English, Tagalog Yes Yes

Luera Jessica 1255811238 RN/748715 MHS, CM, CI, MSS English Yes Yes

Ly Derick 1962744417 Psychiatrist/ 20A13326 MHS, MSS English Yes Yes

Maldonado Paul 1396198941 ACSW/78752 MHS, CM, CIEnglish, Spanish Yes Yes

Martinez Marisol 1528485463 AMFT/91124 MHS, CM, CIEnglish, Spanish Yes Yes

Mejia Marissa 1750426862 Psychiatrist/ A56023 MHS, MSS English Yes Yes

Mohapatra Meerabai 1750466785 Psychiatrist/ A84139 MHS, MSS English Yes Yes

Nelson Jared 1295091791 Psychiatrist/ 20A12215 MHS, MSS English Yes Yes

Nguyen Thuy-huynh 1356488290 Psychiatrist/ A67394 MHS, CI, MSS English Yes Yes

Nunez Erika 1154710440 AMFT/94215 MHS, CM, CI English Yes Yes

Ochoa Katherine 1063889004 LMFT/104575 MHS, CM, CIEnglish, Spanish Yes Yes

Ontiveros Susana 1750687976 ACSW/72379 MHS, CIEnglish, Spanish Yes Yes

Sellers Tina 1134503253 ACSW/72893 MHS, CM, CI English Yes Yes

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Service Area: San Bernardino County/Western Region Type of Provider: Type of Program: Contract

Outpatient 1942323563

Program Name: West End Family Counseling855 N. Euclid Ave., Ontario, CA 9No

Phone Number: 909-983-2020N/A

Yes

TDD/TTY Equipment Available No

Languages Served: English, Spanish, Arabic, Mandarin, Vietnamese, American Sign Language Populations Served: All Ages

YesService Providers:

Email Address:

Service Type: MHS, CM, CI, MSS, ICC, IHBS

Special Cultural Capability:

Service Location and Provider ADA Compliant :

Psychiatrist, MD, LCSW, LMFT, RN,OT, ACSW, AMFT

Modality: NPI Number:

Address:

Website: www.wefcs.org

Accepting New Beneficiaries:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsAney Jordan 1922419902 MD/A138278 MHS, MSS English Yes Yes

Anyanwu Cynthia 1801176912 LCSW/61364MHS, CM, CI, ICC, IHBS English Yes Yes

Balderas Albert 1518277821 AMFT/101696MHS, CM, CI, ICC, IHBS English Yes Yes

Banda-Rodriguez Valerie 1396150355 ACSW/68489 CM, CIEnglish, Spanish Yes Yes

Bonura Janelle 1881171387 ACSW/83884MHS, CM, CI, ICC, IHBS English Yes Yes

Borrero Edgemon Carmen 1194276428 RN/515025MHS, CM, CI, MSS

English, Spanish Yes Yes

Castillo Carla 1548787542 ACSW/83808MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Diaz Thalia 1629588017 AMFT/102098MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Farooqi Mubashir 1902858194Psychiatrist/ A056486 MSS English Yes Yes

Galvan Jonnie 1578019030 OT/17624 CM, CI English Yes Yes

Gatt-Auzenne Elizabeth 1174646574 LMFT/44438 CM, CIEnglish, Spanish Yes Yes

Heitz Sarah 1316316920 ACSW/77941MHS, CM, CI, ICC, IHBS English Yes Yes

Hernandez Mirna 1154725521 ACSW/73104 CM, CIEnglish, Spanish Yes Yes

Johnson Zakiya 1104225747 LMFT/110743MHS, CM, CI, ICC, IHBS English Yes Yes

Kissick Hannah 1740632421 LCSW/87310 MHS English Yes YesPaquin Yvette 1922480243 OT/12007 MHS, CM English Yes Yes

Requejo Jessica 1740719236 ACSW/84003MHS, CM, CI, ICC, IHBS English Yes Yes

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Rivera-Rios Elizabeth 1750660965 AMFT/100041 CM, CIEnglish, Spanish Yes Yes

Tanase Liana 1124070560Psychiatrist/ A79427 MSS English Yes Yes

Valdez-Carreon Alma 1972642502 LCSW/72554 CM, CIEnglish, Spanish Yes Yes

Vasquez-Silva Natividad 1023131471 LMFT/36605 CM, CIEnglish, Spanish Yes Yes

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Service Area: San Bernardino County/High Desert RegionType of Provider: Type of Program: County

Outpatient1417168246

Program Name: Phoenix Community Counseling820 E. Gilbert St., San Bernardino, CA 92415

Phone Number: (909) 387-7200N/Ahttp://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

Yes

Languages Served:

Populations Served: All AgesMHS, CM, CI, MSSYes

Service Providers:

Accepting New Beneficiaries:

Psychiatrist, MD, LCSW, LMFT, RN, LVN, PT, ACSW, AMFT

Email Address:

Address:

Website:

Service Location and Provider ADA Compliant :

Special Cultural Capability:

NPI Number:

Service Type:

Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

Modality:

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Staff Last Name Staff First Name NPI NumberLicensure Type/Number Service Type

Population Served

Language Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsAchuff Susan 1003010141 LMFT/24776 MHS, CM, CI English Yes Yes

Cardenas Antonio 1154702959 AMFT/94743 MHS, CM, CIEnglish, Spanish Yes Yes

Castaneda Monique 1023207818 ACSW/63191 MHS, CM, CI English Yes YesChristopher Neal 1750735650 MD/20A16430 MSS English Yes Yes

Cochran Janice 1447214747 Psychiatrist/ G59077 MHS, MSS English Yes Yes

Damerla Hanumantha 1225119464 Psychiatrist/ A69165

Medication Support English Yes Yes

Dang Jacquelyn 1154778934 MD/20A16362 MHS, MSS English Yes YesDaniel Veronica 1629513460 ACSW/84276 MHS, CM, CI English Yes YesDawson Leslie 15789322257 LVN/259625 MHS, CI, MSS English Yes YesDelgadillo-Paramo Alba 1871919209 ACSW/92577 MHS, CM, CI

English, Spanish Yes Yes

Desilva Gayani 1942353230 Psychiatrist/ A81916 MSS English Yes Yes

Enge Kari 1710028584 Psychiatrist/ A45258 MHS, MSS English Yes Yes

Escobar Carlos 1518416981 PT/36298 MHS, CI, MSS English Yes YesFennell Christal 1568687275 LVN/ 220919 MHS, CI, MSS English Yes Yes

Galang-Feather Nerissa 1477698389 Psychiatrist/ A44676 MHS, MSS

English, Spanish, Tagalog

Yes Yes

Garcia-Irons Alexis 1639601453 AMFT/84338 MHS, CM, CI English Yes Yes

Gill Mehar 1649315433 Psychiatrist/ A41443 MHS, MSS English Yes Yes

Gonzalez Jeannet 1467647172 LMFT/53800 MHS, CM, CIEnglish, Spanish Yes Yes

Heffner Aaron 1720465032 MD/20A15107 MHS, MSS English Yes YesHernandez Tanya 1760713622 ACSW/100132 MHS, CM, CI English Yes Yes

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Staff Last Name Staff First Name NPI NumberLicensure Type/Number Service Type

Population Served

Language Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Ikhimiukor Eugene 1134329725 Psychiatrist/ A98779 MHS, MSS English Yes Yes

Kim Shelley 1982044525 RN/836382 MHS, CI, MSS English Yes Yes

Kimura Marilyn 1396876264 Psychiatrist/ G75440 MHS, MSS English Yes Yes

Mayorga Manuela 1235476094 ACSW/66315 MHS, CM, CIEnglish, Spanish Yes Yes

Moffat Jeffrey 1144545948 Psychiatrist/ A121443 MHS, MSS English Yes Yes

Montes Gabriella 1821470584 AMFT/98228 MHS, CM, CIEnglish, Spanish Yes Yes

Parikh Rishi 1902151962 Psychiatrist/ A132327 MHS, MSS English Yes Yes

Pham Noch-Minh 1154770808 MD/20A16381 MHS, CM, CI English Yes YesPham Diana 1225532757 LMFT/106900 MHS, MSS English Yes Yes

Schreur Christopher 1407029424 Psychiatrist/ A109305 MHS, MSS English Yes Yes

Smith Brant 1497934996 LMFT/51632 MHS, CM, CI English Yes YesSodiyan Mary 1437658929 RN/836382 MHS, CI, MSS English Yes YesSoriano Janice 1205007929 RN/392291 MHS, CI, MSS English Yes Yes

Tran Ruby 1134569387 ACSW/66772 MHS, CM, CIEnglish, Spanish Yes Yes

Urquhart Melissa 1386088110 Psychiatrist/ A136837 MHS, MSS English Yes Yes

Vakalahi Tukia 1790195816 ACSW/69030 MHS, CM, CI English Yes YesWillard Brent 1336551084 MD/A142234 MSS English Yes YesZavala Michelle 1069290808 AMFT/82809 MHS, CM, CI English Yes Yes

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Service Area: San Bernardino County/Central RegionType of Provider: Type of Program: Contract

Outpatient 1659710275

Program Name: South Coast Community Services1461 E. Cooley Dr., Colton, CA 92324

Phone Number 909-835-4800N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, SpanishPopulations Served:

YesService Providers:

Email Address:Website:

Psychiatrist, LCSW, LMFT, ACSW, AMFT, APCC

www.sccs4kids.org

Children/YouthMHS, CM, CI, MSS, ICC, IHBS

NPI Number:

Address:

Modality:

Service Location and Provider ADA Compliant :

Special Cultural Capability:

Service Type:Accepting New Beneficiaries:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Altamirano Karla 1780071837 APCC/1582MHS, CM, CI, ICC

English, Spanish Yes Yes

Arellano-Jackson Raquel 1861860009 APCC/84139MHS, CM, CI, ICC

English, Spanish Yes Yes

Armstrong Charlotte 1679072334 APCC/1156 MHS, CM English Yes YesBech Lisa 1356724694 ACSW/77638 MHS English Yes Yes

Beltran-Madrid Yvette 1881022796 ACSW/85002 MHS, CM, IHBSEnglish, Spanish Yes Yes

Carrillo Justine 1073947149 ACSW/67962 MHSEnglish, Spanish Yes Yes

Cibrian Gabriela 1518333665 AMFT/85543 MHS, CMEnglish, Spanish Yes Yes

Di Donato Jennifer 1194035444 LMFT/95063 MHS, CM, IHBS English Yes Yes

Dobbins Pam 1821382805 LMFT/30186 MHS, CM, IHBS English Yes Yes

Espinoza Sidya 1598198533 LMFT/108613 MHSEnglish, Spanish Yes Yes

Guinasso Julianne 1336386739 LMFT/79601MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Haro Trujillo Guadalupe 1861822355 LMFT/104389MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Hollier Brittani 1124401286 ACSW/77214 MHS English Yes YesHughes Anne 1538429741 LMFT/102270 MHS English Yes Yes

Hughes Mihesha 1568868552 AMFT/104373MHS, CM, CI, ICC, IHBS English Yes Yes

James Krystal 1578860987 AMFT/97088MHS, CM, CI, ICC, IHBS English Yes Yes

Lopez Maria 1508265349 AMFT/111514 MHSEnglish, Spanish Yes Yes

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsMerrill Julie 1427341072 ACSW/65266 MHS English Yes Yes

Mileham Amanda 1497138762 ACSW/74485MHS, CM, CI, ICC, IHBS English Yes Yes

Natha Poonam 1437292703 LMFT/50522 MHS English Yes Yes

Patel Bipin 1528197647Psychiatrist/ A46654 CI, MSS English Yes Yes

Pinder Stephanie 1578983037 LMFT/99602 MHS English Yes YesRodriguez Xiomara 1992836969 LMFT/98823 MHS English Yes Yes

Soto RodriguezJuana Soto Rodriguez 1336557404 AMFT/90920

MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Suarez Ramon 1699108084 ACSW/67677MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Torres Jenae 1831608884 AMFT/100839 MHS, CM, IHBS English Yes Yes

Vazquez Deborah 1518342591 AMFT/84407 MHS, CM, CIEnglish, Spanish Yes Yes

Verde Diana 1235347576Psychiatrist/ C53575 MSS, CII English No Yes

Whitfield Alyese 1619287067 AMFT/79401 MHS English Yes YesYang Jennifer 1760674881 LMFT/48611 MHS, CM, CI English Yes Yes

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Service Area: San Bernardino County/Western Region Type of Provider: Type of Program: Contract

Outpatient 1033321120

Program Name: South Coast Community Services9500 Haven Ave., Rancho Cucamonga, CA 91730

Phone Number 909-980-6700N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, SpanishPopulations Served:

YesService Providers:

Psychiatrist, LCSW, LMFT, ACSW, LMFT

www.sccs4kids.org

Modality:

Address:

Special Cultural Capability:

Service Type:Children/YouthMHS, CM, CI, MSS, ICC, IHBS

Accepting New Beneficiaries:

NPI Number:

Email Address:Website:Service Location and Provider ADA Compliant :

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51 of 201

Staff Last Name Staff First Name NPI NumberLicensure Type/Number Service Type

Population Served

Language Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Limjoco Angeline 1104160829 LCSW/73923MHS, CM, CI, ICC, IHBS Englsih Yes Yes

Vafa Amanda 1134609902 LMFT/111489MHS, CM, CI, ICC, IHBS Englsih No Yes

Kha My 1154455384Psychiatrist/ A107132

MHS, CM, CI, MSS, ICC, IHBS Englsih

YesYes

Merrill Christina 1205217957 LMFT/106726MHS, CM, CI, ICC, IHBS Englsih Yes Yes

Tejeda Jacquelin 1467617704 LMFT/109794MHS, CM, CI, ICC, IHBS Englsih Yes Yes

Elias Sabrina 1558814830 LMFT/84429MHS, CM, CI, ICC, IHBS

English, Spanish No Yes

Hoornbeek Doreen 1669753778 LMFT/68715MHS, CM, CI, ICC, IHBS English Yes Yes

Westmoreland Ja'Nae 1669902060 LMFT/95630MHS, CM, CI, ICC, IHBS English Yes Yes

Williams Kione 1760907851 ACSW/85836MHS, CM, CI, ICC, IHBS English No Yes

Williams Rachel 1962986711 LMFT/85413MHS, CM, CI, ICC, IHBS English Yes Yes

Reyes Kelly 1972073104 LMFT/109304MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

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Service Area: San Bernardino County/Eastern RegionType of Provider: Type of Program: Contract

Outpatient 1013148196

Program Name: South Coast Community Services1030 Nevada St., Redlands, CA 92374

Phone Number 909-256-5971N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, SpanishPopulations Served:

YesService Providers:

Service Type:

Website:

Accepting New Beneficiaries:

Service Location and Provider ADA Compliant :

Modality:

Email Address:

LMFT, ACSW, AMFT

NPI Number:

Address:

www.sccs4kids.org

Special Cultural Capability:

Children/YouthMHS, CM, CI, ICC, IHBS

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53 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Balli Alyssa 1144583782 AMFT/92669MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Marquez Sabrina 1457861288 AMFT/93780 MHS, CM, CI English, Spanish Yes Yes

McGuire Gary 1841387024 LMFT/24214 MHS, CM, CI English Yes YesWilridge Amber 1124403175 AMFT/92455 MHS English Yes Yes

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Service Area: San Bernardino County/Eastern RegionType of Provider: Psychiatrist, LMFT, LPCC, AMFTType of Program: Contract

Outpatient 1962634956

Program Name: South Coast Community Services34324 Yucaipa Blvd. Suites B-D, Yucaipa, CA 92399

Phone Number 909-790-1300N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, SpanishPopulations Served:

YesService Providers:

Children/Youth

Email Address:Website:

Modality: NPI Number:

Address:

Service Location and Provider ADA Compliant :

Special Cultural Capability:

MHS, CM, CI, MSS, ICC, IHBS Accepting New Beneficiaries:

www.sccs4kids.org

Service Type:

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55 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Cordon Jose 1720539497 LMFT/108475 MHS, CM, CIEnglish, Spanish Yes Yes

Elsen Olazaran Damaris 1225495500 LMFT/111227MHS, CM, ICC, IHBS English Yes Yes

Elliot Andrew 1053423384Psychiatrist/ G86851 MSS, ICC, IHBS English Yes Yes

Garcia Javier 1518357821 LPCC/100024 MHSEnglish, Spanish Yes Yes

Khan Uzma 1053517490Psychiatrist/ A100026 CI, MSS English No Yes

Mendez Zuleyma 1700396702 AMFT/101122 MHS, CM, CIEnglish, Spanish Yes Yes

Miller Charity 1386085074 LMFT/101011 MHS, CM, CI English Yes Yes

Vazquez Ana 1629408000 AMFT/76587 MHS, CM, IHBSEnglish, Spanish Yes Yes

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56 of 201

Service Area: San Bernardino County/Western RegionType of Provider: Type of Program: Contract

Outpatient 1043669286

Program Name: South Coast Community Services1425 W. Foothill Blvd. Suite 310, Upland, CA 91786

Phone Number 909-835-4800N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, SpanishPopulations Served:

YesService Providers:

Service Type: MHS, CM, CI, MSS, ICC, IHBS

Modality:

Accepting New Beneficiaries:

LMFT, ACSW, AMFT, APCC

Service Location and Provider ADA Compliant :

Special Cultural Capability:

NPI Number:

Address:

Email Address:www.sccs4kids.org

Children/Youth

Website:

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57 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Alvarado Marliz 1003360801 ACSW/83803MHS, CM, ICC, IHBS

English, Spanish Yes Yes

Austin-Williams Kymil 1679706089 LMFT/103636 MHS, CM, CI English Yes Yes

Dominguez Maritza 1679018808 AMFT/107688MHS, CM, ICC, IHBS English Yes Yes

Ezpeleta Andrew 1881178952 ACSW/84637 MHS, CM English Yes Yes

Fritchel Kellie 1750519484 LMFT/86708MHS, CI, ICC, IHBS English Yes Yes

Higgins Taylor 1679958094 APCC/1585MHS, CI, ICC, IHBS English Yes Yes

Leyva Elena 1356877633 LMFT/3953 MHS, CM, CIEnglish, Spanish Yes Yes

Luviano Ashleigh 1265830848 LMFT/96333 MHS, CM, CI English Yes YesMattiello Chelsea 1710456777 AMFT/108981 MHS, CM, CI English Yes Yes

Palumbo April 1386132710 AMFT/88064MHS, CM, CI, ICC

English, Spanish Yes Yes

Sharma Priyanka 1841569183 LMFT/110090 MHS, CM, CI English Yes Yes

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Service Area: San Bernardino County/Western RegionType of Provider: Type of Program: Contract

Outpatient 1629429378

Program Name: South Coast Community Services11780 Central Ave. Suite 205, Chino, CA 91710

Phone Number 909-364-9788N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, SpanishPopulations Served:

YesService Providers:

www.sccs4kids.org

Children/Youth

Modality:

Psychiatrist, LMFT, AMFT

MHS, CM, CI, MSS, ICC, IHBS

Service Location and Provider ADA Compliant :

Special Cultural Capability:

Service Type:

NPI Number:

Address:

Email Address:Website:

Accepting New Beneficiaries:

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59 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Borsack Diana 1922302959 LMFT/92231 MHS, CI, ICCEnglish, Spanish Yes Yes

Reddy Ravita 1225122039Psychiatrist/ A85458 MSS

English, Spanish Yes Yes

Robles Sandra 1457875585 AMFT/95431MHS, CM, CI, ICC

English, Spanish Yes Yes

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60 of 201

Service Area: San Bernardino County/High Desert RegionType of Provider: Type of Program: County

Outpatient1699984997

Program Name: Victor Valley Counseling Center12625 Hesperia Rd., Victorville, CA 92395

Phone Number: (760) 995-8300N/Ahttp://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

Yes

Languages Served:

Populations Served: Adults

YesService Providers:

Psychiatrist, MD, LCSW, LMFT, RN, LVN, PT, AMFT, Psychologist

Service Location and Provider ADA Compliant :

Special Cultural Capability:

MHS, CM, CI, MSS

Modality: NPI Number:

Address:

Email Address:Website:

Service Type:Accepting New Beneficiaries:

Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

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61 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Cortez Karla 1366828873 AMFT/94830 MHS, CM, CIEnglish, Spanish Yes Yes

Ecklor Tiffany 1265863096 LMFT/107009 MHS, CM, CI English Yes Yes

Eklund Steve 1417090648 Psychiatrist/ A72281 MHS, MSS English Yes Yes

Harrell Aamber 1952841173 LMFT/106795 MHS, CM, CI English Yes Yes

Hedglin Lita 1114052487 Psychiatrist/ G78032 MHS, MSS English Yes Yes

Julian Lori 1216085608 OT/325 MHS, CM, CI English Yes YesMiller Deborah 1790822872 LMFT/31610 MHS, CM, CI English Yes YesMoustafa Nashwa 1548638414 NP/848960 MHS, CI, MSS English Yes Yes

Murthy Krishna 1790725752 Psychiatrist/ A44250 MHS, MSS English Yes Yes

Nguyen Albert 1992124986 Psychriatist/ 20A16599 MSS English Yes Yes

Padua Daniel 1689626483 Psychiatrist/ A55584 MHS, MSS English Yes Yes

Payne Dennis 1043242696 Psychiatrist/ A45903 MHS, MSS English Yes Yes

Pequeno Juan 1477537942Psychiatrist/A61571 MHS, MSS

English, Spanish Yes Yes

Pope George 1457494734 LCSW/15397 MHS, CM, CI English Yes YesRajini Mohsin 1285044073 MD/20A14467 MSS English Yes Yes

Raymond Keith 1437295268 PT/30697 MHS, CM, MSS English Yes Yes

Soliman Sterling 1326573866 RN/95027647 MHS, MSS English Yes Yes

Umakanthan Jeremiah 1104967348 Psychiatrist/ A37135 MHS, MSS English Yes Yes

Wigfall Donnell 1841465556 Psychiatrist/ 20A11625 MHS, MSS English Yes Yes

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62 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsWoods Candice 1235431933 LMFT/91522 MHS, CM, CI English Yes Yes

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Service Area: San Bernardino County/Central RegionType of Provider: Type of Program: County

Outpatient1033320940

Program Name: Vista Community Counseling17053 E. Foothill Blvd., Building B, Fontana, CA 92335

Phone Number: (909) 347-1300N/Ahttp://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

Yes

Languages Served:Populations Served: All Ages

YesService Providers:

Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

Service Location and Provider ADA Compliant :

Special Cultural Capability:

MHS, CM, CI, MSS, ICC, IHBS

Psychiatrist, MD, Psychologist, LCSW, LMFT, RN, ACSW, AMFT

Modality:

Email Address:

NPI Number:

Address:

Service Type:

Website:

Accepting New Beneficiaries:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsAldaz Mariam 1548392384 LMFT/50772 MHS, CM, CI English Yes Yes

Bonialla Lopez Judith Bonilla Lopez 1972047645 ACSW/63986 MHS, CM, CI

English, Spanish Yes Yes

Cho Susan 1245459619 Psychiatrist/ A87593 MHS, MSS English Yes Yes

Garrido Victor 1225173206 LCSW/26017 MHS, CM, CIEnglish, Spanish Yes Yes

Karp Claire 1063551356 LMFT/30651 MHS, CM, CI English Yes Yes

Lota April 1811390644 ACSW/72082 MHS, CM, CIEnglish, Spanish Yes Yes

Madera Merle 1932151107 Pyschiatrist/ A63657 MHS, MSS English Yes Yes

Nakano Ayako 1831484393 RN/767011 MHS, CM, CI, MSS English Yes Yes

Noonan Keith 1508271982 MD/20A14757 MHS, MSS English Yes Yes

Persichino Denise 1871721647 Psychiatrist/ 20A9889 MHS, CI, MSS English Yes Yes

Petersen Erik 1922210251 Psychriatrist/ A137589 MHS, MSS English Yes Yes

Torres Roxana 1285082297 LMFT/73449 MHS, CM, CI English Yes Yes

Williams Karen 1619004173 Pychologist/ 12198 MHS, CM, CI

English, Spanish Yes Yes

Xicotencatl Zuelinka 1467583864 LMFT/61915 MHS, CM, CI English Yes Yes

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Service Area: San Bernardino County/Central RegionType of Provider: PsychologistType of Program: County

Outpatient1740532647

Program Name: Day Reporting Center San Bernardino 104 W. 4th St., San Bernardino, CA 92415

Phone Number: (909) 382-7881

N/Ahttp://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

Yes

Languages Served:Populations Served:

YesService Providers:

NPI Number:

Service Location and Provider ADA Compliant :

Special Cultural Capability:

Modality:

Service Type: MHS, CM, CIAccepting New Beneficiaries:

Email Address:

Address:

Website:

Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

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66 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Magnelli Bethany 1871718759 Psychologist/ 22581 MHS, CM

AB109 Probationers English

Yes Yes

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Service Area: San Bernardino County/Central RegionType of Provider: Type of Program: County

Outpatient1912259680

Program Name: Day Reporting Center Victorville15482 Ramona Ave., Victorville, CA 92392

Phone Number: (760) 243-8145

http://wp.sbcounty.gov/dbh/

Yes

TDD/TTY Equipment Available:

Yes

Languages Served:Populations Served: Adult

Yes Providers:

LMFT, AMFT

MHS, CM, CI

Special Cultural Capability:

Service Type:

NPI Number:

Address:

Email Address:Website:Service Location and Provider ADA Compliant :

Accepting New Beneficiaries:

Modality:

Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

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68 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Deroian Liana 1801113535 LMFT/88009 MHS, CMAB109 Probationers English Yes Yes

George Porsche 1952715955 AMFT/95620 MHS, CMAB109 Probationers English Yes Yes

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Service Area: San Bernardino County/Central RegionType of Provider: LMFTType of Program: County

Outpatient1912258633

Program Name: Day Reporting Center Fontana17829 Arrow Blvd., Fontana, CA 92335

Phone Number: (909) 356-6439

http://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

Yes

Languages Served:Populations Served:

Yes

Service Provider:

Accepting New Beneficiaries: Service Type:

NPI Number:

Email Address:

MHS, CM, CI

Special Cultural Capability:

Service Location and Provider ADA Compliant :

Website:

Modality:

Address:

Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

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70 of 201

Staff Last Name Staff First Name NPI NumberLicensure Type/Number Service Type

Population Served

Language Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Moxey Angelina 1275954323 LMFT/94986MHS, CM, CI

AB109 Probationers English Yes

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Service Area: San Bernardino County/Central RegionType of Provider: Type of Program: County

Outpatient1467658187

Program Name: One Stop Transitional Age Youth (TAY)780 E. Gilbert ST., San Bernardino, CA 92405

Phone Number: (909)387-7194N/Ahttp://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

Yes

Languages Served:

Populations Served: 16-26 YearsMHS, CM, CIYes

Service Providers:

Psychologist, LMFT, AMFT

NPI Number:

Service Location and Provider ADA Compliant:

Website:Email Address:

Modality:

Service Type:Accepting New Beneficiaries:

Address:

Special Cultural Capability:

Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

Cultural Capability Specialty

Accepting New

Aguilar Ashley 1932527462 AMFT/90349 MHS, CM, CI English Yes Yes

Daye Melanie 1972751139 Psychologist/ 25688 MHS, CM, CI English Yes Yes

Izbicki Kristen 1528327350 Psychologist/ 28924 MHS, CM, CI English Yes Yes

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Service Area: San Bernardino County/Western Region Type of Provider: Type of Program: Contract

Outpatient 1982071627

Program Name: Ontario One Stop TAY Center - Mental Health Systems316 E. E Street, Ontario, CA 91764

Phone Number 909-983-4466N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, SpanishPopulations Served:

MHS, CI, CM, MSS, ICC, IHBSYes

Service Providers:

Address:

Email Address:

Ages 16-25

Special Cultural Capability:

Service Type:Accepting New Beneficiaries:

Psychiatrist, LMFT, PT, AMFT

Modality: NPI Number:

Website: www.mhsinc.orgService Location and Provider ADA Compliant :

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74 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Arellano Angela 1548411739 AMFT/101120MHS, CI, CM, ICC, IHBS

English, Spanish Yes Yes

Clark Adriana 1851879803 AMFT/106831MHS, CI, CM, ICC, IHBS English Yes Yes

Hanna Iman 1831247766Psychiatrist/ A55259

MHS, CI, CM, MSS, ICC, IHBS English Yes Yes

Nima Jafari 1053852459 AMFT/84158MHS, CI, CM, ICC, IHBS English Yes Yes

Ortega Marry 1346753076 AMFT/102865MHS, CI, CM, ICC, IHBS

English, Spanish Yes Yes

Ortega Maria 1962542548 LMFT/72118MHS, CI, CM, MSS, ICC, IHBS

English, Spanish Yes Yes

Strycula Bryan 1477886455 LMFT/72118MHS, CI, CM, ICC, IHBS English Yes Yes

Vera Lorena 1992249411 AMFT/82373MHS, CI, CM, ICC, IHBS

English, Spanish Yes Yes

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Service Area: San Bernardino County/High Desert Type of Provider: Type of Program: Contract

Outpatient 1831369099

Program Name:

14360 Saint Andrews Dr. Suite 11, Victorville, CA 92395Phone Number: 760-245-4695

N/A

Yes

TDD/TTY Equipment Available: No

Languages Served: English, SpanishPopulations Served: 16-25 Years Old

YesService Providers:

Victor Community Support Services Transitional Age

www.victor.org/victor-community-

Special Cultural Capability:

Service Type:Accepting New Beneficiaries:

Service Location and Provider ADA Compliant :

Modality: NPI Number:

LMFT, APCC

MHS, CM, CI, ICC, IHBS

Address:

Email Address:Website:

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76 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Bliss Jessie 1184864639 LMFT/86645MHS, CM, CI, ICC, IHBS English Yes Yes

Calabrese Rebecca 1134666498 APCC/3490MHS, CM, CI, ICC, IHBS English Yes Yes

Callahan Mark 1063563245 LMFT/106759MHS, CM, CI, ICC English Yes Yes

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77 of 201

Service Area: San Bernardino County/Central RegionType of Provider: Type of Program: County

Outpatient1235348533

Program Name: Adult Continuing Care Program850 E. Foothill Blvd., Rialto, CA 92376

Phone Number: (919) 421-9479N/A

http://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

Yes

Languages Served:Populations Served: Adults

YesService Providers:

Psychiatrist, LCSW, LMFT, RN, PT,OT, ACSW

MHS, CM, CI, MSS Service Type:Accepting New Beneficiaries:

NPI Number:

Address:

Modality:

Special Cultural Capability:

Service Location and Provider ADA Compliant :

Email Address:Website:

Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

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78 of 201

Staff Last Name Staff First Name NPI NumberLicensure Type/Number Service Type

Population Served

Language Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Aus Irmeli 1851567838 RN/720016MHS, CM, CI, MSS English Yes Yes

Christison George 1174548135Psychiatrist/ G63038 MHS, MSS English Yes Yes

Entz James 1013055441 LMFT/31323 MHS, CM, CI English Yes Yes

Flowers Calvin 1669492948Psychiatrist/ 40200 MHS, MSS English Yes Yes

Limon Luisa 1043638752 LMFT/99287 MHS, CM, CIEnglish, Spanish Yes Yes

Marshall Veronica 1801216833 ACSW/68286 MHS, CM, CIEnglish, Spanish Yes Yes

Naseer Asma 1861948580 ACSW/80337 MHS, CM, CI English Yes Yes

Nelson Jared 1295091791Psychiatrist/ 20A12215 MHS, MSS English Yes Yes

Uresti Genie 1538316187 LCSW/82918 MHS, CM, CI English Yes YesVersace Rose 1003943093 LMFT/28223 CM, MSS English Yes Yes

Womer Justin 1780916718 LCSW/81193 MHS, CM, CI

English, Spanish,

American Sign Language Yes Yes

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Service Area: San Bernardino County/Central RegionType of Provider: Type of Program: County

Outpatient1689889032

Program Name: Triage Transitional Services400 N. Pepper Ave., Colton, CA 92324

Phone Number: (909) 580-2141

http://wp.sbcounty.gov/dbh/

Yes

TDD/TTY Equipment Available:

Yes

Languages Served:Populations Served: Adults

Yes

Service Providers

Website:Service Location and Provider ADA Compliant :

MHS, CM, CI

Special Cultural Capability:

Service Type:Accepting New Beneficiaries:

NPI Number:

Address:

Email Address:

Modality:

Psychiatrist, LMFT, ACSW, AMFT

Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

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80 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsBettis Michael 1275585113 AMFT/76826 MHS, CM, CI English Yes Yes

Gill Mehar 1649315433Psychiatrist/ A41443 MHS, CI, MSS English Yes Yes

Naseer Asma 1861948580 ACSW/80337 MHS, CM, CI English Yes YesSequeira Anjali 1588703912 LMFT/46879 MHS, CM, CI English Yes Yes

Tang Chin 1023245198Psychiatrist/ 20A10730 MSS English Yes Yes

Thacker Swati 1104960830Psychiatrist/ C41122 MHS, CI, MSS English Yes Yes

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Service Area: San Bernardino County/Central RegionType of Provider: Type of Program: County

1306055603Program Name: SBDMH Homeless

237 W. Mill St., San Bernardino, CA 92415Phone Number: (909) 388-5600

N/Ahttp://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

Yes

Languages Served:Populations Served: Adults

YesService Providers:

Special Cultural Capability:

MHS, CM, CIAccepting New Beneficiaries:

Website:

Service Type:

Service Location and Provider ADA Compliant :

Modality:

LCSW, LMFT, AMFT

OutpatientNPI Number:

Address:

Email Address:

Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

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Staff Last Name Staff First Name NPI NumberLicensure Type/Number Service Type

Population Served

Language Capability

Cultural Competence

TrainingCultural Capability Specialty

Accepting New

ClientsColbert Shelby 1598187155 AMFT/78763 MHS, CM, CI English Yes YesMast Dolores 1255479416 LCSW/63286 MHS, CM, CI English Yes YesRobinson Jacquelyn 1841327715 LMFT/104762 MHS, CM, CI English Yes Yes

Versace Rose 1003943093 LMFT/28223 MHS, CM, CI

English, Spanish,

American Sign Language Yes Yes

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83 of 201

Service Area: San Bernardino County/High Desert RegionType of Provider: LCSW, LMFTType of Program: County

Outpatient 1902010887

Program Name: Oa-2 Circle of Care11951 Hesperia Rd., Hesperia, CA 92345

Phone Number: (800) 451-5633N/Ahttp://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

Yes

Languages Served:Populations Served: Adults

YesService Providers:

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsHirst Nancy 1013015197 LMFT/62686 MHS, CM, CI English Yes YesKirk Alice 1578687778 LCSW/81193 MHS, CM, CI English Yes Yes

Special Cultural Capability:

Service Type: MHS, CM, CI

Modality:

Accepting New Beneficiaries:

Email Address:Website:

NPI Number:

Service Location and Provider ADA Compliant :

Address:

Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

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Service Area: San Bernardino County/High Desert RegionType of Provider: Type of Program: County

Outpatient1770995193

Program Name: Recovery Based Engagement Support Team850 E. Foothill Blvd., Rialto, CA 92376

Phone Number: (909) 421-9452

http://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

Yes

Languages Served:

Populations Served: AdultsMHS, CM, CIYes

Service Providers:

LCSW, LMFT, NP, LVN, ACSW

Special Cultural Capability:

NPI Number:

Address:

Email Address:Website:

Service Location and Provider ADA Compliant :

Modality:

Accepting New Beneficiaries: Service Type:

Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

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85 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Alvarez Alice 1932500568 ACSW/72217 MHS, CM, CIEnglish, Spanish Yes Yes

Dababneh Hannan 1265714208 ACSW/63089MHS, CM, CI

Arabic, English,

FarsiYes Yes

Fisher Sara 1841762218 LVN/266416 MHS, CM, CI, MSS English Yes Yes

Holder C. Todd 1467502336 LCSW/26409 MHS, CM, CI English Yes Yes

Miranda-Muniz Anabelle 1487058186 LMFT/95853 MHS, CM, CIEnglish, Spanish Yes Yes

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Service Area: San Benardino County/High DesertType of Provider: Psychologist, LCSWType of Program: Contract

Program Name: Alpha Connection Youth & Family Services22675 Anoka Road, Apple Valley, CA 92308

Phone Number

Yes

TDD/TTY Equipment Available: No

Languages Served: English, SpanishPopulations Served:

MHS, CM, CI, ICCYes

Service Providers:

www.alphaconnection.org

Children/Youth

Email Address:Website:

Service Type:Accepting New Beneficiaries:

Service Location and Provider ADA Compliant :

N/A

Outpatient 1447770227

760-247-7930

Modality: NPI Number:

Address:

Special Cultural Capability:

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87 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Assandri Maurizio 1790807402Psychologist/ 11614

MHS, CM, CI, ICC English Yes Yes

Daniels Mark 1376809020 LCSW/9713MHS, CM, CI, ICC English Yes Yes

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88 of 201

Service Area: San Bernardino County/Central RegionType of Provider: Type of Program:

Program Name: Aspiranet San Bernardino Behavioral Health325 W. Hospitality Ln. Suite 208, San Bernardino CA 92408

Phone NumberN/A

Yes

TDD/TTY Equipment Available: No

Languages Served: English, SpanishPopulations Served: Children/Youth

YesService Providers:

1679617161

909-890-9022

MHS, CM, CI, MSS, ICC, IHBS

Email Address:

NPI Number:

Address:

Service Type:

LMFT, AMFTContractOutpatient Modality:

Website:Service Location and Provider ADA Compliant :

Special Cultural Capability:

https://www.aspiranet.org/

Accepting New Beneficiaries:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Bryga Heather 1114111895 AMFT/108293MHS, CM, CI, ICC, IHBS English Yes Yes

Egertson Karen 1821375924 LMFT/46243MHS, CM, CI, ICC, IHBS English Yes Yes

Imla Art 1093020836 LMFT/90953MHS, CM, CI, ICC, IHBS English Yes Yes

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Service Area: San Bernardino County/Western RegionType of Provider: Type of Program: Contract

Outpatient 1457700411

Program Name: Boys Republic1907 Boys Republic Dr., Chino Hills, CA 91709

Phone Number 909-628-1217 N/Ahttps://boysrepublic.org/

Yes

TDD/TTY Equipment Available: No

Languages Served: English, Spanish, Korean, American Sign LanguagePopulations Served:

YesService Providers:

Psychiatrist, LCSW, LMFT, ACSW, AMFT

Children/Youth

NPI Number:

Address:

Email Address:Website:Service Location and Provider ADA Compliant :

Accepting New Beneficiaries: MHS, CM, CI, MSS, ICC, IHBSService Type:

Special Cultural Capability:

Modality:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Benson Nancy 1568808186 AMFT/74036MHS, CM, CI, ICC

English, Spanish Yes Yes

Cabrera Candice 1053748350 AMFT/92166MHS, CM, CI, ICC, IHBS English Yes Yes

Chung Raymond 1407342439 LMFT/46522MHS, CM, CI, ICC, IHBS

English, Korean Yes Yes

Gonzalez Jeanpaulo 1346675972 ACSW/67883MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Hollenbeck Amy 1700375169 ACSW/98672MHS, CM, CI, ICC, IHBS English Yes Yes

Kopaczewski Noreen 1043359979 LCSW/16864MHS, CM, CI, ICC, IHBS English Yes Yes

Marquez Joseph 1902989528Psychiatrist/ 20A8470 MHS, MSS

English, Spanish Yes Yes

Marquez Nishi 1932220860Psychiatrist/20A8497 MHS, MSS English Yes Yes

Savare Amanda 1720516669 ACSW/81390MHS, CM, CI, ICC, IHBS English Yes Yes

Turney Dane 1134572928 AMFT/99215MHS, CM, CI, ICC, IHBS English Yes Yes

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Service Area: San Bernardino County/EastType of Provider: Type of Program: Contract

Outpatient 1790122695

Program Name: Christian Counseling Center101 E. Redlands Blvd. Suite 215, Redlands, CA 92373

Phone Number 909-793-1078N/A

Yes

TDD/TTY Equipment Available: No

Languages Served: English, Arabic, Spanish, American Sign LanguagePopulations Served: Children/Youth

MHS, CM, MSS, ICC, IHBSYes

Service Providers:

Psycologist, LPCC, ACSW, AMFT, APCC

Modality:

Service Location and Provider ADA Compliant :

Special Cultural Capability:

Service Type:Accepting New Beneficiaries:

CCS-Cares.org

Address:

Website:

NPI Number:

Email Address:

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93 of 201

Staff Last Name Staff First Name NPI NumberLicensure Type/Number Service Type

Population Served

Language Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Arechiga Wendy 1538673348 OT/2271MHS, CM, ICC, IHBS English No Yes

Donovan Laura 1811389349 OT/ 7864MHS, CM, ICC, IHBS English No Yes

Martinez Whitney 1730551078 APCC/3513MHS, CM, ICC, IHBS English No Yes

Nycholat Desiree 1588001416 MD/A135346MHS, CM, MSS, ICC, IHBS English No Yes

Rice Ellen 1659744373 RN/191200MHS, CM, MSS, ICC, IHBS English No Yes

Tekeian Rebecca 1184094591 LPCC/5157MHS, CM, ICC, IHBS

Arabic, English Yes Yes

Marroquin Vanessa 1184152183 AMFT/98379 MHS, CM, ICC, IHBS English Yes Yes

Johnson Jennifer 1215458914 AMFT/98283 MHS, ICCEnglish, Spanish Yes Yes

Sarbuland Erin 1275062622 AFMT/87707 MHS, CM, ICC, IHBS English Yes Yes

Mann Ashley 1326469487 AMFT/86674MHS, CM, ICC, IHBS English Yes Yes

Davomony David 1366643371Psychologist/ 21411 MHS English Yes Yes

Layedra Alicia 1366972358 AFMT/75236 MHS, ICC English Yes Yes

Cuevas Monica 1417474891 PCC/I5526 MHSEnglish, Spanish Yes Yes

Hamilton Dawn 1649433954 LMFT/101375 MHS, ICC English Yes YesPedroza Megan 1669802922 AMFT/73453 MHS, ICC English Yes Yes

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Staff Last Name Staff First Name NPI NumberLicensure Type/Number Service Type

Population Served

Language Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Guerrero Robles Andrea 1790211084 AMFT/99975 MHS, CMEnglish, Spanish Yes Yes

Franklan Tiahna 1801133954 LMFT/97713 MHS, ICC English Yes Yes

Dohavan Laura 1811389349 OT/7864 MHS, CM, ICC, IHBS English No Yes

Morrison Kelley 1821464298 AMFT/92924 MHS, ICC English Yes Yes

Mountjoy Taylor 1881711901 ASW/75844 MHS

American Sign Language,

English Yes YesKonkel-White Susan 1942645668 LMFT/32272 MHS English Yes Yes

Pivonka-Jones Jamie 1992851422Psychologist/ 23181 MHS English Yes Yes

Scribner Kelly 1740656735 LMFT/96409 MHS, CM, ICC, IHBS English No Yes

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Service Area: San Bernardino County/High DesertType of Provider: Type of Program: Contract

Outpatient 1518091966

Program Name: Desert/Mountain Children's Center17800 Highway 18, Apple Valley CA 92307

Phone Number 760-552-6700N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, Spanish, Tagalog, Interpreters for all languagesPopulations Served: Children/Youth

YesService Providers:

Service Type:

Psychiatrist, MD, LCSW, LMFT,OT, ACSW, AMFT, APCC

WWW.CAHELP.ORG

NPI Number:

MHS, CM, CI, MSS, ICC, IHBS

Address:

Email Address:Website:Service Location and Provider ADA Compliant :

Special Cultural Capability:

Modality:

Accepting New Beneficiaries:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Aerts Robert 1447680707 AMFT/73903MHS, CM, CI, ICC, IHBS English Yes Yes

Agard Christopher 1437309259 AMFT/74984MHS, CM, CI, ICC, IHBS English Yes Yes

Aguilar Kenia 1174859656 ACSW/79478MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Alba-Kelly Valorie 1609003920 LCSW/66547MHS, CM, CI, ICC, IHBS English Yes Yes

Ampuero Maria 1649493172 LMFT/46425MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Anderson Erica 1528220647 AMFT/98761MHS, CM, CI, ICC, IHBS English Yes Yes

Andrade Rose 1104178532 LCSW/29464MHS, CM, CI, ICC, IHBS English Yes Yes

Angeles Zayra 1619306719 ACSW/36465MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Arelis Brigitte 1265628341 AMFT/72413MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Arlington Lorraine 1831345099 OT/764MHS, CM, CI, ICC, IHBS English Yes Yes

Ashton-Beasley Rochelle 1003194879 AMFT/72739MHS, CM, CI, ICC, IHBS English Yes Yes

Atwater Desiree 1649609652 AMFT/101783MHS, CM, CI, ICC, IHBS English Yes Yes

Ballard Michelle 1982900783 LCSW/75676MHS, CM, CI, ICC, IHBS English Yes Yes

Barrow Teah 1053448472 LMFT/27669MHS, CM, CI, ICC, IHBS English Yes Yes

Bautista-Santana Yubitza 1427203744 LCSW/76685MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Becerra Rosalina 1184817850 LCSW/63899MHS, CM, CI, ICC, IHBS English Yes Yes

Becher Kristina 1073935110 APCC/I3444MHS, CM, CI, ICC, IHBS English Yes Yes

Belisle Darlene 1043346927 LMFT/44192MHS, CM, CI, ICC, IHBS English Yes Yes

Bigger Alaina 1821234196 LCSW/84401MHS, CM, CI, ICC, IHBS English Yes Yes

Bornstein Harold 1942374251Psychiatrist/ G34048

MHS, CM, CI, MSS, ICC, IHBS English Yes Yes

Boyd Jeffrey 1154746592 AMFT/85702MHS, CM, CI, ICC, IHBS English Yes Yes

Brenes Kristian 1679912240 AMFT/73132MHS, CM, CI, ICC, IHBS English Yes Yes

Broberg Ned 1295988848 LMFT/52605MHS, CM, CI, ICC, IHBS English Yes Yes

Brown Jr. Marquette 1790190023 APCC/1457MHS, CM, CI, ICC, IHBS English

Brown Heather 1710128277 AMFT/81343MHS, CM, CI, ICC, IHBS English Yes Yes

Calderon Nancy 1861625519 LCSW/25678MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Campfield Marilena 1295019826 RN/54996MHS, CM, CI, MSS, ICC, IHBS

English, Spanish Yes Yes

Carpenter Amanda 1356725840 APCC/I2100MHS, CM, CI, ICC, IHBS English Yes Yes

Carter Cynthia 1174874465 AMFT/98759MHS, CM, CI, ICC, IHBS English

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Carter Jasmine 1689705642 LCSW/24376MHS, CM, CI, ICC, IHBS English Yes Yes

Cornell Aaron 1205226966 AMFT/84081MHS, CM, CI, ICC, IHBS English Yes Yes

Coronel Lucia 1497194898 LCSW/82511MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Cox Mary 1962763458 AMFT/75197MHS, CM, CI, ICC, IHBS English Yes Yes

Davis Rebecca 1164813796 AMFT/103158MHS, CM, CI, ICC, IHBS English Yes Yes

Donovan Scott 1821212879 LMFT/101211MHS, CM, CI, ICC, IHBS English Yes Yes

Duncan Laurie 156860270 RN/349517MHS, CM, CI, MSS, ICC, IHBS English Yes Yes

Durazo Erika 1881072577 AMFT/95859MHS, CM, CI, ICC, IHBS English Yes Yes

Edhere Linda 1013059237Psychiatrist/ A90391

MHS, CM, CI, MSS, ICC, IHBS English Yes Yes

Enriquez Lauren 1891046181 LMFT/104996MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Evashwick George 1750412961 LMFT/7639MHS, CM, CI, ICC, IHBS English Yes Yes

Fehlman Michelle 1861720880 LPCC/49546MHS, CM, CI, ICC, IHBS English Yes Yes

Flores Shelli 1043403181 LMFT/51261MHS, CM, CI, ICC, IHBS English Yes Yes

Freir Mary-Catherine 1902911647Psychologist/ 15160

MHS, CM, CI, ICC, IHBS English Yes Yes

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Givens Lynn 1063601383 LCSW/79441MHS, CM, CI, ICC, IHBS English Yes Yes

Goldberg-Diaz Cheryl 1588795694 LCSW/16432MHS, CM, CI, ICC, IHBS English Yes Yes

Gomez Keri 1770816183 LCSW/29421MHS, CM, CI, ICC, IHBS English Yes Yes

Gonzales Cinthia 1356888614 APCC/I3565MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Gonzales Lisa 1881945178 APCC/I1298MHS, CM, CI, ICC, IHBS English Yes Yes

Gonzalez Veronica 1518389659 LMFT/99735MHS, CM, CI, ICC, IHBS English Yes Yes

Grant Jennifer 1578967253 LMFT/96406MHS, CM, CI, ICC, IHBS English Yes Yes

Hay Veronica 1356520175 LMFT/46120MHS, CM, CI, ICC, IHBS English Yes Yes

Hill Naomi 1568820926 ACSW/81209MHS, CM, CI, ICC, IHBS English Yes Yes

Hitchman Gelcie 1720370604 AMFT/82530MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Islas Sergio 1457644783 AMFT/74045MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

James Kathleen 1003256355 LCSW/74159MHS, CM, CI, ICC, IHBS English Yes Yes

James Shaan 1063555076 LMFT/81814MHS, CM, CI, ICC, IHBS English Yes Yes

Jauregui Belinda 1609907724 LCSW/23048MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Johnson-Wolf Brittany 1033541644 LMFT/104540MHS, CM, CI, ICC, IHBS English Yes Yes

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100 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Kassam Diamond 1417036187 MD/A31963MHS, CM, CI, MSS, ICC, IHBS English Yes Yes

Lambert Daisie 1467701458 LCSW/75350MHS, CM, CI, ICC, IHBS English Yes Yes

Latham Johnny 1598149080 APCC/I12229MHS, CM, CI, ICC, IHBS English Yes Yes

Llamas Linda 1164670394 LMFT/43892MHS, CM, CI, ICC, IHBS English Yes Yes

Lopez Anna 1619316080 AMFT/88508MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Machon Paola 1144427774 AMFT/73310MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Martin Meaghan 1710256961 ACSW/69332MHS, CM, CI, ICC, IHBS English Yes Yes

Martinez Erika 1871847178 APCC/I1140MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Martinez Jessica 1275863318 LMFT/47972MHS, CM, CI, ICC, IHBS English Yes Yes

Martinez Krystal 1003227877 APCC/I875MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Matthews Sarah 1922271592 AMFT/90782MHS, CM, CI, ICC, IHBS English Yes Yes

McGinnis Adrienne 1346541612 AMFT/76594MHS, CM, CI, ICC, IHBS English Yes Yes

McKellar Jeanne 1841321965 LMFT/50506MHS, CM, CI, ICC, IHBS English Yes Yes

McNeil Juliet 1811028939 LCSW/24217MHS, CM, CI, ICC, IHBS English Yes Yes

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101 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Medrano Denise 1770734303 ACSW/68176MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Mitchell James 1386771616 LMFT/27376MHS, CM, CI, ICC, IHBS English Yes Yes

Moore Leslie 1114386943 AMFT/77224MHS, CM, CI, ICC, IHBS English Yes Yes

Murrah-Alexander Mary 1841506664 OT/5594MHS, CM, CI, ICC, IHBS English Yes Yes

Myers Elizabeth 1154792596 AMFT/79738MHS, CM, CI, ICC, IHBS English Yes Yes

Myrvold Carolina 1053441204 LMFT/45940MHS, CM, CI, ICC, IHBS English Yes Yes

Nesmith Reketta 1689949372 APCC/2368MHS, CM, CI, ICC, IHBS English Yes Yes

Ornelas Alejandro 1093849762 ACSW/74419MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Parral Gloriana 1992951859 LCSW/81172MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Payne Samantha 1932370418 LMFT/92565MHS, CM, CI, ICC, IHBS English Yes Yes

Perez Cristina 1740508068 LMFT/93541MHS, CM, CI, ICC, IHBS

English, Spanish No Yes

Piritz Taylor 1730692542 ACSW/79847MHS, CM, CI, ICC, IHBS English Yes Yes

Quessenberry Jeffrey 1477003747 AMFT/95533MHS, CM, CI, ICC, IHBS English No Yes

Quin Aida 1720379464 ACSW/68182MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Reynoso Mali 1134419526 AMFT/95697MHS, CM, CI, ICC, IHBS English Yes Yes

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102 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Riley Sarah 1114281961 LMFT/92628MHS, CM, CI, ICC, IHBS English No Yes

Riley Tarron 1346342896 LCSW/23466MHS, CM, CI, ICC, IHBS English Yes Yes

Robles Burgos Guillermina 1790816767 LCSW/26331MHS, CM, CI, ICC, IHBS

English, Spanish No Yes

Roha-Fuentes Molly 1750647947 LMFT/51346MHS, CM, CI, ICC, IHBS English Yes Yes

Rosenau Kristina 1144486143 AMFT/91595MHS, CM, CI, ICC, IHBS English Yes Yes

Rubio Alejandra 1710392030 LMFT/85377MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Scott Bev 1801117288 LCSW/76104MHS, CM, CI, ICC, IHBS English No Yes

Sengstock Audra 1659581841 LMFT/144473MHS, CM, CI, ICC, IHBS English Yes Yes

Sieber Denise 1578868311 AMFT/86746MHS, CM, CI, ICC, IHBS English Yes Yes

Soto Seidy 1407245459 ACSW/63092MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Thompson Amy 1497099188 APCC/I1824MHS, CM, CI, ICC, IHBS English Yes Yes

Titherley Janice 1699806745 LMFT/32486MHS, CM, CI, ICC, IHBS English No Yes

Todhunter Mark 1851422802 LMFT/37866MHS, CM, CI, ICC, IHBS English Yes Yes

Tomczak Amber 1154672442 LMFT/84010MHS, CM, CI, ICC, IHBS English Yes Yes

Torres Mireya 1366925687 ACSW/85407MHS, CM, CI, ICC, IHBS English Yes Yes

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103 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Torres Mia 1427309806 LMFT/101209MHS, CM, CI, ICC, IHBS English Yes Yes

Uribe Norma 1841714912 AMFT/99594MHS, CM, CI, ICC, IHBS English Yes Yes

Vargas Erica 1841684354 AMFT/103770MHS, CM, CI, ICC, IHBS English Yes Yes

Vaughan Theresa 1407942949 LMFT/38705MHS, CM, CI, ICC, IHBS English Yes Yes

Villa Carissa 1699069476 AMFT/74651MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Ware Amanda 1255564845 LCSW/69991MHS, CM, CI, ICC, IHBS English Yes Yes

Whalen Jennifer 1487968319 ACSW/36783MHS, CM, CI, ICC, IHBS English Yes Yes

White Aaron 1003247131 APCC/I1138MHS, CM, CI, ICC, IHBS English Yes Yes

Wiggins Rashida 1811189798 AMFT/73417MHS, CM, CI, ICC, IHBS English Yes Yes

Wood Kimarie 1497775134 LMFT/22854MHS, CM, CI, ICC, IHBS English No Yes

Woods Tracy 1730307455 RN/424853MHS, CM, CI, MSS, ICC, IHBS English Yes Yes

Yaisrael Yoseph 1346499837 LMFT/85337MHS, CM, CI, ICC, IHBS English Yes Yes

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104 of 201

Service Area: San Bernardino County/Morongo BasinType of Provider: Type of Program: Contract

Outpatient 1871931717

Program Name: Desert/Mountain Children's Center58967 Business Center Drive Suite C, D & E, Yucca Valley, CA 92284

Phone Number 760-369-3130N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, Spanish, Interpreters for all languagesPopulations Served: Children/Youth

YesService Providers:

Modality: NPI Number:

Email Address:Website: WWW.CAHELP.ORGService Location and Provider ADA Compliant :

Special Cultural Capability:

Address:

MHS, CM, CI, MSS, ICC, IHBSAccepting New Beneficiaries:

Psychiatrist, MD, LMFT, ACSW, AMFT

Service Type:

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105 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Bornstein Harold 1942374251Psychiatrist/ G34048

MHS, CM, CI, MSS, ICC, IHBS English Yes Yes

Carter Beborah Ann 1427197680 AMFT/74989MHS, CM, CI, ICC, IHBS English Yes Yes

Conner Dana 1679841571 LMFT/95760MHS, CM, CI, ICC, IHBS English Yes Yes

Edhere Linda 1013059237Psychiatrist/ A90391

MHS, CM, CI, MSS, ICC, IHBS English Yes Yes

Freir Mary-Catherine 1902911647Psychologist/ 15160

MHS, CM, CI, ICC, IHBS English Yes Yes

Gutierrez Jasmine 1669720470 ACSW/63245MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Henry Briana 1558516898 LMFT/104847MHS, CM, CI, ICC, IHBS English Yes Yes

Hoyo Andres 108375875 AMFT/81654MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Kassam Diamond 1417036187 MD/A31963MHS, CM, CI, MSS, ICC, IHBS English Yes Yes

Llamas Linda 1164670394 LMFT/43892MHS, CM, CI, ICC, IHBS English Yes Yes

Peterson II Edward 1326179466 AMFT/74989MHS, CM, CI, ICC, IHBS English Yes Yes

Snyder Jaimie 1427407451 AMFT/93608MHS, CM, CI, ICC, IHBS English Yes Yes

Taylor Tamara 1710435649 AMFT/98389MHS, CM, CI, ICC, IHBS English Yes Yes

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106 of 201

Service Area: San Bernardino County/MountainsType of Provider: Type of Program: Contract

Outpatient 1396185807

Program Name: Desert/Mountain Children's Center42007 Fox Farm Road Suite 2A, Big Bear Lake, CA 92315

Phone Number 909-866-2165N/A

Yes

TDD/TTY Equipment Available: No

Languages Served: English, Spanish, Interpreters for all languagesPopulations Served:

YesService Providers:

Service Location and Provider ADA Compliant :

Special Cultural Capability:

Children/YouthService Type: MHS, CM, CI, MSS, ICC, IHBSAccepting New Beneficiaries:

Psychiatrist, LCSW, LMFT, AMFT, APCC

Modality:

Address:

Email Address:Website: WWW.CAHELP.ORG

NPI Number:

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107 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Bonrstein Harold 1942374251Psychiatrist/ G34048

MHS, CM, CI, MSS, ICC, IHBS English Yes Yes

Duque Rachel 1770947210 AMFT/94269MHS, CM, CI, ICC, IHBS English Yes Yes

Edhere Linda 1013059237Psychiatrist/ A90391

MHS, CM, CI, MSS, ICC, IHBS English Yes Yes

Griffiths Patrick 167913012 LMFT/46445MHS, CM, CI, ICC, IHBS English Yes Yes

Llamas Linda 1164670394 LMFT/43892MHS, CM, CI, ICC, IHBS English Yes Yes

Vargas Erica 1841684354 AMFT/103770MHS, CM, CI, ICC, IHBS English Yes Yes

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108 of 201

Service Area: San Bernardino County/Central RegionType of Provider: Psychiatrist, LMFT, AMFTType of Program: Contract

Outpatient 1588868251

Program Name: 440 Cajon Street, San Bernardino CA 92373

Phone Number 909-307-5777N/AN/A

Yes

TDD/TTY Equipment Available: No

Languages Served: English, SpanishPopulations Served:

YesService Providers:

East Valley Charlee, Inc.

Children/YouthMHS, CM, MSS, ICC

Special Cultural Capability:

NPI Number:

Address:

Accepting New Beneficiaries:

Email Address:

Service Location and Provider ADA Compliant :

Service Type:

Modality:

Website:

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109 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsChubbs Mykesha 1184764581 AMFT/73116 MHS, CM, ICC English Yes YesJohnson Gregory 1285760637 LMFT/35926 MHS, CM, ICC English Yes YesJrmon Flores Tanisha 1790251247 LMFT/73116 MHS, CM, ICC English Yes Yes

King Aubrey 1669577896Psychiatrist/ G56023 MSS English Yes Yes

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110 of 201

Service Area: San Bernardino County/High Desert RegionType of Provider: Type of Program: Contract

Outpatient 1235582404

Program Name: Greater Hope Foundation14344 Cajon Street, Victorville, CA 92392

Phone Number 760-243-3999N/A

Yes

TDD/TTY Equipment Available: No

Languages Served: English, SpanishPopulations Served:

YesService Providers:

LCSW, LMFT, MHRS, ACSW, LMFT

NPI Number:

Website: www.ghffc.orgService Location and Provider ADA Compliant :

Children/YouthService Type: MHS, CM, CI, MSS, ICC, IBHSAccepting New Beneficiaries:

Address:

Modality:

Email Address:

Special Cultural Capability:

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111 of 201

Staff Last Name Staff First Name NPI NumberLicensure Type/Number Service Type

Population Served

Language Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Akyeampong Sophia 1417514258 AMFT/111427MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Alcala Linda 1548763956 AMFT/94018MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Baptist David 1821499112 LCSW/27951MHS, CM, CI, ICC, IHBS English Yes Yes

Baptist-Mcgehee Wendi 1306011382 AMFT/87706MHS, CM, CI, ICC, IHBS English Yes Yes

Morken-Rose Rhonda 1942492046 AMFT/87475MHS, CM, CI, ICC, IHBS English Yes Yes

Swift Mary Sue 1780977298 AMFT/73994MHS, CM, CI, ICC, IHBS English Yes Yes

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112 of 201

Service Area: San Bernardino County/High Desert Region Type of Provider: Type of Program: Contract

Outpatient 1053764217

Program Name: Greater Hope Foundation231 E. Main St. Suite A, Barstow, CA 92311

Phone Number 760-256-0432N/A

Yes

TDD/TTY Equipment Available No

Languages Served: English, SpanishPopulations Served:

YesService Providers:

LCSW, LMFT, MHRS, ACSW, LMFT

Modality:

Address:

Email Address:Website: www.ghffc.orgService Location and Provider ADA Compliant :

Special Cultural Capability:

Children/YouthService Type: MHS, CM, CI, MSS, ICC, IHBSAccepting New Beneficiaries:

NPI Number:

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113 of 201

Staff Last Name Staff First Name NPI NumberLicensure Type/Number Service Type

Population Served

Language Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Akyeampong Sophia 1417514258 AMFT/111427MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Alcala Linda 1548763956 AMFT/94018MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Baptist David 1821499112 LCSW/27951MHS, CM, CI, ICC, IHBS English Yes Yes

Baptist-Mcgehee Wendi 1306011382 AMFT/87706MHS, CM, CI, ICC, IHBS English Yes Yes

Morken-Rose Rhonda 1942492046 AMFT/87475MHS, CM, CI, ICC, IHBS English Yes Yes

Swift Mary Sue 1780977298 AMFT/73994MHS, CM, CI, ICC, IHBS English Yes Yes

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114 of 201

Service Area: San Bernardino County/MountainsType of Provider: Type of Program: Contract

Outpatient 1952749525

Program Name: Hearts and Lives - Crestline24028 Lake Dr. Suites A, B, C, D, Crestline, CA 92325

Phone Number 909-338-3222N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, SpanishPopulations Served:

MHS, CM, CI, ICCYes

Service Providers:

LMFT, AMFT

Address:

Email Address:Website: http://heartsandlives.org/Service Location and Provider ADA Compliant :

Special Cultural Capability:

Children/YouthService Type:Accepting New Beneficiaries:

NPI Number: Modality:

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115 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsManis Macie 1356881874 AMFT/110469 MHS, CM, ICC English Yes Yes

Padilla Rachel 1083943369 LMFT/93006MHS, CM, CI, ICC English Yes Yes

Thirant Monica 1588894885 LMFT/104312MHS, CM, CI, ICC English Yes Yes

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116 of 201

Service Area: San Bernardino County/MountainsType of Provider: Type of Program: Contract

Outpatient 1801312905

Program Name: Hearts and Lives - Blue Jay24028 Lake Dr. Suites A, B, C, D, Crestline, CA 92325

Phone Number 909-744-9722N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, SpanishPopulations Served:

MHS, CM, CI, ICCYes

Service Providers:

Accepting New Beneficiaries:

LMFT, AMFT

Modality: NPI Number:

Address:

Email Address:Website: http://heartsandlives.org/

Special Cultural Capability:

Children/YouthService Type:

Service Location and Provider ADA Compliant :

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117 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Manis Macie 1356881874 AMFT/110469 MHS, CM, ICC English Yes Yes

Padilla Rachel 1083943369 LMFT/93006MHS, CM, CI, ICC English Yes Yes

Thirant Monica 1588894885 LMFT/104312MHS, CM, CI, ICC English Yes Yes

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118 of 201

Service Area: San Bernardino County/MountainsType of Provider: Type of Program: Contract

Outpatient 1164739215

Program Name: Mountain Counseling and Training, Inc. 340 Highway 138, Crestline, CA 92325

Phone Number 909-336-3330N/A

Yes

TDD/TTY Equipment Available Yes

Languages Served: English, Spanish, American Sign LanguagePopulations Served:

YesService Providers:

Service Type:Accepting New Beneficiaries:

Special Cultural Capability:

Email Address:Website:Service Location and Provider ADA Compliant :

LMFT, AMFT

www.mountaincounseling.org

MHS, CM, CI, ICC, IHBS

NPI Number: Modality:

Children/Youth

Address:

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119 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Beavers Michael 1407903982 LMFT/33698MHS, CM, CI, ICC English Yes Yes

Boss Rhonda 1245773217 LMFT/107847MHS, CM, CI, ICC English Yes Yes

Wilson Mayra 1659723971 AMFT/108550MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

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120 of 201

Service Area: San Bernardino County/Central RegionType of Provider: LCSWType of Program: Contract

Residential Foster Family Agency (FFA)1922456144

Program Name: Nuevo Amanecer Latino Children's Services2025 North D Street, San Bernardino, CA 92405

Phone Number 909-475-8793N/A

Yes

TDD/TTY Equipment Available No

Languages Served: English, SpanishPopulations Served:

YesService Providers:

Service Location and Provider ADA Compliant :

Modality:

Address:

Email Address:www.mountaincounseling.org

NPI Number:

Special Cultural Capability:

MHS, CM, CI, ICC, IHBSAccepting New Beneficiaries:

Website:

Children/YouthService Type:

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121 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Lopez Marta 1891952305LCSW/LCSW22768 MHS, CM, CI

English, Spanish Yes Yes

Robles Fabiola 1316012677LCSW/LCSW81343 MHS, CM, CI

English, Spanish Yes Yes

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122 of 201

Service Area: San Bernardino County/Central Region Type of Provider: LCSWType of Program: Contract

Outpatient 1710403407

Program Name: P.H.I.L.O.S. Adolescent Treatment Center, Inc. 898 Via Lata Suite E, Colton, CA 92324

Phone Number 909-777-3599N/A

Yes

TDD/TTY Equipment Available: No

Languages Served: EnglishPopulations Served:

MHS, CM, CI, IHBSYes

Service Providers:

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsDoswell Jennifer 1952402869 LCSW/19281 MHS, CM, CI English No Yes

Address:

NPI Number:

Email Address:Website:

Service Type:

Modality:

Service Location and Provider ADA Compliant :

Special Cultural Capability:

Accepting New Beneficiaries:

Children/Youth

[email protected]

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123 of 201

Service Area: San Bernardino County/Western RegionType of Provider: Type of Program: Contract

Outpatient 1275064180

Program Name: Mental Health Systems - Success First 9540 Center Ave. Suite 110, Rancho Cucamonga, CA 91730

Phone Number 909-980-2789N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, SpanishPopulations Served:

MHS, CM, IHBSYes

Service Providers:

LCSW, LMFT, ACSW, LMFT

Website:

Accepting New Beneficiaries:

Service Location and Provider ADA Compliant :

Children/Youth

Special Cultural Capability:

Service Type:

www.mhsinc.org/listing/succes

Modality: NPI Number:

Address:

Email Address:

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Staff Last Name Staff First Name NPI NumberLicensure Type/Number Service Type

Population Served

Language Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Menchaca Deanna 1992989982 AMFT/93885MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Picou Delores 1043482961 LMFT/50819MHS, CM, CI, ICC, IHBS English Yes Yes

Reyna Yallitzza 1831487669 ACSW/78397MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Rivera Celine 1174978704 AMFT/84948MHS, CM, CI, ICC, IHBS English Yes Yes

Rudolph Christina 1518477371 AMFT/97140MHS, CM, CI, ICC, IHBS English Yes Yes

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125 of 201

Service Area: San Bernardino County/Central Region Type of Provider: LMFT, AMFTType of Program: Contract

Outpatient 1730224031

Program Name: Therapeutic Behavioral Services (TBS) - San Bernardino790 S. Via Latta Suite 300, Colton, CA 92324

Phone Number: 909-433-0445N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, SpanishPopulations Served:

ICC, IHBSYes

Service Providers:

Modality:

Website:

Children/Youth

Service Location and Provider ADA Compliant :

Special Cultural Capability:

Service Type:Accepting New Beneficiaries:

NPI Number:

Email Address:

Address:

https://mhsinc.org/listing/tbs-san-bernardino-2

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126 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Camarena David 1780048207 AMFT/84642MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Johnson Jack 1568570018 LMFT/24968MHS, CM, CI, ICC, IHBS English Yes Yes

Morales Guilda 1093160160 AMFT/101127MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

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127 of 201

Service Area: San Bernardino County/Central RegionType of Provider: Type of Program: Contract

Outpatient 1467607317

Program Name: Uplift Family Services572 N.Arrowhead Ave., San Bernardino, CA 92401

Phone Number: 909-266-2757N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served:Populations Served:

YesService Providers:

English, Spanish, Arabic, Armenian, Cambodian, Cantonese, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Tagalog, Vietnamese, American Sign Language

MHS, CM, CI, MSS, IHBS

Modality: NPI Number:

Address:

Psychiatrist, LCSW, LMFT, ACSW, AMFT, APCC

www.upliftfs.org

Children/Youth

Email Address:Website:Service Location and Provider ADA Compliant :

Special Cultural Capability:

Accepting New Beneficiaries: Service Type:

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128 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Ayala Maria 1528438025 ACSW/79858MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Barth Kimberly 1437384096Psychologist/ 25850

MHS, CM, CI, ICC, IHBS English Yes Yes

Childs Camille 1649592551 LCSW/80029MHS, CM, CI, ICC, IHBS English Yes Yes

Crockett Nidya 1821588187 ACSW/77579MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Cruiel Candy 1699932731 LMFT/52886MHS, CM, CI, ICC, IHBS English Yes Yes

Dang Hue 1346774171 ACSW/70692MHS, CM, CI, ICC, IHBS English Yes Yes

Diaz Amber 1326491010 AMFT/93775MHS, CM, CI, ICC, IHBS English Yes Yes

Dominguez Angelica 1407374614 AMFT/101596MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Edwards Breanna 1679009419 ACSW/81682MHS, CM, CI, ICC, IHBS English Yes Yes

Espinoza Samuel 1922143817 LCSW/75147MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Freeman Robyn 1265717821 AMFT/102701MHS, CM, CI, ICC, IHBS English Yes Yes

Fuzane Winnie 1851426771 AMFT/100964MHS, CM, CI, ICC, IHBS English Yes Yes

Glavey Mendoza Jose 1376091587 AMFT/106802MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Gomez Karla 1407381635 APCC/4381MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Harris Desiree 1557871245 LMFT/47518MHS, CM, CI, ICC, IHBS English Yes Yes

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129 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Hinestroza Mercedes 1932486511 AMFT/101440MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Holm Vanessa 1740474436 LMFT/47518MHS, CM, CI, ICC, IHBS English Yes Yes

Jaen Priscilla 1780098590 LCSW/73679MHS, CM, CI, ICC, IHBS English Yes Yes

Kim Joshua 1235539792 ACSW/71862MHS, CM, CI, ICC, IHBS English Yes Yes

Lee Richard 1407968068Psychiatrist/ A72701

MHS, CM, CI, MSS, ICC, IHBS English Yes Yes

Lozano Joanna 1005234945 AMFT/74296MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Martin Janelle 1427449156 AMFT/106829 MHS, CI, IHBS English Yes Yes

Martinez Brian 1407981624 AMFT/71051MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Moon Lindsey 1295083327 AMFT/73784MHS, CM, CI, ICC, IHBS English Yes Yes

Nava Nicolasa 1477932101 LMFT/85457MHS, CM, CI, ICC, IHBS English Yes Yes

Onyango Jemima 1134257652 ACSW/33252MHS, CM, CI, ICC, IHBS English Yes Yes

Ornelas Jesse 1275673626 ACSW/64564MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Perea Natalie 1649655937 ACSW/67407MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Reddy Vedhire 1427156173Psychiatrist/ A46202

MHS, CM, CI, MSS, ICC, IHBS English Yes Yes

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130 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Rocha Chelsea 1609318161 APCC/3062MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Samuel Nosheen 1154528461 LMFT/46426MHS, CM, CI, ICC, IHBS English Yes Yes

Sierra Jeanne 1013433648 AMFT/99674MHS, CM, CI, ICC, IHBS English Yes Yes

Steffani Wendy 1184117467 APCC/5127MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Thomson Brian 1710177050 LMFT/37312MHS, CM, CI, ICC, IHBS English Yes Yes

Uriarte Ayala Rosaura 1558611954 LCSW/23656MHS, CM, CI, ICC, IHBS English Yes Yes

Vann Amanda 1003257965 ACSW/77536MHS, CM, CI, ICC, IHBS English Yes Yes

Washington Charis 1831685478 ACSW/83658MHS, CM, CI, ICC, IHBS English Yes Yes

Waters Diane 1578775011 LCSW/23656MHS, CM, CI, ICC, IHBS English Yes Yes

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131 of 201

Service Area: San Bernardino CountyType of Provider: Type of Program: Contract

Outpatient Therapeutic Behavioral Services (TBS)1982756714

Program Name: Victor Community Support Services, Inc. 1908 Business Center Dr. Suite 200, San Bernardino, CA 92408

Phone Number: 909-890-5930

N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, Spanish, Arabic Populations Served:

MHS, CM, CI, MSS, ICC, IHBS YesYes

Service Providers:

Address:

Email Address:Website:Service Location and Provider ADA Compliant :

NPI Number:

Special Cultural Capability:

Service Type:Accepting New Beneficiaries:

Psychiatrist, LCSW, LMFT, RN,OT, ACSW, AMFT, APCC

www.victor.org

Children/Youth

Modality:

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132 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Aguilar Monica 1346753902 AMFT/102422MHS, CM, CI, ICC, IHBS English Yes Yes

Alcala Esthela 1558703835 ACSW/66778MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Aldaz Marisol 1700151206 LMFT/108253MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Barrientos Marisol 1417486788 ACSW/78289MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Casimiro Virginia 1841703204 APCC/2461MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Cook Crystal 1265814909 LMFT/106988MHS, CM, CI, ICC, IHBS English Yes Yes

Duccini Stephanie 1568894624 LMFT/102787MHS, CM, CI, ICC, IHBS English Yes Yes

Efevberha Catherine 1023417383 AMFT/75300MHS, CM, CI, ICC, IHBS English Yes Yes

FreierMary-Catherine Freier 1902911647

Psychologist/ 15160 MHS English Yes Yes

Gallegos Maria 1003178484 AMFT/522MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Garcia Janet 1881118255 AMFT/98202MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Gonzales Grace 1629518337 AMFT/98004MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Gonzalez Rocio 1528585387 ACSW/71982MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Graham Sonya 1851663173 LMFT/52646MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Ibarra Brenda 1912279175 LMFT/97583MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

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133 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Lange Allegra 1194072769 AMFT/80332MHS, CM, CI, ICC, IHBS English Yes Yes

Mares Imelda 1427336924 LMFT/103913MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

McMann Ameerah 1124384540 AMFT/79950MHS, CM, CI, ICC, IHBS English Yes Yes

Mejia Misty 1285074195 LMFT/109583MHS, CM, CI, ICC, IHBS English Yes Yes

Metry Noha 1902282437 AMFT/101866MHS, CM, CI, ICC, IHBS English Yes Yes

Miller Jennifer 1548412075 LCSW/69673MHS, CM, CI, ICC, IHBS English Yes Yes

Morgan Jill 1780768242Psychologist/ 12383

MHS, CM, CI, ICC, IHBS English Yes Yes

Munoz Ryan 1154790533 ACSW/80034MHS, CM, CI, ICC, IHBS English Yes Yes

Oshana Benita 1093290280 AMFT/33870MHS, CM, CI, ICC, IHBS English Yes Yes

Patel Varsha 1962428912Psychiatrist/ A50538

MHS, CM, CI MSS English Yes Yes

Prieto Lisa 1487979019 LMFT/110097MHS, CM, CI, ICC, IHBS English Yes Yes

Robinson Delseta 18312233436 LMFT/53015MHS, CM, CI, ICC, IHBS English Yes Yes

Tawfik Mira 1730694365 AMFT/99658MHS, CM, CI, ICC, IHBS English Yes Yes

Tito Smantha 1871918169 LMFT/78358MHS, CM, CI, ICC, IHBS English Yes Yes

Torres Martha 1598829640 AMFT/91694MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

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134 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Uribe Nancy 1265872360 AMFT/75286MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

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135 of 201

Service Area: San Bernardino County/High Desert Type of Provider: Type of Program: Contract

Outpatient 1184926495

Program Name: Victor Community Support Services, Inc. 222 E. Main St. Suite 117, Barstow, CA 92311

Phone Number: 760-255-1496N/A

Yes

TDD/TTY Equipment Available: No

Languages Served: English, SpanishPopulations Served:

YesService Providers:

MD, LMFT, RN, AMFT

Special Cultural Capability:

Children/YouthService Type:Accepting New Beneficiaries:

www.victor.orgWebsite:

Address:

Email Address:

MHS, CM, CI, MSS, ICC, IHBS

Service Location and Provider ADA Compliant :

Modality: NPI Number:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Arsene Andreana 1558773697 LMFT/74620MHS, CM, CI, ICC, IHBS English Yes Yes

Palacios Vanessa 1477970655 LMFT/85216MHS, CM, CI, ICC, IHBS English Yes Yes

Rodriguez Edna 1992090609 AMFT/73051MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

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Service Area: San Bernardino County/Central RegionType of Provider: Type of Program: Contract

Outpatient 1780957282

Program Name: Victor Community Support Services 1053 N. D St., San Bernardino, CA 92410

Phone Number: 909-522-4656N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, SpanishPopulations Served: Children/Youth

Yes Service Providers:

Service Location and Provider ADA Compliant :

Special Cultural Capability:

Website:

Modality:

Address:

Psychiatrist, LMFT, ACSW, AMFT

MHS, CM, CI, MSS, ICC, IHBS

Email Address:

Accepting New Beneficiaries: Service Type:

NPI Number:

www.victor.org

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138 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsBarrientos Kyra 1811314271 LMFT/96883 MHS, CM, CI English Yes Yes

Barrientos Oscar 1982764999 ACSW/72105 MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Carter Brittany 1871954800 AMFT/74003 MHS, CM, CI, ICC, IHBS English Yes Yes

Monroe Valerie 1063706893 LMFT/96061 MHS, CM, CI, ICC, IHBS English Yes Yes

Patel Varsha 1962428912 Psychiatrist/ A50538

MHS, CM, CI, MSS English Yes Yes

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Service Area: San Bernardino County/High Desert Type of Provider: Type of Program: Contract

Outpatient 1629120498

Program Name: Victor Community Support Services 15095 Amargosa Rd. Suites 201, 205 & 208, Victorville, CA 92394

Phone Number: 760-245-4695N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, Spanish, American Sign Language Populations Served: Children/Youth

Yes Service Providers:

www.victor.org

Psychiatrist, LMFT, ACSW, AMFT, APCC

Modality:

Address:

MHS, CM, CI, MSS, ICC, IHBS

Email Address:

Special Cultural Capability:

Accepting New Beneficiaries:

NPI Number:

Website:

Service Type:

Service Location and Provider ADA Compliant :

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140 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Baig Syeda 1760464226Psychiatrist/ A71834 MSS English Yes Yes

Bettley Amber 1013464262 AMFT/97427MHS, CM, CI, ICC, IHBS English Yes Yes

Dickerson Kyle 1366743346 LMFT/82938MHS, CM, CI, ICC English Yes Yes

Friloux-Gonzales LaSHon 1538332309 ACSW/71335MHS, CM, CI, ICC, IHBS English Yes Yes

Lopez Alexandra 1205378833 AMFT/95488MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Massie Amber 1316361074 AMFT/99514MHS, CM, CI, ICC, IHBS English Yes Yes

Mooney Dina 1124576046 AMFT/94324MHS, CM, CI, ICC, IHBS English Yes Yes

Patel Varsha 1962428912Psychiatrist/ A50538

MHS, CM, CI, ICC English Yes Yes

Reyna Caroline 1215389564 AMFT/81634MHS, CM, CI, ICC, IHBS English Yes Yes

Rincon Angela 1003345281 AMFT/99095MHS, CM, CI, ICC, IHBS English Yes Yes

Roberts Quiana 1174713556 AMFT/89562MHS, CM, CI, ICC, IHBS English Yes Yes

Watson Nyree 1568735496 LMFT/81138MHS, CM, CI, ICC, IHBS English Yes Yes

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Service Area: San Bernardino County/Central RegionType of Provider: LMFTType of Program: Contract

Outpatient 1225351828

Program Name: Walden Family Services 255 N. D St. Suites 406, 408 & 412, San Bernardino, CA 92401

Phone Number: 951-788-5905N/A

Yes

TDD/TTY Equipment Available: No

Languages Served: English, SpanishPopulations Served: Children/Youth

YesService Providers:

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Alsaadi Ann 1841513488 LMFT/182238MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

MHS, CM, CI, ICC, IHBS Accepting New Beneficiaries: Service Type:

Modality:

Address:

Website:

Special Cultural Capability:

Service Location and Provider ADA Compliant :

NPI Number:

Email Address:waldenfamily.org

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Service Area: San Bernardino County/Western RegionType of Provider: Type of Program: Contract

Outpatient 1578883906

Program Name: West Valley SART1420 S. Milliken Ave. Suite 508, Ontario, CA 91761

Phone Number: 909-983-2020N/A

YesTDD/TTY Equipment Available:

Yes

Languages Served: English, Spanish, Mandarin, Vietnamese, American Sign LanguagePopulations Served: Children/Youth

Yes

Service Providers:

MD, Psychiatrist, LCSW, LMFT, ACSW, AMFT

Modality: NPI Number:

Service Type: MHS, CM, CI, ICC, IHBS Accepting New Beneficiaries:

Special Cultural Capability:

Address:

Email Address:Website: www.wefcs.orgService Location and Provider ADA Compliant :

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143 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Angel Anahi 1982159075 AMFT/94395MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Belcher Brianna 1558669648 LCSW/73039MHS, CM, CI, ICC, IHBS English Yes Yes

Enriquez Alejandra 1265867261 LCSW/82317MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Fernandez Mara 1417238866 AMFT/89733MHS, CM, CI, ICC, IHBS English Yes Yes

Freier Randall Kiti 1902911647Psychologist/ 15160 MHS English Yes Yes

Gayoso Erika 18911262 LMFT/91195MHS, CM, CI, ICC, IHBS English Yes Yes

Gell Diane 1699074641 LMFT/49486MHS, CM, CI, ICC, IHBS English Yes Yes

Gonzalez Bararjas Brenda 1891163374 ACSW/78588MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Gonzalez Heather 156885158 AMFT/86814MHS, CM, CI, ICC, IHBS English Yes Yes

Lazo Erika 1306382650 LCSW/87380MHS, CM, CI, ICC, IHBS English Yes Yes

Longo Nancy 1497113302 ACSW/76603MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Quiran Lesley 1346654696 ACSW/67740MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Roman Urquiza Maria Jannet 1760936520 ACSW/77944MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Talbot Angela 1164577342 LMFT/53812MHS, CM, CI, ICC, IHBS English Yes Yes

Tapia Laura 1427274257 LMFT/49928MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Walton Leticia 1518112069 LCSW/75519MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Wong Sarina 1750757530 LMFT/97746MHS, CM, CI, ICC, IHBS English Yes Yes

Yung Bee-Yu 1689074528 LMFT/108189MHS, CM, CI, ICC, IHBS English Yes Yes

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Service Area: San Bernardino County/Central RegionType of Provider: Type of Program: County

Outpatient1043415037

Program Name: Centralized Child Intensive Case Management Services900 E. Gilber St., Cottage 4, San Bernardino, CA 92415

Phone Number: (909) 387-7000N/Ahttp://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

Yes

Languages Served:

Populations Served: Children/Youth

YesService Providers:

LCSW, LMFT, ACSW, AMFT

Modality: NPI Number:

Accepting New Beneficiaries: Service Type: MHS, CM, CI, ICC

Address:

Email Address:Website:Service Location and Provider ADA Compliant :

Special Cultural Capability: Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Ackerman Jordyn 1750825030 AMFT/108302MHS, CM, CI, ICC English Yes Yes

Aguilar-Godinez Elizabeth 1134508476 LMFT/105695MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Barraza Rosa 1982044004 ACSW/75634MHS, CM, CI, ICC, IHBS English Yes Yes

Chou Cindy 1114468071 AMFT/108698MHS, CM, CI, ICC

English, Mandarin Yes Yes

Copeland Heather 1649467507 LCSW/52069MHS, CM, CI, ICC, IHBS English Yes Yes

Fernandez Natalia 1598187080 AMFT/94281MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Johnson Lynn 1134244254 AMFT/92361MHS, CM, CI, ICC, IHBS English Yes Yes

Llamas Juan 1194194910 ACSW/75841MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Lozano Daniel 1326431420 AMFT/94749MHS, CM, CI, ICC, IHBS English Yes Yes

Marriott Renee 1003244682 LMFT/87249MHS, CM, CI, ICC, IHBS English Yes Yes

Merritt Lynda 1356527915 ACSW/36631MHS, CM, CI, ICC, IHBS English Yes Yes

Poynor April 1902035546 LMFT/82578MHS, CM, CI, ICC, IHBS English Yes Yes

Romero Christian 1699806794 LMFT/53592MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Ruiz Angelica 1023546637 AMFT/108847MHS, CM, CI, ICC English Yes Yes

Sethi Erika 1245768480 ACSW/85099MHS, CM, CI, ICC English Yes Yes

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147 of 201

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Williams Ashley 1922496439 LMFT/105805MHS, CM, CI, ICC, IHBS English Yes Yes

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Service Area: San Bernardino County/Central RegionType of Provider: LCSW, LMFT, ACSW, AMFTType of Program: County

Outpatient1528288677

Program Name: Integrated New Family Opportunities780 E. Gilbert St., San Bernardino, CA 92415

Phone Number: 909-387-7793N/Ahttp://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

No

Languages Served:

Populations Served: Children/Adolescent

YesService Providers:

Address:

MHS, CM, CI, ICCAccepting New Beneficiaries:

Service Location and Provider ADA Compliant :

Special Cultural Capability:

NPI Number:

Email Address:Website:

Modality:

Service Type:

Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Jones Theresa 1205244175 ACSW/66486 MHS, CM, CI, ICC English Yes Yes

Martinez Luis 1295270593 AMFT/95768 MHS, CM, CI, ICC

English, Spanish Yes Yes

McComb Gianna 1376806273 LMFT/105382 MHS, CM, CI, ICC English Yes Yes

Montes Debbie 1609197672 AMFT/83606 MHS, CM, CI, ICC

English, Spanish Yes Yes

Seidel Amber 1285965681 LMFT/166 MHS, CM, CI, ICC English Yes Yes

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Service Area: Type of Provider: Type of Program: Contract

Outpatient Services1104183763

Program Name: Barbara Phelps Community School Student Services1812 W. Park Avenue, Redlands, CA 92373

Phone Number 909-931-3542 ext. 208N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, Spanish, American Sign LanguagePopulations Served: Children/Youth

MHS, CM, CI, ICCYes

Service Providers:

Email Address:

Service Type:Accepting New Beneficiaries:

Modality:

San Bernardino County/Eastern LMFT, LPCC, ACSW, AMFT, APCC

Address:

NPI Number:

Special Cultural Capability:

Website:Service Location and Provider ADA Compliant :

https://www.sbcusd.com/district_offices/student_services/yout

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Arellanes Mariah 1477809036 LMFT/91507MHS, CM, CI, ICC English Yes Yes

Arredondo Gabriel 1790033488 LPCC/2922MHS, CM, CI, ICC

English, Spanish Yes Yes

Avalos Ericalynn 1215217500 LMFT/90320MHS, CM, CI, ICC

English, Spanish Yes Yes

Cloud Rebecca 1174881312 LMFT/90385MHS, CM, CI, ICC English Yes Yes

Dahlin Olivia 1376812545 LMFT/48799MHS, CM, CI, ICC

English, Spanish Yes Yes

Esparza Angel Maria 1003286014 AMFT/86826MHS, CM, CI, ICC

English, Spanish Yes Yes

Gaede Stuart 1295143469 LMFT/31426MHS, CM, CI, ICC English Yes Yes

Helvie Monica 1578792057 LMFT/84305MHS, CM, CI, ICC English Yes Yes

Holmes Timothy 1245733211 AMFT/101892 MHS, CM, CI, ICC English Yes Yes

Lopez Theresa 1730638693 AMFT/101460MHS, CM, CI, ICC English Yes Yes

Lozano Eileen 1306124268 LMFT/84912MHS, CM, CI, ICC English Yes Yes

Lynch Sienna 1295289312 ACSW/78623MHS, CM, CI, ICC English Yes Yes

Martinez Stella 1689085615 AMFT/83456MHS, CM, CI, ICC English Yes Yes

Miller Melinda 1295092443 LMFT/75212MHS, CM, CI, ICC English Yes Yes

Peredia Lisa 1760758007 LMFT/98988MHS, CM, CI, ICC English Yes Yes

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Pimentel Julio 1366998882 ACSW/84031MHS, CM, CI, ICC

English, Spanish Yes Yes

Traynham Valerie 1770939225 APCC/12068MHS, CM, CI, ICC English Yes Yes

Villalobos Samantha 1881739902 LMFT/73406MHS, CM, CI, ICC English Yes Yes

Zhang Eric 1669975793 APCC/14522MHS, CM, CI, ICC English Yes Yes

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Service Area: San Bernardino County/Western RegionType of Provider: LMFT, AMFTType of Program: Contract

Outpatient 1043522543

Program Name: Chino Valley Unified School District Behavioral Health Center12970 Third St., Chino, CA 91710

Phone Number 909-628-1201N/A

Yes

TDD/TTY Equipment Available: No

Languages Served: English, SpanishPopulations Served:

MHS, CM, CI, ICCYes

Service Providers:

Modality:

Service Type:Accepting New Beneficiaries:

Website: https://chino.k12ca.us/Service Location and Provider ADA Compliant :

Special Cultural Capability:

Children/Youth

NPI Number:

Address:

Email Address:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Baroldy Shelly Nicole 1386035541 LMFT/107981MHS, CM, CI, ICC English Yes Yes

Hodge Deron 1700101821 LMFT/47146MHS, CM, CI, ICC English Yes Yes

Sosa Priscilla 1063761666 AMFT/76202MHS, CM, CI, ICC

English, Spanish No Yes

Wong Kimberly 1225356561 LMFT/48058MHS, CM, CI, ICC English Yes Yes

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Service Area: San Bernardino County/Western RegionType of Provider: Type of Program: Contract

School Based Outpatient 1689995839

Program Name: Ontario Montclair School District Counseling Center1515 South Bon View Avenue, Ontrario, CA 91761

Phone Number 909-930-6793N/A

Yes

TDD/TTY Equipment Available: No

Languages Served: English, Mandarin, Other Chinese, Spanish, Tagalog, Vietnamese, American Sign LanguagePopulations Served:

YesService Providers:

LCSW, LMFT, ACSW, AMFT

Modality:

Email Address:

MHS, CM, CI, ICC, IHBSAccepting New Beneficiaries:

Special Cultural Capability:

Children/YouthService Type:

NPI Number:

Address:

Website: www.omsd.netService Location and Provider ADA Compliant :

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Denstaedt Christine 1740562792 LMFT/84464MHS, CM, CI, ICC, IHBS English Yes Yes

Garcia Ruacho Crystal 1699088716 LCSW/72552MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Hernandez Maritza Leon 1437559325 ACSW/84374MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Lee Peggy 1235277344 LMFT/48684MHS, CM, CI, ICC, IHBS

English, Mandarin,

Other Chinese, Spanish Yes Yes

Lopez Katherine 1235277344 ACSW/79109MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Pelayo Aida 1205237161 ACSW/73665MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Zaldana Celestial 1831469600 ACSW/73082MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Zuniga Julia 1174944599 AMFT/78569MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

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Service Area: San Bernardino County/Western Region Type of Provider: LMFTType of Program: Contract

Outpatient1093180515

Program Name: Upland Unified School District Counseling Center601 5th Ave., Upland, CA 91786

Phone Number: 909-949-6526N/A

Yes

TDD/TTY Equipment Available: No

Languages Served: English, SpanishPopulations Served:

MHS, CM, CI, ICCYes

Service Providers:

Special Cultural Capability:

www.upland.k12.ca.us

Address:

Service Type:Accepting New Beneficiaries:

Children/Youth

Email Address:Website:

Service Location and Provider ADA Compliant :

Modality: NPI Number:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Clayton Kelli 1922263250 LMFT/53696MHS, CM, CI, ICC

English, Spanish Yes Yes

Garcia Sylvia 1033233408 LMFT/98248MHS, CM, CI, ICC

English, Spanish Yes Yes

Mai Noemi 1649394792 LMFT/100024 MHS, CM, CIEnglish, Spanish Yes Yes

Vazquez Irene 1598911018 LMFT/85637MHS, CM, CI, ICC

English, Spanish Yes Yes

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Service Area: San Bernardino County/Western RegionType of Provider: Type of Program: Contract

Residential Group Home 1831636059

Program Name: Eggleston BHS-Ontario10806 Rose Ave., Ontario, CA 91761

Phone Number 626-480-8107N/AN/A

Yes

TDD/TTY Equipment Available: No

Languages Served: English, SpanishPopulations Served: Children/Youth

YesService Providers:

Psychiatrist, LCSW, LMFT, ACSW, AMFT

Special Cultural Capability:

Service Type:

Email Address:

MHS, CM, CI, MSS, ICC, IHBS

Modality: NPI Number:

Address:

Website:Service Location and Provider ADA Compliant :

Accepting New Beneficiaries:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Banales Melissa 1093974735 LCSW/76700MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Butler Shana 1336384163 LMFT/102284MHS, CM, CI, ICC, IHBS English Yes Yes

Vermilion Adrianna 1396883013 LMFT/40200MHS, CM, CI, ICC, IHBS English Yes Yes

Zeitlin Maurice 1730203662Psychiatrist/ G15243 MSS English Yes Yes

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Service Area: San Bernardino County/Western Region Type of Provider: LMFT, AMFTType of Program: Contract

Residential Services1881146421

Program Name: Fields Comprehensive Youth Services, Inc. 1214 Eddington Street, Upland, CA 91786

Phone Number 909-945-1318N/A

Yes

TDD/TTY Equipment Available: No

Languages Served: EnglishPopulations Served:

YesService Providers:

NPI Number:

Website:Service Location and Provider ADA Compliant :

Modality:

MHS, CM, CI, ICC, IHBSService Type:

Address:

Email Address:

Accepting New Beneficiaries:

www.fcys1.com

Special Cultural Capability:

Children/Youth

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Dunn Myesha 1497931711 LMFT/50805MHS, CM, CI, ICC, IHBS English Yes Yes

Perkins Ny'Shae 1962983536 AMFT/101123MHS, CM, CI, ICC, IHBS English Yes Yes

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Service Area: San Bernardino County/Western RegionType of Provider: LMFTsType of Program: Contract

Residential Services1346791803

Program Name: Fields Comprehensive Youth Services, Inc. 7062 Napa Ave., Rancho Cucamonga, CA 91701

Phone Number 909-945-1318N/A

Yes

TDD/TTY Equipment Available: No

Languages Served: EnglishPopulations Served:

YesService Providers:

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Myesha Dunn 1497931711 LMFT/50805MHS, CM, CI, ICC, IHBS English Yes Yes

Accepting New Beneficiaries:

Modality:

www.fcys1.comService Location and Provider ADA Compliant :

Special Cultural Capability:

Children/YouthService Type: MHS, CM, CI, ICC, IHBS

Email Address:

NPI Number:

Website:

Address:

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Service Area: San Bernardino County/Central RegionType of Provider: Type of Program: Contract

Residential Group Home1093161788

Program Name: First Step Group Homes589 N. Beechwood Ave., Rialto, CA 92376

Phone Number 909-990-5438N/A

Yes

TDD/TTY Equipment Available: No

Languages Served: EnglishPopulations Served:

YesService Providers:

Staff Last Name Staff First Name NPI NumberLicensure Type/Number Service Type

Population Served

Language Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Whitmore Alina 1033447339Psychologist/ 30454

MHS, CM, CI, ICC, IHBS English Yes Yes

MHS, CM, CI, ICC, IHBSChildren/Youth

Psychologist

Address:

firststepgrouphomes.com

Accepting New Beneficiaries:

NPI Number: Modality:

Email Address:Website:

Service Location and Provider ADA Compliant :

Special Cultural Capability:

Service Type:

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Service Area: San Bernardino County/Western RegionType of Provider: LCSW, LMFT, AMFTType of Program: Contract

Residential Treatment1649792763

Program Name: New Dawn4340 Wilson Ave., Chino, CA 91710

Phone Number 909-590-0805N/AN/A

Yes

TDD/TTY Equipment Available: No

Languages Served: English, SpanishPopulations Served:

YesService Providers:

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsMartin Landon 1750517652 LCSW/24786 MHS, CI, ICC English Yes Yes

White Pearlean 1780725390 AMFT/110369MHS, CM, CI, ICC, IHBS English Yes Yes

Website:

MHS, CM, CI, ICC, IHBSChildren/Youth

Modality:

Special Cultural Capability:

Address:

Email Address:

Service Type:Accepting New Beneficiaries:

NPI Number:

Service Location and Provider ADA Compliant :

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Service Area: San Bernardino County/Eastern Region

Type of Provider:

Type of Program: Contract Residential Services1053764456

Program Name: River Stones Residential Treatment Services, Inc. 26967 Beaumont Avenue, Redlands, CA 92373

Phone Number 909-748-7141N/Ahttps://riverstones.org/

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, SpanishPopulations Served:

YesService Providers:

Special Cultural Capability:

Service Type:Accepting New Beneficiaries:

Children/Youth

NPI Number:

Psychiatrist, MD, LCSW, ACSW

Modality:

MHS, CM, CI, MSS, ICC

Address:

Email Address:Website:Service Location and Provider ADA Compliant :

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsArd Mark 1528412376 MD/A150501 MSS English No Yes

Ciovica Irene 1740479724Psychiatrist/ A90901 MSS English No Yes

Navarro Gabriela 1528589520 ACSW/83084 MHS, CM, CIEnglish, Spanish Yes Yes

Racadio Michael 1649690298 LCSW/75339MHS, CM, CI, ICC English Yes Yes

Spoelstra Jessica 1295214930 ACSW/86168MHS, CM, CI, ICC English Yes Yes

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Service Area: San Bernardino County/Central Region Type of Provider: Type of Program: Contract

Residential Services1730539917

Program Name: Rosemary Children's Services 1053 N. D Street, San Bernardino, CA 92410

Phone Number 909-522-4656N/A

Yes

TDD/TTY Equipment Available: No

Languages Served: English, SpanishPopulations Served:

YesService Providers:

Modality:

Service Location and Provider ADA Compliant :

Service Type:

Email Address:Website:

Special Cultural Capability:

Children/YouthMHS, CM, CI, MSS, ICC, IHBS

Accepting New Beneficiaries:

Psychiatrist, LMFT, LVN, ACSW, AMFT

NPI Number:

Address:

www.rosemarychildren.org

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Davis Kathy 1528467172 LMFT/31825 CM, ICC, IHBS English Yes Yes

Hughes Elizabeth 1770957326 AMFT/88316MHS, CM, ICC, IHBS English Yes Yes

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Service Area: San Bernardino County/High Desert Type of Provider: LMFT, AMFTType of Program: Contract

Children's Residential Intensive Services1053835660

Program Name: Sojourners Haven Group Home (Victorville)14605 Graham Ave., Victorville, CA 92394

Phone Number 909-717-3125N/AN/A

Yes

TDD/TTY Equipment Available: No

Languages Served: EnglishPopulations Served:

MHS, CM, CI, ICCYes

Service Providers:

Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsPlakos Szabo Megan 1427470566 LMFT/98658 MHS, CM, ICC English No Yes

Modality: NPI Number:

Address:

Email Address:Website:

Children/Youth

Service Location and Provider ADA Compliant :

Special Cultural Capability:

Service Type:Accepting New Beneficiaries:

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Service Area: San Bernardino County/Central Region Type of Provider: Type of Program: Contract

Children's Residential Intensive Services1811343445

Program Name: Starshine Treatment Center460 S. Stoddard Ave. Suite 1 & 3, San Bernardino, CA 92401

Phone Number 909-882-7978N/AN/A No

Yes

TDD/TTY Equipment Available: No

Languages Served: English, SpanishPopulations Served:

YesService Providers:

Address:

Email Address:

Special Cultural Capability:

Website:

Psychologist, LMFT, ACSW, AMFT

Modality: NPI Number:

Accepting New Beneficiaries:

Service Location and Provider ADA Compliant :

MHS, CM, CI, ICC, IHBSChildren/Youth

Service Type:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Contreras Mariana 1770032229 AMFT/77679MHS, CM, CI, ICC, IHBS

English, Spanish No Yes

Morales Deborah 1053616847 AMFT/106486MHS, CM, CI, ICC, IHBS

English, Spanish No Yes

Pace James 1699856229Psychologist/ 3845

MHS, CM, CI, ICC, IHBS

English, Spanish No Yes

Quezada Kimberly 1013219229 LMFT/99748MHS, CM, CI, ICC, IHBS

English, Spanish No Yes

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173 of 201

Service Area: San Bernardino County/Western RegionType of Provider: Psychologist, AMFTType of Program: Contract

Children's Residential Intensive Services 1720514896

Program Name: Tender Loving Care Home For Boys, Inc. 11519 Carlisle Place, Rancho Cucamonga, CA 91730

Phone Number: 909-972-0992N/AN/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, SpanishPopulations Served: Children/Youth

MHS, CM, CI, ICCYes

Service Providers:

Modality:

Email Address:Website:Service Location and Provider ADA Compliant :

Service Type:

NPI Number:

Address:

Special Cultural Capability:

Accepting New Beneficiaries:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Alvarez Monica 1356837173 AMFT/105032 MHS, CM, CI, ICCEnglish, Spanish Yes Yes

Davis Gregory 1669861613 AMFT/77283 MHS, CM, CI, ICC English Yes Yes

Dumont Monica 1578694865Psychologist/ 21045 MHS, CM, CI, ICC English Yes Yes

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Service Area: San Bernardino County/Central RegionType of Provider: Type of Program: Contract

Children's Residential Intensive Treatment1609392729

Program Name: The Berhe Group1604 N. Pennsylvania Ave., San Bernardino, CA 9

Phone Number: 909-887-0160

N/A

Yes

TDD/TTY Equipment Available: No

Languages Served: English, SpanishPopulations Served:

YesService Providers:

Accepting New Beneficiaries:

Modality:

Email Address:Website:Service Location and Provider ADA Compliant :

Service Type:

Psychologist, LCSW, LMFT, ACSW

NPI Number:

Address:

[email protected]

Children/Youth

Special Cultural Capability:

MHS, CM, CI, ICC, IHBS

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Braxton Kim 1699809707 LCSW/23535MHS, CM, CI, ICC English Yes Yes

Drieberg Keith 1639469257Psychologist/ 13844

MHS, CM, CI, ICC English Yes Yes

Quiroz Jose 1073034922 LCSW/27983MHS, CM, CI, ICC English Yes Yes

Rikayah Beniot 1356581409 LCSW/25024MHS, CM, CI, ICC English Yes Yes

Smart Christopher 1902210396 LCSW/27983MHS, CM, CI, ICC English Yes Yes

Smith Danetra 1740343292 LMFT/48440MHS, CM, CI, ICC English Yes Yes

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Service Area: San Bernardino County/Western RegionType of Provider: Type of Program: Contract

Children's Residential Intensive Services1619323383

Program Name: Trinity Rancho Cucamonga9570 Center Ave. Suite 100, Rancho Cucamonga, CA 91730

Phone Number: 909-980-4755N/A

Yes

TDD/TTY Equipment Available: No

Languages Served: English, Spanish, ArabicPopulations Served: Children/Youth

Yes

Service Providers:

Email Address:

Modality: NPI Number:

LMFT, ACSW, AMFT

www.trinityys.org

Accepting New Beneficiaries: MHS, CM, CI, ICC, IHBSService Type:

Website:Service Location and Provider ADA Compliant :

Address:

Special Cultural Capability:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Lanza Stephanie 1336576628 LMFT/106859MHS, CM, CI, ICC, IHBS English Yes Yes

Porcil Adesha 1538673496 AMFT/98808MHS, CM, CI, ICC, IHBS English Yes Yes

Schmidt Michael 1639660814 AMFT/101533MHS, CM, CI, ICC, IHBS English Yes Yes

Sellers Crystal 1881079481 AMFT/101976MHS, CM, CI, ICC, IHBS English Yes Yes

Velarde Mia 1528499266 LMFT/105835MHS, CM, CI, ICC, IHBS English Yes Yes

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Service Area: San Bernardino County/High Desert Type of Provider: LMFT, ACSW, AMFT, APCCType of Program: Contract

Children's Residential Intensive Services1114373883

Program Name: Trinity Apple Valley10755 Apple Valley Rd., Apple Valley, CA 92308

Phone Number: 760-247-9840N/A

Yes

TDD/TTY Equipment Available: No

Languages Served: English, Spanish, ArabicPopulations Served: 0-20 Years

YesService Providers:

Modality:

Email Address:Website:Service Location and Provider ADA Compliant :

Special Cultural Capability:

Service Type:Accepting New Beneficiaries:

MHS, CM, CI, ICC, IHBS

www.trinityys.org

Address:

NPI Number:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Brown Natalie 1912414210 LMFT/80722MHS, CM, CI, ICC English Yes Yes

Ellison Lavina 1689103814 AMFT/105780MHS, CM, CI, ICC English Yes Yes

Fairley Sherrell 1427479278 AMFT/84224MHS, CM, CI, ICC English Yes Yes

Lopez Sasha 1336271972 AMFT/106878MHS, CM, CI, ICC

English, Spanish Yes Yes

Morreale Joanne 1033407366 AMFT/76339MHS, CM, CI, ICC English Yes Yes

Robles Sandra 1457875585 AMFT/95431MHS, CM, CI, ICC English Yes Yes

Webster Tesia 1518339936 LMFT/102652MHS, CM, CI, ICC English Yes Yes

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Service Area: San Bernardino County/Eastern RegionType of Provider: Type of Program:

Children's Residential Intensive Services1861848525

Program Name: Trinity Yucaipa10776 Fremont St., Yucaipa, CA 92399

Phone Number: 909-797-0114N/A

Yes

TDD/TTY Equipment Available: No

Languages Served: English, Spanish, ArabicPopulations Served: 0-20 Years

YesService Providers:

Address:

Contract

Website: www.trinityys.org

MHS, CM, CI, ICC, IHBS

Email Address:

NPI Number: Modality:

Accepting New Beneficiaries:

LCSW, LMFT, ACSW, AMFT, APCC

Special Cultural Capability:

Service Type:

Service Location and Provider ADA Compliant :

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Blames Alexey 1093203804 AMFT/94805MHS, CM, CI, ICC, IHBS English Yes Yes

Chuapoco Hannah 1619060597 LMFT/53845MHS, CM, CI, ICC, IHBS

English, Tagalog Yes Yes

Lizarraga Paola 1275079170 AMFT/108376MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

Moore Samuel 1447600085 AMFT/91033MHS, CM, CI, ICC, IHBS English Yes Yes

Murad Melanie 1023531738 AMFT/98976MHS, CM, CI, ICC, IHBS English Yes Yes

Sullivan Lexie 1306376702 AMFT/106311MHS, CM, CI, ICC, IHBS English Yes Yes

Vasquez Christine 1083974497 LCSW/84192MHS, CM, CI, ICC, IHBS English Yes Yes

Wilcoxen Ariel 1013452440 APCC/3004MHS, CM, CI, ICC, IHBS

English, Spanish Yes Yes

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Service Area: San Bernardino County/Central RegionType of Provider: Type of Program: County

Outpatient1982813275

Program Name: Supervised Treatment After Release (STAR)1330 E. Cooley Dr., Colton, CA 92324

Phone Number: (909) 580-3705N/Ahttp://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

No

Languages Served:

Populations Served:

YesService Providers:

Website:

Special Cultural Capability:

Service Type:

Psychiatrist, MD, LCSW, LMFT, RN, PT,OT, LPCC, ACSW

Modality: NPI Number:

Address:

Email Address:

Service Location and Provider ADA Compliant :

Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

MHS, CM, CI, MSSAccepting New Beneficiaries:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsBrandon Theresa 1841483815 LCSW/53368 MHS, CM, CI English Yes YesCortes Kimberly 1932507506 LMFT/103594 MHS, CM, CI English Yes YesDang Jacquelyn 1154778934 MD/20A16362 MHS, MSS English Yes YesDavis Lori 1003031444 OT/2353 MHS, CM, CI English Yes Yes

Delap David 1403609126 RN/800600MHS, CM, CI, MSS English Yes Yes

Miner Gary 1760672125 LMFT/93723 MHS, CM, CI English Yes Yes

Mirza Sadiq 1194166298Psychiatrist/ 20A13455 MHS, MSS English Yes Yes

Qualls Sarah 1477732964 LMFT/50713 MHS, CM, CI English Yes Yes

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Service Area: San Bernardino County/Central RegionType of Provider: Psychiatrist, LMFT, RN, NPs, LVN, PT, LPCC, APCCType of Program: Contract

Outpatient

Program Name: Telecare San Bernardino Assertive Community Treatment (ACT)2080 S. E Street Suite 100, San Bernardino, CA 92408

Phone Number: 909-388-9191N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, SpanishPopulations Served: 21 Years and Older

MHS, CM, CI, MSSYes

Service Providers:

Modality: NPI Number:

Email Address:

Special Cultural Capability:

Address:

Website:Service Location and Provider ADA Compliant :

1124100383

www.telecarecorp.com

Service Type:Accepting New Beneficiaries:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsCervantes Maria 1720328867 APCC/4153 MHS, CM, CI English Yes YesDu Ross Jonathon 1124469853 LMFT/78017 MHS, CM, CI English Yes YesGarber Silvia 1033250477 LMFT/49862 MHS, CM, CI English Yes Yes

Gomez Isela 1871635532 PT/28304MHS, CM, CI, MSS English Yes Yes

Kansal Tapeesh 1841291408Psychiatrist/ C52158 MSS English Yes Yes

Kaur Harbeen 1336527332 RN/95060265MHS, CM, CI, MSS English Yes Yes

Minnick Megan 1033395678 LPCC/157 MHS, CM, CI English Yes Yes

Negrete Virginia 1538672845 LVN/692279MHS, CM, CI, MSS English Yes Yes

Singh Jyotila 1215096920Psychiatrist/ A94135 MSS English Yes Yes

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Service Area: San Bernardino County/Central RegionType of Provider: Psychiatrist, LCSW, LMFT, LVNType of Program: Contract

Outpatient 1609046002

Program Name: Telecare San Bernardino Forensic Assertive Community Treatment (FACT)431 MacKay Dr. Suite 100, Can Bernardino, CA 92408

Phone Number: 909-433-9300N/A

YesTDD/TTY Equipment Available:

Yes

Languages Served: English, SpanishPopulations Served:

MHS, CM, CI, MSSYes

Service Providers:

Website:Service Location and Provider ADA Compliant :

Service Type:

NPI Number:

Address:

Modality:

21 Years and Older

Email Address:www.telecarecorp.com

Special Cultural Capability:

Accepting New Beneficiaries:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Cummings Ronnie 1255537940Psychiatrist/ A93095 CM, CI, MSS English Yes Yes

Danico Bryceton 1124114020 LCSW/20979 MHS, CM, CI English Yes Yes

Loftis Katrina 1962674044 LVN/170258MHS, CM, CI, MSS English Yes Yes

MacAdam Alexander 1760670707 LCSW/73542 MHS, CM, CIEnglish, Spanish Yes Yes

Neal Barbara 1114123536 LMFT/101600 MHS, CM, CI English Yes Yes

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Service Area: San Bernardino County/Central RegionType of Provider: Psychiatrist, LMFT, RN, NP, LVN, PT, LPCC, APCCType of Program: Contract

Outpatient 1760651178

Program Name: Telecare San Bernardino Member Assertive Positive Solutions (MAPS)2080 S. E Street Suite 200, San Bernardino, CA 92408

Phone Number: 909-388-9191N/A

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, SpanishPopulations Served: 21 Years and Older

MHS, CM, CI MSSYes

Service Providers:

Email Address:

Service Type:

Service Location and Provider ADA Compliant :

Special Cultural Capability:

Modality: NPI Number:

Accepting New Beneficiaries:

Website: www.telecarecorp.com

Address:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsCervantes Maria 1720328867 APCC/4153 MHS, CM CI English Yes YesDu Ross Jonathon 1124469853 LMFT/78017 MHS, CM CI English Yes YesGarber Silvia 1033250477 LMFT/49862 MHS, CM CI English Yes Yes

Gomez Isela 1871635532 PT/28304MHS, CM CI, MSS English Yes Yes

Kansal Tapeesh 1841291408Psychiatrist/ C52158 MSS English Yes Yes

Kaur Harbeen 1336527332 RN/95060265MHS, CM CI, MSS English Yes Yes

Minnick Megan 1033395678 LPCC/157 MHS, CM CI English Yes Yes

Negrete Virginia 1538672845 LVN/692279MHS, CM CI, MSS English Yes Yes

Singh Jyotila 1215096920Psychiatrist/ A94135 MSS English Yes Yes

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Service Area: San Bernardino County/Eastern RegionType of Provider: Type of Program: County

Crisis Response1194029066

Program Name: East Valley Community Crisis Response Team850 E. Foothill Blvd., Rialto, CA 92376

Phone Number: (909) 421-9233N/Ahttp://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

Yes

Languages Served:Populations Served:

YesService Providers:

Modality:

Email Address:Website:

Address:

Special Cultural Capability:

NPI Number:

Accepting New Beneficiaries:

Service Location and Provider ADA Compliant :

Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

LCSW, LMFT, ACSW, AMFT

MHS, CM, CIService Type:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsAghbashian Deanna 1104343144 ACSW/73527 MHS, CM, CI English Yes YesBermudez Joseph 1659670271 LCSW/74849 MHS, CM, CI English Yes YesCraig Dale 1376828038 ACSW/72873 MHS, CM, CI English Yes YesEdwards Darcie 1669512752 LMFT/52463 MHS, CM, CI English Yes YesFrancis Amber 1720495047 LCSW/77908 MHS, CM, CI English Yes YesGarcia Michelle 1760692859 ACSW/80609 MHS, CM, CI English Yes Yes

Gonzalez Jessica 1881009751 ACSW/68847 MHS, CM, CIEnglish, Spanish No No

Gutierrez Claudia 1831576289 AMFT/88266 MHS, CM, CIEnglish, Spanish Yes Yes

Hake Kelly 1568938694 AMFT/109558 MHS, CM, CI English Yes YesHale Julie 1841325578 LMFT/39734 MHS, CM, CI English Yes YesJenkins Brittany 1447515689 AMFT/78641 MHS, CM, CI English Yes YesMasdeu Andrea 1992934376 ACSW/84896 MHS, CM, CI English Yes YesSillsbury Brenda 1164629465 LCSW/85314 MHS, CM, CI English Yes YesUmah-Mgborogwu Diseph 1023383510 AMFT/88396 MHS, CM, CI English Yes Yes

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Service Area: San Bernardino County/High Desert RegionType of Provider: LCSW, LMFT, ACSW, AMFTType of Program: County

Crisis Response1740481613

Program Name: High Desert Community Crisis Response Team11951 Hesperia Rd., Hesperia, CA 92345

Phone Number: (760) 956-2345N/Ahttp://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

Yes

Languages Served:Populations Served:

YesService Providers:

Service Location and Provider ADA Compliant :

Accepting New Beneficiaries:

Modality:

Email Address:

All AgesMHS, CM, CI

Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

Address:

Service Type:

NPI Number:

Special Cultural Capability:

Website:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsCasas Nelly 1326562893 LMFT/110518 MHS, CM, CI English Yes YesIorio Paul 1336647494 ACSW/86743 MHS, CM, CI English Yes YesRector Michael 1841867188 LMFT/104722 MHS, CM, CI English Yes YesSimpson Triniece 1750865002 AMFT/105138 MHS, CM, CI English Yes YesWebber Jeffrey 1174933865 LMFT/107820 MHS, CM, CI English Yes Yes

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Service Area: San Bernardino County/Western RegionType of Provider: Type of Program: County

Crisis Response1841407061

Program Name: 2940 Inland Empire Blvd., Ontario, CA 91764

Phone Number: (909) 458-1517N/Ahttp://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

Yes

Languages Served:Populations Served: All Ages

YesService Providers:

Modality:

Accepting New Beneficiaries:

LCSW, LMFT, ACSW, AMFT, APCC

West Valley Community Crisis Response Team

Address:

Website:Service Location and Provider ADA Compliant :

Special Cultural Capability: Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

Service Type: MHS, CM, CI

NPI Number:

Email Address:

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsArmstrong Toni 1194112300 ACSW/71996 MHS, CM, CI English Yes YesBaston Lindsay 1972034932 LCSW/3727 MHS, CM, CI English Yes Yes

Buenrostro Francisca 1568862472 ACSW/63050 MHS, CM, CIEnglish, Spanish Yes Yes

Burden Christina 1992108526 ACSW/35175 MHS, CM, CI English Yes YesJohansen Wendy 1770954414 AMFT/107126 MHS, CM, CI English Yes Yes

Le Kailyn 1538442850 LCSW/81113 MHS, CM, CIEnglish,

Vietnamese Yes Yes

Paysen Kerry 1285053652 ACSW/83542 MHS, CM, CI English Yes Yes

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Service Area:

Type of Program: ContractOutpatient Crisis Walk-In Center1275947426

Program Name: Valley Star Crisis Walk-In Center12240 Hesperia Rd. Suite A, Victorville, CA 92395

Phone Number: 760-245-8837N/[email protected]

Yes

TDD/TTY Equipment Available: Yes

Languages Served: English, SpanishPopulations Served: All Ages

MHS, CM, CI, MSSYes

Service Providers:

Email Address:Website:Service Location and Provider ADA Compliant :

Special Cultural Capability:

Service Type:Accepting New Beneficiaries:

Modality: NPI Number:

Address:

San Bernardino County/High Des Type of Provider: Psychiatrist, LMFT, LVN

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Barte Ophelia 1710968425Psychiatrist/ A43189 MHS, MSS

English, Tagalog Yes Yes

Chisholm Shauna 1740576214 LMFT/89214 MHS English Yes Yes

Eva Pedro 1962444703Psychiatrist/ A90222 MHS, MSS

English, Spanish Yes Yes

Marzullo Cecelia 1316385339 LMFT/85313 MHS English Yes Yes

Morales Carmen 1740720051 LMFT/93045 MHSEnglish, Spanish Yes Yes

Redman Tamesia 1811490758 LMFT/100859 MHS English Yes YesWyman Liberty 1326599093 LMFT/85142 MHS English Yes Yes

Yahya Daniel 1750408548Psychiatrist/ A116523 MHS, MSS English Yes Yes

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Service Area: San Bernardino County/Central RegionType of Provider: Type of Program: County

Crisis Outpatient1245534023

Program Name: Rialto Crisis Walk-In Clinic850 E. Foothill Blvd., Rialto, CA 92376

Phone Number: (909) 421-9495N/Ahttp://wp.sbcounty.gov/dbh/

YesTDD/TTY Equipment Available:

Yes

Languages Served:Populations Served: All Ages

Yes

Service Providers:

Accepting New Beneficiaries:

Email Address:Website:

NPI Number:

Service Type: MHS, CM, CI, MSS

Modality:

Psychiatrist, MD, LCSW, LMFT, RN, PT, ACSW, AMFT

Address:

Service Location and Provider ADA Compliant :

Special Cultural Capability: Arabic, Armenian, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese, Russian, Spanish, Tagalog, Vietnamese, American Sign Language

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

Clients

Ancrum Melinda 1922140573 LCSW/27467 MHS, CM, CIEnglish, Spanish Yes Yes

Aus Irmeli 1851567838 RN/720016 MHS, CM, CI, MSS English Yes Yes

Cho Susan 1245459619 Psychiatrist/ A87593

MHS, CM, CI, MSS English Yes Yes

Cooke Bruce 1932236510 LCSW/23495 MHS, CM, CI English Yes YesCroyt Richard 1639212152 LMFT/29486 MHS, CM, CI English Yes Yes

Dalal Jatin 1750420345 Psychiatrist/ A49065

MHS, CM, CI, MSS English Yes Yes

Devera Jesse 1023159118 Psychiatrist/ A41881

MHS, CM, CI, MSS English Yes Yes

Ervin Andrewlee 1588934590 PT/35210 MHS, CM, CI, MSS English Yes Yes

Esparza Aaron 1326271586 AMFT/85815 MHS, CM, CI English Yes YesFoglesong Christopher 1316212848 MD/A140877 MHS, MSS English Yes Yes

Gill Mehar 1649315433 Psychiatrist/ A41443 MHS, CI, MSS English Yes Yes

Gill Sandeep 1972910016 MD/A145698 MSS English Yes Yes

Hill Gwendolyn 1164612743 PT/30164 MHS, CM, CI, MSS English Yes Yes

Lasala Salvador 1225163140 Psychiatrist/ A52616 MHS, CI, MSS

English, Tagalog Yes Yes

Ly Derick 1962744417 Psychiatrist/ 20A13326 MHS, CI, MSS English Yes Yes

Mirza Sadiq 1194166298 Psychiatrist/ 20A13455 MHS, CI, MSS English Yes Yes

Mohapatra Meerabai 1750466785 Psychitrist/ A84139 MHS, CI, MSS English Yes Yes

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Staff Last Name Staff First Name NPI NumberLicensure

Type/Number Service TypePopulation

ServedLanguage Capability

Cultural Competence

TrainingCultural

Capability Specialty

Accepting New

ClientsNoonan Keith 1508271982 MD/20A14757 MHS, CI, MSS English Yes Yes

Rougn Cheath 1225460330 LMFT/107662 MHS, CM, CICambodian,

English Yes Yes

Thacker Swati 1104960830 Psychiatrist/ C41122 MHS, CI, MSS English Yes Yes