Provider Demographics
NPI:1134235971
Name:HYPERION BEHAVIORAL HEALTH CENTER, INC.
Entity type:Organization
Organization Name:HYPERION BEHAVIORAL HEALTH CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRA
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:HEILVEIL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:818-275-2587
Mailing Address - Street 1:308 N MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-2746
Mailing Address - Country:US
Mailing Address - Phone:818-275-2587
Mailing Address - Fax:888-909-8741
Practice Address - Street 1:308 N MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-2746
Practice Address - Country:US
Practice Address - Phone:818-275-2587
Practice Address - Fax:888-909-8741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7726103T00000X
CA1-10-6815103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA100135645Medicaid
CAIHCP7726Medicare PIN