Provider Demographics
NPI:1255797163
Name:INSIGHT BEHAVIORAL HEALTH, INC
Entity type:Organization
Organization Name:INSIGHT BEHAVIORAL HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-501-3512
Mailing Address - Street 1:14156 MAGNOLIA BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-1181
Mailing Address - Country:US
Mailing Address - Phone:818-501-3512
Mailing Address - Fax:818-501-7148
Practice Address - Street 1:769 N ORANGE GROVE BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-3331
Practice Address - Country:US
Practice Address - Phone:626-564-2703
Practice Address - Fax:626-564-2707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-07
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health