Provider Demographics
NPI:1356900831
Name:HIGH SIERRA BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:HIGH SIERRA BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:725-867-3600
Mailing Address - Street 1:PO BOX 4470
Mailing Address - Street 2:
Mailing Address - City:STATELINE
Mailing Address - State:NV
Mailing Address - Zip Code:89449-4470
Mailing Address - Country:US
Mailing Address - Phone:725-867-3600
Mailing Address - Fax:
Practice Address - Street 1:297 KINGSBURY GRADE STE 1147
Practice Address - Street 2:
Practice Address - City:STATELINE
Practice Address - State:NV
Practice Address - Zip Code:89449-9920
Practice Address - Country:US
Practice Address - Phone:725-867-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-10
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health