Healthcare Provider Details

I. General information

NPI: 1073271029
Provider Name (Legal Business Name): SUNSHINE BEHAVIORAL HEALTH SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2021
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4664 AMERICAN AVE STE B
BAKERSFIELD CA
93309-4017
US

IV. Provider business mailing address

4664 AMERICAN AVE
BAKERSFIELD CA
93309-4017
US

V. Phone/Fax

Practice location:
  • Phone: 661-241-8251
  • Fax:
Mailing address:
  • Phone: 661-800-9155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SRI VENKATA UPPALAPATI
Title or Position: PRESIDENT & CEO
Credential: MD
Phone: 918-852-9062