Healthcare Provider Details

I. General information

NPI: 1134235971
Provider Name (Legal Business Name): HYPERION BEHAVIORAL HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 11/30/2021
Certification Date: 11/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 N MONTGOMERY ST
OJAI CA
93023-2746
US

IV. Provider business mailing address

308 N MONTGOMERY ST
OJAI CA
93023-2746
US

V. Phone/Fax

Practice location:
  • Phone: 818-275-2587
  • Fax: 888-909-8741
Mailing address:
  • Phone: 818-275-2587
  • Fax: 888-909-8741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-10-6815
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY7726
License Number StateCA

VIII. Authorized Official

Name: IRA PAUL HEILVEIL
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 818-275-2587