Healthcare Provider Details

I. General information

NPI: 1578287157
Provider Name (Legal Business Name): ALPHA BEHAVIORAL HEALTH DAVID SHAWN HARVEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 06/07/2023
Certification Date: 06/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 N LURING DR STE 3
PALM SPRINGS CA
92262-6829
US

IV. Provider business mailing address

169 N LURING DR STE 3
PALM SPRINGS CA
92262-6829
US

V. Phone/Fax

Practice location:
  • Phone: 760-609-0005
  • Fax:
Mailing address:
  • Phone: 760-609-0005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID SHAWN HARVEY
Title or Position: OWNER
Credential: MD
Phone: 760-609-0005