OrganizationActive
Crestwood Behavioral Health, Inc
NPI 1376623256 · Mental Illness Intermediate Care Facility · San Jose, CA
Provider details
- NPI number
- 1376623256
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Michelle Smith, Executive Director Reimbursement(209) 955-2364
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1425 Fruitdale Ave
San Jose, CA 95128-3234
Phone: (408) 275-1010
Fax: (408) 275-1066
Street-level locationGet directions
Mailing address
7590 Shoreline Dr
Stockton, CA 95219-5455
Other names (DBA / former)
- Doing business as
- Crestwood Behavioral Health Center
- Doing business as
- Crestwood Behavioral Health Center
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2025-09-16
- Certified
- 2025-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.