OrganizationActive
Crestwood Behavioral Health, Inc.
NPI 1508935834 · Mental Illness Intermediate Care Facility · Vallejo, CA
Provider details
- NPI number
- 1508935834
- 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
- License
- 02060027 (CA)
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
115 Oddstad Dr
Vallejo, CA 94589-2520
Phone: (707) 552-0215
Fax: (707) 553-1424
Street-level locationGet directions
Mailing address
7590 Shoreline Dr
Stockton, CA 95219-5455
Other names (DBA / former)
- Doing business as
- Crestwood Recovery & Rehab. Center
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2025-05-20
- Certified
- 2025-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.