165
March 2021 County of Imperial Provider Directory to Medi-Cal Mental Health Services Information on how to request auxiliary aids and services, including the provision of materials in alternative formats, at no cost to the beneficiary please call 1-442-265-1525 to direct you to Access personal. TTY/TDY is available Monday through Friday from 8:00 am to 5:00 pm (except holidays) by calling 1-442-265-1543 or for 24 hours, 7 days per week toll-free 1(800) 539-8868.

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March 2021

County of Imperial

Provider Directory to Medi-Cal Mental Health Services

Information on how to request auxiliary aids and services including the provision of

materials in alternative formats at no cost to the beneficiary please call 1-442-265-1525

to direct you to Access personal TTYTDY is available Monday through Friday from

800 am to 500 pm (except holidays) by calling 1-442-265-1543 or for 24 hours 7 days

per week toll-free 1(800) 539-8868

County-Operated Mental Health Providers

Page 2 of 165

LANGUAGE ASSISTANCE

English

ATTENTION If you speak another language language assistance services free of

charge are available to you Call 1-800-817-5292 (TTY 1-800-539-8868)

ATTENTION Auxiliary aids and services including but not limited to large print

documents and alternative formats are available to you free of charge upon request Call

1-800-817-5292 (TTY 1-800-539-8868)

Espantildeol (Spanish)

ATENCIOacuteN Si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia

linguumliacutestica Llame al 1-800-817-5292 (TTY 1-800-539-8868)

Tiếng Việt (Vietnamese)

CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn

Gọi số 1-800-817-5292 (TTY 1-800-539-8868)

County-Operated Mental Health Providers

Page 3 of 165

Tagalog (Tagalog Filipino)

PAUNAWA Kung nagsasalita ka ng Tagalog maaari kang gumamit ng mga serbisyo ng

tulong sa wika nang walang bayad Tumawag sa 1-800-817-5292 (TTY 1-800-539-

8868)

한국어 (Korean)

주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수

있습니다 1-800-817-5292 (TTY 1-800-539-8868) 번으로 전화해 주십시오

繁體中文(Chinese)

注意如果您使用繁體中文您可以免費獲得語言援助服務請致電1-800-817-

5292 (TTY 1-800-539-8868)

Հայերեն (Armenian)

ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն ապա ձեզ անվճար կարող են

տրամադրվել լեզվական աջակցության ծառայություններ Զանգահարեք 1-800-

817-5292 (TTY 1-800-539-8868)

County-Operated Mental Health Providers

Page 4 of 165

Русский (Russian)

ВНИМАНИЕ Если вы говорите на русском языке то вам доступны бесплатные

услуги перевода Звоните 1-800-817-5292 (TTY 1-800-539-8868)

(Farsi) فارسی

اگر به زبان فارسی گفتگو می کنید تسهیلات زبانی بصورت رایگان برای شماتوجه

تماس بگیرید (TTY 1-800-539-8868) 5292-817-800-1فراهم می باشد با

日本語 (Japanese)

注意事項日本語を話される場合無料の言語支援をご利用いただけます1-

800-817-5292 (TTY 1-800-539-8868) までお電話にてご連絡ください

Hmoob (Hmong)

LUS CEEV Yog tias koj hais lus Hmoob cov kev pab txog lus muaj kev pab dawb rau

koj Hu rau 1-800-817-5292 (TTY 1-800-539-8868)

ਪਜਾਬੀ (Punjabi)

ਧਿਆਨ ਧਿਓ ਜ ਤਸ ੀ ਪਜਾਬ ਬਲਿ ਹ ਤਾੀ ਭਾਸ਼ਾ ਧ ਿਚ ਸਹਾਇਤਾ ਸ ਾ ਤਹਾਡ ਲਈ ਮਫਤ ਉਪਲਬਿ ਹ

1-800-817-5292 (TTY 1-800-539-8868) ਤ ਕਾਲ ਕਰ

County-Operated Mental Health Providers

Page 5 of 165

(Arabic) العربية

-817-800-1ملحوظة إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغویة تتوافر لك بالمجان اتصل برقم

8868-539-800-1)رقم هاتف الصم والبكم 5292

ह िदी (Hindi)

धयान द यदद आप ह िदी बोलत ह तो आपक दलए मफत म भाषा सहायता सवाए उपलबध ह 1-

800-817-5292 (TTY 1-800-539-8868) पर कॉल कर

ภาษาไทย (Thai)

เรยน ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร 1-800-817-5292

(TTY 1-800-539-8868)

ខមែរ (Cambodian)

បរយតន ររ ស ើ នជាអនកនយាយ ភាសាខមែ រ វាជនយមននកភាសា

សោយមនគត លន

គអាចមាន ោ ររ អសើ នក ច ទ ពទ1-800-817-5292 (TTY 1-800-539-8868)

ພາສາລາວ (Lao)

ໂປດຊາບ ຖາວາ ທານເວ າພາສາ ລາວ ການບລການຊວຍເຫ ອດານພາສາ

ໂດຍບເສຽຄາ ແມນມພອມໃຫທານ ໂທຣ 1-800-817-5292 (TTY 1-800-539-8868)

County-Operated Mental Health Providers

Page 6 of 165

PLEASE NOTE

ldquoServices may be delivered by an individual provider or a team of providers who is

working under the direction of a licensed practitioner operating within their scope of

practice Only Licensed waivered or registered mental health providers and licensed

substance use disorder services providers are listed on the Planrsquos provider directoryrdquo

County-Operated Mental Health Providers

Page 7 of 165

Children amp Adolescent Services ndash El Centro CA

Provider El Centro Children amp Adolescent Outpatient Services

Address 120 N Eighth Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 8 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Jacqueline Lopez

LVN Psychiatric

Technician

License 290170

NPI 1720459886

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 9 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Karina Idaly

Rodriguez

LVN Psychiatric

Technician

License 699834

NPI 1669940854

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 10 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Pauline Rocha

LVN Psychiatric

Technician

License 711433

NPI 1972112811

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Gracie Galindo Baker

ACSW

License 92097

NPI 1205475308

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 11 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Family and

Group Therapy

Other

languages

upon request

Theresa Jean Vogel

ACSW

License 79042

NPI 1467941286

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Guadalupe Garcia

AMFT

License 98719

NPI 1164661351

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 12 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Individual

Family and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Alicia Ibeth Torres

AMFT

License 93152

NPI 1114370780

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 13 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sandy Sierra ACSW

License 95649

NPI 1295338077

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Vanessa Jean Carrillo

ACSW

License 79072

NPI 1790292373

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 14 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Other

languages

upon request

Patricia Armandina

Valenzuela LMFT

License 107070

NPI 1124385307

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 15 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 16 of 165

Provider El Centro Children and Adolescent Outpatient Clinic Team 12 (Wake)

Address 651 Wake Avenue El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Meghan Jain MD

Telehealth Provider

Medical License

A138547

NPI 1942628128

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medication

Support

Spanish

Portuguese

American American

IndianAlaskan Native

AsianPacific Islander African

Yes

County-Operated Mental Health Providers

Page 17 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

and Neurology ndash

Psychiatry

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Belkys Cota

LVN Psychiatric

Technician

License 260440

NPI 1124441647

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 18 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Yeni Alcantar

LVN Psychiatric

Technician

License 703185

NPI 1134761208

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Christine Garcia

LCSW

License 81089

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 19 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1689980476

Specialty CA Board

of Behavioral

Science-Licensed

Clinical Social Worker

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Maria Guadalupe

Martinez AMFT

License 99249

NPI 1659744969

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 20 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Ana G Pesqueira

LCSW

License 89026

NPI 1891183067

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Stephanie Ramirez

LCSW

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 21 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 75194

NPI 1841544970

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Viviane Rodriguez-

Velasquez ACSW

License 95650

NPI 1417484528

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 22 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Vanessa Jean Carrillo

ACSW

License 79072

NPI 1790292373

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Stacie Lynn Otero

ACSW

License 96791

NPI 1942611587

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 23 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Family and

Group Therapy

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 24 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Services -

Assessment

and

Rehabilitation

County-Operated Mental Health Providers

Page 25 of 165

Provider El Centro Vista Sands

Address 1530 S Waterman El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 26 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Assessment and

Rehabilitation

County-Operated Mental Health Providers

Page 27 of 165

Provider Prevention and Early Intervention (PEI)

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alexander Ruiz

ACSW

License 78932

NPI 1033504337

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maria Guadalupe

Martinez AMFT

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 28 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 99249

NPI 1659744969

Specialty CA Board

of

Behavioral Science-

Associate Marriage

and Family Therapist

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Ana G Pesqueira

LCSW

License 89026

NPI 1891183067

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 29 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Jessica C Martinez-

Smith ACSW

License 77969

NPI 1619225141

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

Hispanic African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gabriel Garcia AMFT

License 84979

NPI 1841627874

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 30 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alicia Ibeth Torres

AMFT

License 93152

NPI 1114370780

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maritza Janeth

Guzman LMFT

License 112264

NPI 1144524299

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 31 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Other

languages

upon request

County-Operated Mental Health Providers

Page 32 of 165

Provider First Steps to Success

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 33 of 165

Provider Brawley Children amp Adolescent Outpatient Services

Address 195 S 9th St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Belen Davila MD

Medical License

A148569

NPI 1649619792

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Children amp Adolescent Services ndash Brawley CA

County-Operated Mental Health Providers

Page 34 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

and Neurology ndash

Psychiatry

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

Other

languages

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 35 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty Adult

Board Certified

Other

languages

upon request

Belinda Davila

LVN Psychiatric

Technician

License 198477

NPI 1720125214

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Guadalupe Belen

Paredes

LVN Psychiatric

Technician

Medication

Support

Services Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 36 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 687762

NPI 1477904084

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Pauline Rocha

LVN Psychiatric

Technician

License 711433

NPI 1972112811

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 37 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Gracie Galindo Baker

ACSW

License 92097

NPI 1205475308

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maritza Janeth

Guzman LMFT

License 112264

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 38 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1144524299

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Theresa Jean Vogel

ACSW

License 79042

NPI 1467941286

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Jessica C Martinez-

Smith ACSW

Crisis

Intervention

Spanish

Hispanic African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 39 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 77969

NPI 1619225141

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Health Client Family of Mental

Health Client Disabled

Sandy Sierra ACSW

License 95649

NPI 1295338077

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

Hispanic African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 40 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Stacie Lynn Otero

ACSW

License 96791

NPI 1942611587

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Patricia Armandina

Valenzuela LMFT

License 107070

NPI 1124385307

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 41 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 42 of 165

Provider Brawley Vista Sands

Address 1401 B St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childvista

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 43 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 44 of 165

Provider Calexico Family Resource Center (FRC)

Address 101 Hacienda Dr Suite C Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Children amp Adolescent Services ndash Calexico CA

County-Operated Mental Health Providers

Page 45 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sanjoy Sathpathy MD

Telehealth Provider

Medical License

A80195

NPI 1043348428

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskaAmerican

African American Senior

Lesbian Gay Transgender and

Bisexual (LGTB) Mental

Health Client Mental Health

Client Relatives and Disabled

No

Brenda Alanis

LVN Psychiatric

Technician

License 284664

NPI 1205229366

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 46 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Karina Idaly

Rodriguez

LVN Psychiatric

Technician

License 699834

NPI 1669940854

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Yadira Gutierrez

LVN Psychiatric

Technician

License 687763

Medication

Support

Services Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 47 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1376994327

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Alexander Ruiz

ACSW

License 78932

NPI 1033504337

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 48 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Stephanie Ramirez

LCSW

License 75194

NPI 1841544970

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Gabriel Garcia

AMFT

License 84979

NPI 1841627874

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 49 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Other

languages

upon request

Guadalupe Garcia

AMFT

License 98719

NPI 1164661351

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Viviane Rodriguez-

Velasquez ACSW

License 95650

NPI 1417484528

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 50 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Individual

Family and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 51 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Assessment and

Rehabilitation

County-Operated Mental Health Providers

Page 52 of 165

Provider Calexico Vista Sands

Address 2300 Rockwood Ave Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childvista

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 53 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 54 of 165

Provider Youth and Young Adult (YAYA) El Centro Anxiety amp Depression Clinic

Address 1295 State St Suite 205 El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Youth and Young Adult Services ndash El Centro CA

County-Operated Mental Health Providers

Page 55 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Jenny Yi MD

Telehealth Provider

Medical License

A147197

NPI 1003133018

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

No

Jourdan Martinez

LVN Psychiatric

Technician

License 238442

NPI 1013460948

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services and

Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 56 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Saray Licea

LVN Psychiatric

Technician

License 706384

NPI 1275177636

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services and

Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled Older Adults

Yes

Jonathan Rosas

AMFT

License 113261

NPI 1962755124

Crisis

Intervention

Mental Health

Services -

Assessment and

Spanish

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Mental

Health Client Family of Mental

Health Client

Yes

County-Operated Mental Health Providers

Page 57 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Individual

Family and

Group Therapy

Other

languages

upon request

Olivia Solis AMFT

License 108347

NPI 1992249684

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients

Yes

Edgar Rios ACSW

License 94090

NPI 1801403720

Crisis

Intervention

Mental Health

Services -

Spanish

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

No

County-Operated Mental Health Providers

Page 58 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Assessment and

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients Persons with

Disability

Maria Arredondo

AMFT

License 99538

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 59 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Andrea Platero APCC

License 7355

NPI 1093068678

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Carolina Rivas AMFT

License 115618

NPI 1992306765

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Substance

Use Disorder Clients Family of

Substance Use Disorder Clients

No

County-Operated Mental Health Providers

Page 60 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Samantha Merlin

AMFT

License 108791

NPI 1154894145

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 61 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 62 of 165

Provider Youth and Young Adult (YAYA) El Centro Family Resource Center (FRC)

Address 1014 W Brighton Ave El Centro CA 92243

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Andrea Platero APCC

License 7355

NPI 1093068678

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Maria Arredondo

AMFT

License 99538

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 63 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Jonathan Rosas

AMFT

License 113261

NPI 1962755124

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Mental

Health Client Family of Mental

Health Client

Yes

County-Operated Mental Health Providers

Page 64 of 165

Provider Youth and Young Adult (YAYA) El Centro Full Service Partnership (FSP)

Address 1295 State St Suite 102 El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Jenny Yi MD

Telehealth Provider

Medical License

A147197

Medication

Support

Services and

Sign

Language

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 65 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1003133018

Specialty Adult Board

Certified

Crisis

Intervention

Other

languages

upon request

Morteza Rahmani MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

No

County-Operated Mental Health Providers

Page 66 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty Adult amp

Child Board Certified

Other

languages

upon request

Family of Mental Health Client

Disabled

Julius Castillo

LVN Psychiatric

Technician

License 698774

NPI 1568012128

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians ndash

Licensed Vocational

Nurse

Medication

Support

Services and

Crisis

Intervention

Spanish

Tagalog

Sign

Language

upon request

Other

languages

upon request

Older Adults Mental Health

Client AsianPacific Islander

LGBT Family of Mental Health

Client African American

Substance Use Disorder Client

Hispanic Family of Substance

Use Disorder Client Disabled

Yes

Andrea Platero APCC

License 7355

NPI 1093068678

Crisis

Intervention

Mental Health

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 67 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Services -

Assessment

and Individual

Family and

Group Therapy

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Maria Arredondo

AMFT

License 99538

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Other Qualified

Providers that do not

Crisis

Intervention

Spanish

American Hispanic

AsianPacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 68 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

have a license waiver

or registration are

located at this site

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

County-Operated Mental Health Providers

Page 69 of 165

Provider Adolescent Habilitative Learning Program (AHLP)

Address 2001 Ocotillo Dr El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaahlp

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 70 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 71 of 165

Provider Youth and Young Adult (YAYA) Brawley Anxiety amp Depression Clinic

Address 1535 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Youth and Young Adult Services ndash Brawley CA

County-Operated Mental Health Providers

Page 72 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Atih Amanda Seif

MD

Telehealth Provider

Medical License

C133728

NPI 1821332099

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 73 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

and Neurology ndash

Psychiatry

Other

languages

upon request

Javier Ramirez

LVN Psychiatric

Technician

License 688109

NPI 1205287257

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Rosalba Caballero

LVN Psychiatric

Technician

License 685181

Medication

Support

Services Crisis

Intervention

Spanish

American American

IndianAlaskan Native Asian

Pacific Islander Hispanic

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 74 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1255951414

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Substance Use Disorder

Disabled Family Members of

Substance Use Disorder

Jonathan Fonseca

ACSW

License 77982

NPI 1417382185

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

Kimberly Braga

AMFT

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 75 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 105478

NPI 1518444348

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Johanna Pinedo

AMFT

License 89001

NPI 1437514163

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 76 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Silvestre Mancera

LMFT

License 115212

NPI 1144519158

Specialty CA Board

of Behavioral

Science- Licensed

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Mental

Health Client Family of Mental

Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 77 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 78 of 165

Provider Youth and Young Adult (YAYA) Brawley Family Resource Center (FRC)

Address 480 N Imperial Ave Room 95 Brawley CA 92227

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Johanna Pinedo

AMFT

License 89001

NPI 1437514163

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 79 of 165

Provider Youth and Young Adult (YAYA) Brawley Full Service Partnership (FSP)

Address 1535 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 80 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Atih Amanda Seif

MD

Telehealth Provider

Medical License

C133728

NPI 1821332099

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 81 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

and Neurology ndash

Psychiatry

Other

languages

upon request

Javier Ramirez

LVN Psychiatric

Technician

License 688109

NPI 1205287257

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Jonathan Fonseca

ACSW

License 77982

NPI 1417382185

Crisis

Intervention

Mental Health

Services ndash

Spanish

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 82 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Kimberly Braga

AMFT

License 105478

NPI 1518444348

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 83 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Silvestre Mancera

LMFT

License 115212

NPI 1144519158

Specialty CA Board

of Behavioral

Science- Licensed

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Mental

Health Client Family of Mental

Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 84 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 85 of 165

Provider Youth and Young Adult (YAYA) Calexico Anxiety amp Depression Clinic

Address 101 Hacienda Suite A Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Youth amp Young Adult Services ndash Calexico CA

County-Operated Mental Health Providers

Page 86 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Brenda Solis Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 87 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

LVN Psychiatric

Technician

License 683844

NPI 1497256234

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Stephanie Vela

LVN Psychiatric

Technician

License 709705

NPI 1538784731

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 88 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Francisca Gomez

ACSW

License 64201

NPI 1184976763

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Roxanna Palacios

AMFT

License 92497

NPI 1356766711

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Spanish

Sign

Language

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 89 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Family and

Group Therapy

Other

languages

upon request

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 90 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

County-Operated Mental Health Providers

Page 91 of 165

Provider Youth and Young Adult (YAYA) Calexico Full Service Partnership (FSP)

Address 101 Hacienda Suite A Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Aditi Parashar MD

Medical License

A139276

Medication

Support

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 92 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1932487006

Specialty Adult amp

Child Board Certified

Services Crisis

Intervention

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Brenda Solis

LVN Psychiatric

Technician

License 683844

NPI 1497256234

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 93 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Stephanie Vela

LVN Psychiatric

Technician

License 709705

NPI 1538784731

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 94 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Francisca Gomez

ACSW

License 64201

NPI 1184976763

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Roxanna Palacios

AMFT

License 92497

NPI 1356766711

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 95 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 96 of 165

Provider Adult El Centro Anxiety amp Depression Clinic

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-7300 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Steven Dilsaver MD

Medical License

G87120

NPI 1154463941

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Belen Davila MD Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

Adult Services ndash El Centro CA

County-Operated Mental Health Providers

Page 97 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

A148569

NPI 1649619792

Specialty Adult

Board Certified

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Manjusha Kurada

MD

Medical License

A132203

NPI 1154671980

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medication

Support

Sign

Language

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

No

County-Operated Mental Health Providers

Page 98 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Services Crisis

Intervention

Other

languages

upon request

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental Health

Clients Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Rosa Irene Macias

LVN Psychiatric

Technician

License 278288

NPI 1205229267

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic LGBT

Mental Health Client Family of

Mental Health Client

Yes

County-Operated Mental Health Providers

Page 99 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Stephanie Uribe

LVN Psychiatric

Technician

License 706256

NPI 1922646314

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan Native

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance

Yes

Bianca Nelson

LCSW

License 97607

NPI 1073743712

Specialty CA Board

of Behavioral

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 100 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Science-Licensed

Clinical Social

Worker

Individual and

Group Therapy

Mariana Magana

ACSW

License 83643

NPI 1710409941

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Monica Adame

LMFT

License 121949

NPI 1619373933

Crisis

Intervention

and Mental

Health Services

- Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 101 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Rehabilitation

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Diane Estrada LMFT

License 117206

NPI 1801933999

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Suset Ruiz AMFT

License 117566

NPI 1962970053

Crisis

Intervention

and Mental

Health Services

Spanish

American

AmericanIndianAlaskan Native

BlackAfrican American

HispanicLatino Older Adult

Yes

County-Operated Mental Health Providers

Page 102 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Persons with

Disability

Cristina Lopez-

Penalber AMFT

License 118414

NPI 1770085789

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

HispanicLatino Older Adults

LGBT White Mental Health

Clients Family Members of

Mental Health Cleints Substance

Use Disorder Clients Family

Member of Substance Use

Disorder Persons with Disability

Yes

County-Operated Mental Health Providers

Page 103 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license

waiver or registration

are located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 104 of 165

Provider Adult El Centro Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 2695 S 4th St El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Bushra Ahmad MD

Medical License

A73057

NPI 1043356850

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Steven Dilsaver MD

Medical License

G87120

Medication

Support

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 105 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1154463941

Specialty Adult Board

Certified

Services Crisis

Intervention

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

McConnell Gwenyth

MD

Medical License

G162612

NPI 1700959673

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American IndianAlaskan

Native AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ-Youth LGBTQ-

No

County-Operated Mental Health Providers

Page 106 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty Adult Board

Certified

Other

languages

upon request

Adults White Mental Health

Clients Family Members of

Mental Health Clients

Substance Use Disorder Clients

Family Members of Substance

Use Disorder Clients Disabled

Rosa Acosta

LVN Psychiatric

Technician

License 216237

NPI 1306269097

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander African

American Older Adults

LGBTQ Adults LGBTQ Youth

White Mental Health Clients

Family Members of Mental

Health Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Disabled

Yes

County-Operated Mental Health Providers

Page 107 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Roxanne Zamora

LVN Psychiatric

Technician

License 255636

NPI 1669865622

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult Mental Health Client

Family of Mental Health Client

Disabled

Yes

Sara Granillo

LVN Psychiatric

Technician

License 240568

NPI 1609223288

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 108 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Viviana Trejo AMFT

License 114745

NPI 1932458726

Specialty CA Board

of Behavorial Science

ndash Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Rehabilitation

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client

Yes

Jennifer Delgadillo

AMFT

License 108420

NPI 1194188938

Crisis

Intervention

and Mental

Health Services

Spanish

American Hispanic African

American Older Adults LGBT

Mental Health Clients Family

of Mental Health Clients

Yes

County-Operated Mental Health Providers

Page 109 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavorial Science

ndash Associate Marriage

and Family Therapist

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Substance Use Disorder Clients

Family Members of Substance

Use Disorder Clients

Tania Duenas AMFT

License 118303

NPI 1710482799

Specialty CA Board

of Behavioral Science

ndash Associate Marriage

and Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Disabled

Yes

County-Operated Mental Health Providers

Page 110 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 111 of 165

Provider Adult El Centro Wellness Center

Address 2695 S 4th St Suite D El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Supportive

services for

clients in

recovery from

mental illness

including

support groups

wellness

recovery

assessment

plans

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 112 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

independent

living skills

training

interpersonal

skills training

pre-

employment

training

educational and

vocational

supportive

services health

and nutrition

activities and

social

engagement

activities

County-Operated Mental Health Providers

Page 113 of 165

Provider Adult Brawley Anxiety amp Depression Clinic

Address 220 Main St 2nd Floor Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

Yes

Adult Services ndash Brawley CA

County-Operated Mental Health Providers

Page 114 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Gregory Jeffers MD

Telehealth Provider

Medical License

A037601

NPI 1477579472

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

No

Astrid Castro

LVN Psychiatric

Technician

License 706727

NPI 1164042420

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBTQ-Youth

LGBTQ-Adults White Mental

Health Clients Family Members

of Mental Health Clients

Substance Use Disorder Clients

Family Members of Substance

Yes

County-Operated Mental Health Providers

Page 115 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Use Disorder Clients Persons

with Disability

Andrea Herrera

LVN II Psychiatric

Technician

License 688752

NPI 1740839455

Specialty Board of

Vocational Nursing

and Psychiatric

Technicians

Medication

Support Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Older Adults Yes

Elizabeth Castaneda

ACSW

License 75314

NPI 1366749244

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client

Yes

County-Operated Mental Health Providers

Page 116 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Nestor Urbano AMFT

License 92043

NPI 1851785075

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client

Yes

Raquel Bermejo

ACSW

License 96400

NPI 1326410796

Crisis

Intervention

and Mental

Health Services

- Assessment

Spanish

Sign

Language

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBT White

Mental Health Clients Family

Yes

County-Operated Mental Health Providers

Page 117 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Rehabilitation

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Members of Mental Health

Clients Family Members of

Substance Use Disorder Clients

Persons with Disability

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 118 of 165

Provider Adult Brawley Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 229 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-5110 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

Yes

Belen Davila MD

Medical License

A148569

Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 119 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1649619792

Specialty Adult Board

Certified

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Esmeralda Herrera

LVN Psychiatric

Technician

License 243677

NPI 1124441811

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Yes

County-Operated Mental Health Providers

Page 120 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alvarado Daphne

LVN Psychiatric

Technician

Medical License

706723

NPI1407471980

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

Yes

Monica Pinto AMFT

License 118241

NPI 1619492998

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Substance Use

Yes

County-Operated Mental Health Providers

Page 121 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Individual and

Group Therapy

Other

languages

upon request

Disorder Clients Family

Members of Substance Use

Disorder Clients Disabled

Sergio Hernandez

AMFT

License 120548

NPI 1386247161

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American American

IndianAlaskan Native

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBT Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Persons with

Disability

Yes

County-Operated Mental Health Providers

Page 122 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 123 of 165

Provider Adult Brawley Wellness Center

Address 205 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Supportive

services for

clients in

recovery from

mental illness

including

support groups

wellness

recovery

assessment

plans

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 124 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

independent

living skills

training

interpersonal

skills training

pre-

employment

training

educational and

vocational

supportive

services health

and nutrition

activities and

social

engagement

activities

County-Operated Mental Health Providers

Page 125 of 165

Provider Adult Calexico Anxiety amp Depression Clinic

Address 1501 W Imperial Avenue Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-1525or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Adult Services ndash Calexico CA

County-Operated Mental Health Providers

Page 126 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

No

Luz Aispuro Gonzalez

LVN Psychiatric

Technician

License 690265

NPI 1992324396

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBTQ-Youth

LGBTQ-Adults White Mental

Health Clients Family Members

of Mental Health Clients

Substance Use Disorder Clients

Yes

County-Operated Mental Health Providers

Page 127 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Family Members of Substance

Use Disorder Clients Disabled

Norma Munoz-

Sedano AMFT

License 116614

NPI 1578126405

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult

LGBTQ Mental Health Client

Family of Mental Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 128 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

- Rehabilitation

Services

Other

languages

upon request

Health Client Family of Mental

Health Client Disabled

County-Operated Mental Health Providers

Page 129 of 165

Provider Adult Calexico Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 1501 W Imperial Avenue Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone 442-265-6340 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Luz Aispuro Gonzalez

LVN Psychiatric

Technician

Medication

Support

Spanish

American IndianAlaskan

Native BlackAfrican American

HispanicLatino Older Adults

Yes

County-Operated Mental Health Providers

Page 130 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 690265

NPI 1992324396

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

LGBTQ-Youth LGBTQ-Adults

White Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Disabled

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

No

County-Operated Mental Health Providers

Page 131 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Janie Lam-Echeverria

LCSW

License 26570

NPI 1215070008

Specialty CA Board

of Behavioral

Science-Licensed

Clinical Social Worker

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 132 of 165

Provider San Pasqual Family Resource Center (FRC)

Address 676 Baseline Rd Winterhaven CA 92283

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Population Served Children amp Adolescents

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

Mental Health Services - Winterhaven CA

County-Operated Mental Health Providers

Page 133 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Guadalupe Belen

Paredes

LVN Psychiatric

Technician

License 687762

NPI 1477904084

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

Christine Garcia

LCSW

License 81089

NPI

1689980476

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 134 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Other

languages

upon request

Health Client Family of

Mental Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 135 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

Population Served Adults amp Older Adults

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental

Health Client Disabled

Yes

Diane Estrada LMFT

License 117206

NPI 1801933999

Specialty CA Board of

Behavioral Science-

Licensed Marriage and

Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Spanish

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 136 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Individual and

Group Therapy

Other

languages

upon request

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 137 of 165

Provider Transitional Engagement Supportive Services (TESS)

Address 1699 W Main Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=criassess

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health Services

- Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

Transitional Engagement Supportive Services (TESS)

County-Operated Mental Health Providers

Page 138 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin Richter

MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

County-Operated Mental Health Providers

Page 139 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 140 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Vocational Nursing and

Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical Social

Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

NPI 1881942407

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 141 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical Social

Worker

Services ndash

Assessment and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Janelle Montes Medication

Support

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 142 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board of

Vocational Nursing and

Psychiatric Technicians

Licensed Vocational

Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 143 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other

languages

upon request

County-Operated Mental Health Providers

Page 144 of 165

Provider Community Engagement Supportive Services (CESS)

Address 1699 W Main Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=criassess

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health

Services -

Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Community Engagement Supportive Services (CESS)

County-Operated Mental Health Providers

Page 145 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin

Richter MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 146 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 147 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

NPI 1881942407

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 148 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Janelle Montes Medication

Support

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 149 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 150 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 151 of 165

Provider Mental Health Triage Unit

Address 202 N 8th St El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=cricri

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health

Services -

Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Mental Health Triage Unit and Engagement Services

County-Operated Mental Health Providers

Page 152 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin Richter

MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 153 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License 709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 154 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Cynthia Ferreiro-

Avendano LMFT

License 102531

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 155 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1528528452

Specialty CA Board of

Behavioral Science-

Licensed Marriage and

Family Therapist

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

Crisis

Intervention

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 156 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1881942407

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Mental Health

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Janelle Montes

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 157 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Contracted Mental Health Providers

Page 158 of 165

Provider CHARLEE Family Care ndash El Centro

Address 495 E Orange Ave El Centro CA 92243

Website wwwcharleecfccom

Phone (760) 353-6151

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license

waiver or

registration are

located at this site

Therapeutic

Behavioral

Health

Services (TBS)

Interpretation

available upon

request

American Hispanic Mental

Health Client Family of

Mental Health Client

Yes

Contracted Mental Health Providers

Contracted Mental Health Providers

Page 159 of 165

Provider WomanHaven a Center for Family Solutions

Address 510 Main St Suite 104 amp 106 El Centro CA 92243

Website wwwwomanhavenorg

Phone (760)353-6922

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Stephen LeMasters

ACSW

License 70261

NPI 1902440605

Specialty CA Board

of Behavioral Science

ndash Associate Clinical

Social Worker

Crisis

Intervention

Targeted Case

Management

Mental Health

Services

Assessment

and Individual

Therapy

Interpretation

available upon

request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Guadalupe Gonzalez

AMFT

Crisis

Intervention

Spanish American Hispanic

AsianPacific Islander

Yes

Contracted Mental Health Providers

Page 160 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License

121162

NPI

1134730344

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Targeted Case

Management

Mental Health

Services

Assessment

Individual

Therapy

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Mental Health

Services

Assessment

Collateral and

Rehabilitation

Spanish American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Contracted Mental Health Providers

Page 161 of 165

Provider Jackson House

Address 2364 S 2nd St El Centro CA 92243

Website wwwjacksonhousecarescom

Phone (760)332-3303

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Cesar Benitez MD

Medical License

A107600

NPI 1275738098

Specialty Adult

Board Certified

Crisis

Residential

(Medication

Support

Services Crisis

Intervention)

Spanish

Interpretation

available upon

request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Robert Bradley

Sanders MD

Medical License

20A5544

Crisis

Residential

(Medication

Support

Interpretation

available upon

request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

Contracted Mental Health Providers

Page 162 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1144264300

Specialty Adult

Board Certified

Services Crisis

Intervention)

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Other Qualified

Providers that do not

have a license

waiver or

registration are

located at this site

Crisis

Residential

(Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Rehabilitation

Services)

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Contracted Mental Health Providers

Page 163 of 165

Provider STEPS (Quest Programs)

Address 3636 Camino Del Rio North Suite 150 San Diego CA

Website Phone 951-777-0333

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Sheela Masifi MD

Medical License

A154508

NPI 1124401765

Specialty Adult amp

Child Board Certified

Psychiatry

Psychotherapy

Medication

Support Crisis

Intervention

Mandarin

Spanish

Interpretation

available upon

request

Other

languages

upon request

American Hispanic Anxiety

Disorders Family of Mental

Health Client LGBT Eating

Disorders Child Abuse

Therapy HIV Sexual

Disorders

Yes

Contracted Mental Health Providers

Page 164 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Jehna Barnes ACSW

License 85638

NPI 1285256099

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group

Therapy Case

Management

Spanish

Interpretation

available upon

request

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Mental Health

Client LGBT Family of

Mental Health Client

Substance Use Clients Foster

Care TAY

Yes

Judith Diaz Nurse

Practitioner

License 95000797

NPI 1841610219

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

language upon

request

American Hispanic Mental

Health Client Family of

Mental Health Client LGBT

Substance Use Clients

Disabled Foster Care TAY

Yes

Contracted Mental Health Providers

Page 165 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Registered

Nursing

Individual

Family and

Group

Therapy Case

Management

Sign

Language

upon request

Other

languages

upon request

County-Operated Mental Health Providers

Page 2 of 165

LANGUAGE ASSISTANCE

English

ATTENTION If you speak another language language assistance services free of

charge are available to you Call 1-800-817-5292 (TTY 1-800-539-8868)

ATTENTION Auxiliary aids and services including but not limited to large print

documents and alternative formats are available to you free of charge upon request Call

1-800-817-5292 (TTY 1-800-539-8868)

Espantildeol (Spanish)

ATENCIOacuteN Si habla espantildeol tiene a su disposicioacuten servicios gratuitos de asistencia

linguumliacutestica Llame al 1-800-817-5292 (TTY 1-800-539-8868)

Tiếng Việt (Vietnamese)

CHUacute Yacute Nếu bạn noacutei Tiếng Việt coacute caacutec dịch vụ hỗ trợ ngocircn ngữ miễn phiacute dagravenh cho bạn

Gọi số 1-800-817-5292 (TTY 1-800-539-8868)

County-Operated Mental Health Providers

Page 3 of 165

Tagalog (Tagalog Filipino)

PAUNAWA Kung nagsasalita ka ng Tagalog maaari kang gumamit ng mga serbisyo ng

tulong sa wika nang walang bayad Tumawag sa 1-800-817-5292 (TTY 1-800-539-

8868)

한국어 (Korean)

주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수

있습니다 1-800-817-5292 (TTY 1-800-539-8868) 번으로 전화해 주십시오

繁體中文(Chinese)

注意如果您使用繁體中文您可以免費獲得語言援助服務請致電1-800-817-

5292 (TTY 1-800-539-8868)

Հայերեն (Armenian)

ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն ապա ձեզ անվճար կարող են

տրամադրվել լեզվական աջակցության ծառայություններ Զանգահարեք 1-800-

817-5292 (TTY 1-800-539-8868)

County-Operated Mental Health Providers

Page 4 of 165

Русский (Russian)

ВНИМАНИЕ Если вы говорите на русском языке то вам доступны бесплатные

услуги перевода Звоните 1-800-817-5292 (TTY 1-800-539-8868)

(Farsi) فارسی

اگر به زبان فارسی گفتگو می کنید تسهیلات زبانی بصورت رایگان برای شماتوجه

تماس بگیرید (TTY 1-800-539-8868) 5292-817-800-1فراهم می باشد با

日本語 (Japanese)

注意事項日本語を話される場合無料の言語支援をご利用いただけます1-

800-817-5292 (TTY 1-800-539-8868) までお電話にてご連絡ください

Hmoob (Hmong)

LUS CEEV Yog tias koj hais lus Hmoob cov kev pab txog lus muaj kev pab dawb rau

koj Hu rau 1-800-817-5292 (TTY 1-800-539-8868)

ਪਜਾਬੀ (Punjabi)

ਧਿਆਨ ਧਿਓ ਜ ਤਸ ੀ ਪਜਾਬ ਬਲਿ ਹ ਤਾੀ ਭਾਸ਼ਾ ਧ ਿਚ ਸਹਾਇਤਾ ਸ ਾ ਤਹਾਡ ਲਈ ਮਫਤ ਉਪਲਬਿ ਹ

1-800-817-5292 (TTY 1-800-539-8868) ਤ ਕਾਲ ਕਰ

County-Operated Mental Health Providers

Page 5 of 165

(Arabic) العربية

-817-800-1ملحوظة إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغویة تتوافر لك بالمجان اتصل برقم

8868-539-800-1)رقم هاتف الصم والبكم 5292

ह िदी (Hindi)

धयान द यदद आप ह िदी बोलत ह तो आपक दलए मफत म भाषा सहायता सवाए उपलबध ह 1-

800-817-5292 (TTY 1-800-539-8868) पर कॉल कर

ภาษาไทย (Thai)

เรยน ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร 1-800-817-5292

(TTY 1-800-539-8868)

ខមែរ (Cambodian)

បរយតន ររ ស ើ នជាអនកនយាយ ភាសាខមែ រ វាជនយមននកភាសា

សោយមនគត លន

គអាចមាន ោ ររ អសើ នក ច ទ ពទ1-800-817-5292 (TTY 1-800-539-8868)

ພາສາລາວ (Lao)

ໂປດຊາບ ຖາວາ ທານເວ າພາສາ ລາວ ການບລການຊວຍເຫ ອດານພາສາ

ໂດຍບເສຽຄາ ແມນມພອມໃຫທານ ໂທຣ 1-800-817-5292 (TTY 1-800-539-8868)

County-Operated Mental Health Providers

Page 6 of 165

PLEASE NOTE

ldquoServices may be delivered by an individual provider or a team of providers who is

working under the direction of a licensed practitioner operating within their scope of

practice Only Licensed waivered or registered mental health providers and licensed

substance use disorder services providers are listed on the Planrsquos provider directoryrdquo

County-Operated Mental Health Providers

Page 7 of 165

Children amp Adolescent Services ndash El Centro CA

Provider El Centro Children amp Adolescent Outpatient Services

Address 120 N Eighth Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 8 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Jacqueline Lopez

LVN Psychiatric

Technician

License 290170

NPI 1720459886

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 9 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Karina Idaly

Rodriguez

LVN Psychiatric

Technician

License 699834

NPI 1669940854

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 10 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Pauline Rocha

LVN Psychiatric

Technician

License 711433

NPI 1972112811

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Gracie Galindo Baker

ACSW

License 92097

NPI 1205475308

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 11 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Family and

Group Therapy

Other

languages

upon request

Theresa Jean Vogel

ACSW

License 79042

NPI 1467941286

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Guadalupe Garcia

AMFT

License 98719

NPI 1164661351

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 12 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Individual

Family and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Alicia Ibeth Torres

AMFT

License 93152

NPI 1114370780

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 13 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sandy Sierra ACSW

License 95649

NPI 1295338077

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Vanessa Jean Carrillo

ACSW

License 79072

NPI 1790292373

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 14 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Other

languages

upon request

Patricia Armandina

Valenzuela LMFT

License 107070

NPI 1124385307

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 15 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 16 of 165

Provider El Centro Children and Adolescent Outpatient Clinic Team 12 (Wake)

Address 651 Wake Avenue El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Meghan Jain MD

Telehealth Provider

Medical License

A138547

NPI 1942628128

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medication

Support

Spanish

Portuguese

American American

IndianAlaskan Native

AsianPacific Islander African

Yes

County-Operated Mental Health Providers

Page 17 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

and Neurology ndash

Psychiatry

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Belkys Cota

LVN Psychiatric

Technician

License 260440

NPI 1124441647

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 18 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Yeni Alcantar

LVN Psychiatric

Technician

License 703185

NPI 1134761208

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Christine Garcia

LCSW

License 81089

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 19 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1689980476

Specialty CA Board

of Behavioral

Science-Licensed

Clinical Social Worker

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Maria Guadalupe

Martinez AMFT

License 99249

NPI 1659744969

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 20 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Ana G Pesqueira

LCSW

License 89026

NPI 1891183067

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Stephanie Ramirez

LCSW

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 21 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 75194

NPI 1841544970

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Viviane Rodriguez-

Velasquez ACSW

License 95650

NPI 1417484528

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 22 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Vanessa Jean Carrillo

ACSW

License 79072

NPI 1790292373

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Stacie Lynn Otero

ACSW

License 96791

NPI 1942611587

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 23 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Family and

Group Therapy

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 24 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Services -

Assessment

and

Rehabilitation

County-Operated Mental Health Providers

Page 25 of 165

Provider El Centro Vista Sands

Address 1530 S Waterman El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 26 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Assessment and

Rehabilitation

County-Operated Mental Health Providers

Page 27 of 165

Provider Prevention and Early Intervention (PEI)

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alexander Ruiz

ACSW

License 78932

NPI 1033504337

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maria Guadalupe

Martinez AMFT

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 28 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 99249

NPI 1659744969

Specialty CA Board

of

Behavioral Science-

Associate Marriage

and Family Therapist

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Ana G Pesqueira

LCSW

License 89026

NPI 1891183067

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 29 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Jessica C Martinez-

Smith ACSW

License 77969

NPI 1619225141

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

Hispanic African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gabriel Garcia AMFT

License 84979

NPI 1841627874

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 30 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alicia Ibeth Torres

AMFT

License 93152

NPI 1114370780

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maritza Janeth

Guzman LMFT

License 112264

NPI 1144524299

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 31 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Other

languages

upon request

County-Operated Mental Health Providers

Page 32 of 165

Provider First Steps to Success

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 33 of 165

Provider Brawley Children amp Adolescent Outpatient Services

Address 195 S 9th St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Belen Davila MD

Medical License

A148569

NPI 1649619792

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Children amp Adolescent Services ndash Brawley CA

County-Operated Mental Health Providers

Page 34 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

and Neurology ndash

Psychiatry

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

Other

languages

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 35 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty Adult

Board Certified

Other

languages

upon request

Belinda Davila

LVN Psychiatric

Technician

License 198477

NPI 1720125214

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Guadalupe Belen

Paredes

LVN Psychiatric

Technician

Medication

Support

Services Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 36 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 687762

NPI 1477904084

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Pauline Rocha

LVN Psychiatric

Technician

License 711433

NPI 1972112811

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 37 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Gracie Galindo Baker

ACSW

License 92097

NPI 1205475308

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maritza Janeth

Guzman LMFT

License 112264

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 38 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1144524299

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Theresa Jean Vogel

ACSW

License 79042

NPI 1467941286

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Jessica C Martinez-

Smith ACSW

Crisis

Intervention

Spanish

Hispanic African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 39 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 77969

NPI 1619225141

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Health Client Family of Mental

Health Client Disabled

Sandy Sierra ACSW

License 95649

NPI 1295338077

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

Hispanic African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 40 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Stacie Lynn Otero

ACSW

License 96791

NPI 1942611587

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Patricia Armandina

Valenzuela LMFT

License 107070

NPI 1124385307

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 41 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 42 of 165

Provider Brawley Vista Sands

Address 1401 B St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childvista

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 43 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 44 of 165

Provider Calexico Family Resource Center (FRC)

Address 101 Hacienda Dr Suite C Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Children amp Adolescent Services ndash Calexico CA

County-Operated Mental Health Providers

Page 45 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sanjoy Sathpathy MD

Telehealth Provider

Medical License

A80195

NPI 1043348428

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskaAmerican

African American Senior

Lesbian Gay Transgender and

Bisexual (LGTB) Mental

Health Client Mental Health

Client Relatives and Disabled

No

Brenda Alanis

LVN Psychiatric

Technician

License 284664

NPI 1205229366

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 46 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Karina Idaly

Rodriguez

LVN Psychiatric

Technician

License 699834

NPI 1669940854

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Yadira Gutierrez

LVN Psychiatric

Technician

License 687763

Medication

Support

Services Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 47 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1376994327

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Alexander Ruiz

ACSW

License 78932

NPI 1033504337

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 48 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Stephanie Ramirez

LCSW

License 75194

NPI 1841544970

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Gabriel Garcia

AMFT

License 84979

NPI 1841627874

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 49 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Other

languages

upon request

Guadalupe Garcia

AMFT

License 98719

NPI 1164661351

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Viviane Rodriguez-

Velasquez ACSW

License 95650

NPI 1417484528

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 50 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Individual

Family and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 51 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Assessment and

Rehabilitation

County-Operated Mental Health Providers

Page 52 of 165

Provider Calexico Vista Sands

Address 2300 Rockwood Ave Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childvista

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 53 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 54 of 165

Provider Youth and Young Adult (YAYA) El Centro Anxiety amp Depression Clinic

Address 1295 State St Suite 205 El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Youth and Young Adult Services ndash El Centro CA

County-Operated Mental Health Providers

Page 55 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Jenny Yi MD

Telehealth Provider

Medical License

A147197

NPI 1003133018

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

No

Jourdan Martinez

LVN Psychiatric

Technician

License 238442

NPI 1013460948

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services and

Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 56 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Saray Licea

LVN Psychiatric

Technician

License 706384

NPI 1275177636

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services and

Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled Older Adults

Yes

Jonathan Rosas

AMFT

License 113261

NPI 1962755124

Crisis

Intervention

Mental Health

Services -

Assessment and

Spanish

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Mental

Health Client Family of Mental

Health Client

Yes

County-Operated Mental Health Providers

Page 57 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Individual

Family and

Group Therapy

Other

languages

upon request

Olivia Solis AMFT

License 108347

NPI 1992249684

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients

Yes

Edgar Rios ACSW

License 94090

NPI 1801403720

Crisis

Intervention

Mental Health

Services -

Spanish

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

No

County-Operated Mental Health Providers

Page 58 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Assessment and

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients Persons with

Disability

Maria Arredondo

AMFT

License 99538

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 59 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Andrea Platero APCC

License 7355

NPI 1093068678

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Carolina Rivas AMFT

License 115618

NPI 1992306765

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Substance

Use Disorder Clients Family of

Substance Use Disorder Clients

No

County-Operated Mental Health Providers

Page 60 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Samantha Merlin

AMFT

License 108791

NPI 1154894145

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 61 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 62 of 165

Provider Youth and Young Adult (YAYA) El Centro Family Resource Center (FRC)

Address 1014 W Brighton Ave El Centro CA 92243

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Andrea Platero APCC

License 7355

NPI 1093068678

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Maria Arredondo

AMFT

License 99538

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 63 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Jonathan Rosas

AMFT

License 113261

NPI 1962755124

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Mental

Health Client Family of Mental

Health Client

Yes

County-Operated Mental Health Providers

Page 64 of 165

Provider Youth and Young Adult (YAYA) El Centro Full Service Partnership (FSP)

Address 1295 State St Suite 102 El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Jenny Yi MD

Telehealth Provider

Medical License

A147197

Medication

Support

Services and

Sign

Language

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 65 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1003133018

Specialty Adult Board

Certified

Crisis

Intervention

Other

languages

upon request

Morteza Rahmani MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

No

County-Operated Mental Health Providers

Page 66 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty Adult amp

Child Board Certified

Other

languages

upon request

Family of Mental Health Client

Disabled

Julius Castillo

LVN Psychiatric

Technician

License 698774

NPI 1568012128

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians ndash

Licensed Vocational

Nurse

Medication

Support

Services and

Crisis

Intervention

Spanish

Tagalog

Sign

Language

upon request

Other

languages

upon request

Older Adults Mental Health

Client AsianPacific Islander

LGBT Family of Mental Health

Client African American

Substance Use Disorder Client

Hispanic Family of Substance

Use Disorder Client Disabled

Yes

Andrea Platero APCC

License 7355

NPI 1093068678

Crisis

Intervention

Mental Health

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 67 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Services -

Assessment

and Individual

Family and

Group Therapy

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Maria Arredondo

AMFT

License 99538

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Other Qualified

Providers that do not

Crisis

Intervention

Spanish

American Hispanic

AsianPacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 68 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

have a license waiver

or registration are

located at this site

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

County-Operated Mental Health Providers

Page 69 of 165

Provider Adolescent Habilitative Learning Program (AHLP)

Address 2001 Ocotillo Dr El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaahlp

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 70 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 71 of 165

Provider Youth and Young Adult (YAYA) Brawley Anxiety amp Depression Clinic

Address 1535 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Youth and Young Adult Services ndash Brawley CA

County-Operated Mental Health Providers

Page 72 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Atih Amanda Seif

MD

Telehealth Provider

Medical License

C133728

NPI 1821332099

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 73 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

and Neurology ndash

Psychiatry

Other

languages

upon request

Javier Ramirez

LVN Psychiatric

Technician

License 688109

NPI 1205287257

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Rosalba Caballero

LVN Psychiatric

Technician

License 685181

Medication

Support

Services Crisis

Intervention

Spanish

American American

IndianAlaskan Native Asian

Pacific Islander Hispanic

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 74 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1255951414

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Substance Use Disorder

Disabled Family Members of

Substance Use Disorder

Jonathan Fonseca

ACSW

License 77982

NPI 1417382185

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

Kimberly Braga

AMFT

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 75 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 105478

NPI 1518444348

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Johanna Pinedo

AMFT

License 89001

NPI 1437514163

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 76 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Silvestre Mancera

LMFT

License 115212

NPI 1144519158

Specialty CA Board

of Behavioral

Science- Licensed

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Mental

Health Client Family of Mental

Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 77 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 78 of 165

Provider Youth and Young Adult (YAYA) Brawley Family Resource Center (FRC)

Address 480 N Imperial Ave Room 95 Brawley CA 92227

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Johanna Pinedo

AMFT

License 89001

NPI 1437514163

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 79 of 165

Provider Youth and Young Adult (YAYA) Brawley Full Service Partnership (FSP)

Address 1535 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 80 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Atih Amanda Seif

MD

Telehealth Provider

Medical License

C133728

NPI 1821332099

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 81 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

and Neurology ndash

Psychiatry

Other

languages

upon request

Javier Ramirez

LVN Psychiatric

Technician

License 688109

NPI 1205287257

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Jonathan Fonseca

ACSW

License 77982

NPI 1417382185

Crisis

Intervention

Mental Health

Services ndash

Spanish

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 82 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Kimberly Braga

AMFT

License 105478

NPI 1518444348

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 83 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Silvestre Mancera

LMFT

License 115212

NPI 1144519158

Specialty CA Board

of Behavioral

Science- Licensed

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Mental

Health Client Family of Mental

Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 84 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 85 of 165

Provider Youth and Young Adult (YAYA) Calexico Anxiety amp Depression Clinic

Address 101 Hacienda Suite A Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Youth amp Young Adult Services ndash Calexico CA

County-Operated Mental Health Providers

Page 86 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Brenda Solis Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 87 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

LVN Psychiatric

Technician

License 683844

NPI 1497256234

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Stephanie Vela

LVN Psychiatric

Technician

License 709705

NPI 1538784731

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 88 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Francisca Gomez

ACSW

License 64201

NPI 1184976763

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Roxanna Palacios

AMFT

License 92497

NPI 1356766711

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Spanish

Sign

Language

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 89 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Family and

Group Therapy

Other

languages

upon request

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 90 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

County-Operated Mental Health Providers

Page 91 of 165

Provider Youth and Young Adult (YAYA) Calexico Full Service Partnership (FSP)

Address 101 Hacienda Suite A Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Aditi Parashar MD

Medical License

A139276

Medication

Support

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 92 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1932487006

Specialty Adult amp

Child Board Certified

Services Crisis

Intervention

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Brenda Solis

LVN Psychiatric

Technician

License 683844

NPI 1497256234

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 93 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Stephanie Vela

LVN Psychiatric

Technician

License 709705

NPI 1538784731

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 94 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Francisca Gomez

ACSW

License 64201

NPI 1184976763

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Roxanna Palacios

AMFT

License 92497

NPI 1356766711

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 95 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 96 of 165

Provider Adult El Centro Anxiety amp Depression Clinic

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-7300 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Steven Dilsaver MD

Medical License

G87120

NPI 1154463941

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Belen Davila MD Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

Adult Services ndash El Centro CA

County-Operated Mental Health Providers

Page 97 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

A148569

NPI 1649619792

Specialty Adult

Board Certified

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Manjusha Kurada

MD

Medical License

A132203

NPI 1154671980

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medication

Support

Sign

Language

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

No

County-Operated Mental Health Providers

Page 98 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Services Crisis

Intervention

Other

languages

upon request

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental Health

Clients Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Rosa Irene Macias

LVN Psychiatric

Technician

License 278288

NPI 1205229267

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic LGBT

Mental Health Client Family of

Mental Health Client

Yes

County-Operated Mental Health Providers

Page 99 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Stephanie Uribe

LVN Psychiatric

Technician

License 706256

NPI 1922646314

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan Native

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance

Yes

Bianca Nelson

LCSW

License 97607

NPI 1073743712

Specialty CA Board

of Behavioral

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 100 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Science-Licensed

Clinical Social

Worker

Individual and

Group Therapy

Mariana Magana

ACSW

License 83643

NPI 1710409941

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Monica Adame

LMFT

License 121949

NPI 1619373933

Crisis

Intervention

and Mental

Health Services

- Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 101 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Rehabilitation

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Diane Estrada LMFT

License 117206

NPI 1801933999

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Suset Ruiz AMFT

License 117566

NPI 1962970053

Crisis

Intervention

and Mental

Health Services

Spanish

American

AmericanIndianAlaskan Native

BlackAfrican American

HispanicLatino Older Adult

Yes

County-Operated Mental Health Providers

Page 102 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Persons with

Disability

Cristina Lopez-

Penalber AMFT

License 118414

NPI 1770085789

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

HispanicLatino Older Adults

LGBT White Mental Health

Clients Family Members of

Mental Health Cleints Substance

Use Disorder Clients Family

Member of Substance Use

Disorder Persons with Disability

Yes

County-Operated Mental Health Providers

Page 103 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license

waiver or registration

are located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 104 of 165

Provider Adult El Centro Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 2695 S 4th St El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Bushra Ahmad MD

Medical License

A73057

NPI 1043356850

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Steven Dilsaver MD

Medical License

G87120

Medication

Support

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 105 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1154463941

Specialty Adult Board

Certified

Services Crisis

Intervention

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

McConnell Gwenyth

MD

Medical License

G162612

NPI 1700959673

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American IndianAlaskan

Native AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ-Youth LGBTQ-

No

County-Operated Mental Health Providers

Page 106 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty Adult Board

Certified

Other

languages

upon request

Adults White Mental Health

Clients Family Members of

Mental Health Clients

Substance Use Disorder Clients

Family Members of Substance

Use Disorder Clients Disabled

Rosa Acosta

LVN Psychiatric

Technician

License 216237

NPI 1306269097

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander African

American Older Adults

LGBTQ Adults LGBTQ Youth

White Mental Health Clients

Family Members of Mental

Health Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Disabled

Yes

County-Operated Mental Health Providers

Page 107 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Roxanne Zamora

LVN Psychiatric

Technician

License 255636

NPI 1669865622

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult Mental Health Client

Family of Mental Health Client

Disabled

Yes

Sara Granillo

LVN Psychiatric

Technician

License 240568

NPI 1609223288

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 108 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Viviana Trejo AMFT

License 114745

NPI 1932458726

Specialty CA Board

of Behavorial Science

ndash Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Rehabilitation

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client

Yes

Jennifer Delgadillo

AMFT

License 108420

NPI 1194188938

Crisis

Intervention

and Mental

Health Services

Spanish

American Hispanic African

American Older Adults LGBT

Mental Health Clients Family

of Mental Health Clients

Yes

County-Operated Mental Health Providers

Page 109 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavorial Science

ndash Associate Marriage

and Family Therapist

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Substance Use Disorder Clients

Family Members of Substance

Use Disorder Clients

Tania Duenas AMFT

License 118303

NPI 1710482799

Specialty CA Board

of Behavioral Science

ndash Associate Marriage

and Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Disabled

Yes

County-Operated Mental Health Providers

Page 110 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 111 of 165

Provider Adult El Centro Wellness Center

Address 2695 S 4th St Suite D El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Supportive

services for

clients in

recovery from

mental illness

including

support groups

wellness

recovery

assessment

plans

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 112 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

independent

living skills

training

interpersonal

skills training

pre-

employment

training

educational and

vocational

supportive

services health

and nutrition

activities and

social

engagement

activities

County-Operated Mental Health Providers

Page 113 of 165

Provider Adult Brawley Anxiety amp Depression Clinic

Address 220 Main St 2nd Floor Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

Yes

Adult Services ndash Brawley CA

County-Operated Mental Health Providers

Page 114 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Gregory Jeffers MD

Telehealth Provider

Medical License

A037601

NPI 1477579472

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

No

Astrid Castro

LVN Psychiatric

Technician

License 706727

NPI 1164042420

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBTQ-Youth

LGBTQ-Adults White Mental

Health Clients Family Members

of Mental Health Clients

Substance Use Disorder Clients

Family Members of Substance

Yes

County-Operated Mental Health Providers

Page 115 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Use Disorder Clients Persons

with Disability

Andrea Herrera

LVN II Psychiatric

Technician

License 688752

NPI 1740839455

Specialty Board of

Vocational Nursing

and Psychiatric

Technicians

Medication

Support Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Older Adults Yes

Elizabeth Castaneda

ACSW

License 75314

NPI 1366749244

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client

Yes

County-Operated Mental Health Providers

Page 116 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Nestor Urbano AMFT

License 92043

NPI 1851785075

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client

Yes

Raquel Bermejo

ACSW

License 96400

NPI 1326410796

Crisis

Intervention

and Mental

Health Services

- Assessment

Spanish

Sign

Language

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBT White

Mental Health Clients Family

Yes

County-Operated Mental Health Providers

Page 117 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Rehabilitation

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Members of Mental Health

Clients Family Members of

Substance Use Disorder Clients

Persons with Disability

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 118 of 165

Provider Adult Brawley Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 229 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-5110 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

Yes

Belen Davila MD

Medical License

A148569

Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 119 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1649619792

Specialty Adult Board

Certified

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Esmeralda Herrera

LVN Psychiatric

Technician

License 243677

NPI 1124441811

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Yes

County-Operated Mental Health Providers

Page 120 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alvarado Daphne

LVN Psychiatric

Technician

Medical License

706723

NPI1407471980

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

Yes

Monica Pinto AMFT

License 118241

NPI 1619492998

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Substance Use

Yes

County-Operated Mental Health Providers

Page 121 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Individual and

Group Therapy

Other

languages

upon request

Disorder Clients Family

Members of Substance Use

Disorder Clients Disabled

Sergio Hernandez

AMFT

License 120548

NPI 1386247161

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American American

IndianAlaskan Native

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBT Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Persons with

Disability

Yes

County-Operated Mental Health Providers

Page 122 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 123 of 165

Provider Adult Brawley Wellness Center

Address 205 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Supportive

services for

clients in

recovery from

mental illness

including

support groups

wellness

recovery

assessment

plans

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 124 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

independent

living skills

training

interpersonal

skills training

pre-

employment

training

educational and

vocational

supportive

services health

and nutrition

activities and

social

engagement

activities

County-Operated Mental Health Providers

Page 125 of 165

Provider Adult Calexico Anxiety amp Depression Clinic

Address 1501 W Imperial Avenue Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-1525or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Adult Services ndash Calexico CA

County-Operated Mental Health Providers

Page 126 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

No

Luz Aispuro Gonzalez

LVN Psychiatric

Technician

License 690265

NPI 1992324396

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBTQ-Youth

LGBTQ-Adults White Mental

Health Clients Family Members

of Mental Health Clients

Substance Use Disorder Clients

Yes

County-Operated Mental Health Providers

Page 127 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Family Members of Substance

Use Disorder Clients Disabled

Norma Munoz-

Sedano AMFT

License 116614

NPI 1578126405

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult

LGBTQ Mental Health Client

Family of Mental Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 128 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

- Rehabilitation

Services

Other

languages

upon request

Health Client Family of Mental

Health Client Disabled

County-Operated Mental Health Providers

Page 129 of 165

Provider Adult Calexico Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 1501 W Imperial Avenue Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone 442-265-6340 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Luz Aispuro Gonzalez

LVN Psychiatric

Technician

Medication

Support

Spanish

American IndianAlaskan

Native BlackAfrican American

HispanicLatino Older Adults

Yes

County-Operated Mental Health Providers

Page 130 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 690265

NPI 1992324396

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

LGBTQ-Youth LGBTQ-Adults

White Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Disabled

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

No

County-Operated Mental Health Providers

Page 131 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Janie Lam-Echeverria

LCSW

License 26570

NPI 1215070008

Specialty CA Board

of Behavioral

Science-Licensed

Clinical Social Worker

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 132 of 165

Provider San Pasqual Family Resource Center (FRC)

Address 676 Baseline Rd Winterhaven CA 92283

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Population Served Children amp Adolescents

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

Mental Health Services - Winterhaven CA

County-Operated Mental Health Providers

Page 133 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Guadalupe Belen

Paredes

LVN Psychiatric

Technician

License 687762

NPI 1477904084

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

Christine Garcia

LCSW

License 81089

NPI

1689980476

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 134 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Other

languages

upon request

Health Client Family of

Mental Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 135 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

Population Served Adults amp Older Adults

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental

Health Client Disabled

Yes

Diane Estrada LMFT

License 117206

NPI 1801933999

Specialty CA Board of

Behavioral Science-

Licensed Marriage and

Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Spanish

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 136 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Individual and

Group Therapy

Other

languages

upon request

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 137 of 165

Provider Transitional Engagement Supportive Services (TESS)

Address 1699 W Main Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=criassess

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health Services

- Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

Transitional Engagement Supportive Services (TESS)

County-Operated Mental Health Providers

Page 138 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin Richter

MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

County-Operated Mental Health Providers

Page 139 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 140 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Vocational Nursing and

Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical Social

Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

NPI 1881942407

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 141 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical Social

Worker

Services ndash

Assessment and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Janelle Montes Medication

Support

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 142 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board of

Vocational Nursing and

Psychiatric Technicians

Licensed Vocational

Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 143 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other

languages

upon request

County-Operated Mental Health Providers

Page 144 of 165

Provider Community Engagement Supportive Services (CESS)

Address 1699 W Main Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=criassess

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health

Services -

Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Community Engagement Supportive Services (CESS)

County-Operated Mental Health Providers

Page 145 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin

Richter MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 146 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 147 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

NPI 1881942407

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 148 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Janelle Montes Medication

Support

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 149 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 150 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 151 of 165

Provider Mental Health Triage Unit

Address 202 N 8th St El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=cricri

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health

Services -

Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Mental Health Triage Unit and Engagement Services

County-Operated Mental Health Providers

Page 152 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin Richter

MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 153 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License 709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 154 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Cynthia Ferreiro-

Avendano LMFT

License 102531

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 155 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1528528452

Specialty CA Board of

Behavioral Science-

Licensed Marriage and

Family Therapist

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

Crisis

Intervention

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 156 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1881942407

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Mental Health

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Janelle Montes

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 157 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Contracted Mental Health Providers

Page 158 of 165

Provider CHARLEE Family Care ndash El Centro

Address 495 E Orange Ave El Centro CA 92243

Website wwwcharleecfccom

Phone (760) 353-6151

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license

waiver or

registration are

located at this site

Therapeutic

Behavioral

Health

Services (TBS)

Interpretation

available upon

request

American Hispanic Mental

Health Client Family of

Mental Health Client

Yes

Contracted Mental Health Providers

Contracted Mental Health Providers

Page 159 of 165

Provider WomanHaven a Center for Family Solutions

Address 510 Main St Suite 104 amp 106 El Centro CA 92243

Website wwwwomanhavenorg

Phone (760)353-6922

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Stephen LeMasters

ACSW

License 70261

NPI 1902440605

Specialty CA Board

of Behavioral Science

ndash Associate Clinical

Social Worker

Crisis

Intervention

Targeted Case

Management

Mental Health

Services

Assessment

and Individual

Therapy

Interpretation

available upon

request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Guadalupe Gonzalez

AMFT

Crisis

Intervention

Spanish American Hispanic

AsianPacific Islander

Yes

Contracted Mental Health Providers

Page 160 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License

121162

NPI

1134730344

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Targeted Case

Management

Mental Health

Services

Assessment

Individual

Therapy

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Mental Health

Services

Assessment

Collateral and

Rehabilitation

Spanish American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Contracted Mental Health Providers

Page 161 of 165

Provider Jackson House

Address 2364 S 2nd St El Centro CA 92243

Website wwwjacksonhousecarescom

Phone (760)332-3303

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Cesar Benitez MD

Medical License

A107600

NPI 1275738098

Specialty Adult

Board Certified

Crisis

Residential

(Medication

Support

Services Crisis

Intervention)

Spanish

Interpretation

available upon

request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Robert Bradley

Sanders MD

Medical License

20A5544

Crisis

Residential

(Medication

Support

Interpretation

available upon

request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

Contracted Mental Health Providers

Page 162 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1144264300

Specialty Adult

Board Certified

Services Crisis

Intervention)

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Other Qualified

Providers that do not

have a license

waiver or

registration are

located at this site

Crisis

Residential

(Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Rehabilitation

Services)

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Contracted Mental Health Providers

Page 163 of 165

Provider STEPS (Quest Programs)

Address 3636 Camino Del Rio North Suite 150 San Diego CA

Website Phone 951-777-0333

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Sheela Masifi MD

Medical License

A154508

NPI 1124401765

Specialty Adult amp

Child Board Certified

Psychiatry

Psychotherapy

Medication

Support Crisis

Intervention

Mandarin

Spanish

Interpretation

available upon

request

Other

languages

upon request

American Hispanic Anxiety

Disorders Family of Mental

Health Client LGBT Eating

Disorders Child Abuse

Therapy HIV Sexual

Disorders

Yes

Contracted Mental Health Providers

Page 164 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Jehna Barnes ACSW

License 85638

NPI 1285256099

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group

Therapy Case

Management

Spanish

Interpretation

available upon

request

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Mental Health

Client LGBT Family of

Mental Health Client

Substance Use Clients Foster

Care TAY

Yes

Judith Diaz Nurse

Practitioner

License 95000797

NPI 1841610219

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

language upon

request

American Hispanic Mental

Health Client Family of

Mental Health Client LGBT

Substance Use Clients

Disabled Foster Care TAY

Yes

Contracted Mental Health Providers

Page 165 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Registered

Nursing

Individual

Family and

Group

Therapy Case

Management

Sign

Language

upon request

Other

languages

upon request

County-Operated Mental Health Providers

Page 3 of 165

Tagalog (Tagalog Filipino)

PAUNAWA Kung nagsasalita ka ng Tagalog maaari kang gumamit ng mga serbisyo ng

tulong sa wika nang walang bayad Tumawag sa 1-800-817-5292 (TTY 1-800-539-

8868)

한국어 (Korean)

주의 한국어를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수

있습니다 1-800-817-5292 (TTY 1-800-539-8868) 번으로 전화해 주십시오

繁體中文(Chinese)

注意如果您使用繁體中文您可以免費獲得語言援助服務請致電1-800-817-

5292 (TTY 1-800-539-8868)

Հայերեն (Armenian)

ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն ապա ձեզ անվճար կարող են

տրամադրվել լեզվական աջակցության ծառայություններ Զանգահարեք 1-800-

817-5292 (TTY 1-800-539-8868)

County-Operated Mental Health Providers

Page 4 of 165

Русский (Russian)

ВНИМАНИЕ Если вы говорите на русском языке то вам доступны бесплатные

услуги перевода Звоните 1-800-817-5292 (TTY 1-800-539-8868)

(Farsi) فارسی

اگر به زبان فارسی گفتگو می کنید تسهیلات زبانی بصورت رایگان برای شماتوجه

تماس بگیرید (TTY 1-800-539-8868) 5292-817-800-1فراهم می باشد با

日本語 (Japanese)

注意事項日本語を話される場合無料の言語支援をご利用いただけます1-

800-817-5292 (TTY 1-800-539-8868) までお電話にてご連絡ください

Hmoob (Hmong)

LUS CEEV Yog tias koj hais lus Hmoob cov kev pab txog lus muaj kev pab dawb rau

koj Hu rau 1-800-817-5292 (TTY 1-800-539-8868)

ਪਜਾਬੀ (Punjabi)

ਧਿਆਨ ਧਿਓ ਜ ਤਸ ੀ ਪਜਾਬ ਬਲਿ ਹ ਤਾੀ ਭਾਸ਼ਾ ਧ ਿਚ ਸਹਾਇਤਾ ਸ ਾ ਤਹਾਡ ਲਈ ਮਫਤ ਉਪਲਬਿ ਹ

1-800-817-5292 (TTY 1-800-539-8868) ਤ ਕਾਲ ਕਰ

County-Operated Mental Health Providers

Page 5 of 165

(Arabic) العربية

-817-800-1ملحوظة إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغویة تتوافر لك بالمجان اتصل برقم

8868-539-800-1)رقم هاتف الصم والبكم 5292

ह िदी (Hindi)

धयान द यदद आप ह िदी बोलत ह तो आपक दलए मफत म भाषा सहायता सवाए उपलबध ह 1-

800-817-5292 (TTY 1-800-539-8868) पर कॉल कर

ภาษาไทย (Thai)

เรยน ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร 1-800-817-5292

(TTY 1-800-539-8868)

ខមែរ (Cambodian)

បរយតន ររ ស ើ នជាអនកនយាយ ភាសាខមែ រ វាជនយមននកភាសា

សោយមនគត លន

គអាចមាន ោ ររ អសើ នក ច ទ ពទ1-800-817-5292 (TTY 1-800-539-8868)

ພາສາລາວ (Lao)

ໂປດຊາບ ຖາວາ ທານເວ າພາສາ ລາວ ການບລການຊວຍເຫ ອດານພາສາ

ໂດຍບເສຽຄາ ແມນມພອມໃຫທານ ໂທຣ 1-800-817-5292 (TTY 1-800-539-8868)

County-Operated Mental Health Providers

Page 6 of 165

PLEASE NOTE

ldquoServices may be delivered by an individual provider or a team of providers who is

working under the direction of a licensed practitioner operating within their scope of

practice Only Licensed waivered or registered mental health providers and licensed

substance use disorder services providers are listed on the Planrsquos provider directoryrdquo

County-Operated Mental Health Providers

Page 7 of 165

Children amp Adolescent Services ndash El Centro CA

Provider El Centro Children amp Adolescent Outpatient Services

Address 120 N Eighth Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 8 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Jacqueline Lopez

LVN Psychiatric

Technician

License 290170

NPI 1720459886

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 9 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Karina Idaly

Rodriguez

LVN Psychiatric

Technician

License 699834

NPI 1669940854

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 10 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Pauline Rocha

LVN Psychiatric

Technician

License 711433

NPI 1972112811

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Gracie Galindo Baker

ACSW

License 92097

NPI 1205475308

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 11 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Family and

Group Therapy

Other

languages

upon request

Theresa Jean Vogel

ACSW

License 79042

NPI 1467941286

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Guadalupe Garcia

AMFT

License 98719

NPI 1164661351

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 12 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Individual

Family and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Alicia Ibeth Torres

AMFT

License 93152

NPI 1114370780

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 13 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sandy Sierra ACSW

License 95649

NPI 1295338077

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Vanessa Jean Carrillo

ACSW

License 79072

NPI 1790292373

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 14 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Other

languages

upon request

Patricia Armandina

Valenzuela LMFT

License 107070

NPI 1124385307

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 15 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 16 of 165

Provider El Centro Children and Adolescent Outpatient Clinic Team 12 (Wake)

Address 651 Wake Avenue El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Meghan Jain MD

Telehealth Provider

Medical License

A138547

NPI 1942628128

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medication

Support

Spanish

Portuguese

American American

IndianAlaskan Native

AsianPacific Islander African

Yes

County-Operated Mental Health Providers

Page 17 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

and Neurology ndash

Psychiatry

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Belkys Cota

LVN Psychiatric

Technician

License 260440

NPI 1124441647

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 18 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Yeni Alcantar

LVN Psychiatric

Technician

License 703185

NPI 1134761208

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Christine Garcia

LCSW

License 81089

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 19 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1689980476

Specialty CA Board

of Behavioral

Science-Licensed

Clinical Social Worker

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Maria Guadalupe

Martinez AMFT

License 99249

NPI 1659744969

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 20 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Ana G Pesqueira

LCSW

License 89026

NPI 1891183067

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Stephanie Ramirez

LCSW

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 21 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 75194

NPI 1841544970

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Viviane Rodriguez-

Velasquez ACSW

License 95650

NPI 1417484528

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 22 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Vanessa Jean Carrillo

ACSW

License 79072

NPI 1790292373

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Stacie Lynn Otero

ACSW

License 96791

NPI 1942611587

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 23 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Family and

Group Therapy

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 24 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Services -

Assessment

and

Rehabilitation

County-Operated Mental Health Providers

Page 25 of 165

Provider El Centro Vista Sands

Address 1530 S Waterman El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 26 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Assessment and

Rehabilitation

County-Operated Mental Health Providers

Page 27 of 165

Provider Prevention and Early Intervention (PEI)

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alexander Ruiz

ACSW

License 78932

NPI 1033504337

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maria Guadalupe

Martinez AMFT

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 28 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 99249

NPI 1659744969

Specialty CA Board

of

Behavioral Science-

Associate Marriage

and Family Therapist

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Ana G Pesqueira

LCSW

License 89026

NPI 1891183067

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 29 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Jessica C Martinez-

Smith ACSW

License 77969

NPI 1619225141

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

Hispanic African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gabriel Garcia AMFT

License 84979

NPI 1841627874

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 30 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alicia Ibeth Torres

AMFT

License 93152

NPI 1114370780

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maritza Janeth

Guzman LMFT

License 112264

NPI 1144524299

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 31 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Other

languages

upon request

County-Operated Mental Health Providers

Page 32 of 165

Provider First Steps to Success

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 33 of 165

Provider Brawley Children amp Adolescent Outpatient Services

Address 195 S 9th St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Belen Davila MD

Medical License

A148569

NPI 1649619792

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Children amp Adolescent Services ndash Brawley CA

County-Operated Mental Health Providers

Page 34 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

and Neurology ndash

Psychiatry

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

Other

languages

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 35 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty Adult

Board Certified

Other

languages

upon request

Belinda Davila

LVN Psychiatric

Technician

License 198477

NPI 1720125214

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Guadalupe Belen

Paredes

LVN Psychiatric

Technician

Medication

Support

Services Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 36 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 687762

NPI 1477904084

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Pauline Rocha

LVN Psychiatric

Technician

License 711433

NPI 1972112811

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 37 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Gracie Galindo Baker

ACSW

License 92097

NPI 1205475308

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maritza Janeth

Guzman LMFT

License 112264

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 38 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1144524299

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Theresa Jean Vogel

ACSW

License 79042

NPI 1467941286

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Jessica C Martinez-

Smith ACSW

Crisis

Intervention

Spanish

Hispanic African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 39 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 77969

NPI 1619225141

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Health Client Family of Mental

Health Client Disabled

Sandy Sierra ACSW

License 95649

NPI 1295338077

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

Hispanic African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 40 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Stacie Lynn Otero

ACSW

License 96791

NPI 1942611587

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Patricia Armandina

Valenzuela LMFT

License 107070

NPI 1124385307

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 41 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 42 of 165

Provider Brawley Vista Sands

Address 1401 B St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childvista

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 43 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 44 of 165

Provider Calexico Family Resource Center (FRC)

Address 101 Hacienda Dr Suite C Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Children amp Adolescent Services ndash Calexico CA

County-Operated Mental Health Providers

Page 45 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sanjoy Sathpathy MD

Telehealth Provider

Medical License

A80195

NPI 1043348428

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskaAmerican

African American Senior

Lesbian Gay Transgender and

Bisexual (LGTB) Mental

Health Client Mental Health

Client Relatives and Disabled

No

Brenda Alanis

LVN Psychiatric

Technician

License 284664

NPI 1205229366

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 46 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Karina Idaly

Rodriguez

LVN Psychiatric

Technician

License 699834

NPI 1669940854

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Yadira Gutierrez

LVN Psychiatric

Technician

License 687763

Medication

Support

Services Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 47 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1376994327

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Alexander Ruiz

ACSW

License 78932

NPI 1033504337

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 48 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Stephanie Ramirez

LCSW

License 75194

NPI 1841544970

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Gabriel Garcia

AMFT

License 84979

NPI 1841627874

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 49 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Other

languages

upon request

Guadalupe Garcia

AMFT

License 98719

NPI 1164661351

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Viviane Rodriguez-

Velasquez ACSW

License 95650

NPI 1417484528

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 50 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Individual

Family and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 51 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Assessment and

Rehabilitation

County-Operated Mental Health Providers

Page 52 of 165

Provider Calexico Vista Sands

Address 2300 Rockwood Ave Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childvista

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 53 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 54 of 165

Provider Youth and Young Adult (YAYA) El Centro Anxiety amp Depression Clinic

Address 1295 State St Suite 205 El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Youth and Young Adult Services ndash El Centro CA

County-Operated Mental Health Providers

Page 55 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Jenny Yi MD

Telehealth Provider

Medical License

A147197

NPI 1003133018

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

No

Jourdan Martinez

LVN Psychiatric

Technician

License 238442

NPI 1013460948

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services and

Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 56 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Saray Licea

LVN Psychiatric

Technician

License 706384

NPI 1275177636

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services and

Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled Older Adults

Yes

Jonathan Rosas

AMFT

License 113261

NPI 1962755124

Crisis

Intervention

Mental Health

Services -

Assessment and

Spanish

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Mental

Health Client Family of Mental

Health Client

Yes

County-Operated Mental Health Providers

Page 57 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Individual

Family and

Group Therapy

Other

languages

upon request

Olivia Solis AMFT

License 108347

NPI 1992249684

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients

Yes

Edgar Rios ACSW

License 94090

NPI 1801403720

Crisis

Intervention

Mental Health

Services -

Spanish

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

No

County-Operated Mental Health Providers

Page 58 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Assessment and

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients Persons with

Disability

Maria Arredondo

AMFT

License 99538

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 59 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Andrea Platero APCC

License 7355

NPI 1093068678

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Carolina Rivas AMFT

License 115618

NPI 1992306765

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Substance

Use Disorder Clients Family of

Substance Use Disorder Clients

No

County-Operated Mental Health Providers

Page 60 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Samantha Merlin

AMFT

License 108791

NPI 1154894145

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 61 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 62 of 165

Provider Youth and Young Adult (YAYA) El Centro Family Resource Center (FRC)

Address 1014 W Brighton Ave El Centro CA 92243

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Andrea Platero APCC

License 7355

NPI 1093068678

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Maria Arredondo

AMFT

License 99538

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 63 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Jonathan Rosas

AMFT

License 113261

NPI 1962755124

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Mental

Health Client Family of Mental

Health Client

Yes

County-Operated Mental Health Providers

Page 64 of 165

Provider Youth and Young Adult (YAYA) El Centro Full Service Partnership (FSP)

Address 1295 State St Suite 102 El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Jenny Yi MD

Telehealth Provider

Medical License

A147197

Medication

Support

Services and

Sign

Language

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 65 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1003133018

Specialty Adult Board

Certified

Crisis

Intervention

Other

languages

upon request

Morteza Rahmani MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

No

County-Operated Mental Health Providers

Page 66 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty Adult amp

Child Board Certified

Other

languages

upon request

Family of Mental Health Client

Disabled

Julius Castillo

LVN Psychiatric

Technician

License 698774

NPI 1568012128

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians ndash

Licensed Vocational

Nurse

Medication

Support

Services and

Crisis

Intervention

Spanish

Tagalog

Sign

Language

upon request

Other

languages

upon request

Older Adults Mental Health

Client AsianPacific Islander

LGBT Family of Mental Health

Client African American

Substance Use Disorder Client

Hispanic Family of Substance

Use Disorder Client Disabled

Yes

Andrea Platero APCC

License 7355

NPI 1093068678

Crisis

Intervention

Mental Health

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 67 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Services -

Assessment

and Individual

Family and

Group Therapy

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Maria Arredondo

AMFT

License 99538

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Other Qualified

Providers that do not

Crisis

Intervention

Spanish

American Hispanic

AsianPacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 68 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

have a license waiver

or registration are

located at this site

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

County-Operated Mental Health Providers

Page 69 of 165

Provider Adolescent Habilitative Learning Program (AHLP)

Address 2001 Ocotillo Dr El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaahlp

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 70 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 71 of 165

Provider Youth and Young Adult (YAYA) Brawley Anxiety amp Depression Clinic

Address 1535 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Youth and Young Adult Services ndash Brawley CA

County-Operated Mental Health Providers

Page 72 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Atih Amanda Seif

MD

Telehealth Provider

Medical License

C133728

NPI 1821332099

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 73 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

and Neurology ndash

Psychiatry

Other

languages

upon request

Javier Ramirez

LVN Psychiatric

Technician

License 688109

NPI 1205287257

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Rosalba Caballero

LVN Psychiatric

Technician

License 685181

Medication

Support

Services Crisis

Intervention

Spanish

American American

IndianAlaskan Native Asian

Pacific Islander Hispanic

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 74 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1255951414

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Substance Use Disorder

Disabled Family Members of

Substance Use Disorder

Jonathan Fonseca

ACSW

License 77982

NPI 1417382185

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

Kimberly Braga

AMFT

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 75 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 105478

NPI 1518444348

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Johanna Pinedo

AMFT

License 89001

NPI 1437514163

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 76 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Silvestre Mancera

LMFT

License 115212

NPI 1144519158

Specialty CA Board

of Behavioral

Science- Licensed

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Mental

Health Client Family of Mental

Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 77 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 78 of 165

Provider Youth and Young Adult (YAYA) Brawley Family Resource Center (FRC)

Address 480 N Imperial Ave Room 95 Brawley CA 92227

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Johanna Pinedo

AMFT

License 89001

NPI 1437514163

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 79 of 165

Provider Youth and Young Adult (YAYA) Brawley Full Service Partnership (FSP)

Address 1535 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 80 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Atih Amanda Seif

MD

Telehealth Provider

Medical License

C133728

NPI 1821332099

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 81 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

and Neurology ndash

Psychiatry

Other

languages

upon request

Javier Ramirez

LVN Psychiatric

Technician

License 688109

NPI 1205287257

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Jonathan Fonseca

ACSW

License 77982

NPI 1417382185

Crisis

Intervention

Mental Health

Services ndash

Spanish

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 82 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Kimberly Braga

AMFT

License 105478

NPI 1518444348

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 83 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Silvestre Mancera

LMFT

License 115212

NPI 1144519158

Specialty CA Board

of Behavioral

Science- Licensed

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Mental

Health Client Family of Mental

Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 84 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 85 of 165

Provider Youth and Young Adult (YAYA) Calexico Anxiety amp Depression Clinic

Address 101 Hacienda Suite A Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Youth amp Young Adult Services ndash Calexico CA

County-Operated Mental Health Providers

Page 86 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Brenda Solis Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 87 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

LVN Psychiatric

Technician

License 683844

NPI 1497256234

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Stephanie Vela

LVN Psychiatric

Technician

License 709705

NPI 1538784731

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 88 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Francisca Gomez

ACSW

License 64201

NPI 1184976763

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Roxanna Palacios

AMFT

License 92497

NPI 1356766711

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Spanish

Sign

Language

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 89 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Family and

Group Therapy

Other

languages

upon request

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 90 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

County-Operated Mental Health Providers

Page 91 of 165

Provider Youth and Young Adult (YAYA) Calexico Full Service Partnership (FSP)

Address 101 Hacienda Suite A Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Aditi Parashar MD

Medical License

A139276

Medication

Support

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 92 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1932487006

Specialty Adult amp

Child Board Certified

Services Crisis

Intervention

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Brenda Solis

LVN Psychiatric

Technician

License 683844

NPI 1497256234

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 93 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Stephanie Vela

LVN Psychiatric

Technician

License 709705

NPI 1538784731

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 94 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Francisca Gomez

ACSW

License 64201

NPI 1184976763

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Roxanna Palacios

AMFT

License 92497

NPI 1356766711

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 95 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 96 of 165

Provider Adult El Centro Anxiety amp Depression Clinic

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-7300 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Steven Dilsaver MD

Medical License

G87120

NPI 1154463941

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Belen Davila MD Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

Adult Services ndash El Centro CA

County-Operated Mental Health Providers

Page 97 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

A148569

NPI 1649619792

Specialty Adult

Board Certified

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Manjusha Kurada

MD

Medical License

A132203

NPI 1154671980

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medication

Support

Sign

Language

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

No

County-Operated Mental Health Providers

Page 98 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Services Crisis

Intervention

Other

languages

upon request

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental Health

Clients Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Rosa Irene Macias

LVN Psychiatric

Technician

License 278288

NPI 1205229267

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic LGBT

Mental Health Client Family of

Mental Health Client

Yes

County-Operated Mental Health Providers

Page 99 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Stephanie Uribe

LVN Psychiatric

Technician

License 706256

NPI 1922646314

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan Native

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance

Yes

Bianca Nelson

LCSW

License 97607

NPI 1073743712

Specialty CA Board

of Behavioral

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 100 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Science-Licensed

Clinical Social

Worker

Individual and

Group Therapy

Mariana Magana

ACSW

License 83643

NPI 1710409941

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Monica Adame

LMFT

License 121949

NPI 1619373933

Crisis

Intervention

and Mental

Health Services

- Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 101 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Rehabilitation

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Diane Estrada LMFT

License 117206

NPI 1801933999

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Suset Ruiz AMFT

License 117566

NPI 1962970053

Crisis

Intervention

and Mental

Health Services

Spanish

American

AmericanIndianAlaskan Native

BlackAfrican American

HispanicLatino Older Adult

Yes

County-Operated Mental Health Providers

Page 102 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Persons with

Disability

Cristina Lopez-

Penalber AMFT

License 118414

NPI 1770085789

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

HispanicLatino Older Adults

LGBT White Mental Health

Clients Family Members of

Mental Health Cleints Substance

Use Disorder Clients Family

Member of Substance Use

Disorder Persons with Disability

Yes

County-Operated Mental Health Providers

Page 103 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license

waiver or registration

are located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 104 of 165

Provider Adult El Centro Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 2695 S 4th St El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Bushra Ahmad MD

Medical License

A73057

NPI 1043356850

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Steven Dilsaver MD

Medical License

G87120

Medication

Support

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 105 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1154463941

Specialty Adult Board

Certified

Services Crisis

Intervention

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

McConnell Gwenyth

MD

Medical License

G162612

NPI 1700959673

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American IndianAlaskan

Native AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ-Youth LGBTQ-

No

County-Operated Mental Health Providers

Page 106 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty Adult Board

Certified

Other

languages

upon request

Adults White Mental Health

Clients Family Members of

Mental Health Clients

Substance Use Disorder Clients

Family Members of Substance

Use Disorder Clients Disabled

Rosa Acosta

LVN Psychiatric

Technician

License 216237

NPI 1306269097

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander African

American Older Adults

LGBTQ Adults LGBTQ Youth

White Mental Health Clients

Family Members of Mental

Health Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Disabled

Yes

County-Operated Mental Health Providers

Page 107 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Roxanne Zamora

LVN Psychiatric

Technician

License 255636

NPI 1669865622

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult Mental Health Client

Family of Mental Health Client

Disabled

Yes

Sara Granillo

LVN Psychiatric

Technician

License 240568

NPI 1609223288

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 108 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Viviana Trejo AMFT

License 114745

NPI 1932458726

Specialty CA Board

of Behavorial Science

ndash Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Rehabilitation

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client

Yes

Jennifer Delgadillo

AMFT

License 108420

NPI 1194188938

Crisis

Intervention

and Mental

Health Services

Spanish

American Hispanic African

American Older Adults LGBT

Mental Health Clients Family

of Mental Health Clients

Yes

County-Operated Mental Health Providers

Page 109 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavorial Science

ndash Associate Marriage

and Family Therapist

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Substance Use Disorder Clients

Family Members of Substance

Use Disorder Clients

Tania Duenas AMFT

License 118303

NPI 1710482799

Specialty CA Board

of Behavioral Science

ndash Associate Marriage

and Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Disabled

Yes

County-Operated Mental Health Providers

Page 110 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 111 of 165

Provider Adult El Centro Wellness Center

Address 2695 S 4th St Suite D El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Supportive

services for

clients in

recovery from

mental illness

including

support groups

wellness

recovery

assessment

plans

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 112 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

independent

living skills

training

interpersonal

skills training

pre-

employment

training

educational and

vocational

supportive

services health

and nutrition

activities and

social

engagement

activities

County-Operated Mental Health Providers

Page 113 of 165

Provider Adult Brawley Anxiety amp Depression Clinic

Address 220 Main St 2nd Floor Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

Yes

Adult Services ndash Brawley CA

County-Operated Mental Health Providers

Page 114 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Gregory Jeffers MD

Telehealth Provider

Medical License

A037601

NPI 1477579472

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

No

Astrid Castro

LVN Psychiatric

Technician

License 706727

NPI 1164042420

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBTQ-Youth

LGBTQ-Adults White Mental

Health Clients Family Members

of Mental Health Clients

Substance Use Disorder Clients

Family Members of Substance

Yes

County-Operated Mental Health Providers

Page 115 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Use Disorder Clients Persons

with Disability

Andrea Herrera

LVN II Psychiatric

Technician

License 688752

NPI 1740839455

Specialty Board of

Vocational Nursing

and Psychiatric

Technicians

Medication

Support Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Older Adults Yes

Elizabeth Castaneda

ACSW

License 75314

NPI 1366749244

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client

Yes

County-Operated Mental Health Providers

Page 116 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Nestor Urbano AMFT

License 92043

NPI 1851785075

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client

Yes

Raquel Bermejo

ACSW

License 96400

NPI 1326410796

Crisis

Intervention

and Mental

Health Services

- Assessment

Spanish

Sign

Language

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBT White

Mental Health Clients Family

Yes

County-Operated Mental Health Providers

Page 117 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Rehabilitation

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Members of Mental Health

Clients Family Members of

Substance Use Disorder Clients

Persons with Disability

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 118 of 165

Provider Adult Brawley Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 229 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-5110 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

Yes

Belen Davila MD

Medical License

A148569

Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 119 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1649619792

Specialty Adult Board

Certified

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Esmeralda Herrera

LVN Psychiatric

Technician

License 243677

NPI 1124441811

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Yes

County-Operated Mental Health Providers

Page 120 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alvarado Daphne

LVN Psychiatric

Technician

Medical License

706723

NPI1407471980

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

Yes

Monica Pinto AMFT

License 118241

NPI 1619492998

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Substance Use

Yes

County-Operated Mental Health Providers

Page 121 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Individual and

Group Therapy

Other

languages

upon request

Disorder Clients Family

Members of Substance Use

Disorder Clients Disabled

Sergio Hernandez

AMFT

License 120548

NPI 1386247161

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American American

IndianAlaskan Native

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBT Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Persons with

Disability

Yes

County-Operated Mental Health Providers

Page 122 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 123 of 165

Provider Adult Brawley Wellness Center

Address 205 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Supportive

services for

clients in

recovery from

mental illness

including

support groups

wellness

recovery

assessment

plans

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 124 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

independent

living skills

training

interpersonal

skills training

pre-

employment

training

educational and

vocational

supportive

services health

and nutrition

activities and

social

engagement

activities

County-Operated Mental Health Providers

Page 125 of 165

Provider Adult Calexico Anxiety amp Depression Clinic

Address 1501 W Imperial Avenue Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-1525or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Adult Services ndash Calexico CA

County-Operated Mental Health Providers

Page 126 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

No

Luz Aispuro Gonzalez

LVN Psychiatric

Technician

License 690265

NPI 1992324396

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBTQ-Youth

LGBTQ-Adults White Mental

Health Clients Family Members

of Mental Health Clients

Substance Use Disorder Clients

Yes

County-Operated Mental Health Providers

Page 127 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Family Members of Substance

Use Disorder Clients Disabled

Norma Munoz-

Sedano AMFT

License 116614

NPI 1578126405

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult

LGBTQ Mental Health Client

Family of Mental Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 128 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

- Rehabilitation

Services

Other

languages

upon request

Health Client Family of Mental

Health Client Disabled

County-Operated Mental Health Providers

Page 129 of 165

Provider Adult Calexico Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 1501 W Imperial Avenue Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone 442-265-6340 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Luz Aispuro Gonzalez

LVN Psychiatric

Technician

Medication

Support

Spanish

American IndianAlaskan

Native BlackAfrican American

HispanicLatino Older Adults

Yes

County-Operated Mental Health Providers

Page 130 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 690265

NPI 1992324396

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

LGBTQ-Youth LGBTQ-Adults

White Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Disabled

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

No

County-Operated Mental Health Providers

Page 131 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Janie Lam-Echeverria

LCSW

License 26570

NPI 1215070008

Specialty CA Board

of Behavioral

Science-Licensed

Clinical Social Worker

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 132 of 165

Provider San Pasqual Family Resource Center (FRC)

Address 676 Baseline Rd Winterhaven CA 92283

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Population Served Children amp Adolescents

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

Mental Health Services - Winterhaven CA

County-Operated Mental Health Providers

Page 133 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Guadalupe Belen

Paredes

LVN Psychiatric

Technician

License 687762

NPI 1477904084

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

Christine Garcia

LCSW

License 81089

NPI

1689980476

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 134 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Other

languages

upon request

Health Client Family of

Mental Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 135 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

Population Served Adults amp Older Adults

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental

Health Client Disabled

Yes

Diane Estrada LMFT

License 117206

NPI 1801933999

Specialty CA Board of

Behavioral Science-

Licensed Marriage and

Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Spanish

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 136 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Individual and

Group Therapy

Other

languages

upon request

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 137 of 165

Provider Transitional Engagement Supportive Services (TESS)

Address 1699 W Main Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=criassess

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health Services

- Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

Transitional Engagement Supportive Services (TESS)

County-Operated Mental Health Providers

Page 138 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin Richter

MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

County-Operated Mental Health Providers

Page 139 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 140 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Vocational Nursing and

Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical Social

Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

NPI 1881942407

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 141 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical Social

Worker

Services ndash

Assessment and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Janelle Montes Medication

Support

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 142 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board of

Vocational Nursing and

Psychiatric Technicians

Licensed Vocational

Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 143 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other

languages

upon request

County-Operated Mental Health Providers

Page 144 of 165

Provider Community Engagement Supportive Services (CESS)

Address 1699 W Main Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=criassess

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health

Services -

Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Community Engagement Supportive Services (CESS)

County-Operated Mental Health Providers

Page 145 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin

Richter MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 146 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 147 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

NPI 1881942407

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 148 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Janelle Montes Medication

Support

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 149 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 150 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 151 of 165

Provider Mental Health Triage Unit

Address 202 N 8th St El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=cricri

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health

Services -

Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Mental Health Triage Unit and Engagement Services

County-Operated Mental Health Providers

Page 152 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin Richter

MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 153 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License 709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 154 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Cynthia Ferreiro-

Avendano LMFT

License 102531

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 155 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1528528452

Specialty CA Board of

Behavioral Science-

Licensed Marriage and

Family Therapist

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

Crisis

Intervention

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 156 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1881942407

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Mental Health

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Janelle Montes

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 157 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Contracted Mental Health Providers

Page 158 of 165

Provider CHARLEE Family Care ndash El Centro

Address 495 E Orange Ave El Centro CA 92243

Website wwwcharleecfccom

Phone (760) 353-6151

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license

waiver or

registration are

located at this site

Therapeutic

Behavioral

Health

Services (TBS)

Interpretation

available upon

request

American Hispanic Mental

Health Client Family of

Mental Health Client

Yes

Contracted Mental Health Providers

Contracted Mental Health Providers

Page 159 of 165

Provider WomanHaven a Center for Family Solutions

Address 510 Main St Suite 104 amp 106 El Centro CA 92243

Website wwwwomanhavenorg

Phone (760)353-6922

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Stephen LeMasters

ACSW

License 70261

NPI 1902440605

Specialty CA Board

of Behavioral Science

ndash Associate Clinical

Social Worker

Crisis

Intervention

Targeted Case

Management

Mental Health

Services

Assessment

and Individual

Therapy

Interpretation

available upon

request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Guadalupe Gonzalez

AMFT

Crisis

Intervention

Spanish American Hispanic

AsianPacific Islander

Yes

Contracted Mental Health Providers

Page 160 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License

121162

NPI

1134730344

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Targeted Case

Management

Mental Health

Services

Assessment

Individual

Therapy

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Mental Health

Services

Assessment

Collateral and

Rehabilitation

Spanish American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Contracted Mental Health Providers

Page 161 of 165

Provider Jackson House

Address 2364 S 2nd St El Centro CA 92243

Website wwwjacksonhousecarescom

Phone (760)332-3303

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Cesar Benitez MD

Medical License

A107600

NPI 1275738098

Specialty Adult

Board Certified

Crisis

Residential

(Medication

Support

Services Crisis

Intervention)

Spanish

Interpretation

available upon

request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Robert Bradley

Sanders MD

Medical License

20A5544

Crisis

Residential

(Medication

Support

Interpretation

available upon

request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

Contracted Mental Health Providers

Page 162 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1144264300

Specialty Adult

Board Certified

Services Crisis

Intervention)

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Other Qualified

Providers that do not

have a license

waiver or

registration are

located at this site

Crisis

Residential

(Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Rehabilitation

Services)

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Contracted Mental Health Providers

Page 163 of 165

Provider STEPS (Quest Programs)

Address 3636 Camino Del Rio North Suite 150 San Diego CA

Website Phone 951-777-0333

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Sheela Masifi MD

Medical License

A154508

NPI 1124401765

Specialty Adult amp

Child Board Certified

Psychiatry

Psychotherapy

Medication

Support Crisis

Intervention

Mandarin

Spanish

Interpretation

available upon

request

Other

languages

upon request

American Hispanic Anxiety

Disorders Family of Mental

Health Client LGBT Eating

Disorders Child Abuse

Therapy HIV Sexual

Disorders

Yes

Contracted Mental Health Providers

Page 164 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Jehna Barnes ACSW

License 85638

NPI 1285256099

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group

Therapy Case

Management

Spanish

Interpretation

available upon

request

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Mental Health

Client LGBT Family of

Mental Health Client

Substance Use Clients Foster

Care TAY

Yes

Judith Diaz Nurse

Practitioner

License 95000797

NPI 1841610219

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

language upon

request

American Hispanic Mental

Health Client Family of

Mental Health Client LGBT

Substance Use Clients

Disabled Foster Care TAY

Yes

Contracted Mental Health Providers

Page 165 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Registered

Nursing

Individual

Family and

Group

Therapy Case

Management

Sign

Language

upon request

Other

languages

upon request

County-Operated Mental Health Providers

Page 4 of 165

Русский (Russian)

ВНИМАНИЕ Если вы говорите на русском языке то вам доступны бесплатные

услуги перевода Звоните 1-800-817-5292 (TTY 1-800-539-8868)

(Farsi) فارسی

اگر به زبان فارسی گفتگو می کنید تسهیلات زبانی بصورت رایگان برای شماتوجه

تماس بگیرید (TTY 1-800-539-8868) 5292-817-800-1فراهم می باشد با

日本語 (Japanese)

注意事項日本語を話される場合無料の言語支援をご利用いただけます1-

800-817-5292 (TTY 1-800-539-8868) までお電話にてご連絡ください

Hmoob (Hmong)

LUS CEEV Yog tias koj hais lus Hmoob cov kev pab txog lus muaj kev pab dawb rau

koj Hu rau 1-800-817-5292 (TTY 1-800-539-8868)

ਪਜਾਬੀ (Punjabi)

ਧਿਆਨ ਧਿਓ ਜ ਤਸ ੀ ਪਜਾਬ ਬਲਿ ਹ ਤਾੀ ਭਾਸ਼ਾ ਧ ਿਚ ਸਹਾਇਤਾ ਸ ਾ ਤਹਾਡ ਲਈ ਮਫਤ ਉਪਲਬਿ ਹ

1-800-817-5292 (TTY 1-800-539-8868) ਤ ਕਾਲ ਕਰ

County-Operated Mental Health Providers

Page 5 of 165

(Arabic) العربية

-817-800-1ملحوظة إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغویة تتوافر لك بالمجان اتصل برقم

8868-539-800-1)رقم هاتف الصم والبكم 5292

ह िदी (Hindi)

धयान द यदद आप ह िदी बोलत ह तो आपक दलए मफत म भाषा सहायता सवाए उपलबध ह 1-

800-817-5292 (TTY 1-800-539-8868) पर कॉल कर

ภาษาไทย (Thai)

เรยน ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร 1-800-817-5292

(TTY 1-800-539-8868)

ខមែរ (Cambodian)

បរយតន ររ ស ើ នជាអនកនយាយ ភាសាខមែ រ វាជនយមននកភាសា

សោយមនគត លន

គអាចមាន ោ ររ អសើ នក ច ទ ពទ1-800-817-5292 (TTY 1-800-539-8868)

ພາສາລາວ (Lao)

ໂປດຊາບ ຖາວາ ທານເວ າພາສາ ລາວ ການບລການຊວຍເຫ ອດານພາສາ

ໂດຍບເສຽຄາ ແມນມພອມໃຫທານ ໂທຣ 1-800-817-5292 (TTY 1-800-539-8868)

County-Operated Mental Health Providers

Page 6 of 165

PLEASE NOTE

ldquoServices may be delivered by an individual provider or a team of providers who is

working under the direction of a licensed practitioner operating within their scope of

practice Only Licensed waivered or registered mental health providers and licensed

substance use disorder services providers are listed on the Planrsquos provider directoryrdquo

County-Operated Mental Health Providers

Page 7 of 165

Children amp Adolescent Services ndash El Centro CA

Provider El Centro Children amp Adolescent Outpatient Services

Address 120 N Eighth Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 8 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Jacqueline Lopez

LVN Psychiatric

Technician

License 290170

NPI 1720459886

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 9 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Karina Idaly

Rodriguez

LVN Psychiatric

Technician

License 699834

NPI 1669940854

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 10 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Pauline Rocha

LVN Psychiatric

Technician

License 711433

NPI 1972112811

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Gracie Galindo Baker

ACSW

License 92097

NPI 1205475308

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 11 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Family and

Group Therapy

Other

languages

upon request

Theresa Jean Vogel

ACSW

License 79042

NPI 1467941286

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Guadalupe Garcia

AMFT

License 98719

NPI 1164661351

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 12 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Individual

Family and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Alicia Ibeth Torres

AMFT

License 93152

NPI 1114370780

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 13 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sandy Sierra ACSW

License 95649

NPI 1295338077

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Vanessa Jean Carrillo

ACSW

License 79072

NPI 1790292373

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 14 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Other

languages

upon request

Patricia Armandina

Valenzuela LMFT

License 107070

NPI 1124385307

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 15 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 16 of 165

Provider El Centro Children and Adolescent Outpatient Clinic Team 12 (Wake)

Address 651 Wake Avenue El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Meghan Jain MD

Telehealth Provider

Medical License

A138547

NPI 1942628128

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medication

Support

Spanish

Portuguese

American American

IndianAlaskan Native

AsianPacific Islander African

Yes

County-Operated Mental Health Providers

Page 17 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

and Neurology ndash

Psychiatry

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Belkys Cota

LVN Psychiatric

Technician

License 260440

NPI 1124441647

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 18 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Yeni Alcantar

LVN Psychiatric

Technician

License 703185

NPI 1134761208

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Christine Garcia

LCSW

License 81089

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 19 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1689980476

Specialty CA Board

of Behavioral

Science-Licensed

Clinical Social Worker

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Maria Guadalupe

Martinez AMFT

License 99249

NPI 1659744969

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 20 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Ana G Pesqueira

LCSW

License 89026

NPI 1891183067

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Stephanie Ramirez

LCSW

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 21 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 75194

NPI 1841544970

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Viviane Rodriguez-

Velasquez ACSW

License 95650

NPI 1417484528

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 22 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Vanessa Jean Carrillo

ACSW

License 79072

NPI 1790292373

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Stacie Lynn Otero

ACSW

License 96791

NPI 1942611587

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 23 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Family and

Group Therapy

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 24 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Services -

Assessment

and

Rehabilitation

County-Operated Mental Health Providers

Page 25 of 165

Provider El Centro Vista Sands

Address 1530 S Waterman El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 26 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Assessment and

Rehabilitation

County-Operated Mental Health Providers

Page 27 of 165

Provider Prevention and Early Intervention (PEI)

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alexander Ruiz

ACSW

License 78932

NPI 1033504337

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maria Guadalupe

Martinez AMFT

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 28 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 99249

NPI 1659744969

Specialty CA Board

of

Behavioral Science-

Associate Marriage

and Family Therapist

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Ana G Pesqueira

LCSW

License 89026

NPI 1891183067

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 29 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Jessica C Martinez-

Smith ACSW

License 77969

NPI 1619225141

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

Hispanic African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gabriel Garcia AMFT

License 84979

NPI 1841627874

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 30 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alicia Ibeth Torres

AMFT

License 93152

NPI 1114370780

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maritza Janeth

Guzman LMFT

License 112264

NPI 1144524299

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 31 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Other

languages

upon request

County-Operated Mental Health Providers

Page 32 of 165

Provider First Steps to Success

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 33 of 165

Provider Brawley Children amp Adolescent Outpatient Services

Address 195 S 9th St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Belen Davila MD

Medical License

A148569

NPI 1649619792

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Children amp Adolescent Services ndash Brawley CA

County-Operated Mental Health Providers

Page 34 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

and Neurology ndash

Psychiatry

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

Other

languages

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 35 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty Adult

Board Certified

Other

languages

upon request

Belinda Davila

LVN Psychiatric

Technician

License 198477

NPI 1720125214

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Guadalupe Belen

Paredes

LVN Psychiatric

Technician

Medication

Support

Services Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 36 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 687762

NPI 1477904084

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Pauline Rocha

LVN Psychiatric

Technician

License 711433

NPI 1972112811

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 37 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Gracie Galindo Baker

ACSW

License 92097

NPI 1205475308

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maritza Janeth

Guzman LMFT

License 112264

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 38 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1144524299

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Theresa Jean Vogel

ACSW

License 79042

NPI 1467941286

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Jessica C Martinez-

Smith ACSW

Crisis

Intervention

Spanish

Hispanic African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 39 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 77969

NPI 1619225141

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Health Client Family of Mental

Health Client Disabled

Sandy Sierra ACSW

License 95649

NPI 1295338077

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

Hispanic African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 40 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Stacie Lynn Otero

ACSW

License 96791

NPI 1942611587

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Patricia Armandina

Valenzuela LMFT

License 107070

NPI 1124385307

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 41 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 42 of 165

Provider Brawley Vista Sands

Address 1401 B St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childvista

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 43 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 44 of 165

Provider Calexico Family Resource Center (FRC)

Address 101 Hacienda Dr Suite C Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Children amp Adolescent Services ndash Calexico CA

County-Operated Mental Health Providers

Page 45 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sanjoy Sathpathy MD

Telehealth Provider

Medical License

A80195

NPI 1043348428

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskaAmerican

African American Senior

Lesbian Gay Transgender and

Bisexual (LGTB) Mental

Health Client Mental Health

Client Relatives and Disabled

No

Brenda Alanis

LVN Psychiatric

Technician

License 284664

NPI 1205229366

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 46 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Karina Idaly

Rodriguez

LVN Psychiatric

Technician

License 699834

NPI 1669940854

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Yadira Gutierrez

LVN Psychiatric

Technician

License 687763

Medication

Support

Services Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 47 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1376994327

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Alexander Ruiz

ACSW

License 78932

NPI 1033504337

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 48 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Stephanie Ramirez

LCSW

License 75194

NPI 1841544970

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Gabriel Garcia

AMFT

License 84979

NPI 1841627874

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 49 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Other

languages

upon request

Guadalupe Garcia

AMFT

License 98719

NPI 1164661351

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Viviane Rodriguez-

Velasquez ACSW

License 95650

NPI 1417484528

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 50 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Individual

Family and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 51 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Assessment and

Rehabilitation

County-Operated Mental Health Providers

Page 52 of 165

Provider Calexico Vista Sands

Address 2300 Rockwood Ave Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childvista

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 53 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 54 of 165

Provider Youth and Young Adult (YAYA) El Centro Anxiety amp Depression Clinic

Address 1295 State St Suite 205 El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Youth and Young Adult Services ndash El Centro CA

County-Operated Mental Health Providers

Page 55 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Jenny Yi MD

Telehealth Provider

Medical License

A147197

NPI 1003133018

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

No

Jourdan Martinez

LVN Psychiatric

Technician

License 238442

NPI 1013460948

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services and

Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 56 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Saray Licea

LVN Psychiatric

Technician

License 706384

NPI 1275177636

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services and

Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled Older Adults

Yes

Jonathan Rosas

AMFT

License 113261

NPI 1962755124

Crisis

Intervention

Mental Health

Services -

Assessment and

Spanish

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Mental

Health Client Family of Mental

Health Client

Yes

County-Operated Mental Health Providers

Page 57 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Individual

Family and

Group Therapy

Other

languages

upon request

Olivia Solis AMFT

License 108347

NPI 1992249684

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients

Yes

Edgar Rios ACSW

License 94090

NPI 1801403720

Crisis

Intervention

Mental Health

Services -

Spanish

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

No

County-Operated Mental Health Providers

Page 58 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Assessment and

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients Persons with

Disability

Maria Arredondo

AMFT

License 99538

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 59 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Andrea Platero APCC

License 7355

NPI 1093068678

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Carolina Rivas AMFT

License 115618

NPI 1992306765

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Substance

Use Disorder Clients Family of

Substance Use Disorder Clients

No

County-Operated Mental Health Providers

Page 60 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Samantha Merlin

AMFT

License 108791

NPI 1154894145

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 61 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 62 of 165

Provider Youth and Young Adult (YAYA) El Centro Family Resource Center (FRC)

Address 1014 W Brighton Ave El Centro CA 92243

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Andrea Platero APCC

License 7355

NPI 1093068678

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Maria Arredondo

AMFT

License 99538

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 63 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Jonathan Rosas

AMFT

License 113261

NPI 1962755124

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Mental

Health Client Family of Mental

Health Client

Yes

County-Operated Mental Health Providers

Page 64 of 165

Provider Youth and Young Adult (YAYA) El Centro Full Service Partnership (FSP)

Address 1295 State St Suite 102 El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Jenny Yi MD

Telehealth Provider

Medical License

A147197

Medication

Support

Services and

Sign

Language

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 65 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1003133018

Specialty Adult Board

Certified

Crisis

Intervention

Other

languages

upon request

Morteza Rahmani MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

No

County-Operated Mental Health Providers

Page 66 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty Adult amp

Child Board Certified

Other

languages

upon request

Family of Mental Health Client

Disabled

Julius Castillo

LVN Psychiatric

Technician

License 698774

NPI 1568012128

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians ndash

Licensed Vocational

Nurse

Medication

Support

Services and

Crisis

Intervention

Spanish

Tagalog

Sign

Language

upon request

Other

languages

upon request

Older Adults Mental Health

Client AsianPacific Islander

LGBT Family of Mental Health

Client African American

Substance Use Disorder Client

Hispanic Family of Substance

Use Disorder Client Disabled

Yes

Andrea Platero APCC

License 7355

NPI 1093068678

Crisis

Intervention

Mental Health

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 67 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Services -

Assessment

and Individual

Family and

Group Therapy

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Maria Arredondo

AMFT

License 99538

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Other Qualified

Providers that do not

Crisis

Intervention

Spanish

American Hispanic

AsianPacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 68 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

have a license waiver

or registration are

located at this site

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

County-Operated Mental Health Providers

Page 69 of 165

Provider Adolescent Habilitative Learning Program (AHLP)

Address 2001 Ocotillo Dr El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaahlp

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 70 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 71 of 165

Provider Youth and Young Adult (YAYA) Brawley Anxiety amp Depression Clinic

Address 1535 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Youth and Young Adult Services ndash Brawley CA

County-Operated Mental Health Providers

Page 72 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Atih Amanda Seif

MD

Telehealth Provider

Medical License

C133728

NPI 1821332099

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 73 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

and Neurology ndash

Psychiatry

Other

languages

upon request

Javier Ramirez

LVN Psychiatric

Technician

License 688109

NPI 1205287257

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Rosalba Caballero

LVN Psychiatric

Technician

License 685181

Medication

Support

Services Crisis

Intervention

Spanish

American American

IndianAlaskan Native Asian

Pacific Islander Hispanic

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 74 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1255951414

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Substance Use Disorder

Disabled Family Members of

Substance Use Disorder

Jonathan Fonseca

ACSW

License 77982

NPI 1417382185

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

Kimberly Braga

AMFT

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 75 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 105478

NPI 1518444348

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Johanna Pinedo

AMFT

License 89001

NPI 1437514163

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 76 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Silvestre Mancera

LMFT

License 115212

NPI 1144519158

Specialty CA Board

of Behavioral

Science- Licensed

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Mental

Health Client Family of Mental

Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 77 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 78 of 165

Provider Youth and Young Adult (YAYA) Brawley Family Resource Center (FRC)

Address 480 N Imperial Ave Room 95 Brawley CA 92227

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Johanna Pinedo

AMFT

License 89001

NPI 1437514163

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 79 of 165

Provider Youth and Young Adult (YAYA) Brawley Full Service Partnership (FSP)

Address 1535 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 80 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Atih Amanda Seif

MD

Telehealth Provider

Medical License

C133728

NPI 1821332099

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 81 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

and Neurology ndash

Psychiatry

Other

languages

upon request

Javier Ramirez

LVN Psychiatric

Technician

License 688109

NPI 1205287257

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Jonathan Fonseca

ACSW

License 77982

NPI 1417382185

Crisis

Intervention

Mental Health

Services ndash

Spanish

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 82 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Kimberly Braga

AMFT

License 105478

NPI 1518444348

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 83 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Silvestre Mancera

LMFT

License 115212

NPI 1144519158

Specialty CA Board

of Behavioral

Science- Licensed

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Mental

Health Client Family of Mental

Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 84 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 85 of 165

Provider Youth and Young Adult (YAYA) Calexico Anxiety amp Depression Clinic

Address 101 Hacienda Suite A Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Youth amp Young Adult Services ndash Calexico CA

County-Operated Mental Health Providers

Page 86 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Brenda Solis Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 87 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

LVN Psychiatric

Technician

License 683844

NPI 1497256234

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Stephanie Vela

LVN Psychiatric

Technician

License 709705

NPI 1538784731

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 88 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Francisca Gomez

ACSW

License 64201

NPI 1184976763

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Roxanna Palacios

AMFT

License 92497

NPI 1356766711

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Spanish

Sign

Language

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 89 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Family and

Group Therapy

Other

languages

upon request

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 90 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

County-Operated Mental Health Providers

Page 91 of 165

Provider Youth and Young Adult (YAYA) Calexico Full Service Partnership (FSP)

Address 101 Hacienda Suite A Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Aditi Parashar MD

Medical License

A139276

Medication

Support

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 92 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1932487006

Specialty Adult amp

Child Board Certified

Services Crisis

Intervention

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Brenda Solis

LVN Psychiatric

Technician

License 683844

NPI 1497256234

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 93 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Stephanie Vela

LVN Psychiatric

Technician

License 709705

NPI 1538784731

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 94 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Francisca Gomez

ACSW

License 64201

NPI 1184976763

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Roxanna Palacios

AMFT

License 92497

NPI 1356766711

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 95 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 96 of 165

Provider Adult El Centro Anxiety amp Depression Clinic

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-7300 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Steven Dilsaver MD

Medical License

G87120

NPI 1154463941

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Belen Davila MD Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

Adult Services ndash El Centro CA

County-Operated Mental Health Providers

Page 97 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

A148569

NPI 1649619792

Specialty Adult

Board Certified

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Manjusha Kurada

MD

Medical License

A132203

NPI 1154671980

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medication

Support

Sign

Language

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

No

County-Operated Mental Health Providers

Page 98 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Services Crisis

Intervention

Other

languages

upon request

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental Health

Clients Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Rosa Irene Macias

LVN Psychiatric

Technician

License 278288

NPI 1205229267

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic LGBT

Mental Health Client Family of

Mental Health Client

Yes

County-Operated Mental Health Providers

Page 99 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Stephanie Uribe

LVN Psychiatric

Technician

License 706256

NPI 1922646314

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan Native

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance

Yes

Bianca Nelson

LCSW

License 97607

NPI 1073743712

Specialty CA Board

of Behavioral

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 100 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Science-Licensed

Clinical Social

Worker

Individual and

Group Therapy

Mariana Magana

ACSW

License 83643

NPI 1710409941

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Monica Adame

LMFT

License 121949

NPI 1619373933

Crisis

Intervention

and Mental

Health Services

- Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 101 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Rehabilitation

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Diane Estrada LMFT

License 117206

NPI 1801933999

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Suset Ruiz AMFT

License 117566

NPI 1962970053

Crisis

Intervention

and Mental

Health Services

Spanish

American

AmericanIndianAlaskan Native

BlackAfrican American

HispanicLatino Older Adult

Yes

County-Operated Mental Health Providers

Page 102 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Persons with

Disability

Cristina Lopez-

Penalber AMFT

License 118414

NPI 1770085789

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

HispanicLatino Older Adults

LGBT White Mental Health

Clients Family Members of

Mental Health Cleints Substance

Use Disorder Clients Family

Member of Substance Use

Disorder Persons with Disability

Yes

County-Operated Mental Health Providers

Page 103 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license

waiver or registration

are located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 104 of 165

Provider Adult El Centro Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 2695 S 4th St El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Bushra Ahmad MD

Medical License

A73057

NPI 1043356850

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Steven Dilsaver MD

Medical License

G87120

Medication

Support

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 105 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1154463941

Specialty Adult Board

Certified

Services Crisis

Intervention

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

McConnell Gwenyth

MD

Medical License

G162612

NPI 1700959673

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American IndianAlaskan

Native AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ-Youth LGBTQ-

No

County-Operated Mental Health Providers

Page 106 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty Adult Board

Certified

Other

languages

upon request

Adults White Mental Health

Clients Family Members of

Mental Health Clients

Substance Use Disorder Clients

Family Members of Substance

Use Disorder Clients Disabled

Rosa Acosta

LVN Psychiatric

Technician

License 216237

NPI 1306269097

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander African

American Older Adults

LGBTQ Adults LGBTQ Youth

White Mental Health Clients

Family Members of Mental

Health Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Disabled

Yes

County-Operated Mental Health Providers

Page 107 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Roxanne Zamora

LVN Psychiatric

Technician

License 255636

NPI 1669865622

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult Mental Health Client

Family of Mental Health Client

Disabled

Yes

Sara Granillo

LVN Psychiatric

Technician

License 240568

NPI 1609223288

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 108 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Viviana Trejo AMFT

License 114745

NPI 1932458726

Specialty CA Board

of Behavorial Science

ndash Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Rehabilitation

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client

Yes

Jennifer Delgadillo

AMFT

License 108420

NPI 1194188938

Crisis

Intervention

and Mental

Health Services

Spanish

American Hispanic African

American Older Adults LGBT

Mental Health Clients Family

of Mental Health Clients

Yes

County-Operated Mental Health Providers

Page 109 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavorial Science

ndash Associate Marriage

and Family Therapist

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Substance Use Disorder Clients

Family Members of Substance

Use Disorder Clients

Tania Duenas AMFT

License 118303

NPI 1710482799

Specialty CA Board

of Behavioral Science

ndash Associate Marriage

and Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Disabled

Yes

County-Operated Mental Health Providers

Page 110 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 111 of 165

Provider Adult El Centro Wellness Center

Address 2695 S 4th St Suite D El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Supportive

services for

clients in

recovery from

mental illness

including

support groups

wellness

recovery

assessment

plans

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 112 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

independent

living skills

training

interpersonal

skills training

pre-

employment

training

educational and

vocational

supportive

services health

and nutrition

activities and

social

engagement

activities

County-Operated Mental Health Providers

Page 113 of 165

Provider Adult Brawley Anxiety amp Depression Clinic

Address 220 Main St 2nd Floor Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

Yes

Adult Services ndash Brawley CA

County-Operated Mental Health Providers

Page 114 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Gregory Jeffers MD

Telehealth Provider

Medical License

A037601

NPI 1477579472

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

No

Astrid Castro

LVN Psychiatric

Technician

License 706727

NPI 1164042420

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBTQ-Youth

LGBTQ-Adults White Mental

Health Clients Family Members

of Mental Health Clients

Substance Use Disorder Clients

Family Members of Substance

Yes

County-Operated Mental Health Providers

Page 115 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Use Disorder Clients Persons

with Disability

Andrea Herrera

LVN II Psychiatric

Technician

License 688752

NPI 1740839455

Specialty Board of

Vocational Nursing

and Psychiatric

Technicians

Medication

Support Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Older Adults Yes

Elizabeth Castaneda

ACSW

License 75314

NPI 1366749244

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client

Yes

County-Operated Mental Health Providers

Page 116 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Nestor Urbano AMFT

License 92043

NPI 1851785075

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client

Yes

Raquel Bermejo

ACSW

License 96400

NPI 1326410796

Crisis

Intervention

and Mental

Health Services

- Assessment

Spanish

Sign

Language

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBT White

Mental Health Clients Family

Yes

County-Operated Mental Health Providers

Page 117 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Rehabilitation

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Members of Mental Health

Clients Family Members of

Substance Use Disorder Clients

Persons with Disability

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 118 of 165

Provider Adult Brawley Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 229 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-5110 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

Yes

Belen Davila MD

Medical License

A148569

Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 119 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1649619792

Specialty Adult Board

Certified

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Esmeralda Herrera

LVN Psychiatric

Technician

License 243677

NPI 1124441811

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Yes

County-Operated Mental Health Providers

Page 120 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alvarado Daphne

LVN Psychiatric

Technician

Medical License

706723

NPI1407471980

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

Yes

Monica Pinto AMFT

License 118241

NPI 1619492998

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Substance Use

Yes

County-Operated Mental Health Providers

Page 121 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Individual and

Group Therapy

Other

languages

upon request

Disorder Clients Family

Members of Substance Use

Disorder Clients Disabled

Sergio Hernandez

AMFT

License 120548

NPI 1386247161

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American American

IndianAlaskan Native

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBT Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Persons with

Disability

Yes

County-Operated Mental Health Providers

Page 122 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 123 of 165

Provider Adult Brawley Wellness Center

Address 205 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Supportive

services for

clients in

recovery from

mental illness

including

support groups

wellness

recovery

assessment

plans

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 124 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

independent

living skills

training

interpersonal

skills training

pre-

employment

training

educational and

vocational

supportive

services health

and nutrition

activities and

social

engagement

activities

County-Operated Mental Health Providers

Page 125 of 165

Provider Adult Calexico Anxiety amp Depression Clinic

Address 1501 W Imperial Avenue Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-1525or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Adult Services ndash Calexico CA

County-Operated Mental Health Providers

Page 126 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

No

Luz Aispuro Gonzalez

LVN Psychiatric

Technician

License 690265

NPI 1992324396

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBTQ-Youth

LGBTQ-Adults White Mental

Health Clients Family Members

of Mental Health Clients

Substance Use Disorder Clients

Yes

County-Operated Mental Health Providers

Page 127 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Family Members of Substance

Use Disorder Clients Disabled

Norma Munoz-

Sedano AMFT

License 116614

NPI 1578126405

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult

LGBTQ Mental Health Client

Family of Mental Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 128 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

- Rehabilitation

Services

Other

languages

upon request

Health Client Family of Mental

Health Client Disabled

County-Operated Mental Health Providers

Page 129 of 165

Provider Adult Calexico Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 1501 W Imperial Avenue Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone 442-265-6340 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Luz Aispuro Gonzalez

LVN Psychiatric

Technician

Medication

Support

Spanish

American IndianAlaskan

Native BlackAfrican American

HispanicLatino Older Adults

Yes

County-Operated Mental Health Providers

Page 130 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 690265

NPI 1992324396

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

LGBTQ-Youth LGBTQ-Adults

White Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Disabled

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

No

County-Operated Mental Health Providers

Page 131 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Janie Lam-Echeverria

LCSW

License 26570

NPI 1215070008

Specialty CA Board

of Behavioral

Science-Licensed

Clinical Social Worker

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 132 of 165

Provider San Pasqual Family Resource Center (FRC)

Address 676 Baseline Rd Winterhaven CA 92283

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Population Served Children amp Adolescents

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

Mental Health Services - Winterhaven CA

County-Operated Mental Health Providers

Page 133 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Guadalupe Belen

Paredes

LVN Psychiatric

Technician

License 687762

NPI 1477904084

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

Christine Garcia

LCSW

License 81089

NPI

1689980476

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 134 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Other

languages

upon request

Health Client Family of

Mental Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 135 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

Population Served Adults amp Older Adults

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental

Health Client Disabled

Yes

Diane Estrada LMFT

License 117206

NPI 1801933999

Specialty CA Board of

Behavioral Science-

Licensed Marriage and

Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Spanish

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 136 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Individual and

Group Therapy

Other

languages

upon request

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 137 of 165

Provider Transitional Engagement Supportive Services (TESS)

Address 1699 W Main Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=criassess

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health Services

- Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

Transitional Engagement Supportive Services (TESS)

County-Operated Mental Health Providers

Page 138 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin Richter

MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

County-Operated Mental Health Providers

Page 139 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 140 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Vocational Nursing and

Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical Social

Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

NPI 1881942407

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 141 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical Social

Worker

Services ndash

Assessment and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Janelle Montes Medication

Support

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 142 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board of

Vocational Nursing and

Psychiatric Technicians

Licensed Vocational

Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 143 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other

languages

upon request

County-Operated Mental Health Providers

Page 144 of 165

Provider Community Engagement Supportive Services (CESS)

Address 1699 W Main Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=criassess

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health

Services -

Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Community Engagement Supportive Services (CESS)

County-Operated Mental Health Providers

Page 145 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin

Richter MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 146 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 147 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

NPI 1881942407

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 148 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Janelle Montes Medication

Support

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 149 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 150 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 151 of 165

Provider Mental Health Triage Unit

Address 202 N 8th St El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=cricri

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health

Services -

Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Mental Health Triage Unit and Engagement Services

County-Operated Mental Health Providers

Page 152 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin Richter

MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 153 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License 709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 154 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Cynthia Ferreiro-

Avendano LMFT

License 102531

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 155 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1528528452

Specialty CA Board of

Behavioral Science-

Licensed Marriage and

Family Therapist

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

Crisis

Intervention

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 156 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1881942407

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Mental Health

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Janelle Montes

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 157 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Contracted Mental Health Providers

Page 158 of 165

Provider CHARLEE Family Care ndash El Centro

Address 495 E Orange Ave El Centro CA 92243

Website wwwcharleecfccom

Phone (760) 353-6151

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license

waiver or

registration are

located at this site

Therapeutic

Behavioral

Health

Services (TBS)

Interpretation

available upon

request

American Hispanic Mental

Health Client Family of

Mental Health Client

Yes

Contracted Mental Health Providers

Contracted Mental Health Providers

Page 159 of 165

Provider WomanHaven a Center for Family Solutions

Address 510 Main St Suite 104 amp 106 El Centro CA 92243

Website wwwwomanhavenorg

Phone (760)353-6922

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Stephen LeMasters

ACSW

License 70261

NPI 1902440605

Specialty CA Board

of Behavioral Science

ndash Associate Clinical

Social Worker

Crisis

Intervention

Targeted Case

Management

Mental Health

Services

Assessment

and Individual

Therapy

Interpretation

available upon

request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Guadalupe Gonzalez

AMFT

Crisis

Intervention

Spanish American Hispanic

AsianPacific Islander

Yes

Contracted Mental Health Providers

Page 160 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License

121162

NPI

1134730344

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Targeted Case

Management

Mental Health

Services

Assessment

Individual

Therapy

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Mental Health

Services

Assessment

Collateral and

Rehabilitation

Spanish American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Contracted Mental Health Providers

Page 161 of 165

Provider Jackson House

Address 2364 S 2nd St El Centro CA 92243

Website wwwjacksonhousecarescom

Phone (760)332-3303

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Cesar Benitez MD

Medical License

A107600

NPI 1275738098

Specialty Adult

Board Certified

Crisis

Residential

(Medication

Support

Services Crisis

Intervention)

Spanish

Interpretation

available upon

request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Robert Bradley

Sanders MD

Medical License

20A5544

Crisis

Residential

(Medication

Support

Interpretation

available upon

request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

Contracted Mental Health Providers

Page 162 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1144264300

Specialty Adult

Board Certified

Services Crisis

Intervention)

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Other Qualified

Providers that do not

have a license

waiver or

registration are

located at this site

Crisis

Residential

(Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Rehabilitation

Services)

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Contracted Mental Health Providers

Page 163 of 165

Provider STEPS (Quest Programs)

Address 3636 Camino Del Rio North Suite 150 San Diego CA

Website Phone 951-777-0333

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Sheela Masifi MD

Medical License

A154508

NPI 1124401765

Specialty Adult amp

Child Board Certified

Psychiatry

Psychotherapy

Medication

Support Crisis

Intervention

Mandarin

Spanish

Interpretation

available upon

request

Other

languages

upon request

American Hispanic Anxiety

Disorders Family of Mental

Health Client LGBT Eating

Disorders Child Abuse

Therapy HIV Sexual

Disorders

Yes

Contracted Mental Health Providers

Page 164 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Jehna Barnes ACSW

License 85638

NPI 1285256099

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group

Therapy Case

Management

Spanish

Interpretation

available upon

request

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Mental Health

Client LGBT Family of

Mental Health Client

Substance Use Clients Foster

Care TAY

Yes

Judith Diaz Nurse

Practitioner

License 95000797

NPI 1841610219

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

language upon

request

American Hispanic Mental

Health Client Family of

Mental Health Client LGBT

Substance Use Clients

Disabled Foster Care TAY

Yes

Contracted Mental Health Providers

Page 165 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Registered

Nursing

Individual

Family and

Group

Therapy Case

Management

Sign

Language

upon request

Other

languages

upon request

County-Operated Mental Health Providers

Page 5 of 165

(Arabic) العربية

-817-800-1ملحوظة إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغویة تتوافر لك بالمجان اتصل برقم

8868-539-800-1)رقم هاتف الصم والبكم 5292

ह िदी (Hindi)

धयान द यदद आप ह िदी बोलत ह तो आपक दलए मफत म भाषा सहायता सवाए उपलबध ह 1-

800-817-5292 (TTY 1-800-539-8868) पर कॉल कर

ภาษาไทย (Thai)

เรยน ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร 1-800-817-5292

(TTY 1-800-539-8868)

ខមែរ (Cambodian)

បរយតន ររ ស ើ នជាអនកនយាយ ភាសាខមែ រ វាជនយមននកភាសា

សោយមនគត លន

គអាចមាន ោ ររ អសើ នក ច ទ ពទ1-800-817-5292 (TTY 1-800-539-8868)

ພາສາລາວ (Lao)

ໂປດຊາບ ຖາວາ ທານເວ າພາສາ ລາວ ການບລການຊວຍເຫ ອດານພາສາ

ໂດຍບເສຽຄາ ແມນມພອມໃຫທານ ໂທຣ 1-800-817-5292 (TTY 1-800-539-8868)

County-Operated Mental Health Providers

Page 6 of 165

PLEASE NOTE

ldquoServices may be delivered by an individual provider or a team of providers who is

working under the direction of a licensed practitioner operating within their scope of

practice Only Licensed waivered or registered mental health providers and licensed

substance use disorder services providers are listed on the Planrsquos provider directoryrdquo

County-Operated Mental Health Providers

Page 7 of 165

Children amp Adolescent Services ndash El Centro CA

Provider El Centro Children amp Adolescent Outpatient Services

Address 120 N Eighth Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 8 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Jacqueline Lopez

LVN Psychiatric

Technician

License 290170

NPI 1720459886

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 9 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Karina Idaly

Rodriguez

LVN Psychiatric

Technician

License 699834

NPI 1669940854

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 10 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Pauline Rocha

LVN Psychiatric

Technician

License 711433

NPI 1972112811

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Gracie Galindo Baker

ACSW

License 92097

NPI 1205475308

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 11 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Family and

Group Therapy

Other

languages

upon request

Theresa Jean Vogel

ACSW

License 79042

NPI 1467941286

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Guadalupe Garcia

AMFT

License 98719

NPI 1164661351

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 12 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Individual

Family and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Alicia Ibeth Torres

AMFT

License 93152

NPI 1114370780

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 13 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sandy Sierra ACSW

License 95649

NPI 1295338077

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Vanessa Jean Carrillo

ACSW

License 79072

NPI 1790292373

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 14 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Other

languages

upon request

Patricia Armandina

Valenzuela LMFT

License 107070

NPI 1124385307

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 15 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 16 of 165

Provider El Centro Children and Adolescent Outpatient Clinic Team 12 (Wake)

Address 651 Wake Avenue El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Meghan Jain MD

Telehealth Provider

Medical License

A138547

NPI 1942628128

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medication

Support

Spanish

Portuguese

American American

IndianAlaskan Native

AsianPacific Islander African

Yes

County-Operated Mental Health Providers

Page 17 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

and Neurology ndash

Psychiatry

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Belkys Cota

LVN Psychiatric

Technician

License 260440

NPI 1124441647

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 18 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Yeni Alcantar

LVN Psychiatric

Technician

License 703185

NPI 1134761208

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Christine Garcia

LCSW

License 81089

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 19 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1689980476

Specialty CA Board

of Behavioral

Science-Licensed

Clinical Social Worker

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Maria Guadalupe

Martinez AMFT

License 99249

NPI 1659744969

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 20 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Ana G Pesqueira

LCSW

License 89026

NPI 1891183067

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Stephanie Ramirez

LCSW

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 21 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 75194

NPI 1841544970

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Viviane Rodriguez-

Velasquez ACSW

License 95650

NPI 1417484528

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 22 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Vanessa Jean Carrillo

ACSW

License 79072

NPI 1790292373

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Stacie Lynn Otero

ACSW

License 96791

NPI 1942611587

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 23 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Family and

Group Therapy

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 24 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Services -

Assessment

and

Rehabilitation

County-Operated Mental Health Providers

Page 25 of 165

Provider El Centro Vista Sands

Address 1530 S Waterman El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 26 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Assessment and

Rehabilitation

County-Operated Mental Health Providers

Page 27 of 165

Provider Prevention and Early Intervention (PEI)

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alexander Ruiz

ACSW

License 78932

NPI 1033504337

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maria Guadalupe

Martinez AMFT

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 28 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 99249

NPI 1659744969

Specialty CA Board

of

Behavioral Science-

Associate Marriage

and Family Therapist

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Ana G Pesqueira

LCSW

License 89026

NPI 1891183067

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 29 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Jessica C Martinez-

Smith ACSW

License 77969

NPI 1619225141

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

Hispanic African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gabriel Garcia AMFT

License 84979

NPI 1841627874

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 30 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alicia Ibeth Torres

AMFT

License 93152

NPI 1114370780

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maritza Janeth

Guzman LMFT

License 112264

NPI 1144524299

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 31 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Other

languages

upon request

County-Operated Mental Health Providers

Page 32 of 165

Provider First Steps to Success

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 33 of 165

Provider Brawley Children amp Adolescent Outpatient Services

Address 195 S 9th St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Belen Davila MD

Medical License

A148569

NPI 1649619792

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Children amp Adolescent Services ndash Brawley CA

County-Operated Mental Health Providers

Page 34 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

and Neurology ndash

Psychiatry

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

Other

languages

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 35 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty Adult

Board Certified

Other

languages

upon request

Belinda Davila

LVN Psychiatric

Technician

License 198477

NPI 1720125214

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Guadalupe Belen

Paredes

LVN Psychiatric

Technician

Medication

Support

Services Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 36 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 687762

NPI 1477904084

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Pauline Rocha

LVN Psychiatric

Technician

License 711433

NPI 1972112811

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 37 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Gracie Galindo Baker

ACSW

License 92097

NPI 1205475308

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maritza Janeth

Guzman LMFT

License 112264

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 38 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1144524299

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Theresa Jean Vogel

ACSW

License 79042

NPI 1467941286

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Jessica C Martinez-

Smith ACSW

Crisis

Intervention

Spanish

Hispanic African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 39 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 77969

NPI 1619225141

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Health Client Family of Mental

Health Client Disabled

Sandy Sierra ACSW

License 95649

NPI 1295338077

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

Hispanic African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 40 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Stacie Lynn Otero

ACSW

License 96791

NPI 1942611587

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Patricia Armandina

Valenzuela LMFT

License 107070

NPI 1124385307

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 41 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 42 of 165

Provider Brawley Vista Sands

Address 1401 B St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childvista

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 43 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 44 of 165

Provider Calexico Family Resource Center (FRC)

Address 101 Hacienda Dr Suite C Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Children amp Adolescent Services ndash Calexico CA

County-Operated Mental Health Providers

Page 45 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sanjoy Sathpathy MD

Telehealth Provider

Medical License

A80195

NPI 1043348428

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskaAmerican

African American Senior

Lesbian Gay Transgender and

Bisexual (LGTB) Mental

Health Client Mental Health

Client Relatives and Disabled

No

Brenda Alanis

LVN Psychiatric

Technician

License 284664

NPI 1205229366

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 46 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Karina Idaly

Rodriguez

LVN Psychiatric

Technician

License 699834

NPI 1669940854

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Yadira Gutierrez

LVN Psychiatric

Technician

License 687763

Medication

Support

Services Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 47 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1376994327

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Alexander Ruiz

ACSW

License 78932

NPI 1033504337

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 48 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Stephanie Ramirez

LCSW

License 75194

NPI 1841544970

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Gabriel Garcia

AMFT

License 84979

NPI 1841627874

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 49 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Other

languages

upon request

Guadalupe Garcia

AMFT

License 98719

NPI 1164661351

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Viviane Rodriguez-

Velasquez ACSW

License 95650

NPI 1417484528

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 50 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Individual

Family and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 51 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Assessment and

Rehabilitation

County-Operated Mental Health Providers

Page 52 of 165

Provider Calexico Vista Sands

Address 2300 Rockwood Ave Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childvista

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 53 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 54 of 165

Provider Youth and Young Adult (YAYA) El Centro Anxiety amp Depression Clinic

Address 1295 State St Suite 205 El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Youth and Young Adult Services ndash El Centro CA

County-Operated Mental Health Providers

Page 55 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Jenny Yi MD

Telehealth Provider

Medical License

A147197

NPI 1003133018

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

No

Jourdan Martinez

LVN Psychiatric

Technician

License 238442

NPI 1013460948

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services and

Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 56 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Saray Licea

LVN Psychiatric

Technician

License 706384

NPI 1275177636

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services and

Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled Older Adults

Yes

Jonathan Rosas

AMFT

License 113261

NPI 1962755124

Crisis

Intervention

Mental Health

Services -

Assessment and

Spanish

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Mental

Health Client Family of Mental

Health Client

Yes

County-Operated Mental Health Providers

Page 57 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Individual

Family and

Group Therapy

Other

languages

upon request

Olivia Solis AMFT

License 108347

NPI 1992249684

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients

Yes

Edgar Rios ACSW

License 94090

NPI 1801403720

Crisis

Intervention

Mental Health

Services -

Spanish

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

No

County-Operated Mental Health Providers

Page 58 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Assessment and

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients Persons with

Disability

Maria Arredondo

AMFT

License 99538

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 59 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Andrea Platero APCC

License 7355

NPI 1093068678

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Carolina Rivas AMFT

License 115618

NPI 1992306765

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Substance

Use Disorder Clients Family of

Substance Use Disorder Clients

No

County-Operated Mental Health Providers

Page 60 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Samantha Merlin

AMFT

License 108791

NPI 1154894145

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 61 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 62 of 165

Provider Youth and Young Adult (YAYA) El Centro Family Resource Center (FRC)

Address 1014 W Brighton Ave El Centro CA 92243

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Andrea Platero APCC

License 7355

NPI 1093068678

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Maria Arredondo

AMFT

License 99538

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 63 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Jonathan Rosas

AMFT

License 113261

NPI 1962755124

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Mental

Health Client Family of Mental

Health Client

Yes

County-Operated Mental Health Providers

Page 64 of 165

Provider Youth and Young Adult (YAYA) El Centro Full Service Partnership (FSP)

Address 1295 State St Suite 102 El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Jenny Yi MD

Telehealth Provider

Medical License

A147197

Medication

Support

Services and

Sign

Language

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 65 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1003133018

Specialty Adult Board

Certified

Crisis

Intervention

Other

languages

upon request

Morteza Rahmani MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

No

County-Operated Mental Health Providers

Page 66 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty Adult amp

Child Board Certified

Other

languages

upon request

Family of Mental Health Client

Disabled

Julius Castillo

LVN Psychiatric

Technician

License 698774

NPI 1568012128

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians ndash

Licensed Vocational

Nurse

Medication

Support

Services and

Crisis

Intervention

Spanish

Tagalog

Sign

Language

upon request

Other

languages

upon request

Older Adults Mental Health

Client AsianPacific Islander

LGBT Family of Mental Health

Client African American

Substance Use Disorder Client

Hispanic Family of Substance

Use Disorder Client Disabled

Yes

Andrea Platero APCC

License 7355

NPI 1093068678

Crisis

Intervention

Mental Health

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 67 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Services -

Assessment

and Individual

Family and

Group Therapy

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Maria Arredondo

AMFT

License 99538

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Other Qualified

Providers that do not

Crisis

Intervention

Spanish

American Hispanic

AsianPacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 68 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

have a license waiver

or registration are

located at this site

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

County-Operated Mental Health Providers

Page 69 of 165

Provider Adolescent Habilitative Learning Program (AHLP)

Address 2001 Ocotillo Dr El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaahlp

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 70 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 71 of 165

Provider Youth and Young Adult (YAYA) Brawley Anxiety amp Depression Clinic

Address 1535 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Youth and Young Adult Services ndash Brawley CA

County-Operated Mental Health Providers

Page 72 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Atih Amanda Seif

MD

Telehealth Provider

Medical License

C133728

NPI 1821332099

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 73 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

and Neurology ndash

Psychiatry

Other

languages

upon request

Javier Ramirez

LVN Psychiatric

Technician

License 688109

NPI 1205287257

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Rosalba Caballero

LVN Psychiatric

Technician

License 685181

Medication

Support

Services Crisis

Intervention

Spanish

American American

IndianAlaskan Native Asian

Pacific Islander Hispanic

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 74 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1255951414

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Substance Use Disorder

Disabled Family Members of

Substance Use Disorder

Jonathan Fonseca

ACSW

License 77982

NPI 1417382185

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

Kimberly Braga

AMFT

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 75 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 105478

NPI 1518444348

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Johanna Pinedo

AMFT

License 89001

NPI 1437514163

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 76 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Silvestre Mancera

LMFT

License 115212

NPI 1144519158

Specialty CA Board

of Behavioral

Science- Licensed

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Mental

Health Client Family of Mental

Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 77 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 78 of 165

Provider Youth and Young Adult (YAYA) Brawley Family Resource Center (FRC)

Address 480 N Imperial Ave Room 95 Brawley CA 92227

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Johanna Pinedo

AMFT

License 89001

NPI 1437514163

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 79 of 165

Provider Youth and Young Adult (YAYA) Brawley Full Service Partnership (FSP)

Address 1535 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 80 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Atih Amanda Seif

MD

Telehealth Provider

Medical License

C133728

NPI 1821332099

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 81 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

and Neurology ndash

Psychiatry

Other

languages

upon request

Javier Ramirez

LVN Psychiatric

Technician

License 688109

NPI 1205287257

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Jonathan Fonseca

ACSW

License 77982

NPI 1417382185

Crisis

Intervention

Mental Health

Services ndash

Spanish

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 82 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Kimberly Braga

AMFT

License 105478

NPI 1518444348

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 83 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Silvestre Mancera

LMFT

License 115212

NPI 1144519158

Specialty CA Board

of Behavioral

Science- Licensed

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Mental

Health Client Family of Mental

Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 84 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 85 of 165

Provider Youth and Young Adult (YAYA) Calexico Anxiety amp Depression Clinic

Address 101 Hacienda Suite A Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Youth amp Young Adult Services ndash Calexico CA

County-Operated Mental Health Providers

Page 86 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Brenda Solis Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 87 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

LVN Psychiatric

Technician

License 683844

NPI 1497256234

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Stephanie Vela

LVN Psychiatric

Technician

License 709705

NPI 1538784731

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 88 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Francisca Gomez

ACSW

License 64201

NPI 1184976763

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Roxanna Palacios

AMFT

License 92497

NPI 1356766711

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Spanish

Sign

Language

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 89 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Family and

Group Therapy

Other

languages

upon request

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 90 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

County-Operated Mental Health Providers

Page 91 of 165

Provider Youth and Young Adult (YAYA) Calexico Full Service Partnership (FSP)

Address 101 Hacienda Suite A Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Aditi Parashar MD

Medical License

A139276

Medication

Support

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 92 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1932487006

Specialty Adult amp

Child Board Certified

Services Crisis

Intervention

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Brenda Solis

LVN Psychiatric

Technician

License 683844

NPI 1497256234

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 93 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Stephanie Vela

LVN Psychiatric

Technician

License 709705

NPI 1538784731

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 94 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Francisca Gomez

ACSW

License 64201

NPI 1184976763

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Roxanna Palacios

AMFT

License 92497

NPI 1356766711

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 95 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 96 of 165

Provider Adult El Centro Anxiety amp Depression Clinic

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-7300 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Steven Dilsaver MD

Medical License

G87120

NPI 1154463941

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Belen Davila MD Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

Adult Services ndash El Centro CA

County-Operated Mental Health Providers

Page 97 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

A148569

NPI 1649619792

Specialty Adult

Board Certified

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Manjusha Kurada

MD

Medical License

A132203

NPI 1154671980

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medication

Support

Sign

Language

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

No

County-Operated Mental Health Providers

Page 98 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Services Crisis

Intervention

Other

languages

upon request

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental Health

Clients Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Rosa Irene Macias

LVN Psychiatric

Technician

License 278288

NPI 1205229267

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic LGBT

Mental Health Client Family of

Mental Health Client

Yes

County-Operated Mental Health Providers

Page 99 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Stephanie Uribe

LVN Psychiatric

Technician

License 706256

NPI 1922646314

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan Native

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance

Yes

Bianca Nelson

LCSW

License 97607

NPI 1073743712

Specialty CA Board

of Behavioral

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 100 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Science-Licensed

Clinical Social

Worker

Individual and

Group Therapy

Mariana Magana

ACSW

License 83643

NPI 1710409941

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Monica Adame

LMFT

License 121949

NPI 1619373933

Crisis

Intervention

and Mental

Health Services

- Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 101 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Rehabilitation

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Diane Estrada LMFT

License 117206

NPI 1801933999

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Suset Ruiz AMFT

License 117566

NPI 1962970053

Crisis

Intervention

and Mental

Health Services

Spanish

American

AmericanIndianAlaskan Native

BlackAfrican American

HispanicLatino Older Adult

Yes

County-Operated Mental Health Providers

Page 102 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Persons with

Disability

Cristina Lopez-

Penalber AMFT

License 118414

NPI 1770085789

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

HispanicLatino Older Adults

LGBT White Mental Health

Clients Family Members of

Mental Health Cleints Substance

Use Disorder Clients Family

Member of Substance Use

Disorder Persons with Disability

Yes

County-Operated Mental Health Providers

Page 103 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license

waiver or registration

are located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 104 of 165

Provider Adult El Centro Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 2695 S 4th St El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Bushra Ahmad MD

Medical License

A73057

NPI 1043356850

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Steven Dilsaver MD

Medical License

G87120

Medication

Support

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 105 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1154463941

Specialty Adult Board

Certified

Services Crisis

Intervention

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

McConnell Gwenyth

MD

Medical License

G162612

NPI 1700959673

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American IndianAlaskan

Native AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ-Youth LGBTQ-

No

County-Operated Mental Health Providers

Page 106 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty Adult Board

Certified

Other

languages

upon request

Adults White Mental Health

Clients Family Members of

Mental Health Clients

Substance Use Disorder Clients

Family Members of Substance

Use Disorder Clients Disabled

Rosa Acosta

LVN Psychiatric

Technician

License 216237

NPI 1306269097

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander African

American Older Adults

LGBTQ Adults LGBTQ Youth

White Mental Health Clients

Family Members of Mental

Health Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Disabled

Yes

County-Operated Mental Health Providers

Page 107 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Roxanne Zamora

LVN Psychiatric

Technician

License 255636

NPI 1669865622

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult Mental Health Client

Family of Mental Health Client

Disabled

Yes

Sara Granillo

LVN Psychiatric

Technician

License 240568

NPI 1609223288

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 108 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Viviana Trejo AMFT

License 114745

NPI 1932458726

Specialty CA Board

of Behavorial Science

ndash Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Rehabilitation

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client

Yes

Jennifer Delgadillo

AMFT

License 108420

NPI 1194188938

Crisis

Intervention

and Mental

Health Services

Spanish

American Hispanic African

American Older Adults LGBT

Mental Health Clients Family

of Mental Health Clients

Yes

County-Operated Mental Health Providers

Page 109 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavorial Science

ndash Associate Marriage

and Family Therapist

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Substance Use Disorder Clients

Family Members of Substance

Use Disorder Clients

Tania Duenas AMFT

License 118303

NPI 1710482799

Specialty CA Board

of Behavioral Science

ndash Associate Marriage

and Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Disabled

Yes

County-Operated Mental Health Providers

Page 110 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 111 of 165

Provider Adult El Centro Wellness Center

Address 2695 S 4th St Suite D El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Supportive

services for

clients in

recovery from

mental illness

including

support groups

wellness

recovery

assessment

plans

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 112 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

independent

living skills

training

interpersonal

skills training

pre-

employment

training

educational and

vocational

supportive

services health

and nutrition

activities and

social

engagement

activities

County-Operated Mental Health Providers

Page 113 of 165

Provider Adult Brawley Anxiety amp Depression Clinic

Address 220 Main St 2nd Floor Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

Yes

Adult Services ndash Brawley CA

County-Operated Mental Health Providers

Page 114 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Gregory Jeffers MD

Telehealth Provider

Medical License

A037601

NPI 1477579472

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

No

Astrid Castro

LVN Psychiatric

Technician

License 706727

NPI 1164042420

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBTQ-Youth

LGBTQ-Adults White Mental

Health Clients Family Members

of Mental Health Clients

Substance Use Disorder Clients

Family Members of Substance

Yes

County-Operated Mental Health Providers

Page 115 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Use Disorder Clients Persons

with Disability

Andrea Herrera

LVN II Psychiatric

Technician

License 688752

NPI 1740839455

Specialty Board of

Vocational Nursing

and Psychiatric

Technicians

Medication

Support Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Older Adults Yes

Elizabeth Castaneda

ACSW

License 75314

NPI 1366749244

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client

Yes

County-Operated Mental Health Providers

Page 116 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Nestor Urbano AMFT

License 92043

NPI 1851785075

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client

Yes

Raquel Bermejo

ACSW

License 96400

NPI 1326410796

Crisis

Intervention

and Mental

Health Services

- Assessment

Spanish

Sign

Language

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBT White

Mental Health Clients Family

Yes

County-Operated Mental Health Providers

Page 117 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Rehabilitation

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Members of Mental Health

Clients Family Members of

Substance Use Disorder Clients

Persons with Disability

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 118 of 165

Provider Adult Brawley Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 229 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-5110 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

Yes

Belen Davila MD

Medical License

A148569

Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 119 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1649619792

Specialty Adult Board

Certified

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Esmeralda Herrera

LVN Psychiatric

Technician

License 243677

NPI 1124441811

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Yes

County-Operated Mental Health Providers

Page 120 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alvarado Daphne

LVN Psychiatric

Technician

Medical License

706723

NPI1407471980

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

Yes

Monica Pinto AMFT

License 118241

NPI 1619492998

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Substance Use

Yes

County-Operated Mental Health Providers

Page 121 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Individual and

Group Therapy

Other

languages

upon request

Disorder Clients Family

Members of Substance Use

Disorder Clients Disabled

Sergio Hernandez

AMFT

License 120548

NPI 1386247161

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American American

IndianAlaskan Native

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBT Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Persons with

Disability

Yes

County-Operated Mental Health Providers

Page 122 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 123 of 165

Provider Adult Brawley Wellness Center

Address 205 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Supportive

services for

clients in

recovery from

mental illness

including

support groups

wellness

recovery

assessment

plans

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 124 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

independent

living skills

training

interpersonal

skills training

pre-

employment

training

educational and

vocational

supportive

services health

and nutrition

activities and

social

engagement

activities

County-Operated Mental Health Providers

Page 125 of 165

Provider Adult Calexico Anxiety amp Depression Clinic

Address 1501 W Imperial Avenue Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-1525or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Adult Services ndash Calexico CA

County-Operated Mental Health Providers

Page 126 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

No

Luz Aispuro Gonzalez

LVN Psychiatric

Technician

License 690265

NPI 1992324396

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBTQ-Youth

LGBTQ-Adults White Mental

Health Clients Family Members

of Mental Health Clients

Substance Use Disorder Clients

Yes

County-Operated Mental Health Providers

Page 127 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Family Members of Substance

Use Disorder Clients Disabled

Norma Munoz-

Sedano AMFT

License 116614

NPI 1578126405

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult

LGBTQ Mental Health Client

Family of Mental Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 128 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

- Rehabilitation

Services

Other

languages

upon request

Health Client Family of Mental

Health Client Disabled

County-Operated Mental Health Providers

Page 129 of 165

Provider Adult Calexico Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 1501 W Imperial Avenue Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone 442-265-6340 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Luz Aispuro Gonzalez

LVN Psychiatric

Technician

Medication

Support

Spanish

American IndianAlaskan

Native BlackAfrican American

HispanicLatino Older Adults

Yes

County-Operated Mental Health Providers

Page 130 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 690265

NPI 1992324396

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

LGBTQ-Youth LGBTQ-Adults

White Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Disabled

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

No

County-Operated Mental Health Providers

Page 131 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Janie Lam-Echeverria

LCSW

License 26570

NPI 1215070008

Specialty CA Board

of Behavioral

Science-Licensed

Clinical Social Worker

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 132 of 165

Provider San Pasqual Family Resource Center (FRC)

Address 676 Baseline Rd Winterhaven CA 92283

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Population Served Children amp Adolescents

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

Mental Health Services - Winterhaven CA

County-Operated Mental Health Providers

Page 133 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Guadalupe Belen

Paredes

LVN Psychiatric

Technician

License 687762

NPI 1477904084

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

Christine Garcia

LCSW

License 81089

NPI

1689980476

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 134 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Other

languages

upon request

Health Client Family of

Mental Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 135 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

Population Served Adults amp Older Adults

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental

Health Client Disabled

Yes

Diane Estrada LMFT

License 117206

NPI 1801933999

Specialty CA Board of

Behavioral Science-

Licensed Marriage and

Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Spanish

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 136 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Individual and

Group Therapy

Other

languages

upon request

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 137 of 165

Provider Transitional Engagement Supportive Services (TESS)

Address 1699 W Main Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=criassess

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health Services

- Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

Transitional Engagement Supportive Services (TESS)

County-Operated Mental Health Providers

Page 138 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin Richter

MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

County-Operated Mental Health Providers

Page 139 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 140 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Vocational Nursing and

Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical Social

Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

NPI 1881942407

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 141 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical Social

Worker

Services ndash

Assessment and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Janelle Montes Medication

Support

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 142 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board of

Vocational Nursing and

Psychiatric Technicians

Licensed Vocational

Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 143 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other

languages

upon request

County-Operated Mental Health Providers

Page 144 of 165

Provider Community Engagement Supportive Services (CESS)

Address 1699 W Main Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=criassess

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health

Services -

Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Community Engagement Supportive Services (CESS)

County-Operated Mental Health Providers

Page 145 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin

Richter MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 146 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 147 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

NPI 1881942407

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 148 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Janelle Montes Medication

Support

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 149 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 150 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 151 of 165

Provider Mental Health Triage Unit

Address 202 N 8th St El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=cricri

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health

Services -

Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Mental Health Triage Unit and Engagement Services

County-Operated Mental Health Providers

Page 152 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin Richter

MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 153 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License 709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 154 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Cynthia Ferreiro-

Avendano LMFT

License 102531

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 155 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1528528452

Specialty CA Board of

Behavioral Science-

Licensed Marriage and

Family Therapist

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

Crisis

Intervention

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 156 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1881942407

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Mental Health

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Janelle Montes

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 157 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Contracted Mental Health Providers

Page 158 of 165

Provider CHARLEE Family Care ndash El Centro

Address 495 E Orange Ave El Centro CA 92243

Website wwwcharleecfccom

Phone (760) 353-6151

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license

waiver or

registration are

located at this site

Therapeutic

Behavioral

Health

Services (TBS)

Interpretation

available upon

request

American Hispanic Mental

Health Client Family of

Mental Health Client

Yes

Contracted Mental Health Providers

Contracted Mental Health Providers

Page 159 of 165

Provider WomanHaven a Center for Family Solutions

Address 510 Main St Suite 104 amp 106 El Centro CA 92243

Website wwwwomanhavenorg

Phone (760)353-6922

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Stephen LeMasters

ACSW

License 70261

NPI 1902440605

Specialty CA Board

of Behavioral Science

ndash Associate Clinical

Social Worker

Crisis

Intervention

Targeted Case

Management

Mental Health

Services

Assessment

and Individual

Therapy

Interpretation

available upon

request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Guadalupe Gonzalez

AMFT

Crisis

Intervention

Spanish American Hispanic

AsianPacific Islander

Yes

Contracted Mental Health Providers

Page 160 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License

121162

NPI

1134730344

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Targeted Case

Management

Mental Health

Services

Assessment

Individual

Therapy

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Mental Health

Services

Assessment

Collateral and

Rehabilitation

Spanish American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Contracted Mental Health Providers

Page 161 of 165

Provider Jackson House

Address 2364 S 2nd St El Centro CA 92243

Website wwwjacksonhousecarescom

Phone (760)332-3303

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Cesar Benitez MD

Medical License

A107600

NPI 1275738098

Specialty Adult

Board Certified

Crisis

Residential

(Medication

Support

Services Crisis

Intervention)

Spanish

Interpretation

available upon

request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Robert Bradley

Sanders MD

Medical License

20A5544

Crisis

Residential

(Medication

Support

Interpretation

available upon

request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

Contracted Mental Health Providers

Page 162 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1144264300

Specialty Adult

Board Certified

Services Crisis

Intervention)

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Other Qualified

Providers that do not

have a license

waiver or

registration are

located at this site

Crisis

Residential

(Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Rehabilitation

Services)

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Contracted Mental Health Providers

Page 163 of 165

Provider STEPS (Quest Programs)

Address 3636 Camino Del Rio North Suite 150 San Diego CA

Website Phone 951-777-0333

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Sheela Masifi MD

Medical License

A154508

NPI 1124401765

Specialty Adult amp

Child Board Certified

Psychiatry

Psychotherapy

Medication

Support Crisis

Intervention

Mandarin

Spanish

Interpretation

available upon

request

Other

languages

upon request

American Hispanic Anxiety

Disorders Family of Mental

Health Client LGBT Eating

Disorders Child Abuse

Therapy HIV Sexual

Disorders

Yes

Contracted Mental Health Providers

Page 164 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Jehna Barnes ACSW

License 85638

NPI 1285256099

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group

Therapy Case

Management

Spanish

Interpretation

available upon

request

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Mental Health

Client LGBT Family of

Mental Health Client

Substance Use Clients Foster

Care TAY

Yes

Judith Diaz Nurse

Practitioner

License 95000797

NPI 1841610219

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

language upon

request

American Hispanic Mental

Health Client Family of

Mental Health Client LGBT

Substance Use Clients

Disabled Foster Care TAY

Yes

Contracted Mental Health Providers

Page 165 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Registered

Nursing

Individual

Family and

Group

Therapy Case

Management

Sign

Language

upon request

Other

languages

upon request

County-Operated Mental Health Providers

Page 6 of 165

PLEASE NOTE

ldquoServices may be delivered by an individual provider or a team of providers who is

working under the direction of a licensed practitioner operating within their scope of

practice Only Licensed waivered or registered mental health providers and licensed

substance use disorder services providers are listed on the Planrsquos provider directoryrdquo

County-Operated Mental Health Providers

Page 7 of 165

Children amp Adolescent Services ndash El Centro CA

Provider El Centro Children amp Adolescent Outpatient Services

Address 120 N Eighth Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 8 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Jacqueline Lopez

LVN Psychiatric

Technician

License 290170

NPI 1720459886

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 9 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Karina Idaly

Rodriguez

LVN Psychiatric

Technician

License 699834

NPI 1669940854

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 10 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Pauline Rocha

LVN Psychiatric

Technician

License 711433

NPI 1972112811

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Gracie Galindo Baker

ACSW

License 92097

NPI 1205475308

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 11 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Family and

Group Therapy

Other

languages

upon request

Theresa Jean Vogel

ACSW

License 79042

NPI 1467941286

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Guadalupe Garcia

AMFT

License 98719

NPI 1164661351

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 12 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Individual

Family and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Alicia Ibeth Torres

AMFT

License 93152

NPI 1114370780

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 13 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sandy Sierra ACSW

License 95649

NPI 1295338077

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Vanessa Jean Carrillo

ACSW

License 79072

NPI 1790292373

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 14 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Other

languages

upon request

Patricia Armandina

Valenzuela LMFT

License 107070

NPI 1124385307

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 15 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 16 of 165

Provider El Centro Children and Adolescent Outpatient Clinic Team 12 (Wake)

Address 651 Wake Avenue El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Meghan Jain MD

Telehealth Provider

Medical License

A138547

NPI 1942628128

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medication

Support

Spanish

Portuguese

American American

IndianAlaskan Native

AsianPacific Islander African

Yes

County-Operated Mental Health Providers

Page 17 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

and Neurology ndash

Psychiatry

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Belkys Cota

LVN Psychiatric

Technician

License 260440

NPI 1124441647

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 18 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Yeni Alcantar

LVN Psychiatric

Technician

License 703185

NPI 1134761208

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Christine Garcia

LCSW

License 81089

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 19 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1689980476

Specialty CA Board

of Behavioral

Science-Licensed

Clinical Social Worker

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Maria Guadalupe

Martinez AMFT

License 99249

NPI 1659744969

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 20 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Ana G Pesqueira

LCSW

License 89026

NPI 1891183067

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Stephanie Ramirez

LCSW

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 21 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 75194

NPI 1841544970

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Viviane Rodriguez-

Velasquez ACSW

License 95650

NPI 1417484528

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 22 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Vanessa Jean Carrillo

ACSW

License 79072

NPI 1790292373

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Stacie Lynn Otero

ACSW

License 96791

NPI 1942611587

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 23 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Family and

Group Therapy

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 24 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Services -

Assessment

and

Rehabilitation

County-Operated Mental Health Providers

Page 25 of 165

Provider El Centro Vista Sands

Address 1530 S Waterman El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 26 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Assessment and

Rehabilitation

County-Operated Mental Health Providers

Page 27 of 165

Provider Prevention and Early Intervention (PEI)

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alexander Ruiz

ACSW

License 78932

NPI 1033504337

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maria Guadalupe

Martinez AMFT

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 28 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 99249

NPI 1659744969

Specialty CA Board

of

Behavioral Science-

Associate Marriage

and Family Therapist

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Ana G Pesqueira

LCSW

License 89026

NPI 1891183067

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 29 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Jessica C Martinez-

Smith ACSW

License 77969

NPI 1619225141

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

Hispanic African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gabriel Garcia AMFT

License 84979

NPI 1841627874

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 30 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alicia Ibeth Torres

AMFT

License 93152

NPI 1114370780

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maritza Janeth

Guzman LMFT

License 112264

NPI 1144524299

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 31 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Other

languages

upon request

County-Operated Mental Health Providers

Page 32 of 165

Provider First Steps to Success

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 33 of 165

Provider Brawley Children amp Adolescent Outpatient Services

Address 195 S 9th St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Belen Davila MD

Medical License

A148569

NPI 1649619792

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Children amp Adolescent Services ndash Brawley CA

County-Operated Mental Health Providers

Page 34 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

and Neurology ndash

Psychiatry

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

Other

languages

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 35 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty Adult

Board Certified

Other

languages

upon request

Belinda Davila

LVN Psychiatric

Technician

License 198477

NPI 1720125214

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Guadalupe Belen

Paredes

LVN Psychiatric

Technician

Medication

Support

Services Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 36 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 687762

NPI 1477904084

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Pauline Rocha

LVN Psychiatric

Technician

License 711433

NPI 1972112811

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 37 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Gracie Galindo Baker

ACSW

License 92097

NPI 1205475308

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maritza Janeth

Guzman LMFT

License 112264

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 38 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1144524299

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Theresa Jean Vogel

ACSW

License 79042

NPI 1467941286

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Jessica C Martinez-

Smith ACSW

Crisis

Intervention

Spanish

Hispanic African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 39 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 77969

NPI 1619225141

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Health Client Family of Mental

Health Client Disabled

Sandy Sierra ACSW

License 95649

NPI 1295338077

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

Hispanic African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 40 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Stacie Lynn Otero

ACSW

License 96791

NPI 1942611587

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Patricia Armandina

Valenzuela LMFT

License 107070

NPI 1124385307

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 41 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 42 of 165

Provider Brawley Vista Sands

Address 1401 B St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childvista

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 43 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 44 of 165

Provider Calexico Family Resource Center (FRC)

Address 101 Hacienda Dr Suite C Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Children amp Adolescent Services ndash Calexico CA

County-Operated Mental Health Providers

Page 45 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sanjoy Sathpathy MD

Telehealth Provider

Medical License

A80195

NPI 1043348428

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskaAmerican

African American Senior

Lesbian Gay Transgender and

Bisexual (LGTB) Mental

Health Client Mental Health

Client Relatives and Disabled

No

Brenda Alanis

LVN Psychiatric

Technician

License 284664

NPI 1205229366

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 46 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Karina Idaly

Rodriguez

LVN Psychiatric

Technician

License 699834

NPI 1669940854

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Yadira Gutierrez

LVN Psychiatric

Technician

License 687763

Medication

Support

Services Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 47 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1376994327

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Alexander Ruiz

ACSW

License 78932

NPI 1033504337

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 48 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Stephanie Ramirez

LCSW

License 75194

NPI 1841544970

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Gabriel Garcia

AMFT

License 84979

NPI 1841627874

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 49 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Other

languages

upon request

Guadalupe Garcia

AMFT

License 98719

NPI 1164661351

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Viviane Rodriguez-

Velasquez ACSW

License 95650

NPI 1417484528

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 50 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Individual

Family and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 51 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Assessment and

Rehabilitation

County-Operated Mental Health Providers

Page 52 of 165

Provider Calexico Vista Sands

Address 2300 Rockwood Ave Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childvista

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 53 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 54 of 165

Provider Youth and Young Adult (YAYA) El Centro Anxiety amp Depression Clinic

Address 1295 State St Suite 205 El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Youth and Young Adult Services ndash El Centro CA

County-Operated Mental Health Providers

Page 55 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Jenny Yi MD

Telehealth Provider

Medical License

A147197

NPI 1003133018

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

No

Jourdan Martinez

LVN Psychiatric

Technician

License 238442

NPI 1013460948

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services and

Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 56 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Saray Licea

LVN Psychiatric

Technician

License 706384

NPI 1275177636

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services and

Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled Older Adults

Yes

Jonathan Rosas

AMFT

License 113261

NPI 1962755124

Crisis

Intervention

Mental Health

Services -

Assessment and

Spanish

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Mental

Health Client Family of Mental

Health Client

Yes

County-Operated Mental Health Providers

Page 57 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Individual

Family and

Group Therapy

Other

languages

upon request

Olivia Solis AMFT

License 108347

NPI 1992249684

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients

Yes

Edgar Rios ACSW

License 94090

NPI 1801403720

Crisis

Intervention

Mental Health

Services -

Spanish

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

No

County-Operated Mental Health Providers

Page 58 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Assessment and

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients Persons with

Disability

Maria Arredondo

AMFT

License 99538

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 59 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Andrea Platero APCC

License 7355

NPI 1093068678

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Carolina Rivas AMFT

License 115618

NPI 1992306765

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Substance

Use Disorder Clients Family of

Substance Use Disorder Clients

No

County-Operated Mental Health Providers

Page 60 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Samantha Merlin

AMFT

License 108791

NPI 1154894145

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 61 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 62 of 165

Provider Youth and Young Adult (YAYA) El Centro Family Resource Center (FRC)

Address 1014 W Brighton Ave El Centro CA 92243

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Andrea Platero APCC

License 7355

NPI 1093068678

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Maria Arredondo

AMFT

License 99538

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 63 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Jonathan Rosas

AMFT

License 113261

NPI 1962755124

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Mental

Health Client Family of Mental

Health Client

Yes

County-Operated Mental Health Providers

Page 64 of 165

Provider Youth and Young Adult (YAYA) El Centro Full Service Partnership (FSP)

Address 1295 State St Suite 102 El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Jenny Yi MD

Telehealth Provider

Medical License

A147197

Medication

Support

Services and

Sign

Language

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 65 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1003133018

Specialty Adult Board

Certified

Crisis

Intervention

Other

languages

upon request

Morteza Rahmani MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

No

County-Operated Mental Health Providers

Page 66 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty Adult amp

Child Board Certified

Other

languages

upon request

Family of Mental Health Client

Disabled

Julius Castillo

LVN Psychiatric

Technician

License 698774

NPI 1568012128

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians ndash

Licensed Vocational

Nurse

Medication

Support

Services and

Crisis

Intervention

Spanish

Tagalog

Sign

Language

upon request

Other

languages

upon request

Older Adults Mental Health

Client AsianPacific Islander

LGBT Family of Mental Health

Client African American

Substance Use Disorder Client

Hispanic Family of Substance

Use Disorder Client Disabled

Yes

Andrea Platero APCC

License 7355

NPI 1093068678

Crisis

Intervention

Mental Health

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 67 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Services -

Assessment

and Individual

Family and

Group Therapy

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Maria Arredondo

AMFT

License 99538

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Other Qualified

Providers that do not

Crisis

Intervention

Spanish

American Hispanic

AsianPacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 68 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

have a license waiver

or registration are

located at this site

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

County-Operated Mental Health Providers

Page 69 of 165

Provider Adolescent Habilitative Learning Program (AHLP)

Address 2001 Ocotillo Dr El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaahlp

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 70 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 71 of 165

Provider Youth and Young Adult (YAYA) Brawley Anxiety amp Depression Clinic

Address 1535 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Youth and Young Adult Services ndash Brawley CA

County-Operated Mental Health Providers

Page 72 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Atih Amanda Seif

MD

Telehealth Provider

Medical License

C133728

NPI 1821332099

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 73 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

and Neurology ndash

Psychiatry

Other

languages

upon request

Javier Ramirez

LVN Psychiatric

Technician

License 688109

NPI 1205287257

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Rosalba Caballero

LVN Psychiatric

Technician

License 685181

Medication

Support

Services Crisis

Intervention

Spanish

American American

IndianAlaskan Native Asian

Pacific Islander Hispanic

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 74 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1255951414

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Substance Use Disorder

Disabled Family Members of

Substance Use Disorder

Jonathan Fonseca

ACSW

License 77982

NPI 1417382185

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

Kimberly Braga

AMFT

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 75 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 105478

NPI 1518444348

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Johanna Pinedo

AMFT

License 89001

NPI 1437514163

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 76 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Silvestre Mancera

LMFT

License 115212

NPI 1144519158

Specialty CA Board

of Behavioral

Science- Licensed

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Mental

Health Client Family of Mental

Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 77 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 78 of 165

Provider Youth and Young Adult (YAYA) Brawley Family Resource Center (FRC)

Address 480 N Imperial Ave Room 95 Brawley CA 92227

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Johanna Pinedo

AMFT

License 89001

NPI 1437514163

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 79 of 165

Provider Youth and Young Adult (YAYA) Brawley Full Service Partnership (FSP)

Address 1535 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 80 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Atih Amanda Seif

MD

Telehealth Provider

Medical License

C133728

NPI 1821332099

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 81 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

and Neurology ndash

Psychiatry

Other

languages

upon request

Javier Ramirez

LVN Psychiatric

Technician

License 688109

NPI 1205287257

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Jonathan Fonseca

ACSW

License 77982

NPI 1417382185

Crisis

Intervention

Mental Health

Services ndash

Spanish

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 82 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Kimberly Braga

AMFT

License 105478

NPI 1518444348

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 83 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Silvestre Mancera

LMFT

License 115212

NPI 1144519158

Specialty CA Board

of Behavioral

Science- Licensed

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Mental

Health Client Family of Mental

Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 84 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 85 of 165

Provider Youth and Young Adult (YAYA) Calexico Anxiety amp Depression Clinic

Address 101 Hacienda Suite A Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Youth amp Young Adult Services ndash Calexico CA

County-Operated Mental Health Providers

Page 86 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Brenda Solis Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 87 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

LVN Psychiatric

Technician

License 683844

NPI 1497256234

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Stephanie Vela

LVN Psychiatric

Technician

License 709705

NPI 1538784731

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 88 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Francisca Gomez

ACSW

License 64201

NPI 1184976763

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Roxanna Palacios

AMFT

License 92497

NPI 1356766711

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Spanish

Sign

Language

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 89 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Family and

Group Therapy

Other

languages

upon request

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 90 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

County-Operated Mental Health Providers

Page 91 of 165

Provider Youth and Young Adult (YAYA) Calexico Full Service Partnership (FSP)

Address 101 Hacienda Suite A Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Aditi Parashar MD

Medical License

A139276

Medication

Support

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 92 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1932487006

Specialty Adult amp

Child Board Certified

Services Crisis

Intervention

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Brenda Solis

LVN Psychiatric

Technician

License 683844

NPI 1497256234

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 93 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Stephanie Vela

LVN Psychiatric

Technician

License 709705

NPI 1538784731

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 94 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Francisca Gomez

ACSW

License 64201

NPI 1184976763

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Roxanna Palacios

AMFT

License 92497

NPI 1356766711

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 95 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 96 of 165

Provider Adult El Centro Anxiety amp Depression Clinic

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-7300 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Steven Dilsaver MD

Medical License

G87120

NPI 1154463941

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Belen Davila MD Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

Adult Services ndash El Centro CA

County-Operated Mental Health Providers

Page 97 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

A148569

NPI 1649619792

Specialty Adult

Board Certified

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Manjusha Kurada

MD

Medical License

A132203

NPI 1154671980

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medication

Support

Sign

Language

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

No

County-Operated Mental Health Providers

Page 98 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Services Crisis

Intervention

Other

languages

upon request

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental Health

Clients Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Rosa Irene Macias

LVN Psychiatric

Technician

License 278288

NPI 1205229267

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic LGBT

Mental Health Client Family of

Mental Health Client

Yes

County-Operated Mental Health Providers

Page 99 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Stephanie Uribe

LVN Psychiatric

Technician

License 706256

NPI 1922646314

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan Native

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance

Yes

Bianca Nelson

LCSW

License 97607

NPI 1073743712

Specialty CA Board

of Behavioral

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 100 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Science-Licensed

Clinical Social

Worker

Individual and

Group Therapy

Mariana Magana

ACSW

License 83643

NPI 1710409941

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Monica Adame

LMFT

License 121949

NPI 1619373933

Crisis

Intervention

and Mental

Health Services

- Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 101 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Rehabilitation

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Diane Estrada LMFT

License 117206

NPI 1801933999

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Suset Ruiz AMFT

License 117566

NPI 1962970053

Crisis

Intervention

and Mental

Health Services

Spanish

American

AmericanIndianAlaskan Native

BlackAfrican American

HispanicLatino Older Adult

Yes

County-Operated Mental Health Providers

Page 102 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Persons with

Disability

Cristina Lopez-

Penalber AMFT

License 118414

NPI 1770085789

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

HispanicLatino Older Adults

LGBT White Mental Health

Clients Family Members of

Mental Health Cleints Substance

Use Disorder Clients Family

Member of Substance Use

Disorder Persons with Disability

Yes

County-Operated Mental Health Providers

Page 103 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license

waiver or registration

are located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 104 of 165

Provider Adult El Centro Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 2695 S 4th St El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Bushra Ahmad MD

Medical License

A73057

NPI 1043356850

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Steven Dilsaver MD

Medical License

G87120

Medication

Support

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 105 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1154463941

Specialty Adult Board

Certified

Services Crisis

Intervention

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

McConnell Gwenyth

MD

Medical License

G162612

NPI 1700959673

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American IndianAlaskan

Native AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ-Youth LGBTQ-

No

County-Operated Mental Health Providers

Page 106 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty Adult Board

Certified

Other

languages

upon request

Adults White Mental Health

Clients Family Members of

Mental Health Clients

Substance Use Disorder Clients

Family Members of Substance

Use Disorder Clients Disabled

Rosa Acosta

LVN Psychiatric

Technician

License 216237

NPI 1306269097

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander African

American Older Adults

LGBTQ Adults LGBTQ Youth

White Mental Health Clients

Family Members of Mental

Health Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Disabled

Yes

County-Operated Mental Health Providers

Page 107 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Roxanne Zamora

LVN Psychiatric

Technician

License 255636

NPI 1669865622

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult Mental Health Client

Family of Mental Health Client

Disabled

Yes

Sara Granillo

LVN Psychiatric

Technician

License 240568

NPI 1609223288

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 108 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Viviana Trejo AMFT

License 114745

NPI 1932458726

Specialty CA Board

of Behavorial Science

ndash Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Rehabilitation

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client

Yes

Jennifer Delgadillo

AMFT

License 108420

NPI 1194188938

Crisis

Intervention

and Mental

Health Services

Spanish

American Hispanic African

American Older Adults LGBT

Mental Health Clients Family

of Mental Health Clients

Yes

County-Operated Mental Health Providers

Page 109 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavorial Science

ndash Associate Marriage

and Family Therapist

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Substance Use Disorder Clients

Family Members of Substance

Use Disorder Clients

Tania Duenas AMFT

License 118303

NPI 1710482799

Specialty CA Board

of Behavioral Science

ndash Associate Marriage

and Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Disabled

Yes

County-Operated Mental Health Providers

Page 110 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 111 of 165

Provider Adult El Centro Wellness Center

Address 2695 S 4th St Suite D El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Supportive

services for

clients in

recovery from

mental illness

including

support groups

wellness

recovery

assessment

plans

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 112 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

independent

living skills

training

interpersonal

skills training

pre-

employment

training

educational and

vocational

supportive

services health

and nutrition

activities and

social

engagement

activities

County-Operated Mental Health Providers

Page 113 of 165

Provider Adult Brawley Anxiety amp Depression Clinic

Address 220 Main St 2nd Floor Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

Yes

Adult Services ndash Brawley CA

County-Operated Mental Health Providers

Page 114 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Gregory Jeffers MD

Telehealth Provider

Medical License

A037601

NPI 1477579472

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

No

Astrid Castro

LVN Psychiatric

Technician

License 706727

NPI 1164042420

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBTQ-Youth

LGBTQ-Adults White Mental

Health Clients Family Members

of Mental Health Clients

Substance Use Disorder Clients

Family Members of Substance

Yes

County-Operated Mental Health Providers

Page 115 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Use Disorder Clients Persons

with Disability

Andrea Herrera

LVN II Psychiatric

Technician

License 688752

NPI 1740839455

Specialty Board of

Vocational Nursing

and Psychiatric

Technicians

Medication

Support Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Older Adults Yes

Elizabeth Castaneda

ACSW

License 75314

NPI 1366749244

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client

Yes

County-Operated Mental Health Providers

Page 116 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Nestor Urbano AMFT

License 92043

NPI 1851785075

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client

Yes

Raquel Bermejo

ACSW

License 96400

NPI 1326410796

Crisis

Intervention

and Mental

Health Services

- Assessment

Spanish

Sign

Language

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBT White

Mental Health Clients Family

Yes

County-Operated Mental Health Providers

Page 117 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Rehabilitation

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Members of Mental Health

Clients Family Members of

Substance Use Disorder Clients

Persons with Disability

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 118 of 165

Provider Adult Brawley Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 229 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-5110 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

Yes

Belen Davila MD

Medical License

A148569

Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 119 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1649619792

Specialty Adult Board

Certified

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Esmeralda Herrera

LVN Psychiatric

Technician

License 243677

NPI 1124441811

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Yes

County-Operated Mental Health Providers

Page 120 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alvarado Daphne

LVN Psychiatric

Technician

Medical License

706723

NPI1407471980

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

Yes

Monica Pinto AMFT

License 118241

NPI 1619492998

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Substance Use

Yes

County-Operated Mental Health Providers

Page 121 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Individual and

Group Therapy

Other

languages

upon request

Disorder Clients Family

Members of Substance Use

Disorder Clients Disabled

Sergio Hernandez

AMFT

License 120548

NPI 1386247161

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American American

IndianAlaskan Native

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBT Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Persons with

Disability

Yes

County-Operated Mental Health Providers

Page 122 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 123 of 165

Provider Adult Brawley Wellness Center

Address 205 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Supportive

services for

clients in

recovery from

mental illness

including

support groups

wellness

recovery

assessment

plans

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 124 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

independent

living skills

training

interpersonal

skills training

pre-

employment

training

educational and

vocational

supportive

services health

and nutrition

activities and

social

engagement

activities

County-Operated Mental Health Providers

Page 125 of 165

Provider Adult Calexico Anxiety amp Depression Clinic

Address 1501 W Imperial Avenue Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-1525or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Adult Services ndash Calexico CA

County-Operated Mental Health Providers

Page 126 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

No

Luz Aispuro Gonzalez

LVN Psychiatric

Technician

License 690265

NPI 1992324396

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBTQ-Youth

LGBTQ-Adults White Mental

Health Clients Family Members

of Mental Health Clients

Substance Use Disorder Clients

Yes

County-Operated Mental Health Providers

Page 127 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Family Members of Substance

Use Disorder Clients Disabled

Norma Munoz-

Sedano AMFT

License 116614

NPI 1578126405

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult

LGBTQ Mental Health Client

Family of Mental Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 128 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

- Rehabilitation

Services

Other

languages

upon request

Health Client Family of Mental

Health Client Disabled

County-Operated Mental Health Providers

Page 129 of 165

Provider Adult Calexico Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 1501 W Imperial Avenue Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone 442-265-6340 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Luz Aispuro Gonzalez

LVN Psychiatric

Technician

Medication

Support

Spanish

American IndianAlaskan

Native BlackAfrican American

HispanicLatino Older Adults

Yes

County-Operated Mental Health Providers

Page 130 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 690265

NPI 1992324396

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

LGBTQ-Youth LGBTQ-Adults

White Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Disabled

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

No

County-Operated Mental Health Providers

Page 131 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Janie Lam-Echeverria

LCSW

License 26570

NPI 1215070008

Specialty CA Board

of Behavioral

Science-Licensed

Clinical Social Worker

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 132 of 165

Provider San Pasqual Family Resource Center (FRC)

Address 676 Baseline Rd Winterhaven CA 92283

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Population Served Children amp Adolescents

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

Mental Health Services - Winterhaven CA

County-Operated Mental Health Providers

Page 133 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Guadalupe Belen

Paredes

LVN Psychiatric

Technician

License 687762

NPI 1477904084

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

Christine Garcia

LCSW

License 81089

NPI

1689980476

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 134 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Other

languages

upon request

Health Client Family of

Mental Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 135 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

Population Served Adults amp Older Adults

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental

Health Client Disabled

Yes

Diane Estrada LMFT

License 117206

NPI 1801933999

Specialty CA Board of

Behavioral Science-

Licensed Marriage and

Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Spanish

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 136 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Individual and

Group Therapy

Other

languages

upon request

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 137 of 165

Provider Transitional Engagement Supportive Services (TESS)

Address 1699 W Main Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=criassess

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health Services

- Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

Transitional Engagement Supportive Services (TESS)

County-Operated Mental Health Providers

Page 138 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin Richter

MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

County-Operated Mental Health Providers

Page 139 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 140 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Vocational Nursing and

Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical Social

Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

NPI 1881942407

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 141 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical Social

Worker

Services ndash

Assessment and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Janelle Montes Medication

Support

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 142 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board of

Vocational Nursing and

Psychiatric Technicians

Licensed Vocational

Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 143 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other

languages

upon request

County-Operated Mental Health Providers

Page 144 of 165

Provider Community Engagement Supportive Services (CESS)

Address 1699 W Main Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=criassess

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health

Services -

Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Community Engagement Supportive Services (CESS)

County-Operated Mental Health Providers

Page 145 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin

Richter MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 146 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 147 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

NPI 1881942407

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 148 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Janelle Montes Medication

Support

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 149 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 150 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 151 of 165

Provider Mental Health Triage Unit

Address 202 N 8th St El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=cricri

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health

Services -

Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Mental Health Triage Unit and Engagement Services

County-Operated Mental Health Providers

Page 152 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin Richter

MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 153 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License 709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 154 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Cynthia Ferreiro-

Avendano LMFT

License 102531

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 155 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1528528452

Specialty CA Board of

Behavioral Science-

Licensed Marriage and

Family Therapist

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

Crisis

Intervention

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 156 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1881942407

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Mental Health

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Janelle Montes

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 157 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Contracted Mental Health Providers

Page 158 of 165

Provider CHARLEE Family Care ndash El Centro

Address 495 E Orange Ave El Centro CA 92243

Website wwwcharleecfccom

Phone (760) 353-6151

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license

waiver or

registration are

located at this site

Therapeutic

Behavioral

Health

Services (TBS)

Interpretation

available upon

request

American Hispanic Mental

Health Client Family of

Mental Health Client

Yes

Contracted Mental Health Providers

Contracted Mental Health Providers

Page 159 of 165

Provider WomanHaven a Center for Family Solutions

Address 510 Main St Suite 104 amp 106 El Centro CA 92243

Website wwwwomanhavenorg

Phone (760)353-6922

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Stephen LeMasters

ACSW

License 70261

NPI 1902440605

Specialty CA Board

of Behavioral Science

ndash Associate Clinical

Social Worker

Crisis

Intervention

Targeted Case

Management

Mental Health

Services

Assessment

and Individual

Therapy

Interpretation

available upon

request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Guadalupe Gonzalez

AMFT

Crisis

Intervention

Spanish American Hispanic

AsianPacific Islander

Yes

Contracted Mental Health Providers

Page 160 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License

121162

NPI

1134730344

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Targeted Case

Management

Mental Health

Services

Assessment

Individual

Therapy

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Mental Health

Services

Assessment

Collateral and

Rehabilitation

Spanish American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Contracted Mental Health Providers

Page 161 of 165

Provider Jackson House

Address 2364 S 2nd St El Centro CA 92243

Website wwwjacksonhousecarescom

Phone (760)332-3303

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Cesar Benitez MD

Medical License

A107600

NPI 1275738098

Specialty Adult

Board Certified

Crisis

Residential

(Medication

Support

Services Crisis

Intervention)

Spanish

Interpretation

available upon

request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Robert Bradley

Sanders MD

Medical License

20A5544

Crisis

Residential

(Medication

Support

Interpretation

available upon

request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

Contracted Mental Health Providers

Page 162 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1144264300

Specialty Adult

Board Certified

Services Crisis

Intervention)

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Other Qualified

Providers that do not

have a license

waiver or

registration are

located at this site

Crisis

Residential

(Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Rehabilitation

Services)

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Contracted Mental Health Providers

Page 163 of 165

Provider STEPS (Quest Programs)

Address 3636 Camino Del Rio North Suite 150 San Diego CA

Website Phone 951-777-0333

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Sheela Masifi MD

Medical License

A154508

NPI 1124401765

Specialty Adult amp

Child Board Certified

Psychiatry

Psychotherapy

Medication

Support Crisis

Intervention

Mandarin

Spanish

Interpretation

available upon

request

Other

languages

upon request

American Hispanic Anxiety

Disorders Family of Mental

Health Client LGBT Eating

Disorders Child Abuse

Therapy HIV Sexual

Disorders

Yes

Contracted Mental Health Providers

Page 164 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Jehna Barnes ACSW

License 85638

NPI 1285256099

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group

Therapy Case

Management

Spanish

Interpretation

available upon

request

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Mental Health

Client LGBT Family of

Mental Health Client

Substance Use Clients Foster

Care TAY

Yes

Judith Diaz Nurse

Practitioner

License 95000797

NPI 1841610219

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

language upon

request

American Hispanic Mental

Health Client Family of

Mental Health Client LGBT

Substance Use Clients

Disabled Foster Care TAY

Yes

Contracted Mental Health Providers

Page 165 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Registered

Nursing

Individual

Family and

Group

Therapy Case

Management

Sign

Language

upon request

Other

languages

upon request

County-Operated Mental Health Providers

Page 7 of 165

Children amp Adolescent Services ndash El Centro CA

Provider El Centro Children amp Adolescent Outpatient Services

Address 120 N Eighth Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 8 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Jacqueline Lopez

LVN Psychiatric

Technician

License 290170

NPI 1720459886

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 9 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Karina Idaly

Rodriguez

LVN Psychiatric

Technician

License 699834

NPI 1669940854

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 10 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Pauline Rocha

LVN Psychiatric

Technician

License 711433

NPI 1972112811

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Gracie Galindo Baker

ACSW

License 92097

NPI 1205475308

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 11 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Family and

Group Therapy

Other

languages

upon request

Theresa Jean Vogel

ACSW

License 79042

NPI 1467941286

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Guadalupe Garcia

AMFT

License 98719

NPI 1164661351

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 12 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Individual

Family and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Alicia Ibeth Torres

AMFT

License 93152

NPI 1114370780

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 13 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sandy Sierra ACSW

License 95649

NPI 1295338077

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Vanessa Jean Carrillo

ACSW

License 79072

NPI 1790292373

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 14 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Other

languages

upon request

Patricia Armandina

Valenzuela LMFT

License 107070

NPI 1124385307

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 15 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 16 of 165

Provider El Centro Children and Adolescent Outpatient Clinic Team 12 (Wake)

Address 651 Wake Avenue El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Meghan Jain MD

Telehealth Provider

Medical License

A138547

NPI 1942628128

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medication

Support

Spanish

Portuguese

American American

IndianAlaskan Native

AsianPacific Islander African

Yes

County-Operated Mental Health Providers

Page 17 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

and Neurology ndash

Psychiatry

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Belkys Cota

LVN Psychiatric

Technician

License 260440

NPI 1124441647

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 18 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Yeni Alcantar

LVN Psychiatric

Technician

License 703185

NPI 1134761208

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Christine Garcia

LCSW

License 81089

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 19 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1689980476

Specialty CA Board

of Behavioral

Science-Licensed

Clinical Social Worker

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Maria Guadalupe

Martinez AMFT

License 99249

NPI 1659744969

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 20 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Ana G Pesqueira

LCSW

License 89026

NPI 1891183067

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Stephanie Ramirez

LCSW

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 21 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 75194

NPI 1841544970

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Viviane Rodriguez-

Velasquez ACSW

License 95650

NPI 1417484528

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 22 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Vanessa Jean Carrillo

ACSW

License 79072

NPI 1790292373

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Stacie Lynn Otero

ACSW

License 96791

NPI 1942611587

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 23 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Family and

Group Therapy

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 24 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Services -

Assessment

and

Rehabilitation

County-Operated Mental Health Providers

Page 25 of 165

Provider El Centro Vista Sands

Address 1530 S Waterman El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 26 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Assessment and

Rehabilitation

County-Operated Mental Health Providers

Page 27 of 165

Provider Prevention and Early Intervention (PEI)

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alexander Ruiz

ACSW

License 78932

NPI 1033504337

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maria Guadalupe

Martinez AMFT

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 28 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 99249

NPI 1659744969

Specialty CA Board

of

Behavioral Science-

Associate Marriage

and Family Therapist

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Ana G Pesqueira

LCSW

License 89026

NPI 1891183067

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 29 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Jessica C Martinez-

Smith ACSW

License 77969

NPI 1619225141

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

Hispanic African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gabriel Garcia AMFT

License 84979

NPI 1841627874

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 30 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alicia Ibeth Torres

AMFT

License 93152

NPI 1114370780

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maritza Janeth

Guzman LMFT

License 112264

NPI 1144524299

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 31 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Other

languages

upon request

County-Operated Mental Health Providers

Page 32 of 165

Provider First Steps to Success

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 33 of 165

Provider Brawley Children amp Adolescent Outpatient Services

Address 195 S 9th St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Belen Davila MD

Medical License

A148569

NPI 1649619792

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Children amp Adolescent Services ndash Brawley CA

County-Operated Mental Health Providers

Page 34 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

and Neurology ndash

Psychiatry

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

Other

languages

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 35 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty Adult

Board Certified

Other

languages

upon request

Belinda Davila

LVN Psychiatric

Technician

License 198477

NPI 1720125214

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Guadalupe Belen

Paredes

LVN Psychiatric

Technician

Medication

Support

Services Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 36 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 687762

NPI 1477904084

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Pauline Rocha

LVN Psychiatric

Technician

License 711433

NPI 1972112811

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 37 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Gracie Galindo Baker

ACSW

License 92097

NPI 1205475308

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maritza Janeth

Guzman LMFT

License 112264

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 38 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1144524299

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Theresa Jean Vogel

ACSW

License 79042

NPI 1467941286

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Jessica C Martinez-

Smith ACSW

Crisis

Intervention

Spanish

Hispanic African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 39 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 77969

NPI 1619225141

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Health Client Family of Mental

Health Client Disabled

Sandy Sierra ACSW

License 95649

NPI 1295338077

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

Hispanic African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 40 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Stacie Lynn Otero

ACSW

License 96791

NPI 1942611587

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Patricia Armandina

Valenzuela LMFT

License 107070

NPI 1124385307

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 41 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 42 of 165

Provider Brawley Vista Sands

Address 1401 B St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childvista

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 43 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 44 of 165

Provider Calexico Family Resource Center (FRC)

Address 101 Hacienda Dr Suite C Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Children amp Adolescent Services ndash Calexico CA

County-Operated Mental Health Providers

Page 45 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sanjoy Sathpathy MD

Telehealth Provider

Medical License

A80195

NPI 1043348428

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskaAmerican

African American Senior

Lesbian Gay Transgender and

Bisexual (LGTB) Mental

Health Client Mental Health

Client Relatives and Disabled

No

Brenda Alanis

LVN Psychiatric

Technician

License 284664

NPI 1205229366

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 46 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Karina Idaly

Rodriguez

LVN Psychiatric

Technician

License 699834

NPI 1669940854

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Yadira Gutierrez

LVN Psychiatric

Technician

License 687763

Medication

Support

Services Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 47 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1376994327

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Alexander Ruiz

ACSW

License 78932

NPI 1033504337

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 48 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Stephanie Ramirez

LCSW

License 75194

NPI 1841544970

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Gabriel Garcia

AMFT

License 84979

NPI 1841627874

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 49 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Other

languages

upon request

Guadalupe Garcia

AMFT

License 98719

NPI 1164661351

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Viviane Rodriguez-

Velasquez ACSW

License 95650

NPI 1417484528

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 50 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Individual

Family and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 51 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Assessment and

Rehabilitation

County-Operated Mental Health Providers

Page 52 of 165

Provider Calexico Vista Sands

Address 2300 Rockwood Ave Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childvista

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 53 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 54 of 165

Provider Youth and Young Adult (YAYA) El Centro Anxiety amp Depression Clinic

Address 1295 State St Suite 205 El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Youth and Young Adult Services ndash El Centro CA

County-Operated Mental Health Providers

Page 55 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Jenny Yi MD

Telehealth Provider

Medical License

A147197

NPI 1003133018

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

No

Jourdan Martinez

LVN Psychiatric

Technician

License 238442

NPI 1013460948

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services and

Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 56 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Saray Licea

LVN Psychiatric

Technician

License 706384

NPI 1275177636

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services and

Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled Older Adults

Yes

Jonathan Rosas

AMFT

License 113261

NPI 1962755124

Crisis

Intervention

Mental Health

Services -

Assessment and

Spanish

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Mental

Health Client Family of Mental

Health Client

Yes

County-Operated Mental Health Providers

Page 57 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Individual

Family and

Group Therapy

Other

languages

upon request

Olivia Solis AMFT

License 108347

NPI 1992249684

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients

Yes

Edgar Rios ACSW

License 94090

NPI 1801403720

Crisis

Intervention

Mental Health

Services -

Spanish

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

No

County-Operated Mental Health Providers

Page 58 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Assessment and

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients Persons with

Disability

Maria Arredondo

AMFT

License 99538

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 59 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Andrea Platero APCC

License 7355

NPI 1093068678

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Carolina Rivas AMFT

License 115618

NPI 1992306765

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Substance

Use Disorder Clients Family of

Substance Use Disorder Clients

No

County-Operated Mental Health Providers

Page 60 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Samantha Merlin

AMFT

License 108791

NPI 1154894145

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 61 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 62 of 165

Provider Youth and Young Adult (YAYA) El Centro Family Resource Center (FRC)

Address 1014 W Brighton Ave El Centro CA 92243

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Andrea Platero APCC

License 7355

NPI 1093068678

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Maria Arredondo

AMFT

License 99538

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 63 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Jonathan Rosas

AMFT

License 113261

NPI 1962755124

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Mental

Health Client Family of Mental

Health Client

Yes

County-Operated Mental Health Providers

Page 64 of 165

Provider Youth and Young Adult (YAYA) El Centro Full Service Partnership (FSP)

Address 1295 State St Suite 102 El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Jenny Yi MD

Telehealth Provider

Medical License

A147197

Medication

Support

Services and

Sign

Language

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 65 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1003133018

Specialty Adult Board

Certified

Crisis

Intervention

Other

languages

upon request

Morteza Rahmani MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

No

County-Operated Mental Health Providers

Page 66 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty Adult amp

Child Board Certified

Other

languages

upon request

Family of Mental Health Client

Disabled

Julius Castillo

LVN Psychiatric

Technician

License 698774

NPI 1568012128

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians ndash

Licensed Vocational

Nurse

Medication

Support

Services and

Crisis

Intervention

Spanish

Tagalog

Sign

Language

upon request

Other

languages

upon request

Older Adults Mental Health

Client AsianPacific Islander

LGBT Family of Mental Health

Client African American

Substance Use Disorder Client

Hispanic Family of Substance

Use Disorder Client Disabled

Yes

Andrea Platero APCC

License 7355

NPI 1093068678

Crisis

Intervention

Mental Health

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 67 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Services -

Assessment

and Individual

Family and

Group Therapy

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Maria Arredondo

AMFT

License 99538

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Other Qualified

Providers that do not

Crisis

Intervention

Spanish

American Hispanic

AsianPacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 68 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

have a license waiver

or registration are

located at this site

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

County-Operated Mental Health Providers

Page 69 of 165

Provider Adolescent Habilitative Learning Program (AHLP)

Address 2001 Ocotillo Dr El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaahlp

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 70 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 71 of 165

Provider Youth and Young Adult (YAYA) Brawley Anxiety amp Depression Clinic

Address 1535 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Youth and Young Adult Services ndash Brawley CA

County-Operated Mental Health Providers

Page 72 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Atih Amanda Seif

MD

Telehealth Provider

Medical License

C133728

NPI 1821332099

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 73 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

and Neurology ndash

Psychiatry

Other

languages

upon request

Javier Ramirez

LVN Psychiatric

Technician

License 688109

NPI 1205287257

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Rosalba Caballero

LVN Psychiatric

Technician

License 685181

Medication

Support

Services Crisis

Intervention

Spanish

American American

IndianAlaskan Native Asian

Pacific Islander Hispanic

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 74 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1255951414

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Substance Use Disorder

Disabled Family Members of

Substance Use Disorder

Jonathan Fonseca

ACSW

License 77982

NPI 1417382185

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

Kimberly Braga

AMFT

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 75 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 105478

NPI 1518444348

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Johanna Pinedo

AMFT

License 89001

NPI 1437514163

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 76 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Silvestre Mancera

LMFT

License 115212

NPI 1144519158

Specialty CA Board

of Behavioral

Science- Licensed

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Mental

Health Client Family of Mental

Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 77 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 78 of 165

Provider Youth and Young Adult (YAYA) Brawley Family Resource Center (FRC)

Address 480 N Imperial Ave Room 95 Brawley CA 92227

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Johanna Pinedo

AMFT

License 89001

NPI 1437514163

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 79 of 165

Provider Youth and Young Adult (YAYA) Brawley Full Service Partnership (FSP)

Address 1535 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 80 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Atih Amanda Seif

MD

Telehealth Provider

Medical License

C133728

NPI 1821332099

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 81 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

and Neurology ndash

Psychiatry

Other

languages

upon request

Javier Ramirez

LVN Psychiatric

Technician

License 688109

NPI 1205287257

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Jonathan Fonseca

ACSW

License 77982

NPI 1417382185

Crisis

Intervention

Mental Health

Services ndash

Spanish

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 82 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Kimberly Braga

AMFT

License 105478

NPI 1518444348

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 83 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Silvestre Mancera

LMFT

License 115212

NPI 1144519158

Specialty CA Board

of Behavioral

Science- Licensed

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Mental

Health Client Family of Mental

Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 84 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 85 of 165

Provider Youth and Young Adult (YAYA) Calexico Anxiety amp Depression Clinic

Address 101 Hacienda Suite A Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Youth amp Young Adult Services ndash Calexico CA

County-Operated Mental Health Providers

Page 86 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Brenda Solis Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 87 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

LVN Psychiatric

Technician

License 683844

NPI 1497256234

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Stephanie Vela

LVN Psychiatric

Technician

License 709705

NPI 1538784731

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 88 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Francisca Gomez

ACSW

License 64201

NPI 1184976763

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Roxanna Palacios

AMFT

License 92497

NPI 1356766711

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Spanish

Sign

Language

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 89 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Family and

Group Therapy

Other

languages

upon request

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 90 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

County-Operated Mental Health Providers

Page 91 of 165

Provider Youth and Young Adult (YAYA) Calexico Full Service Partnership (FSP)

Address 101 Hacienda Suite A Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Aditi Parashar MD

Medical License

A139276

Medication

Support

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 92 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1932487006

Specialty Adult amp

Child Board Certified

Services Crisis

Intervention

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Brenda Solis

LVN Psychiatric

Technician

License 683844

NPI 1497256234

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 93 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Stephanie Vela

LVN Psychiatric

Technician

License 709705

NPI 1538784731

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 94 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Francisca Gomez

ACSW

License 64201

NPI 1184976763

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Roxanna Palacios

AMFT

License 92497

NPI 1356766711

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 95 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 96 of 165

Provider Adult El Centro Anxiety amp Depression Clinic

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-7300 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Steven Dilsaver MD

Medical License

G87120

NPI 1154463941

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Belen Davila MD Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

Adult Services ndash El Centro CA

County-Operated Mental Health Providers

Page 97 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

A148569

NPI 1649619792

Specialty Adult

Board Certified

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Manjusha Kurada

MD

Medical License

A132203

NPI 1154671980

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medication

Support

Sign

Language

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

No

County-Operated Mental Health Providers

Page 98 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Services Crisis

Intervention

Other

languages

upon request

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental Health

Clients Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Rosa Irene Macias

LVN Psychiatric

Technician

License 278288

NPI 1205229267

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic LGBT

Mental Health Client Family of

Mental Health Client

Yes

County-Operated Mental Health Providers

Page 99 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Stephanie Uribe

LVN Psychiatric

Technician

License 706256

NPI 1922646314

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan Native

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance

Yes

Bianca Nelson

LCSW

License 97607

NPI 1073743712

Specialty CA Board

of Behavioral

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 100 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Science-Licensed

Clinical Social

Worker

Individual and

Group Therapy

Mariana Magana

ACSW

License 83643

NPI 1710409941

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Monica Adame

LMFT

License 121949

NPI 1619373933

Crisis

Intervention

and Mental

Health Services

- Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 101 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Rehabilitation

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Diane Estrada LMFT

License 117206

NPI 1801933999

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Suset Ruiz AMFT

License 117566

NPI 1962970053

Crisis

Intervention

and Mental

Health Services

Spanish

American

AmericanIndianAlaskan Native

BlackAfrican American

HispanicLatino Older Adult

Yes

County-Operated Mental Health Providers

Page 102 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Persons with

Disability

Cristina Lopez-

Penalber AMFT

License 118414

NPI 1770085789

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

HispanicLatino Older Adults

LGBT White Mental Health

Clients Family Members of

Mental Health Cleints Substance

Use Disorder Clients Family

Member of Substance Use

Disorder Persons with Disability

Yes

County-Operated Mental Health Providers

Page 103 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license

waiver or registration

are located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 104 of 165

Provider Adult El Centro Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 2695 S 4th St El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Bushra Ahmad MD

Medical License

A73057

NPI 1043356850

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Steven Dilsaver MD

Medical License

G87120

Medication

Support

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 105 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1154463941

Specialty Adult Board

Certified

Services Crisis

Intervention

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

McConnell Gwenyth

MD

Medical License

G162612

NPI 1700959673

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American IndianAlaskan

Native AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ-Youth LGBTQ-

No

County-Operated Mental Health Providers

Page 106 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty Adult Board

Certified

Other

languages

upon request

Adults White Mental Health

Clients Family Members of

Mental Health Clients

Substance Use Disorder Clients

Family Members of Substance

Use Disorder Clients Disabled

Rosa Acosta

LVN Psychiatric

Technician

License 216237

NPI 1306269097

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander African

American Older Adults

LGBTQ Adults LGBTQ Youth

White Mental Health Clients

Family Members of Mental

Health Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Disabled

Yes

County-Operated Mental Health Providers

Page 107 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Roxanne Zamora

LVN Psychiatric

Technician

License 255636

NPI 1669865622

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult Mental Health Client

Family of Mental Health Client

Disabled

Yes

Sara Granillo

LVN Psychiatric

Technician

License 240568

NPI 1609223288

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 108 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Viviana Trejo AMFT

License 114745

NPI 1932458726

Specialty CA Board

of Behavorial Science

ndash Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Rehabilitation

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client

Yes

Jennifer Delgadillo

AMFT

License 108420

NPI 1194188938

Crisis

Intervention

and Mental

Health Services

Spanish

American Hispanic African

American Older Adults LGBT

Mental Health Clients Family

of Mental Health Clients

Yes

County-Operated Mental Health Providers

Page 109 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavorial Science

ndash Associate Marriage

and Family Therapist

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Substance Use Disorder Clients

Family Members of Substance

Use Disorder Clients

Tania Duenas AMFT

License 118303

NPI 1710482799

Specialty CA Board

of Behavioral Science

ndash Associate Marriage

and Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Disabled

Yes

County-Operated Mental Health Providers

Page 110 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 111 of 165

Provider Adult El Centro Wellness Center

Address 2695 S 4th St Suite D El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Supportive

services for

clients in

recovery from

mental illness

including

support groups

wellness

recovery

assessment

plans

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 112 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

independent

living skills

training

interpersonal

skills training

pre-

employment

training

educational and

vocational

supportive

services health

and nutrition

activities and

social

engagement

activities

County-Operated Mental Health Providers

Page 113 of 165

Provider Adult Brawley Anxiety amp Depression Clinic

Address 220 Main St 2nd Floor Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

Yes

Adult Services ndash Brawley CA

County-Operated Mental Health Providers

Page 114 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Gregory Jeffers MD

Telehealth Provider

Medical License

A037601

NPI 1477579472

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

No

Astrid Castro

LVN Psychiatric

Technician

License 706727

NPI 1164042420

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBTQ-Youth

LGBTQ-Adults White Mental

Health Clients Family Members

of Mental Health Clients

Substance Use Disorder Clients

Family Members of Substance

Yes

County-Operated Mental Health Providers

Page 115 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Use Disorder Clients Persons

with Disability

Andrea Herrera

LVN II Psychiatric

Technician

License 688752

NPI 1740839455

Specialty Board of

Vocational Nursing

and Psychiatric

Technicians

Medication

Support Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Older Adults Yes

Elizabeth Castaneda

ACSW

License 75314

NPI 1366749244

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client

Yes

County-Operated Mental Health Providers

Page 116 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Nestor Urbano AMFT

License 92043

NPI 1851785075

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client

Yes

Raquel Bermejo

ACSW

License 96400

NPI 1326410796

Crisis

Intervention

and Mental

Health Services

- Assessment

Spanish

Sign

Language

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBT White

Mental Health Clients Family

Yes

County-Operated Mental Health Providers

Page 117 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Rehabilitation

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Members of Mental Health

Clients Family Members of

Substance Use Disorder Clients

Persons with Disability

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 118 of 165

Provider Adult Brawley Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 229 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-5110 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

Yes

Belen Davila MD

Medical License

A148569

Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 119 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1649619792

Specialty Adult Board

Certified

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Esmeralda Herrera

LVN Psychiatric

Technician

License 243677

NPI 1124441811

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Yes

County-Operated Mental Health Providers

Page 120 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alvarado Daphne

LVN Psychiatric

Technician

Medical License

706723

NPI1407471980

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

Yes

Monica Pinto AMFT

License 118241

NPI 1619492998

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Substance Use

Yes

County-Operated Mental Health Providers

Page 121 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Individual and

Group Therapy

Other

languages

upon request

Disorder Clients Family

Members of Substance Use

Disorder Clients Disabled

Sergio Hernandez

AMFT

License 120548

NPI 1386247161

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American American

IndianAlaskan Native

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBT Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Persons with

Disability

Yes

County-Operated Mental Health Providers

Page 122 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 123 of 165

Provider Adult Brawley Wellness Center

Address 205 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Supportive

services for

clients in

recovery from

mental illness

including

support groups

wellness

recovery

assessment

plans

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 124 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

independent

living skills

training

interpersonal

skills training

pre-

employment

training

educational and

vocational

supportive

services health

and nutrition

activities and

social

engagement

activities

County-Operated Mental Health Providers

Page 125 of 165

Provider Adult Calexico Anxiety amp Depression Clinic

Address 1501 W Imperial Avenue Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-1525or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Adult Services ndash Calexico CA

County-Operated Mental Health Providers

Page 126 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

No

Luz Aispuro Gonzalez

LVN Psychiatric

Technician

License 690265

NPI 1992324396

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBTQ-Youth

LGBTQ-Adults White Mental

Health Clients Family Members

of Mental Health Clients

Substance Use Disorder Clients

Yes

County-Operated Mental Health Providers

Page 127 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Family Members of Substance

Use Disorder Clients Disabled

Norma Munoz-

Sedano AMFT

License 116614

NPI 1578126405

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult

LGBTQ Mental Health Client

Family of Mental Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 128 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

- Rehabilitation

Services

Other

languages

upon request

Health Client Family of Mental

Health Client Disabled

County-Operated Mental Health Providers

Page 129 of 165

Provider Adult Calexico Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 1501 W Imperial Avenue Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone 442-265-6340 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Luz Aispuro Gonzalez

LVN Psychiatric

Technician

Medication

Support

Spanish

American IndianAlaskan

Native BlackAfrican American

HispanicLatino Older Adults

Yes

County-Operated Mental Health Providers

Page 130 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 690265

NPI 1992324396

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

LGBTQ-Youth LGBTQ-Adults

White Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Disabled

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

No

County-Operated Mental Health Providers

Page 131 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Janie Lam-Echeverria

LCSW

License 26570

NPI 1215070008

Specialty CA Board

of Behavioral

Science-Licensed

Clinical Social Worker

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 132 of 165

Provider San Pasqual Family Resource Center (FRC)

Address 676 Baseline Rd Winterhaven CA 92283

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Population Served Children amp Adolescents

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

Mental Health Services - Winterhaven CA

County-Operated Mental Health Providers

Page 133 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Guadalupe Belen

Paredes

LVN Psychiatric

Technician

License 687762

NPI 1477904084

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

Christine Garcia

LCSW

License 81089

NPI

1689980476

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 134 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Other

languages

upon request

Health Client Family of

Mental Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 135 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

Population Served Adults amp Older Adults

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental

Health Client Disabled

Yes

Diane Estrada LMFT

License 117206

NPI 1801933999

Specialty CA Board of

Behavioral Science-

Licensed Marriage and

Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Spanish

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 136 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Individual and

Group Therapy

Other

languages

upon request

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 137 of 165

Provider Transitional Engagement Supportive Services (TESS)

Address 1699 W Main Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=criassess

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health Services

- Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

Transitional Engagement Supportive Services (TESS)

County-Operated Mental Health Providers

Page 138 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin Richter

MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

County-Operated Mental Health Providers

Page 139 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 140 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Vocational Nursing and

Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical Social

Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

NPI 1881942407

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 141 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical Social

Worker

Services ndash

Assessment and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Janelle Montes Medication

Support

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 142 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board of

Vocational Nursing and

Psychiatric Technicians

Licensed Vocational

Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 143 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other

languages

upon request

County-Operated Mental Health Providers

Page 144 of 165

Provider Community Engagement Supportive Services (CESS)

Address 1699 W Main Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=criassess

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health

Services -

Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Community Engagement Supportive Services (CESS)

County-Operated Mental Health Providers

Page 145 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin

Richter MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 146 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 147 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

NPI 1881942407

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 148 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Janelle Montes Medication

Support

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 149 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 150 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 151 of 165

Provider Mental Health Triage Unit

Address 202 N 8th St El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=cricri

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health

Services -

Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Mental Health Triage Unit and Engagement Services

County-Operated Mental Health Providers

Page 152 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin Richter

MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 153 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License 709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 154 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Cynthia Ferreiro-

Avendano LMFT

License 102531

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 155 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1528528452

Specialty CA Board of

Behavioral Science-

Licensed Marriage and

Family Therapist

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

Crisis

Intervention

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 156 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1881942407

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Mental Health

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Janelle Montes

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 157 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Contracted Mental Health Providers

Page 158 of 165

Provider CHARLEE Family Care ndash El Centro

Address 495 E Orange Ave El Centro CA 92243

Website wwwcharleecfccom

Phone (760) 353-6151

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license

waiver or

registration are

located at this site

Therapeutic

Behavioral

Health

Services (TBS)

Interpretation

available upon

request

American Hispanic Mental

Health Client Family of

Mental Health Client

Yes

Contracted Mental Health Providers

Contracted Mental Health Providers

Page 159 of 165

Provider WomanHaven a Center for Family Solutions

Address 510 Main St Suite 104 amp 106 El Centro CA 92243

Website wwwwomanhavenorg

Phone (760)353-6922

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Stephen LeMasters

ACSW

License 70261

NPI 1902440605

Specialty CA Board

of Behavioral Science

ndash Associate Clinical

Social Worker

Crisis

Intervention

Targeted Case

Management

Mental Health

Services

Assessment

and Individual

Therapy

Interpretation

available upon

request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Guadalupe Gonzalez

AMFT

Crisis

Intervention

Spanish American Hispanic

AsianPacific Islander

Yes

Contracted Mental Health Providers

Page 160 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License

121162

NPI

1134730344

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Targeted Case

Management

Mental Health

Services

Assessment

Individual

Therapy

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Mental Health

Services

Assessment

Collateral and

Rehabilitation

Spanish American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Contracted Mental Health Providers

Page 161 of 165

Provider Jackson House

Address 2364 S 2nd St El Centro CA 92243

Website wwwjacksonhousecarescom

Phone (760)332-3303

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Cesar Benitez MD

Medical License

A107600

NPI 1275738098

Specialty Adult

Board Certified

Crisis

Residential

(Medication

Support

Services Crisis

Intervention)

Spanish

Interpretation

available upon

request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Robert Bradley

Sanders MD

Medical License

20A5544

Crisis

Residential

(Medication

Support

Interpretation

available upon

request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

Contracted Mental Health Providers

Page 162 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1144264300

Specialty Adult

Board Certified

Services Crisis

Intervention)

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Other Qualified

Providers that do not

have a license

waiver or

registration are

located at this site

Crisis

Residential

(Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Rehabilitation

Services)

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Contracted Mental Health Providers

Page 163 of 165

Provider STEPS (Quest Programs)

Address 3636 Camino Del Rio North Suite 150 San Diego CA

Website Phone 951-777-0333

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Sheela Masifi MD

Medical License

A154508

NPI 1124401765

Specialty Adult amp

Child Board Certified

Psychiatry

Psychotherapy

Medication

Support Crisis

Intervention

Mandarin

Spanish

Interpretation

available upon

request

Other

languages

upon request

American Hispanic Anxiety

Disorders Family of Mental

Health Client LGBT Eating

Disorders Child Abuse

Therapy HIV Sexual

Disorders

Yes

Contracted Mental Health Providers

Page 164 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Jehna Barnes ACSW

License 85638

NPI 1285256099

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group

Therapy Case

Management

Spanish

Interpretation

available upon

request

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Mental Health

Client LGBT Family of

Mental Health Client

Substance Use Clients Foster

Care TAY

Yes

Judith Diaz Nurse

Practitioner

License 95000797

NPI 1841610219

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

language upon

request

American Hispanic Mental

Health Client Family of

Mental Health Client LGBT

Substance Use Clients

Disabled Foster Care TAY

Yes

Contracted Mental Health Providers

Page 165 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Registered

Nursing

Individual

Family and

Group

Therapy Case

Management

Sign

Language

upon request

Other

languages

upon request

County-Operated Mental Health Providers

Page 8 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Jacqueline Lopez

LVN Psychiatric

Technician

License 290170

NPI 1720459886

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 9 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Karina Idaly

Rodriguez

LVN Psychiatric

Technician

License 699834

NPI 1669940854

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 10 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Pauline Rocha

LVN Psychiatric

Technician

License 711433

NPI 1972112811

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Gracie Galindo Baker

ACSW

License 92097

NPI 1205475308

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 11 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Family and

Group Therapy

Other

languages

upon request

Theresa Jean Vogel

ACSW

License 79042

NPI 1467941286

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Guadalupe Garcia

AMFT

License 98719

NPI 1164661351

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 12 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Individual

Family and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Alicia Ibeth Torres

AMFT

License 93152

NPI 1114370780

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 13 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sandy Sierra ACSW

License 95649

NPI 1295338077

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Vanessa Jean Carrillo

ACSW

License 79072

NPI 1790292373

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 14 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Other

languages

upon request

Patricia Armandina

Valenzuela LMFT

License 107070

NPI 1124385307

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 15 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 16 of 165

Provider El Centro Children and Adolescent Outpatient Clinic Team 12 (Wake)

Address 651 Wake Avenue El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Meghan Jain MD

Telehealth Provider

Medical License

A138547

NPI 1942628128

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medication

Support

Spanish

Portuguese

American American

IndianAlaskan Native

AsianPacific Islander African

Yes

County-Operated Mental Health Providers

Page 17 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

and Neurology ndash

Psychiatry

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Belkys Cota

LVN Psychiatric

Technician

License 260440

NPI 1124441647

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 18 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Yeni Alcantar

LVN Psychiatric

Technician

License 703185

NPI 1134761208

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Christine Garcia

LCSW

License 81089

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 19 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1689980476

Specialty CA Board

of Behavioral

Science-Licensed

Clinical Social Worker

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Maria Guadalupe

Martinez AMFT

License 99249

NPI 1659744969

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 20 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Ana G Pesqueira

LCSW

License 89026

NPI 1891183067

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Stephanie Ramirez

LCSW

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 21 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 75194

NPI 1841544970

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Viviane Rodriguez-

Velasquez ACSW

License 95650

NPI 1417484528

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 22 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Vanessa Jean Carrillo

ACSW

License 79072

NPI 1790292373

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Stacie Lynn Otero

ACSW

License 96791

NPI 1942611587

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 23 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Family and

Group Therapy

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 24 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Services -

Assessment

and

Rehabilitation

County-Operated Mental Health Providers

Page 25 of 165

Provider El Centro Vista Sands

Address 1530 S Waterman El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 26 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Assessment and

Rehabilitation

County-Operated Mental Health Providers

Page 27 of 165

Provider Prevention and Early Intervention (PEI)

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alexander Ruiz

ACSW

License 78932

NPI 1033504337

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maria Guadalupe

Martinez AMFT

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 28 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 99249

NPI 1659744969

Specialty CA Board

of

Behavioral Science-

Associate Marriage

and Family Therapist

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Ana G Pesqueira

LCSW

License 89026

NPI 1891183067

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 29 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Jessica C Martinez-

Smith ACSW

License 77969

NPI 1619225141

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

Hispanic African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gabriel Garcia AMFT

License 84979

NPI 1841627874

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 30 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alicia Ibeth Torres

AMFT

License 93152

NPI 1114370780

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maritza Janeth

Guzman LMFT

License 112264

NPI 1144524299

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 31 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Other

languages

upon request

County-Operated Mental Health Providers

Page 32 of 165

Provider First Steps to Success

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 33 of 165

Provider Brawley Children amp Adolescent Outpatient Services

Address 195 S 9th St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Belen Davila MD

Medical License

A148569

NPI 1649619792

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Children amp Adolescent Services ndash Brawley CA

County-Operated Mental Health Providers

Page 34 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

and Neurology ndash

Psychiatry

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

Other

languages

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 35 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty Adult

Board Certified

Other

languages

upon request

Belinda Davila

LVN Psychiatric

Technician

License 198477

NPI 1720125214

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Guadalupe Belen

Paredes

LVN Psychiatric

Technician

Medication

Support

Services Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 36 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 687762

NPI 1477904084

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Pauline Rocha

LVN Psychiatric

Technician

License 711433

NPI 1972112811

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 37 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Gracie Galindo Baker

ACSW

License 92097

NPI 1205475308

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maritza Janeth

Guzman LMFT

License 112264

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 38 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1144524299

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Theresa Jean Vogel

ACSW

License 79042

NPI 1467941286

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Jessica C Martinez-

Smith ACSW

Crisis

Intervention

Spanish

Hispanic African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 39 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 77969

NPI 1619225141

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Health Client Family of Mental

Health Client Disabled

Sandy Sierra ACSW

License 95649

NPI 1295338077

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

Hispanic African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 40 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Stacie Lynn Otero

ACSW

License 96791

NPI 1942611587

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Patricia Armandina

Valenzuela LMFT

License 107070

NPI 1124385307

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 41 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 42 of 165

Provider Brawley Vista Sands

Address 1401 B St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childvista

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 43 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 44 of 165

Provider Calexico Family Resource Center (FRC)

Address 101 Hacienda Dr Suite C Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Children amp Adolescent Services ndash Calexico CA

County-Operated Mental Health Providers

Page 45 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sanjoy Sathpathy MD

Telehealth Provider

Medical License

A80195

NPI 1043348428

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskaAmerican

African American Senior

Lesbian Gay Transgender and

Bisexual (LGTB) Mental

Health Client Mental Health

Client Relatives and Disabled

No

Brenda Alanis

LVN Psychiatric

Technician

License 284664

NPI 1205229366

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 46 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Karina Idaly

Rodriguez

LVN Psychiatric

Technician

License 699834

NPI 1669940854

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Yadira Gutierrez

LVN Psychiatric

Technician

License 687763

Medication

Support

Services Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 47 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1376994327

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Alexander Ruiz

ACSW

License 78932

NPI 1033504337

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 48 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Stephanie Ramirez

LCSW

License 75194

NPI 1841544970

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Gabriel Garcia

AMFT

License 84979

NPI 1841627874

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 49 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Other

languages

upon request

Guadalupe Garcia

AMFT

License 98719

NPI 1164661351

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Viviane Rodriguez-

Velasquez ACSW

License 95650

NPI 1417484528

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 50 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Individual

Family and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 51 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Assessment and

Rehabilitation

County-Operated Mental Health Providers

Page 52 of 165

Provider Calexico Vista Sands

Address 2300 Rockwood Ave Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childvista

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 53 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 54 of 165

Provider Youth and Young Adult (YAYA) El Centro Anxiety amp Depression Clinic

Address 1295 State St Suite 205 El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Youth and Young Adult Services ndash El Centro CA

County-Operated Mental Health Providers

Page 55 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Jenny Yi MD

Telehealth Provider

Medical License

A147197

NPI 1003133018

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

No

Jourdan Martinez

LVN Psychiatric

Technician

License 238442

NPI 1013460948

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services and

Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 56 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Saray Licea

LVN Psychiatric

Technician

License 706384

NPI 1275177636

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services and

Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled Older Adults

Yes

Jonathan Rosas

AMFT

License 113261

NPI 1962755124

Crisis

Intervention

Mental Health

Services -

Assessment and

Spanish

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Mental

Health Client Family of Mental

Health Client

Yes

County-Operated Mental Health Providers

Page 57 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Individual

Family and

Group Therapy

Other

languages

upon request

Olivia Solis AMFT

License 108347

NPI 1992249684

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients

Yes

Edgar Rios ACSW

License 94090

NPI 1801403720

Crisis

Intervention

Mental Health

Services -

Spanish

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

No

County-Operated Mental Health Providers

Page 58 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Assessment and

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients Persons with

Disability

Maria Arredondo

AMFT

License 99538

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 59 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Andrea Platero APCC

License 7355

NPI 1093068678

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Carolina Rivas AMFT

License 115618

NPI 1992306765

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Substance

Use Disorder Clients Family of

Substance Use Disorder Clients

No

County-Operated Mental Health Providers

Page 60 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Samantha Merlin

AMFT

License 108791

NPI 1154894145

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 61 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 62 of 165

Provider Youth and Young Adult (YAYA) El Centro Family Resource Center (FRC)

Address 1014 W Brighton Ave El Centro CA 92243

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Andrea Platero APCC

License 7355

NPI 1093068678

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Maria Arredondo

AMFT

License 99538

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 63 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Jonathan Rosas

AMFT

License 113261

NPI 1962755124

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Mental

Health Client Family of Mental

Health Client

Yes

County-Operated Mental Health Providers

Page 64 of 165

Provider Youth and Young Adult (YAYA) El Centro Full Service Partnership (FSP)

Address 1295 State St Suite 102 El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Jenny Yi MD

Telehealth Provider

Medical License

A147197

Medication

Support

Services and

Sign

Language

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 65 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1003133018

Specialty Adult Board

Certified

Crisis

Intervention

Other

languages

upon request

Morteza Rahmani MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

No

County-Operated Mental Health Providers

Page 66 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty Adult amp

Child Board Certified

Other

languages

upon request

Family of Mental Health Client

Disabled

Julius Castillo

LVN Psychiatric

Technician

License 698774

NPI 1568012128

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians ndash

Licensed Vocational

Nurse

Medication

Support

Services and

Crisis

Intervention

Spanish

Tagalog

Sign

Language

upon request

Other

languages

upon request

Older Adults Mental Health

Client AsianPacific Islander

LGBT Family of Mental Health

Client African American

Substance Use Disorder Client

Hispanic Family of Substance

Use Disorder Client Disabled

Yes

Andrea Platero APCC

License 7355

NPI 1093068678

Crisis

Intervention

Mental Health

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 67 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Services -

Assessment

and Individual

Family and

Group Therapy

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Maria Arredondo

AMFT

License 99538

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Other Qualified

Providers that do not

Crisis

Intervention

Spanish

American Hispanic

AsianPacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 68 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

have a license waiver

or registration are

located at this site

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

County-Operated Mental Health Providers

Page 69 of 165

Provider Adolescent Habilitative Learning Program (AHLP)

Address 2001 Ocotillo Dr El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaahlp

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 70 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 71 of 165

Provider Youth and Young Adult (YAYA) Brawley Anxiety amp Depression Clinic

Address 1535 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Youth and Young Adult Services ndash Brawley CA

County-Operated Mental Health Providers

Page 72 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Atih Amanda Seif

MD

Telehealth Provider

Medical License

C133728

NPI 1821332099

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 73 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

and Neurology ndash

Psychiatry

Other

languages

upon request

Javier Ramirez

LVN Psychiatric

Technician

License 688109

NPI 1205287257

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Rosalba Caballero

LVN Psychiatric

Technician

License 685181

Medication

Support

Services Crisis

Intervention

Spanish

American American

IndianAlaskan Native Asian

Pacific Islander Hispanic

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 74 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1255951414

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Substance Use Disorder

Disabled Family Members of

Substance Use Disorder

Jonathan Fonseca

ACSW

License 77982

NPI 1417382185

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

Kimberly Braga

AMFT

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 75 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 105478

NPI 1518444348

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Johanna Pinedo

AMFT

License 89001

NPI 1437514163

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 76 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Silvestre Mancera

LMFT

License 115212

NPI 1144519158

Specialty CA Board

of Behavioral

Science- Licensed

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Mental

Health Client Family of Mental

Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 77 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 78 of 165

Provider Youth and Young Adult (YAYA) Brawley Family Resource Center (FRC)

Address 480 N Imperial Ave Room 95 Brawley CA 92227

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Johanna Pinedo

AMFT

License 89001

NPI 1437514163

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 79 of 165

Provider Youth and Young Adult (YAYA) Brawley Full Service Partnership (FSP)

Address 1535 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 80 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Atih Amanda Seif

MD

Telehealth Provider

Medical License

C133728

NPI 1821332099

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 81 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

and Neurology ndash

Psychiatry

Other

languages

upon request

Javier Ramirez

LVN Psychiatric

Technician

License 688109

NPI 1205287257

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Jonathan Fonseca

ACSW

License 77982

NPI 1417382185

Crisis

Intervention

Mental Health

Services ndash

Spanish

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 82 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Kimberly Braga

AMFT

License 105478

NPI 1518444348

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 83 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Silvestre Mancera

LMFT

License 115212

NPI 1144519158

Specialty CA Board

of Behavioral

Science- Licensed

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Mental

Health Client Family of Mental

Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 84 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 85 of 165

Provider Youth and Young Adult (YAYA) Calexico Anxiety amp Depression Clinic

Address 101 Hacienda Suite A Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Youth amp Young Adult Services ndash Calexico CA

County-Operated Mental Health Providers

Page 86 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Brenda Solis Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 87 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

LVN Psychiatric

Technician

License 683844

NPI 1497256234

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Stephanie Vela

LVN Psychiatric

Technician

License 709705

NPI 1538784731

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 88 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Francisca Gomez

ACSW

License 64201

NPI 1184976763

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Roxanna Palacios

AMFT

License 92497

NPI 1356766711

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Spanish

Sign

Language

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 89 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Family and

Group Therapy

Other

languages

upon request

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 90 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

County-Operated Mental Health Providers

Page 91 of 165

Provider Youth and Young Adult (YAYA) Calexico Full Service Partnership (FSP)

Address 101 Hacienda Suite A Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Aditi Parashar MD

Medical License

A139276

Medication

Support

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 92 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1932487006

Specialty Adult amp

Child Board Certified

Services Crisis

Intervention

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Brenda Solis

LVN Psychiatric

Technician

License 683844

NPI 1497256234

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 93 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Stephanie Vela

LVN Psychiatric

Technician

License 709705

NPI 1538784731

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 94 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Francisca Gomez

ACSW

License 64201

NPI 1184976763

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Roxanna Palacios

AMFT

License 92497

NPI 1356766711

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 95 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 96 of 165

Provider Adult El Centro Anxiety amp Depression Clinic

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-7300 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Steven Dilsaver MD

Medical License

G87120

NPI 1154463941

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Belen Davila MD Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

Adult Services ndash El Centro CA

County-Operated Mental Health Providers

Page 97 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

A148569

NPI 1649619792

Specialty Adult

Board Certified

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Manjusha Kurada

MD

Medical License

A132203

NPI 1154671980

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medication

Support

Sign

Language

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

No

County-Operated Mental Health Providers

Page 98 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Services Crisis

Intervention

Other

languages

upon request

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental Health

Clients Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Rosa Irene Macias

LVN Psychiatric

Technician

License 278288

NPI 1205229267

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic LGBT

Mental Health Client Family of

Mental Health Client

Yes

County-Operated Mental Health Providers

Page 99 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Stephanie Uribe

LVN Psychiatric

Technician

License 706256

NPI 1922646314

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan Native

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance

Yes

Bianca Nelson

LCSW

License 97607

NPI 1073743712

Specialty CA Board

of Behavioral

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 100 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Science-Licensed

Clinical Social

Worker

Individual and

Group Therapy

Mariana Magana

ACSW

License 83643

NPI 1710409941

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Monica Adame

LMFT

License 121949

NPI 1619373933

Crisis

Intervention

and Mental

Health Services

- Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 101 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Rehabilitation

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Diane Estrada LMFT

License 117206

NPI 1801933999

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Suset Ruiz AMFT

License 117566

NPI 1962970053

Crisis

Intervention

and Mental

Health Services

Spanish

American

AmericanIndianAlaskan Native

BlackAfrican American

HispanicLatino Older Adult

Yes

County-Operated Mental Health Providers

Page 102 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Persons with

Disability

Cristina Lopez-

Penalber AMFT

License 118414

NPI 1770085789

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

HispanicLatino Older Adults

LGBT White Mental Health

Clients Family Members of

Mental Health Cleints Substance

Use Disorder Clients Family

Member of Substance Use

Disorder Persons with Disability

Yes

County-Operated Mental Health Providers

Page 103 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license

waiver or registration

are located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 104 of 165

Provider Adult El Centro Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 2695 S 4th St El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Bushra Ahmad MD

Medical License

A73057

NPI 1043356850

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Steven Dilsaver MD

Medical License

G87120

Medication

Support

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 105 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1154463941

Specialty Adult Board

Certified

Services Crisis

Intervention

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

McConnell Gwenyth

MD

Medical License

G162612

NPI 1700959673

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American IndianAlaskan

Native AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ-Youth LGBTQ-

No

County-Operated Mental Health Providers

Page 106 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty Adult Board

Certified

Other

languages

upon request

Adults White Mental Health

Clients Family Members of

Mental Health Clients

Substance Use Disorder Clients

Family Members of Substance

Use Disorder Clients Disabled

Rosa Acosta

LVN Psychiatric

Technician

License 216237

NPI 1306269097

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander African

American Older Adults

LGBTQ Adults LGBTQ Youth

White Mental Health Clients

Family Members of Mental

Health Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Disabled

Yes

County-Operated Mental Health Providers

Page 107 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Roxanne Zamora

LVN Psychiatric

Technician

License 255636

NPI 1669865622

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult Mental Health Client

Family of Mental Health Client

Disabled

Yes

Sara Granillo

LVN Psychiatric

Technician

License 240568

NPI 1609223288

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 108 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Viviana Trejo AMFT

License 114745

NPI 1932458726

Specialty CA Board

of Behavorial Science

ndash Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Rehabilitation

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client

Yes

Jennifer Delgadillo

AMFT

License 108420

NPI 1194188938

Crisis

Intervention

and Mental

Health Services

Spanish

American Hispanic African

American Older Adults LGBT

Mental Health Clients Family

of Mental Health Clients

Yes

County-Operated Mental Health Providers

Page 109 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavorial Science

ndash Associate Marriage

and Family Therapist

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Substance Use Disorder Clients

Family Members of Substance

Use Disorder Clients

Tania Duenas AMFT

License 118303

NPI 1710482799

Specialty CA Board

of Behavioral Science

ndash Associate Marriage

and Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Disabled

Yes

County-Operated Mental Health Providers

Page 110 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 111 of 165

Provider Adult El Centro Wellness Center

Address 2695 S 4th St Suite D El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Supportive

services for

clients in

recovery from

mental illness

including

support groups

wellness

recovery

assessment

plans

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 112 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

independent

living skills

training

interpersonal

skills training

pre-

employment

training

educational and

vocational

supportive

services health

and nutrition

activities and

social

engagement

activities

County-Operated Mental Health Providers

Page 113 of 165

Provider Adult Brawley Anxiety amp Depression Clinic

Address 220 Main St 2nd Floor Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

Yes

Adult Services ndash Brawley CA

County-Operated Mental Health Providers

Page 114 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Gregory Jeffers MD

Telehealth Provider

Medical License

A037601

NPI 1477579472

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

No

Astrid Castro

LVN Psychiatric

Technician

License 706727

NPI 1164042420

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBTQ-Youth

LGBTQ-Adults White Mental

Health Clients Family Members

of Mental Health Clients

Substance Use Disorder Clients

Family Members of Substance

Yes

County-Operated Mental Health Providers

Page 115 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Use Disorder Clients Persons

with Disability

Andrea Herrera

LVN II Psychiatric

Technician

License 688752

NPI 1740839455

Specialty Board of

Vocational Nursing

and Psychiatric

Technicians

Medication

Support Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Older Adults Yes

Elizabeth Castaneda

ACSW

License 75314

NPI 1366749244

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client

Yes

County-Operated Mental Health Providers

Page 116 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Nestor Urbano AMFT

License 92043

NPI 1851785075

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client

Yes

Raquel Bermejo

ACSW

License 96400

NPI 1326410796

Crisis

Intervention

and Mental

Health Services

- Assessment

Spanish

Sign

Language

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBT White

Mental Health Clients Family

Yes

County-Operated Mental Health Providers

Page 117 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Rehabilitation

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Members of Mental Health

Clients Family Members of

Substance Use Disorder Clients

Persons with Disability

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 118 of 165

Provider Adult Brawley Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 229 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-5110 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

Yes

Belen Davila MD

Medical License

A148569

Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 119 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1649619792

Specialty Adult Board

Certified

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Esmeralda Herrera

LVN Psychiatric

Technician

License 243677

NPI 1124441811

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Yes

County-Operated Mental Health Providers

Page 120 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alvarado Daphne

LVN Psychiatric

Technician

Medical License

706723

NPI1407471980

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

Yes

Monica Pinto AMFT

License 118241

NPI 1619492998

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Substance Use

Yes

County-Operated Mental Health Providers

Page 121 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Individual and

Group Therapy

Other

languages

upon request

Disorder Clients Family

Members of Substance Use

Disorder Clients Disabled

Sergio Hernandez

AMFT

License 120548

NPI 1386247161

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American American

IndianAlaskan Native

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBT Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Persons with

Disability

Yes

County-Operated Mental Health Providers

Page 122 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 123 of 165

Provider Adult Brawley Wellness Center

Address 205 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Supportive

services for

clients in

recovery from

mental illness

including

support groups

wellness

recovery

assessment

plans

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 124 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

independent

living skills

training

interpersonal

skills training

pre-

employment

training

educational and

vocational

supportive

services health

and nutrition

activities and

social

engagement

activities

County-Operated Mental Health Providers

Page 125 of 165

Provider Adult Calexico Anxiety amp Depression Clinic

Address 1501 W Imperial Avenue Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-1525or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Adult Services ndash Calexico CA

County-Operated Mental Health Providers

Page 126 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

No

Luz Aispuro Gonzalez

LVN Psychiatric

Technician

License 690265

NPI 1992324396

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBTQ-Youth

LGBTQ-Adults White Mental

Health Clients Family Members

of Mental Health Clients

Substance Use Disorder Clients

Yes

County-Operated Mental Health Providers

Page 127 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Family Members of Substance

Use Disorder Clients Disabled

Norma Munoz-

Sedano AMFT

License 116614

NPI 1578126405

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult

LGBTQ Mental Health Client

Family of Mental Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 128 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

- Rehabilitation

Services

Other

languages

upon request

Health Client Family of Mental

Health Client Disabled

County-Operated Mental Health Providers

Page 129 of 165

Provider Adult Calexico Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 1501 W Imperial Avenue Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone 442-265-6340 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Luz Aispuro Gonzalez

LVN Psychiatric

Technician

Medication

Support

Spanish

American IndianAlaskan

Native BlackAfrican American

HispanicLatino Older Adults

Yes

County-Operated Mental Health Providers

Page 130 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 690265

NPI 1992324396

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

LGBTQ-Youth LGBTQ-Adults

White Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Disabled

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

No

County-Operated Mental Health Providers

Page 131 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Janie Lam-Echeverria

LCSW

License 26570

NPI 1215070008

Specialty CA Board

of Behavioral

Science-Licensed

Clinical Social Worker

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 132 of 165

Provider San Pasqual Family Resource Center (FRC)

Address 676 Baseline Rd Winterhaven CA 92283

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Population Served Children amp Adolescents

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

Mental Health Services - Winterhaven CA

County-Operated Mental Health Providers

Page 133 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Guadalupe Belen

Paredes

LVN Psychiatric

Technician

License 687762

NPI 1477904084

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

Christine Garcia

LCSW

License 81089

NPI

1689980476

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 134 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Other

languages

upon request

Health Client Family of

Mental Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 135 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

Population Served Adults amp Older Adults

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental

Health Client Disabled

Yes

Diane Estrada LMFT

License 117206

NPI 1801933999

Specialty CA Board of

Behavioral Science-

Licensed Marriage and

Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Spanish

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 136 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Individual and

Group Therapy

Other

languages

upon request

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 137 of 165

Provider Transitional Engagement Supportive Services (TESS)

Address 1699 W Main Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=criassess

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health Services

- Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

Transitional Engagement Supportive Services (TESS)

County-Operated Mental Health Providers

Page 138 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin Richter

MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

County-Operated Mental Health Providers

Page 139 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 140 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Vocational Nursing and

Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical Social

Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

NPI 1881942407

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 141 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical Social

Worker

Services ndash

Assessment and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Janelle Montes Medication

Support

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 142 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board of

Vocational Nursing and

Psychiatric Technicians

Licensed Vocational

Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 143 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other

languages

upon request

County-Operated Mental Health Providers

Page 144 of 165

Provider Community Engagement Supportive Services (CESS)

Address 1699 W Main Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=criassess

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health

Services -

Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Community Engagement Supportive Services (CESS)

County-Operated Mental Health Providers

Page 145 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin

Richter MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 146 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 147 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

NPI 1881942407

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 148 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Janelle Montes Medication

Support

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 149 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 150 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 151 of 165

Provider Mental Health Triage Unit

Address 202 N 8th St El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=cricri

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health

Services -

Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Mental Health Triage Unit and Engagement Services

County-Operated Mental Health Providers

Page 152 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin Richter

MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 153 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License 709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 154 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Cynthia Ferreiro-

Avendano LMFT

License 102531

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 155 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1528528452

Specialty CA Board of

Behavioral Science-

Licensed Marriage and

Family Therapist

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

Crisis

Intervention

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 156 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1881942407

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Mental Health

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Janelle Montes

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 157 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Contracted Mental Health Providers

Page 158 of 165

Provider CHARLEE Family Care ndash El Centro

Address 495 E Orange Ave El Centro CA 92243

Website wwwcharleecfccom

Phone (760) 353-6151

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license

waiver or

registration are

located at this site

Therapeutic

Behavioral

Health

Services (TBS)

Interpretation

available upon

request

American Hispanic Mental

Health Client Family of

Mental Health Client

Yes

Contracted Mental Health Providers

Contracted Mental Health Providers

Page 159 of 165

Provider WomanHaven a Center for Family Solutions

Address 510 Main St Suite 104 amp 106 El Centro CA 92243

Website wwwwomanhavenorg

Phone (760)353-6922

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Stephen LeMasters

ACSW

License 70261

NPI 1902440605

Specialty CA Board

of Behavioral Science

ndash Associate Clinical

Social Worker

Crisis

Intervention

Targeted Case

Management

Mental Health

Services

Assessment

and Individual

Therapy

Interpretation

available upon

request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Guadalupe Gonzalez

AMFT

Crisis

Intervention

Spanish American Hispanic

AsianPacific Islander

Yes

Contracted Mental Health Providers

Page 160 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License

121162

NPI

1134730344

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Targeted Case

Management

Mental Health

Services

Assessment

Individual

Therapy

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Mental Health

Services

Assessment

Collateral and

Rehabilitation

Spanish American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Contracted Mental Health Providers

Page 161 of 165

Provider Jackson House

Address 2364 S 2nd St El Centro CA 92243

Website wwwjacksonhousecarescom

Phone (760)332-3303

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Cesar Benitez MD

Medical License

A107600

NPI 1275738098

Specialty Adult

Board Certified

Crisis

Residential

(Medication

Support

Services Crisis

Intervention)

Spanish

Interpretation

available upon

request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Robert Bradley

Sanders MD

Medical License

20A5544

Crisis

Residential

(Medication

Support

Interpretation

available upon

request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

Contracted Mental Health Providers

Page 162 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1144264300

Specialty Adult

Board Certified

Services Crisis

Intervention)

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Other Qualified

Providers that do not

have a license

waiver or

registration are

located at this site

Crisis

Residential

(Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Rehabilitation

Services)

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Contracted Mental Health Providers

Page 163 of 165

Provider STEPS (Quest Programs)

Address 3636 Camino Del Rio North Suite 150 San Diego CA

Website Phone 951-777-0333

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Sheela Masifi MD

Medical License

A154508

NPI 1124401765

Specialty Adult amp

Child Board Certified

Psychiatry

Psychotherapy

Medication

Support Crisis

Intervention

Mandarin

Spanish

Interpretation

available upon

request

Other

languages

upon request

American Hispanic Anxiety

Disorders Family of Mental

Health Client LGBT Eating

Disorders Child Abuse

Therapy HIV Sexual

Disorders

Yes

Contracted Mental Health Providers

Page 164 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Jehna Barnes ACSW

License 85638

NPI 1285256099

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group

Therapy Case

Management

Spanish

Interpretation

available upon

request

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Mental Health

Client LGBT Family of

Mental Health Client

Substance Use Clients Foster

Care TAY

Yes

Judith Diaz Nurse

Practitioner

License 95000797

NPI 1841610219

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

language upon

request

American Hispanic Mental

Health Client Family of

Mental Health Client LGBT

Substance Use Clients

Disabled Foster Care TAY

Yes

Contracted Mental Health Providers

Page 165 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Registered

Nursing

Individual

Family and

Group

Therapy Case

Management

Sign

Language

upon request

Other

languages

upon request

County-Operated Mental Health Providers

Page 9 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Karina Idaly

Rodriguez

LVN Psychiatric

Technician

License 699834

NPI 1669940854

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 10 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Pauline Rocha

LVN Psychiatric

Technician

License 711433

NPI 1972112811

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Gracie Galindo Baker

ACSW

License 92097

NPI 1205475308

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 11 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Family and

Group Therapy

Other

languages

upon request

Theresa Jean Vogel

ACSW

License 79042

NPI 1467941286

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Guadalupe Garcia

AMFT

License 98719

NPI 1164661351

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 12 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Individual

Family and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Alicia Ibeth Torres

AMFT

License 93152

NPI 1114370780

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 13 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sandy Sierra ACSW

License 95649

NPI 1295338077

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Vanessa Jean Carrillo

ACSW

License 79072

NPI 1790292373

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 14 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Other

languages

upon request

Patricia Armandina

Valenzuela LMFT

License 107070

NPI 1124385307

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 15 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 16 of 165

Provider El Centro Children and Adolescent Outpatient Clinic Team 12 (Wake)

Address 651 Wake Avenue El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Meghan Jain MD

Telehealth Provider

Medical License

A138547

NPI 1942628128

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medication

Support

Spanish

Portuguese

American American

IndianAlaskan Native

AsianPacific Islander African

Yes

County-Operated Mental Health Providers

Page 17 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

and Neurology ndash

Psychiatry

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Belkys Cota

LVN Psychiatric

Technician

License 260440

NPI 1124441647

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 18 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Yeni Alcantar

LVN Psychiatric

Technician

License 703185

NPI 1134761208

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Christine Garcia

LCSW

License 81089

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 19 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1689980476

Specialty CA Board

of Behavioral

Science-Licensed

Clinical Social Worker

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Maria Guadalupe

Martinez AMFT

License 99249

NPI 1659744969

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 20 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Ana G Pesqueira

LCSW

License 89026

NPI 1891183067

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Stephanie Ramirez

LCSW

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 21 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 75194

NPI 1841544970

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Viviane Rodriguez-

Velasquez ACSW

License 95650

NPI 1417484528

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 22 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Vanessa Jean Carrillo

ACSW

License 79072

NPI 1790292373

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Stacie Lynn Otero

ACSW

License 96791

NPI 1942611587

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 23 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Family and

Group Therapy

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 24 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Services -

Assessment

and

Rehabilitation

County-Operated Mental Health Providers

Page 25 of 165

Provider El Centro Vista Sands

Address 1530 S Waterman El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 26 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Assessment and

Rehabilitation

County-Operated Mental Health Providers

Page 27 of 165

Provider Prevention and Early Intervention (PEI)

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alexander Ruiz

ACSW

License 78932

NPI 1033504337

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maria Guadalupe

Martinez AMFT

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 28 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 99249

NPI 1659744969

Specialty CA Board

of

Behavioral Science-

Associate Marriage

and Family Therapist

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Ana G Pesqueira

LCSW

License 89026

NPI 1891183067

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 29 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Jessica C Martinez-

Smith ACSW

License 77969

NPI 1619225141

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

Hispanic African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gabriel Garcia AMFT

License 84979

NPI 1841627874

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 30 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alicia Ibeth Torres

AMFT

License 93152

NPI 1114370780

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maritza Janeth

Guzman LMFT

License 112264

NPI 1144524299

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 31 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Other

languages

upon request

County-Operated Mental Health Providers

Page 32 of 165

Provider First Steps to Success

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 33 of 165

Provider Brawley Children amp Adolescent Outpatient Services

Address 195 S 9th St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Belen Davila MD

Medical License

A148569

NPI 1649619792

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Children amp Adolescent Services ndash Brawley CA

County-Operated Mental Health Providers

Page 34 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

and Neurology ndash

Psychiatry

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

Other

languages

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 35 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty Adult

Board Certified

Other

languages

upon request

Belinda Davila

LVN Psychiatric

Technician

License 198477

NPI 1720125214

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Guadalupe Belen

Paredes

LVN Psychiatric

Technician

Medication

Support

Services Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 36 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 687762

NPI 1477904084

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Pauline Rocha

LVN Psychiatric

Technician

License 711433

NPI 1972112811

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 37 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Gracie Galindo Baker

ACSW

License 92097

NPI 1205475308

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maritza Janeth

Guzman LMFT

License 112264

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 38 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1144524299

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Theresa Jean Vogel

ACSW

License 79042

NPI 1467941286

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Jessica C Martinez-

Smith ACSW

Crisis

Intervention

Spanish

Hispanic African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 39 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 77969

NPI 1619225141

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Health Client Family of Mental

Health Client Disabled

Sandy Sierra ACSW

License 95649

NPI 1295338077

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

Hispanic African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 40 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Stacie Lynn Otero

ACSW

License 96791

NPI 1942611587

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Patricia Armandina

Valenzuela LMFT

License 107070

NPI 1124385307

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 41 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 42 of 165

Provider Brawley Vista Sands

Address 1401 B St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childvista

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 43 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 44 of 165

Provider Calexico Family Resource Center (FRC)

Address 101 Hacienda Dr Suite C Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Children amp Adolescent Services ndash Calexico CA

County-Operated Mental Health Providers

Page 45 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sanjoy Sathpathy MD

Telehealth Provider

Medical License

A80195

NPI 1043348428

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskaAmerican

African American Senior

Lesbian Gay Transgender and

Bisexual (LGTB) Mental

Health Client Mental Health

Client Relatives and Disabled

No

Brenda Alanis

LVN Psychiatric

Technician

License 284664

NPI 1205229366

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 46 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Karina Idaly

Rodriguez

LVN Psychiatric

Technician

License 699834

NPI 1669940854

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Yadira Gutierrez

LVN Psychiatric

Technician

License 687763

Medication

Support

Services Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 47 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1376994327

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Alexander Ruiz

ACSW

License 78932

NPI 1033504337

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 48 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Stephanie Ramirez

LCSW

License 75194

NPI 1841544970

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Gabriel Garcia

AMFT

License 84979

NPI 1841627874

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 49 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Other

languages

upon request

Guadalupe Garcia

AMFT

License 98719

NPI 1164661351

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Viviane Rodriguez-

Velasquez ACSW

License 95650

NPI 1417484528

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 50 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Individual

Family and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 51 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Assessment and

Rehabilitation

County-Operated Mental Health Providers

Page 52 of 165

Provider Calexico Vista Sands

Address 2300 Rockwood Ave Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childvista

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 53 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 54 of 165

Provider Youth and Young Adult (YAYA) El Centro Anxiety amp Depression Clinic

Address 1295 State St Suite 205 El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Youth and Young Adult Services ndash El Centro CA

County-Operated Mental Health Providers

Page 55 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Jenny Yi MD

Telehealth Provider

Medical License

A147197

NPI 1003133018

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

No

Jourdan Martinez

LVN Psychiatric

Technician

License 238442

NPI 1013460948

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services and

Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 56 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Saray Licea

LVN Psychiatric

Technician

License 706384

NPI 1275177636

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services and

Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled Older Adults

Yes

Jonathan Rosas

AMFT

License 113261

NPI 1962755124

Crisis

Intervention

Mental Health

Services -

Assessment and

Spanish

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Mental

Health Client Family of Mental

Health Client

Yes

County-Operated Mental Health Providers

Page 57 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Individual

Family and

Group Therapy

Other

languages

upon request

Olivia Solis AMFT

License 108347

NPI 1992249684

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients

Yes

Edgar Rios ACSW

License 94090

NPI 1801403720

Crisis

Intervention

Mental Health

Services -

Spanish

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

No

County-Operated Mental Health Providers

Page 58 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Assessment and

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients Persons with

Disability

Maria Arredondo

AMFT

License 99538

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 59 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Andrea Platero APCC

License 7355

NPI 1093068678

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Carolina Rivas AMFT

License 115618

NPI 1992306765

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Substance

Use Disorder Clients Family of

Substance Use Disorder Clients

No

County-Operated Mental Health Providers

Page 60 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Samantha Merlin

AMFT

License 108791

NPI 1154894145

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 61 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 62 of 165

Provider Youth and Young Adult (YAYA) El Centro Family Resource Center (FRC)

Address 1014 W Brighton Ave El Centro CA 92243

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Andrea Platero APCC

License 7355

NPI 1093068678

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Maria Arredondo

AMFT

License 99538

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 63 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Jonathan Rosas

AMFT

License 113261

NPI 1962755124

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Mental

Health Client Family of Mental

Health Client

Yes

County-Operated Mental Health Providers

Page 64 of 165

Provider Youth and Young Adult (YAYA) El Centro Full Service Partnership (FSP)

Address 1295 State St Suite 102 El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Jenny Yi MD

Telehealth Provider

Medical License

A147197

Medication

Support

Services and

Sign

Language

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 65 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1003133018

Specialty Adult Board

Certified

Crisis

Intervention

Other

languages

upon request

Morteza Rahmani MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

No

County-Operated Mental Health Providers

Page 66 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty Adult amp

Child Board Certified

Other

languages

upon request

Family of Mental Health Client

Disabled

Julius Castillo

LVN Psychiatric

Technician

License 698774

NPI 1568012128

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians ndash

Licensed Vocational

Nurse

Medication

Support

Services and

Crisis

Intervention

Spanish

Tagalog

Sign

Language

upon request

Other

languages

upon request

Older Adults Mental Health

Client AsianPacific Islander

LGBT Family of Mental Health

Client African American

Substance Use Disorder Client

Hispanic Family of Substance

Use Disorder Client Disabled

Yes

Andrea Platero APCC

License 7355

NPI 1093068678

Crisis

Intervention

Mental Health

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 67 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Services -

Assessment

and Individual

Family and

Group Therapy

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Maria Arredondo

AMFT

License 99538

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Other Qualified

Providers that do not

Crisis

Intervention

Spanish

American Hispanic

AsianPacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 68 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

have a license waiver

or registration are

located at this site

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

County-Operated Mental Health Providers

Page 69 of 165

Provider Adolescent Habilitative Learning Program (AHLP)

Address 2001 Ocotillo Dr El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaahlp

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 70 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 71 of 165

Provider Youth and Young Adult (YAYA) Brawley Anxiety amp Depression Clinic

Address 1535 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Youth and Young Adult Services ndash Brawley CA

County-Operated Mental Health Providers

Page 72 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Atih Amanda Seif

MD

Telehealth Provider

Medical License

C133728

NPI 1821332099

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 73 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

and Neurology ndash

Psychiatry

Other

languages

upon request

Javier Ramirez

LVN Psychiatric

Technician

License 688109

NPI 1205287257

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Rosalba Caballero

LVN Psychiatric

Technician

License 685181

Medication

Support

Services Crisis

Intervention

Spanish

American American

IndianAlaskan Native Asian

Pacific Islander Hispanic

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 74 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1255951414

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Substance Use Disorder

Disabled Family Members of

Substance Use Disorder

Jonathan Fonseca

ACSW

License 77982

NPI 1417382185

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

Kimberly Braga

AMFT

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 75 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 105478

NPI 1518444348

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Johanna Pinedo

AMFT

License 89001

NPI 1437514163

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 76 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Silvestre Mancera

LMFT

License 115212

NPI 1144519158

Specialty CA Board

of Behavioral

Science- Licensed

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Mental

Health Client Family of Mental

Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 77 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 78 of 165

Provider Youth and Young Adult (YAYA) Brawley Family Resource Center (FRC)

Address 480 N Imperial Ave Room 95 Brawley CA 92227

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Johanna Pinedo

AMFT

License 89001

NPI 1437514163

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 79 of 165

Provider Youth and Young Adult (YAYA) Brawley Full Service Partnership (FSP)

Address 1535 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 80 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Atih Amanda Seif

MD

Telehealth Provider

Medical License

C133728

NPI 1821332099

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 81 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

and Neurology ndash

Psychiatry

Other

languages

upon request

Javier Ramirez

LVN Psychiatric

Technician

License 688109

NPI 1205287257

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Jonathan Fonseca

ACSW

License 77982

NPI 1417382185

Crisis

Intervention

Mental Health

Services ndash

Spanish

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 82 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Kimberly Braga

AMFT

License 105478

NPI 1518444348

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 83 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Silvestre Mancera

LMFT

License 115212

NPI 1144519158

Specialty CA Board

of Behavioral

Science- Licensed

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Mental

Health Client Family of Mental

Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 84 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 85 of 165

Provider Youth and Young Adult (YAYA) Calexico Anxiety amp Depression Clinic

Address 101 Hacienda Suite A Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Youth amp Young Adult Services ndash Calexico CA

County-Operated Mental Health Providers

Page 86 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Brenda Solis Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 87 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

LVN Psychiatric

Technician

License 683844

NPI 1497256234

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Stephanie Vela

LVN Psychiatric

Technician

License 709705

NPI 1538784731

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 88 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Francisca Gomez

ACSW

License 64201

NPI 1184976763

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Roxanna Palacios

AMFT

License 92497

NPI 1356766711

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Spanish

Sign

Language

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 89 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Family and

Group Therapy

Other

languages

upon request

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 90 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

County-Operated Mental Health Providers

Page 91 of 165

Provider Youth and Young Adult (YAYA) Calexico Full Service Partnership (FSP)

Address 101 Hacienda Suite A Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Aditi Parashar MD

Medical License

A139276

Medication

Support

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 92 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1932487006

Specialty Adult amp

Child Board Certified

Services Crisis

Intervention

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Brenda Solis

LVN Psychiatric

Technician

License 683844

NPI 1497256234

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 93 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Stephanie Vela

LVN Psychiatric

Technician

License 709705

NPI 1538784731

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 94 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Francisca Gomez

ACSW

License 64201

NPI 1184976763

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Roxanna Palacios

AMFT

License 92497

NPI 1356766711

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 95 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 96 of 165

Provider Adult El Centro Anxiety amp Depression Clinic

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-7300 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Steven Dilsaver MD

Medical License

G87120

NPI 1154463941

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Belen Davila MD Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

Adult Services ndash El Centro CA

County-Operated Mental Health Providers

Page 97 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

A148569

NPI 1649619792

Specialty Adult

Board Certified

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Manjusha Kurada

MD

Medical License

A132203

NPI 1154671980

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medication

Support

Sign

Language

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

No

County-Operated Mental Health Providers

Page 98 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Services Crisis

Intervention

Other

languages

upon request

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental Health

Clients Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Rosa Irene Macias

LVN Psychiatric

Technician

License 278288

NPI 1205229267

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic LGBT

Mental Health Client Family of

Mental Health Client

Yes

County-Operated Mental Health Providers

Page 99 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Stephanie Uribe

LVN Psychiatric

Technician

License 706256

NPI 1922646314

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan Native

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance

Yes

Bianca Nelson

LCSW

License 97607

NPI 1073743712

Specialty CA Board

of Behavioral

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 100 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Science-Licensed

Clinical Social

Worker

Individual and

Group Therapy

Mariana Magana

ACSW

License 83643

NPI 1710409941

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Monica Adame

LMFT

License 121949

NPI 1619373933

Crisis

Intervention

and Mental

Health Services

- Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 101 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Rehabilitation

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Diane Estrada LMFT

License 117206

NPI 1801933999

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Suset Ruiz AMFT

License 117566

NPI 1962970053

Crisis

Intervention

and Mental

Health Services

Spanish

American

AmericanIndianAlaskan Native

BlackAfrican American

HispanicLatino Older Adult

Yes

County-Operated Mental Health Providers

Page 102 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Persons with

Disability

Cristina Lopez-

Penalber AMFT

License 118414

NPI 1770085789

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

HispanicLatino Older Adults

LGBT White Mental Health

Clients Family Members of

Mental Health Cleints Substance

Use Disorder Clients Family

Member of Substance Use

Disorder Persons with Disability

Yes

County-Operated Mental Health Providers

Page 103 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license

waiver or registration

are located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 104 of 165

Provider Adult El Centro Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 2695 S 4th St El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Bushra Ahmad MD

Medical License

A73057

NPI 1043356850

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Steven Dilsaver MD

Medical License

G87120

Medication

Support

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 105 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1154463941

Specialty Adult Board

Certified

Services Crisis

Intervention

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

McConnell Gwenyth

MD

Medical License

G162612

NPI 1700959673

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American IndianAlaskan

Native AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ-Youth LGBTQ-

No

County-Operated Mental Health Providers

Page 106 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty Adult Board

Certified

Other

languages

upon request

Adults White Mental Health

Clients Family Members of

Mental Health Clients

Substance Use Disorder Clients

Family Members of Substance

Use Disorder Clients Disabled

Rosa Acosta

LVN Psychiatric

Technician

License 216237

NPI 1306269097

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander African

American Older Adults

LGBTQ Adults LGBTQ Youth

White Mental Health Clients

Family Members of Mental

Health Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Disabled

Yes

County-Operated Mental Health Providers

Page 107 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Roxanne Zamora

LVN Psychiatric

Technician

License 255636

NPI 1669865622

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult Mental Health Client

Family of Mental Health Client

Disabled

Yes

Sara Granillo

LVN Psychiatric

Technician

License 240568

NPI 1609223288

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 108 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Viviana Trejo AMFT

License 114745

NPI 1932458726

Specialty CA Board

of Behavorial Science

ndash Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Rehabilitation

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client

Yes

Jennifer Delgadillo

AMFT

License 108420

NPI 1194188938

Crisis

Intervention

and Mental

Health Services

Spanish

American Hispanic African

American Older Adults LGBT

Mental Health Clients Family

of Mental Health Clients

Yes

County-Operated Mental Health Providers

Page 109 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavorial Science

ndash Associate Marriage

and Family Therapist

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Substance Use Disorder Clients

Family Members of Substance

Use Disorder Clients

Tania Duenas AMFT

License 118303

NPI 1710482799

Specialty CA Board

of Behavioral Science

ndash Associate Marriage

and Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Disabled

Yes

County-Operated Mental Health Providers

Page 110 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 111 of 165

Provider Adult El Centro Wellness Center

Address 2695 S 4th St Suite D El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Supportive

services for

clients in

recovery from

mental illness

including

support groups

wellness

recovery

assessment

plans

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 112 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

independent

living skills

training

interpersonal

skills training

pre-

employment

training

educational and

vocational

supportive

services health

and nutrition

activities and

social

engagement

activities

County-Operated Mental Health Providers

Page 113 of 165

Provider Adult Brawley Anxiety amp Depression Clinic

Address 220 Main St 2nd Floor Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

Yes

Adult Services ndash Brawley CA

County-Operated Mental Health Providers

Page 114 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Gregory Jeffers MD

Telehealth Provider

Medical License

A037601

NPI 1477579472

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

No

Astrid Castro

LVN Psychiatric

Technician

License 706727

NPI 1164042420

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBTQ-Youth

LGBTQ-Adults White Mental

Health Clients Family Members

of Mental Health Clients

Substance Use Disorder Clients

Family Members of Substance

Yes

County-Operated Mental Health Providers

Page 115 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Use Disorder Clients Persons

with Disability

Andrea Herrera

LVN II Psychiatric

Technician

License 688752

NPI 1740839455

Specialty Board of

Vocational Nursing

and Psychiatric

Technicians

Medication

Support Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Older Adults Yes

Elizabeth Castaneda

ACSW

License 75314

NPI 1366749244

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client

Yes

County-Operated Mental Health Providers

Page 116 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Nestor Urbano AMFT

License 92043

NPI 1851785075

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client

Yes

Raquel Bermejo

ACSW

License 96400

NPI 1326410796

Crisis

Intervention

and Mental

Health Services

- Assessment

Spanish

Sign

Language

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBT White

Mental Health Clients Family

Yes

County-Operated Mental Health Providers

Page 117 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Rehabilitation

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Members of Mental Health

Clients Family Members of

Substance Use Disorder Clients

Persons with Disability

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 118 of 165

Provider Adult Brawley Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 229 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-5110 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

Yes

Belen Davila MD

Medical License

A148569

Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 119 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1649619792

Specialty Adult Board

Certified

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Esmeralda Herrera

LVN Psychiatric

Technician

License 243677

NPI 1124441811

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Yes

County-Operated Mental Health Providers

Page 120 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alvarado Daphne

LVN Psychiatric

Technician

Medical License

706723

NPI1407471980

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

Yes

Monica Pinto AMFT

License 118241

NPI 1619492998

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Substance Use

Yes

County-Operated Mental Health Providers

Page 121 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Individual and

Group Therapy

Other

languages

upon request

Disorder Clients Family

Members of Substance Use

Disorder Clients Disabled

Sergio Hernandez

AMFT

License 120548

NPI 1386247161

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American American

IndianAlaskan Native

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBT Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Persons with

Disability

Yes

County-Operated Mental Health Providers

Page 122 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 123 of 165

Provider Adult Brawley Wellness Center

Address 205 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Supportive

services for

clients in

recovery from

mental illness

including

support groups

wellness

recovery

assessment

plans

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 124 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

independent

living skills

training

interpersonal

skills training

pre-

employment

training

educational and

vocational

supportive

services health

and nutrition

activities and

social

engagement

activities

County-Operated Mental Health Providers

Page 125 of 165

Provider Adult Calexico Anxiety amp Depression Clinic

Address 1501 W Imperial Avenue Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-1525or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Adult Services ndash Calexico CA

County-Operated Mental Health Providers

Page 126 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

No

Luz Aispuro Gonzalez

LVN Psychiatric

Technician

License 690265

NPI 1992324396

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBTQ-Youth

LGBTQ-Adults White Mental

Health Clients Family Members

of Mental Health Clients

Substance Use Disorder Clients

Yes

County-Operated Mental Health Providers

Page 127 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Family Members of Substance

Use Disorder Clients Disabled

Norma Munoz-

Sedano AMFT

License 116614

NPI 1578126405

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult

LGBTQ Mental Health Client

Family of Mental Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 128 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

- Rehabilitation

Services

Other

languages

upon request

Health Client Family of Mental

Health Client Disabled

County-Operated Mental Health Providers

Page 129 of 165

Provider Adult Calexico Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 1501 W Imperial Avenue Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone 442-265-6340 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Luz Aispuro Gonzalez

LVN Psychiatric

Technician

Medication

Support

Spanish

American IndianAlaskan

Native BlackAfrican American

HispanicLatino Older Adults

Yes

County-Operated Mental Health Providers

Page 130 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 690265

NPI 1992324396

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

LGBTQ-Youth LGBTQ-Adults

White Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Disabled

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

No

County-Operated Mental Health Providers

Page 131 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Janie Lam-Echeverria

LCSW

License 26570

NPI 1215070008

Specialty CA Board

of Behavioral

Science-Licensed

Clinical Social Worker

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 132 of 165

Provider San Pasqual Family Resource Center (FRC)

Address 676 Baseline Rd Winterhaven CA 92283

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Population Served Children amp Adolescents

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

Mental Health Services - Winterhaven CA

County-Operated Mental Health Providers

Page 133 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Guadalupe Belen

Paredes

LVN Psychiatric

Technician

License 687762

NPI 1477904084

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

Christine Garcia

LCSW

License 81089

NPI

1689980476

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 134 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Other

languages

upon request

Health Client Family of

Mental Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 135 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

Population Served Adults amp Older Adults

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental

Health Client Disabled

Yes

Diane Estrada LMFT

License 117206

NPI 1801933999

Specialty CA Board of

Behavioral Science-

Licensed Marriage and

Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Spanish

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 136 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Individual and

Group Therapy

Other

languages

upon request

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 137 of 165

Provider Transitional Engagement Supportive Services (TESS)

Address 1699 W Main Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=criassess

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health Services

- Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

Transitional Engagement Supportive Services (TESS)

County-Operated Mental Health Providers

Page 138 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin Richter

MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

County-Operated Mental Health Providers

Page 139 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 140 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Vocational Nursing and

Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical Social

Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

NPI 1881942407

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 141 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical Social

Worker

Services ndash

Assessment and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Janelle Montes Medication

Support

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 142 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board of

Vocational Nursing and

Psychiatric Technicians

Licensed Vocational

Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 143 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other

languages

upon request

County-Operated Mental Health Providers

Page 144 of 165

Provider Community Engagement Supportive Services (CESS)

Address 1699 W Main Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=criassess

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health

Services -

Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Community Engagement Supportive Services (CESS)

County-Operated Mental Health Providers

Page 145 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin

Richter MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 146 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 147 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

NPI 1881942407

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 148 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Janelle Montes Medication

Support

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 149 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 150 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 151 of 165

Provider Mental Health Triage Unit

Address 202 N 8th St El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=cricri

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health

Services -

Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Mental Health Triage Unit and Engagement Services

County-Operated Mental Health Providers

Page 152 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin Richter

MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 153 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License 709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 154 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Cynthia Ferreiro-

Avendano LMFT

License 102531

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 155 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1528528452

Specialty CA Board of

Behavioral Science-

Licensed Marriage and

Family Therapist

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

Crisis

Intervention

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 156 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1881942407

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Mental Health

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Janelle Montes

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 157 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Contracted Mental Health Providers

Page 158 of 165

Provider CHARLEE Family Care ndash El Centro

Address 495 E Orange Ave El Centro CA 92243

Website wwwcharleecfccom

Phone (760) 353-6151

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license

waiver or

registration are

located at this site

Therapeutic

Behavioral

Health

Services (TBS)

Interpretation

available upon

request

American Hispanic Mental

Health Client Family of

Mental Health Client

Yes

Contracted Mental Health Providers

Contracted Mental Health Providers

Page 159 of 165

Provider WomanHaven a Center for Family Solutions

Address 510 Main St Suite 104 amp 106 El Centro CA 92243

Website wwwwomanhavenorg

Phone (760)353-6922

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Stephen LeMasters

ACSW

License 70261

NPI 1902440605

Specialty CA Board

of Behavioral Science

ndash Associate Clinical

Social Worker

Crisis

Intervention

Targeted Case

Management

Mental Health

Services

Assessment

and Individual

Therapy

Interpretation

available upon

request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Guadalupe Gonzalez

AMFT

Crisis

Intervention

Spanish American Hispanic

AsianPacific Islander

Yes

Contracted Mental Health Providers

Page 160 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License

121162

NPI

1134730344

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Targeted Case

Management

Mental Health

Services

Assessment

Individual

Therapy

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Mental Health

Services

Assessment

Collateral and

Rehabilitation

Spanish American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Contracted Mental Health Providers

Page 161 of 165

Provider Jackson House

Address 2364 S 2nd St El Centro CA 92243

Website wwwjacksonhousecarescom

Phone (760)332-3303

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Cesar Benitez MD

Medical License

A107600

NPI 1275738098

Specialty Adult

Board Certified

Crisis

Residential

(Medication

Support

Services Crisis

Intervention)

Spanish

Interpretation

available upon

request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Robert Bradley

Sanders MD

Medical License

20A5544

Crisis

Residential

(Medication

Support

Interpretation

available upon

request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

Contracted Mental Health Providers

Page 162 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1144264300

Specialty Adult

Board Certified

Services Crisis

Intervention)

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Other Qualified

Providers that do not

have a license

waiver or

registration are

located at this site

Crisis

Residential

(Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Rehabilitation

Services)

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Contracted Mental Health Providers

Page 163 of 165

Provider STEPS (Quest Programs)

Address 3636 Camino Del Rio North Suite 150 San Diego CA

Website Phone 951-777-0333

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Sheela Masifi MD

Medical License

A154508

NPI 1124401765

Specialty Adult amp

Child Board Certified

Psychiatry

Psychotherapy

Medication

Support Crisis

Intervention

Mandarin

Spanish

Interpretation

available upon

request

Other

languages

upon request

American Hispanic Anxiety

Disorders Family of Mental

Health Client LGBT Eating

Disorders Child Abuse

Therapy HIV Sexual

Disorders

Yes

Contracted Mental Health Providers

Page 164 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Jehna Barnes ACSW

License 85638

NPI 1285256099

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group

Therapy Case

Management

Spanish

Interpretation

available upon

request

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Mental Health

Client LGBT Family of

Mental Health Client

Substance Use Clients Foster

Care TAY

Yes

Judith Diaz Nurse

Practitioner

License 95000797

NPI 1841610219

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

language upon

request

American Hispanic Mental

Health Client Family of

Mental Health Client LGBT

Substance Use Clients

Disabled Foster Care TAY

Yes

Contracted Mental Health Providers

Page 165 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Registered

Nursing

Individual

Family and

Group

Therapy Case

Management

Sign

Language

upon request

Other

languages

upon request

County-Operated Mental Health Providers

Page 10 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Pauline Rocha

LVN Psychiatric

Technician

License 711433

NPI 1972112811

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Gracie Galindo Baker

ACSW

License 92097

NPI 1205475308

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 11 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Family and

Group Therapy

Other

languages

upon request

Theresa Jean Vogel

ACSW

License 79042

NPI 1467941286

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Guadalupe Garcia

AMFT

License 98719

NPI 1164661351

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 12 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Individual

Family and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Alicia Ibeth Torres

AMFT

License 93152

NPI 1114370780

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 13 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sandy Sierra ACSW

License 95649

NPI 1295338077

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Vanessa Jean Carrillo

ACSW

License 79072

NPI 1790292373

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 14 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Other

languages

upon request

Patricia Armandina

Valenzuela LMFT

License 107070

NPI 1124385307

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 15 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 16 of 165

Provider El Centro Children and Adolescent Outpatient Clinic Team 12 (Wake)

Address 651 Wake Avenue El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Meghan Jain MD

Telehealth Provider

Medical License

A138547

NPI 1942628128

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medication

Support

Spanish

Portuguese

American American

IndianAlaskan Native

AsianPacific Islander African

Yes

County-Operated Mental Health Providers

Page 17 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

and Neurology ndash

Psychiatry

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Belkys Cota

LVN Psychiatric

Technician

License 260440

NPI 1124441647

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 18 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Yeni Alcantar

LVN Psychiatric

Technician

License 703185

NPI 1134761208

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Christine Garcia

LCSW

License 81089

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 19 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1689980476

Specialty CA Board

of Behavioral

Science-Licensed

Clinical Social Worker

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Maria Guadalupe

Martinez AMFT

License 99249

NPI 1659744969

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 20 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Ana G Pesqueira

LCSW

License 89026

NPI 1891183067

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Stephanie Ramirez

LCSW

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 21 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 75194

NPI 1841544970

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Viviane Rodriguez-

Velasquez ACSW

License 95650

NPI 1417484528

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 22 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Vanessa Jean Carrillo

ACSW

License 79072

NPI 1790292373

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Stacie Lynn Otero

ACSW

License 96791

NPI 1942611587

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 23 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Family and

Group Therapy

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 24 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Services -

Assessment

and

Rehabilitation

County-Operated Mental Health Providers

Page 25 of 165

Provider El Centro Vista Sands

Address 1530 S Waterman El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 26 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Assessment and

Rehabilitation

County-Operated Mental Health Providers

Page 27 of 165

Provider Prevention and Early Intervention (PEI)

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alexander Ruiz

ACSW

License 78932

NPI 1033504337

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maria Guadalupe

Martinez AMFT

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 28 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 99249

NPI 1659744969

Specialty CA Board

of

Behavioral Science-

Associate Marriage

and Family Therapist

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Ana G Pesqueira

LCSW

License 89026

NPI 1891183067

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 29 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Jessica C Martinez-

Smith ACSW

License 77969

NPI 1619225141

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

Hispanic African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gabriel Garcia AMFT

License 84979

NPI 1841627874

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 30 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alicia Ibeth Torres

AMFT

License 93152

NPI 1114370780

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maritza Janeth

Guzman LMFT

License 112264

NPI 1144524299

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 31 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Other

languages

upon request

County-Operated Mental Health Providers

Page 32 of 165

Provider First Steps to Success

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 33 of 165

Provider Brawley Children amp Adolescent Outpatient Services

Address 195 S 9th St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Belen Davila MD

Medical License

A148569

NPI 1649619792

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Children amp Adolescent Services ndash Brawley CA

County-Operated Mental Health Providers

Page 34 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

and Neurology ndash

Psychiatry

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

Other

languages

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 35 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty Adult

Board Certified

Other

languages

upon request

Belinda Davila

LVN Psychiatric

Technician

License 198477

NPI 1720125214

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Guadalupe Belen

Paredes

LVN Psychiatric

Technician

Medication

Support

Services Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 36 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 687762

NPI 1477904084

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Pauline Rocha

LVN Psychiatric

Technician

License 711433

NPI 1972112811

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 37 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Gracie Galindo Baker

ACSW

License 92097

NPI 1205475308

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maritza Janeth

Guzman LMFT

License 112264

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 38 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1144524299

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Theresa Jean Vogel

ACSW

License 79042

NPI 1467941286

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Jessica C Martinez-

Smith ACSW

Crisis

Intervention

Spanish

Hispanic African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 39 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 77969

NPI 1619225141

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Health Client Family of Mental

Health Client Disabled

Sandy Sierra ACSW

License 95649

NPI 1295338077

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

Hispanic African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 40 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Stacie Lynn Otero

ACSW

License 96791

NPI 1942611587

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Patricia Armandina

Valenzuela LMFT

License 107070

NPI 1124385307

Specialty CA Board of

Behavioral Science-

Associate Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 41 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 42 of 165

Provider Brawley Vista Sands

Address 1401 B St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childvista

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 43 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 44 of 165

Provider Calexico Family Resource Center (FRC)

Address 101 Hacienda Dr Suite C Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=children

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Children amp Adolescent Services ndash Calexico CA

County-Operated Mental Health Providers

Page 45 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sanjoy Sathpathy MD

Telehealth Provider

Medical License

A80195

NPI 1043348428

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskaAmerican

African American Senior

Lesbian Gay Transgender and

Bisexual (LGTB) Mental

Health Client Mental Health

Client Relatives and Disabled

No

Brenda Alanis

LVN Psychiatric

Technician

License 284664

NPI 1205229366

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 46 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Karina Idaly

Rodriguez

LVN Psychiatric

Technician

License 699834

NPI 1669940854

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Yadira Gutierrez

LVN Psychiatric

Technician

License 687763

Medication

Support

Services Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 47 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1376994327

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Alexander Ruiz

ACSW

License 78932

NPI 1033504337

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 48 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Stephanie Ramirez

LCSW

License 75194

NPI 1841544970

Specialty CA Board

of Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Gabriel Garcia

AMFT

License 84979

NPI 1841627874

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 49 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Other

languages

upon request

Guadalupe Garcia

AMFT

License 98719

NPI 1164661351

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Viviane Rodriguez-

Velasquez ACSW

License 95650

NPI 1417484528

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 50 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Individual

Family and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 51 of 165

Population Served Children amp Adolescents

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Assessment and

Rehabilitation

County-Operated Mental Health Providers

Page 52 of 165

Provider Calexico Vista Sands

Address 2300 Rockwood Ave Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=childvista

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 53 of 165

Population Served Children

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 54 of 165

Provider Youth and Young Adult (YAYA) El Centro Anxiety amp Depression Clinic

Address 1295 State St Suite 205 El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Youth and Young Adult Services ndash El Centro CA

County-Operated Mental Health Providers

Page 55 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Jenny Yi MD

Telehealth Provider

Medical License

A147197

NPI 1003133018

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

No

Jourdan Martinez

LVN Psychiatric

Technician

License 238442

NPI 1013460948

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services and

Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 56 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Saray Licea

LVN Psychiatric

Technician

License 706384

NPI 1275177636

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services and

Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled Older Adults

Yes

Jonathan Rosas

AMFT

License 113261

NPI 1962755124

Crisis

Intervention

Mental Health

Services -

Assessment and

Spanish

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Mental

Health Client Family of Mental

Health Client

Yes

County-Operated Mental Health Providers

Page 57 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Individual

Family and

Group Therapy

Other

languages

upon request

Olivia Solis AMFT

License 108347

NPI 1992249684

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients

Yes

Edgar Rios ACSW

License 94090

NPI 1801403720

Crisis

Intervention

Mental Health

Services -

Spanish

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

No

County-Operated Mental Health Providers

Page 58 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Assessment and

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients Persons with

Disability

Maria Arredondo

AMFT

License 99538

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 59 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Andrea Platero APCC

License 7355

NPI 1093068678

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Carolina Rivas AMFT

License 115618

NPI 1992306765

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Substance

Use Disorder Clients Family of

Substance Use Disorder Clients

No

County-Operated Mental Health Providers

Page 60 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Samantha Merlin

AMFT

License 108791

NPI 1154894145

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native Older Adults Mental

Health Clients AsianPacific

Islander LGBT Family

Members of Mental Health

Clients African American

Substance Use Disorder Clients

Hispanic American Family

Members of Substance Use

Disorder Clients

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 61 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 62 of 165

Provider Youth and Young Adult (YAYA) El Centro Family Resource Center (FRC)

Address 1014 W Brighton Ave El Centro CA 92243

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Andrea Platero APCC

License 7355

NPI 1093068678

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Maria Arredondo

AMFT

License 99538

Crisis

Intervention

Mental Health

Spanish

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 63 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Services -

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Jonathan Rosas

AMFT

License 113261

NPI 1962755124

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment and

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Mental

Health Client Family of Mental

Health Client

Yes

County-Operated Mental Health Providers

Page 64 of 165

Provider Youth and Young Adult (YAYA) El Centro Full Service Partnership (FSP)

Address 1295 State St Suite 102 El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Jenny Yi MD

Telehealth Provider

Medical License

A147197

Medication

Support

Services and

Sign

Language

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 65 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1003133018

Specialty Adult Board

Certified

Crisis

Intervention

Other

languages

upon request

Morteza Rahmani MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

No

County-Operated Mental Health Providers

Page 66 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty Adult amp

Child Board Certified

Other

languages

upon request

Family of Mental Health Client

Disabled

Julius Castillo

LVN Psychiatric

Technician

License 698774

NPI 1568012128

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians ndash

Licensed Vocational

Nurse

Medication

Support

Services and

Crisis

Intervention

Spanish

Tagalog

Sign

Language

upon request

Other

languages

upon request

Older Adults Mental Health

Client AsianPacific Islander

LGBT Family of Mental Health

Client African American

Substance Use Disorder Client

Hispanic Family of Substance

Use Disorder Client Disabled

Yes

Andrea Platero APCC

License 7355

NPI 1093068678

Crisis

Intervention

Mental Health

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 67 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Professional Clinical

Counselor

Services -

Assessment

and Individual

Family and

Group Therapy

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Maria Arredondo

AMFT

License 99538

NPI 1174841159

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Other Qualified

Providers that do not

Crisis

Intervention

Spanish

American Hispanic

AsianPacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 68 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

have a license waiver

or registration are

located at this site

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

County-Operated Mental Health Providers

Page 69 of 165

Provider Adolescent Habilitative Learning Program (AHLP)

Address 2001 Ocotillo Dr El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaahlp

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 70 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Mental Health

Services -

Rehabilitation

Services

County-Operated Mental Health Providers

Page 71 of 165

Provider Youth and Young Adult (YAYA) Brawley Anxiety amp Depression Clinic

Address 1535 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Youth and Young Adult Services ndash Brawley CA

County-Operated Mental Health Providers

Page 72 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Atih Amanda Seif

MD

Telehealth Provider

Medical License

C133728

NPI 1821332099

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 73 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

and Neurology ndash

Psychiatry

Other

languages

upon request

Javier Ramirez

LVN Psychiatric

Technician

License 688109

NPI 1205287257

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Rosalba Caballero

LVN Psychiatric

Technician

License 685181

Medication

Support

Services Crisis

Intervention

Spanish

American American

IndianAlaskan Native Asian

Pacific Islander Hispanic

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 74 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1255951414

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Substance Use Disorder

Disabled Family Members of

Substance Use Disorder

Jonathan Fonseca

ACSW

License 77982

NPI 1417382185

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

Kimberly Braga

AMFT

Crisis

Intervention

Spanish

American Hispanic Asian

Pacific Islander Pakistani

Yes

County-Operated Mental Health Providers

Page 75 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License 105478

NPI 1518444348

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Mental Health

Services ndash

Assessment

and Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Johanna Pinedo

AMFT

License 89001

NPI 1437514163

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 76 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Silvestre Mancera

LMFT

License 115212

NPI 1144519158

Specialty CA Board

of Behavioral

Science- Licensed

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Mental

Health Client Family of Mental

Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 77 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 78 of 165

Provider Youth and Young Adult (YAYA) Brawley Family Resource Center (FRC)

Address 480 N Imperial Ave Room 95 Brawley CA 92227

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Johanna Pinedo

AMFT

License 89001

NPI 1437514163

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 79 of 165

Provider Youth and Young Adult (YAYA) Brawley Full Service Partnership (FSP)

Address 1535 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 80 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Atih Amanda Seif

MD

Telehealth Provider

Medical License

C133728

NPI 1821332099

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Henry Marquez-

Castro MD

Medical License

A151359

NPI 1588046957

Specialty American

Board of Psychology

Medication

Support

Services Crisis

Intervention

Spanish

Portuguese

Sign

Language

upon request

American American

IndianAlaskan Native

AsianPacific Islander African

American Hispanic LGBT-

Youth Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 81 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

and Neurology ndash

Psychiatry

Other

languages

upon request

Javier Ramirez

LVN Psychiatric

Technician

License 688109

NPI 1205287257

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

Jonathan Fonseca

ACSW

License 77982

NPI 1417382185

Crisis

Intervention

Mental Health

Services ndash

Spanish

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 82 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Assessment

Individual

Family and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Kimberly Braga

AMFT

License 105478

NPI 1518444348

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 83 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Silvestre Mancera

LMFT

License 115212

NPI 1144519158

Specialty CA Board

of Behavioral

Science- Licensed

Marriage and Family

Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Mental

Health Client Family of Mental

Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 84 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 85 of 165

Provider Youth and Young Adult (YAYA) Calexico Anxiety amp Depression Clinic

Address 101 Hacienda Suite A Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayaanx

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Youth amp Young Adult Services ndash Calexico CA

County-Operated Mental Health Providers

Page 86 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Aditi Parashar MD

Medical License

A139276

NPI 1932487006

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Brenda Solis Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 87 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

LVN Psychiatric

Technician

License 683844

NPI 1497256234

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Stephanie Vela

LVN Psychiatric

Technician

License 709705

NPI 1538784731

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 88 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Francisca Gomez

ACSW

License 64201

NPI 1184976763

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Roxanna Palacios

AMFT

License 92497

NPI 1356766711

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Spanish

Sign

Language

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 89 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Family and

Group Therapy

Other

languages

upon request

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 90 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

County-Operated Mental Health Providers

Page 91 of 165

Provider Youth and Young Adult (YAYA) Calexico Full Service Partnership (FSP)

Address 101 Hacienda Suite A Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=yayafull

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Aditi Parashar MD

Medical License

A139276

Medication

Support

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

Yes

County-Operated Mental Health Providers

Page 92 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1932487006

Specialty Adult amp

Child Board Certified

Services Crisis

Intervention

Other

languages

upon request

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Sowmya Tewari MD

Telehealth Provider

Medical License

A154312

NPI 1821332099

Specialty Adult amp

Child Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Brenda Solis

LVN Psychiatric

Technician

License 683844

NPI 1497256234

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 93 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Stephanie Vela

LVN Psychiatric

Technician

License 709705

NPI 1538784731

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Disabled

No

County-Operated Mental Health Providers

Page 94 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Francisca Gomez

ACSW

License 64201

NPI 1184976763

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Roxanna Palacios

AMFT

License 92497

NPI 1356766711

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult LGBT Mental Health

Client Family of Mental Health

Client Disabled

Yes

County-Operated Mental Health Providers

Page 95 of 165

Population Served Adolescents Young Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 96 of 165

Provider Adult El Centro Anxiety amp Depression Clinic

Address 313 Waterman Ave El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-7300 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Steven Dilsaver MD

Medical License

G87120

NPI 1154463941

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Belen Davila MD Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

Adult Services ndash El Centro CA

County-Operated Mental Health Providers

Page 97 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

A148569

NPI 1649619792

Specialty Adult

Board Certified

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Manjusha Kurada

MD

Medical License

A132203

NPI 1154671980

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medication

Support

Sign

Language

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

No

County-Operated Mental Health Providers

Page 98 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Services Crisis

Intervention

Other

languages

upon request

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental Health

Clients Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Rosa Irene Macias

LVN Psychiatric

Technician

License 278288

NPI 1205229267

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic LGBT

Mental Health Client Family of

Mental Health Client

Yes

County-Operated Mental Health Providers

Page 99 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Stephanie Uribe

LVN Psychiatric

Technician

License 706256

NPI 1922646314

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan Native

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance

Yes

Bianca Nelson

LCSW

License 97607

NPI 1073743712

Specialty CA Board

of Behavioral

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 100 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Science-Licensed

Clinical Social

Worker

Individual and

Group Therapy

Mariana Magana

ACSW

License 83643

NPI 1710409941

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Monica Adame

LMFT

License 121949

NPI 1619373933

Crisis

Intervention

and Mental

Health Services

- Assessment

Spanish

Sign

Language

upon request

American Hispanic Asian

Pacific Islander Pakistani

African American Older Adult

LGBT Mental Health Client

Yes

County-Operated Mental Health Providers

Page 101 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Rehabilitation

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Family of Mental Health Client

Disabled

Diane Estrada LMFT

License 117206

NPI 1801933999

Specialty CA Board

of Behavioral

Science-Licensed

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Suset Ruiz AMFT

License 117566

NPI 1962970053

Crisis

Intervention

and Mental

Health Services

Spanish

American

AmericanIndianAlaskan Native

BlackAfrican American

HispanicLatino Older Adult

Yes

County-Operated Mental Health Providers

Page 102 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

LGBT Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Persons with

Disability

Cristina Lopez-

Penalber AMFT

License 118414

NPI 1770085789

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

HispanicLatino Older Adults

LGBT White Mental Health

Clients Family Members of

Mental Health Cleints Substance

Use Disorder Clients Family

Member of Substance Use

Disorder Persons with Disability

Yes

County-Operated Mental Health Providers

Page 103 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license

waiver or registration

are located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 104 of 165

Provider Adult El Centro Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 2695 S 4th St El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Bushra Ahmad MD

Medical License

A73057

NPI 1043356850

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Steven Dilsaver MD

Medical License

G87120

Medication

Support

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older Adult

Yes

County-Operated Mental Health Providers

Page 105 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1154463941

Specialty Adult Board

Certified

Services Crisis

Intervention

Other

languages

upon request

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Morteza Rahmani

MD

Medical License

A119345

NPI 1275739302

Specialty Adult amp

Geriatric Psychiatry

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client Disabled

Yes

McConnell Gwenyth

MD

Medical License

G162612

NPI 1700959673

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

American IndianAlaskan

Native AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ-Youth LGBTQ-

No

County-Operated Mental Health Providers

Page 106 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty Adult Board

Certified

Other

languages

upon request

Adults White Mental Health

Clients Family Members of

Mental Health Clients

Substance Use Disorder Clients

Family Members of Substance

Use Disorder Clients Disabled

Rosa Acosta

LVN Psychiatric

Technician

License 216237

NPI 1306269097

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander African

American Older Adults

LGBTQ Adults LGBTQ Youth

White Mental Health Clients

Family Members of Mental

Health Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Disabled

Yes

County-Operated Mental Health Providers

Page 107 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Roxanne Zamora

LVN Psychiatric

Technician

License 255636

NPI 1669865622

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Older

Adult Mental Health Client

Family of Mental Health Client

Disabled

Yes

Sara Granillo

LVN Psychiatric

Technician

License 240568

NPI 1609223288

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 108 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Viviana Trejo AMFT

License 114745

NPI 1932458726

Specialty CA Board

of Behavorial Science

ndash Associate Marriage

and Family Therapist

Crisis

Intervention

Mental Health

Services -

Assessment

Rehabilitation

and Individual

Family and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client

Yes

Jennifer Delgadillo

AMFT

License 108420

NPI 1194188938

Crisis

Intervention

and Mental

Health Services

Spanish

American Hispanic African

American Older Adults LGBT

Mental Health Clients Family

of Mental Health Clients

Yes

County-Operated Mental Health Providers

Page 109 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavorial Science

ndash Associate Marriage

and Family Therapist

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Sign

Language

upon request

Other

languages

upon request

Substance Use Disorder Clients

Family Members of Substance

Use Disorder Clients

Tania Duenas AMFT

License 118303

NPI 1710482799

Specialty CA Board

of Behavioral Science

ndash Associate Marriage

and Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Substance Use Disorder

Clients Family Members of

Substance Use Disorder Clients

Disabled

Yes

County-Operated Mental Health Providers

Page 110 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 111 of 165

Provider Adult El Centro Wellness Center

Address 2695 S 4th St Suite D El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Supportive

services for

clients in

recovery from

mental illness

including

support groups

wellness

recovery

assessment

plans

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 112 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

independent

living skills

training

interpersonal

skills training

pre-

employment

training

educational and

vocational

supportive

services health

and nutrition

activities and

social

engagement

activities

County-Operated Mental Health Providers

Page 113 of 165

Provider Adult Brawley Anxiety amp Depression Clinic

Address 220 Main St 2nd Floor Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

Yes

Adult Services ndash Brawley CA

County-Operated Mental Health Providers

Page 114 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Gregory Jeffers MD

Telehealth Provider

Medical License

A037601

NPI 1477579472

Specialty Adult

Board Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

No

Astrid Castro

LVN Psychiatric

Technician

License 706727

NPI 1164042420

Specialty CA Board

of Vocational Nursing

And Psychiatric

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBTQ-Youth

LGBTQ-Adults White Mental

Health Clients Family Members

of Mental Health Clients

Substance Use Disorder Clients

Family Members of Substance

Yes

County-Operated Mental Health Providers

Page 115 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Technicians-Licensed

Vocational Nurse

Use Disorder Clients Persons

with Disability

Andrea Herrera

LVN II Psychiatric

Technician

License 688752

NPI 1740839455

Specialty Board of

Vocational Nursing

and Psychiatric

Technicians

Medication

Support Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Older Adults Yes

Elizabeth Castaneda

ACSW

License 75314

NPI 1366749244

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Spanish

Sign

Language

upon request

American Hispanic African

American Older Adult LGBT

Mental Health Client Family of

Mental Health Client

Yes

County-Operated Mental Health Providers

Page 116 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Nestor Urbano AMFT

License 92043

NPI 1851785075

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client

Yes

Raquel Bermejo

ACSW

License 96400

NPI 1326410796

Crisis

Intervention

and Mental

Health Services

- Assessment

Spanish

Sign

Language

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBT White

Mental Health Clients Family

Yes

County-Operated Mental Health Providers

Page 117 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social Worker

Rehabilitation

Collateral and

Individual and

Group Therapy

Other

languages

upon request

Members of Mental Health

Clients Family Members of

Substance Use Disorder Clients

Persons with Disability

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 118 of 165

Provider Adult Brawley Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 229 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-5110 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental Health

Client Disabled

Yes

Belen Davila MD

Medical License

A148569

Medication

Support

Spanish

American Hispanic African

American Older Adult LGBT

Yes

County-Operated Mental Health Providers

Page 119 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

NPI 1649619792

Specialty Adult Board

Certified

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Mental Health Client Family of

Mental Health Client Disabled

Esmeralda Herrera

LVN Psychiatric

Technician

License 243677

NPI 1124441811

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Yes

County-Operated Mental Health Providers

Page 120 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Alvarado Daphne

LVN Psychiatric

Technician

Medical License

706723

NPI1407471980

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American IndianAlaskan

Native AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

Yes

Monica Pinto AMFT

License 118241

NPI 1619492998

Specialty CA Board

of Behavioral

Science-Associate

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Substance Use

Yes

County-Operated Mental Health Providers

Page 121 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Marriage and Family

Therapist

Individual and

Group Therapy

Other

languages

upon request

Disorder Clients Family

Members of Substance Use

Disorder Clients Disabled

Sergio Hernandez

AMFT

License 120548

NPI 1386247161

Specialty CA Board

of Behavioral

Science-Associate

Marriage and Family

Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American American

IndianAlaskan Native

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBT Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Persons with

Disability

Yes

County-Operated Mental Health Providers

Page 122 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 123 of 165

Provider Adult Brawley Wellness Center

Address 205 Main St Brawley CA 92227

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Supportive

services for

clients in

recovery from

mental illness

including

support groups

wellness

recovery

assessment

plans

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 124 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

independent

living skills

training

interpersonal

skills training

pre-

employment

training

educational and

vocational

supportive

services health

and nutrition

activities and

social

engagement

activities

County-Operated Mental Health Providers

Page 125 of 165

Provider Adult Calexico Anxiety amp Depression Clinic

Address 1501 W Imperial Avenue Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultclinics

Phone (442) 265-1525or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Adult Services ndash Calexico CA

County-Operated Mental Health Providers

Page 126 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

No

Luz Aispuro Gonzalez

LVN Psychiatric

Technician

License 690265

NPI 1992324396

Specialty CA Board

of Vocational Nursing

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American IndianAlaskan

Native BlackAfrican

American HispanicLatino

Older Adults LGBTQ-Youth

LGBTQ-Adults White Mental

Health Clients Family Members

of Mental Health Clients

Substance Use Disorder Clients

Yes

County-Operated Mental Health Providers

Page 127 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

And Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Family Members of Substance

Use Disorder Clients Disabled

Norma Munoz-

Sedano AMFT

License 116614

NPI 1578126405

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Older Adult

LGBTQ Mental Health Client

Family of Mental Health Client

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 128 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

- Rehabilitation

Services

Other

languages

upon request

Health Client Family of Mental

Health Client Disabled

County-Operated Mental Health Providers

Page 129 of 165

Provider Adult Calexico Mental Health Services Act (MHSA) Full Service Partnership

(FSP)

Address 1501 W Imperial Avenue Calexico CA 92231

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone 442-265-6340 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Manjusha Kurada MD

Medical License

A132203

NPI 1154671980

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Luz Aispuro Gonzalez

LVN Psychiatric

Technician

Medication

Support

Spanish

American IndianAlaskan

Native BlackAfrican American

HispanicLatino Older Adults

Yes

County-Operated Mental Health Providers

Page 130 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

License 690265

NPI 1992324396

Specialty CA Board

of Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

LGBTQ-Youth LGBTQ-Adults

White Mental Health Clients

Family Members of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients Disabled

Maral Derkhorenian

Nurse Practitioner

Telehealth Provider

Medical License

95004328

NPI 1336693019

Specialty Board of

Registered Nursing -

BRN

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

AsianPacific Islander

BlackAfrican American

HispanicLatino Older Adults

LGBTQ Youth LGBTQ Adults

White Mental Health Clients

Family Member of Mental

Health Clients Substance Use

Disorder Clients Family

Members of Substance Use

Disorder Clients

No

County-Operated Mental Health Providers

Page 131 of 165

Population Served Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Janie Lam-Echeverria

LCSW

License 26570

NPI 1215070008

Specialty CA Board

of Behavioral

Science-Licensed

Clinical Social Worker

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Individual and

Group Therapy

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

County-Operated Mental Health Providers

Page 132 of 165

Provider San Pasqual Family Resource Center (FRC)

Address 676 Baseline Rd Winterhaven CA 92283

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=adultmhsa

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Population Served Children amp Adolescents

Asim Rizvi MD

Telehealth Provider

Medical License

A123831

NPI 1043521487

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

Mental Health Services - Winterhaven CA

County-Operated Mental Health Providers

Page 133 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Guadalupe Belen

Paredes

LVN Psychiatric

Technician

License 687762

NPI 1477904084

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic Asian

Pacific Islander Pakistani

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

Christine Garcia

LCSW

License 81089

NPI

1689980476

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Yes

County-Operated Mental Health Providers

Page 134 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Other

languages

upon request

Health Client Family of

Mental Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Intensive

Home-Based

Services

(IHBS)

Intensive Care

Coordination

(ICC) and

Mental Health

Services -

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 135 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

Population Served Adults amp Older Adults

Rakesh Bhansali MD

Medical License

A119352

NPI 1740444777

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult Mental Health

Client Family of Mental

Health Client Disabled

Yes

Diane Estrada LMFT

License 117206

NPI 1801933999

Specialty CA Board of

Behavioral Science-

Licensed Marriage and

Family Therapist

Crisis

Intervention

and Mental

Health Services

- Assessment

Rehabilitation

Collateral and

Spanish

Sign

Language

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 136 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Individual and

Group Therapy

Other

languages

upon request

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 137 of 165

Provider Transitional Engagement Supportive Services (TESS)

Address 1699 W Main Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=criassess

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health Services

- Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

Yes

Transitional Engagement Supportive Services (TESS)

County-Operated Mental Health Providers

Page 138 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin Richter

MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older

Adult LGBT Mental Health

Client Family of Mental

Health Client Disabled

No

County-Operated Mental Health Providers

Page 139 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 140 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Vocational Nursing and

Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical Social

Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

NPI 1881942407

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 141 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical Social

Worker

Services ndash

Assessment and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

Janelle Montes Medication

Support

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 142 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board of

Vocational Nursing and

Psychiatric Technicians

Licensed Vocational

Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health Services

- Rehabilitation

Services

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of

Mental Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 143 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-

English

Language(s)

Cultural Capabilities

Cultural

Competence

Training

Other

languages

upon request

County-Operated Mental Health Providers

Page 144 of 165

Provider Community Engagement Supportive Services (CESS)

Address 1699 W Main Street El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=criassess

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health

Services -

Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Community Engagement Supportive Services (CESS)

County-Operated Mental Health Providers

Page 145 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin

Richter MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 146 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 147 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

NPI 1881942407

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 148 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Janelle Montes Medication

Support

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 149 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 150 of 165

Population Served Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Rehabilitation

Services

Other

languages

upon request

County-Operated Mental Health Providers

Page 151 of 165

Provider Mental Health Triage Unit

Address 202 N 8th St El Centro CA 92243

Website httpwwwcoimperialcausbehavioralhealthindexaspfileinc=cricri

Phone (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Louis Blumberg PHD

Medical License 5338

NPI 1518013192

Specialty CA Board of

Psychology-

Psychologist

Crisis

Intervention

and Mental

Health

Services -

Assessment

and

Psychological

Testing

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Mental Health Triage Unit and Engagement Services

County-Operated Mental Health Providers

Page 152 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Kenneth Edwin Richter

MD

Telehealth Provider

Medical License

A10813

NPI 1174605067

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

Nneka Jon-Ubabuco

Nurse Practitioner

Telehealth Provider

Medical

LicenseAP121280

NPI1912274622

Specialty Adult Board

Certified

Medication

Support

Services Crisis

Intervention

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

No

County-Operated Mental Health Providers

Page 153 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Blanca Cazares

LVN Psychiatric

Technician

License 223564

NPI 1275851206

Specialty CA Board of

Vocational Nursing

And Psychiatric

Technicians-Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Gloria Vallejo

LVN Psychiatric

Technician

License 709093

NPI1356961148

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 154 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians-Licensed

Vocational Nurse

Other

languages

upon request

Christine Garcia

LCSW

License 81089

NPI

1689980476

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Cynthia Ferreiro-

Avendano LMFT

License 102531

Crisis

Intervention

Mental Health

Spanish

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

Yes

County-Operated Mental Health Providers

Page 155 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1528528452

Specialty CA Board of

Behavioral Science-

Licensed Marriage and

Family Therapist

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Joanna Baez LMFT

License 81089

NPI 1659935583

Specialty CA Board of

Behavioral Science-

Associate Marriage and

Family Therapist

Crisis

Intervention

Mental Health

Services ndash

Assessment

and

Rehabilitation

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Natalia Luna LCSW

License 85979

Crisis

Intervention

Spanish

American Hispanic

AsianPacific Islander

Yes

County-Operated Mental Health Providers

Page 156 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1881942407

Specialty CA Board of

Behavioral Science-

Licensed Clinical

Social Worker

Mental Health

Services ndash

Assessment

and

Rehabilitation

Sign

Language

upon request

Other

languages

upon request

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Janelle Montes

LVN II Psychiatric

Technician

License 690560

NPI 1407493240

Specialty CA Board

of Vocational Nursing

and Psychiatric

Technicians Licensed

Vocational Nurse

Medication

Support

Services Crisis

Intervention

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

County-Operated Mental Health Providers

Page 157 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Rehabilitation

Services

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Contracted Mental Health Providers

Page 158 of 165

Provider CHARLEE Family Care ndash El Centro

Address 495 E Orange Ave El Centro CA 92243

Website wwwcharleecfccom

Phone (760) 353-6151

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Other Qualified

Providers that do not

have a license

waiver or

registration are

located at this site

Therapeutic

Behavioral

Health

Services (TBS)

Interpretation

available upon

request

American Hispanic Mental

Health Client Family of

Mental Health Client

Yes

Contracted Mental Health Providers

Contracted Mental Health Providers

Page 159 of 165

Provider WomanHaven a Center for Family Solutions

Address 510 Main St Suite 104 amp 106 El Centro CA 92243

Website wwwwomanhavenorg

Phone (760)353-6922

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Stephen LeMasters

ACSW

License 70261

NPI 1902440605

Specialty CA Board

of Behavioral Science

ndash Associate Clinical

Social Worker

Crisis

Intervention

Targeted Case

Management

Mental Health

Services

Assessment

and Individual

Therapy

Interpretation

available upon

request

American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Guadalupe Gonzalez

AMFT

Crisis

Intervention

Spanish American Hispanic

AsianPacific Islander

Yes

Contracted Mental Health Providers

Page 160 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

License

121162

NPI

1134730344

Specialty CA Board

of Behavioral Science-

Associate Marriage

and Family Therapist

Targeted Case

Management

Mental Health

Services

Assessment

Individual

Therapy

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Other Qualified

Providers that do not

have a license waiver

or registration are

located at this site

Crisis

Intervention

Targeted Case

Management

Mental Health

Services

Assessment

Collateral and

Rehabilitation

Spanish American Hispanic

AsianPacific Islander

Pakistani AlaskanNative

American African American

Older Adult LGBT Mental

Health Client Family of Mental

Health Client Disabled

Yes

Contracted Mental Health Providers

Page 161 of 165

Provider Jackson House

Address 2364 S 2nd St El Centro CA 92243

Website wwwjacksonhousecarescom

Phone (760)332-3303

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Cesar Benitez MD

Medical License

A107600

NPI 1275738098

Specialty Adult

Board Certified

Crisis

Residential

(Medication

Support

Services Crisis

Intervention)

Spanish

Interpretation

available upon

request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Robert Bradley

Sanders MD

Medical License

20A5544

Crisis

Residential

(Medication

Support

Interpretation

available upon

request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

Yes

Contracted Mental Health Providers

Page 162 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

NPI 1144264300

Specialty Adult

Board Certified

Services Crisis

Intervention)

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Other Qualified

Providers that do not

have a license

waiver or

registration are

located at this site

Crisis

Residential

(Crisis

Intervention

Targeted Case

Management

and Mental

Health

Services -

Rehabilitation

Services)

Spanish

Sign

Language

upon request

Other

languages

upon request

American Hispanic

AsianPacific Islander Pakistani

AlaskanNative American

African American Older Adult

LGBT Mental Health Client

Family of Mental Health Client

Disabled

Yes

Contracted Mental Health Providers

Page 163 of 165

Provider STEPS (Quest Programs)

Address 3636 Camino Del Rio North Suite 150 San Diego CA

Website Phone 951-777-0333

Accessible to people with physical disabilities Yes

All providers at this site are accepting new Medi-Cal beneficiaries

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Sheela Masifi MD

Medical License

A154508

NPI 1124401765

Specialty Adult amp

Child Board Certified

Psychiatry

Psychotherapy

Medication

Support Crisis

Intervention

Mandarin

Spanish

Interpretation

available upon

request

Other

languages

upon request

American Hispanic Anxiety

Disorders Family of Mental

Health Client LGBT Eating

Disorders Child Abuse

Therapy HIV Sexual

Disorders

Yes

Contracted Mental Health Providers

Page 164 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Jehna Barnes ACSW

License 85638

NPI 1285256099

Specialty CA Board

of Behavioral

Science-Associate

Clinical Social

Worker

Crisis

Intervention

Mental Health

Services -

Assessment

Individual

Family and

Group

Therapy Case

Management

Spanish

Interpretation

available upon

request

Sign

Language

upon request

Other

languages

upon request

American Hispanic African

American Mental Health

Client LGBT Family of

Mental Health Client

Substance Use Clients Foster

Care TAY

Yes

Judith Diaz Nurse

Practitioner

License 95000797

NPI 1841610219

Crisis

Intervention

Mental Health

Services -

Assessment

Spanish

language upon

request

American Hispanic Mental

Health Client Family of

Mental Health Client LGBT

Substance Use Clients

Disabled Foster Care TAY

Yes

Contracted Mental Health Providers

Page 165 of 165

Population Served Children Adolescents Adults Older Adults

Provider Name and

Specialty

Specialty

Mental Health

Services

Non-English

Language(s) Cultural Capabilities

Cultural

Competence

Training

Specialty CA Board

of Registered

Nursing

Individual

Family and

Group

Therapy Case

Management

Sign

Language

upon request

Other

languages

upon request