# DIABLO BEHAVIORAL HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dbh Blackhawk TMS Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174743694
- **Authorized official:** SUSAN SHRYER (BUSINESS MANAGER)
- **Authorized official phone:** (925) 648-4800

## Contact information

- **Practice address:** 4185 BLACKHAWK PLAZA CIR, SUITE 210, DANVILLE, CA 94506-4694
- **Practice address phone:** (925) 648-2650
- **Practice address fax:** (925) 648-2530
- **Mailing address:** PO BOX 1613, DANVILLE, CA 94526-6613
- **Mailing address phone:** (925) 648-4800
- **Mailing address fax:** (925) 648-2530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | PSY 14928 | CA | — |
| 103TS0200X | School Psychologist | LEP 2801 | CA | — |
| 1041C0700X | Clinical Social Worker | LCS 9942 | CA | — |
| 106H00000X | Marriage & Family Therapist | MFC 41716 | CA | — |
| 2084P0800X | Psychiatry Physician | A104000 | CA | — |
| 2084P0800X | Psychiatry Physician | C29074 | CA | — |
| 2084P0800X | Psychiatry Physician | C32821 | CA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | A104000 | CA | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | C32821 | CA | — |
| 235Z00000X | Speech-Language Pathologist | SP 10617 | CA | — |
| 235Z00000X | Speech-Language Pathologist | SP 2994 | CA | — |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 07/03/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 40428203 | EDD | CA |