TRI-CITY MENTAL HEALTH AUTHORITY (NPI# 1013540707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013540707 |
| Entity Type | Organization |
| Organization Name | TRI-CITY MENTAL HEALTH AUTHORITY |
| Practice Address |
3102 D St La Verne CA 91750-4023 |
| Mailing Address |
1717 N Indian Hill Blvd Ste B Claremont CA 91711-2788 |
| Practice Telephone | 9097667340 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | NATALIE MAJORS (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 9096236131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PROVIDER TRANSACTION ACCESS NUMBER | W1208 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095131 | Tri-city Mental Health Authority | Clinic/Center | 2715 E St, La Verne, CA 91750-4510 | 2020-02-21 |
| 1598398166 | Tri-city Mental Health Authority | Clinic/Center | 3490 Ramona Ave, La Verne, CA 91750-3219 | 2020-02-21 |
| 1346304920 | Tri-city Mental Health Authority | Community/Behavioral Health | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2006-12-20 |
| Street Address |
3102 D ST |
| City | LA VERNE |
| State | CA |
| Zip Code | 91750-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426236 | Amanda Seibert | Specialist/Technologist | 3102 D St, La Verne, CA 91750-4099 | 2020-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893324 | Alexis Ashley Andom | Occupational Therapist | 2061 Wright Ave., La Verne, CA 91750 | 2020-02-19 |
| 1952810855 | Wendy P Marrufo | Physical Therapist | 2590 Hayes Drive, La Verne, CA 91750 | 2017-09-22 |
| 1770006009 | Lineth Fiorella Florian | Family Medicine | 2333 Foothill Blvd, La Verne, CA 91750 | 2017-07-18 |
| 1205204765 | Heather Amanda Jantz Garcia | Specialist | 2061 Wright Avenue, Suite A-7, La Verne, CA 91750 | 2015-09-14 |
| 1255779864 | Carla Ureno | Counselor | 911 Herbine Street, La Verne, CA 91750 | 2013-06-06 |
| 1538459011 | Sameer K Hassamal | Psychiatry & Neurology | 4201 Hartshorn Ranch Pl, La Verne, CA 91750 | 2011-04-18 |
| 1134351695 | Robin Lorinne Clarkson | Physical Therapist | 2125 Wright Avenue, Ste C1, La Verne, CA 91750 | 2009-08-18 |
| 1477784767 | Sb Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 781 Canyon View Dr, Laverne, CA 91750 | 2009-08-04 |
| 1295978872 | Vi Hung Ly | Chiropractor | 1145 Foothill Blvd., La Verne, CA 91750 | 2009-04-13 |
| 1700906138 | Laura Nazaryan | Physical Therapist | 2123 Foothill Blvd Ste D, La Verne, CA 91750 | 2007-03-30 |
| Find all providers in zip 91750 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095131 | Tri-city Mental Health Authority | Clinic/Center | 2715 E St, La Verne, CA 91750-4510 | 2020-02-21 |
| 1598398166 | Tri-city Mental Health Authority | Clinic/Center | 3490 Ramona Ave, La Verne, CA 91750-3219 | 2020-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527041 | M. Attarian A Marriage and Family Therapy Professional Corporation | Clinic/Center | 433 N Camden Dr Ste 400, Beverly Hills, CA 90210-4408 | 2020-10-29 |
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1013523174 | Vitalis Wellness Center Inc. | Clinic/Center | 1519 Constitution Blvd Apt 201, Salinas, CA 93906-3150 | 2020-09-23 |
| 1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
| 1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
| 1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TRI-CITY MENTAL HEALTH AUTHORITY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.