CLOVERLEAF BEHAVIORAL SERVICES, LLC (NPI# 1194152702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194152702 |
| Entity Type | Organization |
| Organization Name | CLOVERLEAF BEHAVIORAL SERVICES, LLC |
| Practice Address |
429 S Palm Ave Alhambra CA 91803-1422 |
| Mailing Address |
506 S. Palm Ave. Alhambra CA 91803 |
| Practice Telephone | 6268268800 |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |
| Authorized Official Name | SOLIDA MEKPONGSATORN (PRESIDENT) |
| Authorized Official Telephone | 6268268800 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1-11-8248 | FL | Agencies |
| Street Address |
429 S PALM AVE |
| City | ALHAMBRA |
| State | CA |
| Zip Code | 91803-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689229841 | Jaclyn Rymer | Physical Therapist | 1000 S Fremont Ave Bldg 10n10220, Alhambra, CA 91803 | 2019-08-05 |
| 1932768421 | Lorna Lynch | Student in an Organized Health Care Education/Training Program | Lorna Lynch, 1000 S Freemont, Unit 5, Alhambra, CA 91803 | 2019-06-10 |
| 1114409281 | Roslynn Stone | Pharmacist | 1000 S. Fremont, A10n Suite 10150, Alhambra, CA 91803 | 2018-09-05 |
| 1598250615 | Motherly Comfort Home Care, LLC | In Home Supportive Care | 300 W Valley Blvd # 911, Alhambra, CA 91803 | 2018-06-30 |
| 1922510858 | Christina Arez | Behavioral Analyst | 1000 Freemont Ave., Bldg A5, Suite 5100, Unit 81, Alhambra, CA 91803 | 2017-11-01 |
| 1508312182 | Tiffany Chan | Occupational Therapist | 1000 S Fremont Ave., Alhambra, CA 91803 | 2016-09-01 |
| 1194123323 | Jessica Kuo | Pharmacist | 1800 S. 5th Street, Alhambra, CA 91803 | 2014-12-22 |
| 1467861096 | Second Wind Home Health Inc | Home Health | 2225 W. Commonwealth Ave Sutie 213, Alhambra, CA 91803 | 2014-08-07 |
| 1306254800 | Sum Li, Dds, Inc. | Dentist | 2311 West Valley Blvd., Alhambra, CA 91803 | 2014-07-28 |
| 1518380443 | Qiuchen Tu | Behavioral Analyst | 506 S. Palm Ave., Alhambra, CA 91803 | 2014-01-29 |
| Find all providers in zip 91803 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770148272 | Maxim Healthcare Services, Inc | Community/Behavioral Health | 1000 S Fremont Ave Ste 10300, Alhambra, CA 91803-8845 | 2019-05-09 |
| 1760915144 | Roman Empire Living Skills | Community/Behavioral Health | 1000 S Fremont Ave Unit 85, Alhambra, CA 91803-8822 | 2017-04-04 |
| 1407219405 | The Center for Integral Psychology | Community/Behavioral Health | 1000 S Fremont Ave Unit 60, A-1, 1219, Alhambra, CA 91803-8886 | 2016-03-29 |
| 1114340429 | Institute for Family Centered Services Inc. | Community/Behavioral Health | 1000 S Fremont Ave Bldg A-10, Suite 10350, Unit 98, Alhambra, CA 91803-8857 | 2014-01-23 |
| 1972811636 | Circle of Help Foundation | Community/Behavioral Health | 20 S Marengo Ave, Alhambra, CA 91801-1947 | 2010-09-15 |
| 1881727311 | Enki Health and Research Systems, Inc. | Community/Behavioral Health | 19 S Curtis Ave Apt B, Alhambra, CA 91801-3202 | 2007-03-13 |
| 1639684269 | Roman Empire Aba Services, Inc. | Community/Behavioral Health | 1000 S Fremont Ave Unit 85, Alhambra, CA 91803-8822 | 2017-12-05 |
| 1699064436 | Advanz Social Services, Inc | Community/Behavioral Health | 2550 W Main St, Suite # 102, Alhambra, CA 91801-1694 | 2011-04-01 |
| 1538483169 | Jane Yu Anderson Phd Rd Lcsw Inc | Community/Behavioral Health | 320 S Garfield Ave, #206, Alhambra, CA 91801-3886 | 2010-03-25 |
| 1790962249 | Pacific Clinics | Community/Behavioral Health | 101 S 2nd St, Rooms C125 and D104, Alhambra, CA 91801-3716 | 2008-01-28 |
| Find all providers in ALHAMBRA | ||||
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| 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.