MENTAL HEALTH SYSTEMS, INC. (NPI# 1457489478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457489478 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH SYSTEMS, INC. |
| Other Organization Name | FONTANA CENTER FOR CHANGE |
| Practice Address |
1076 Santo Antonio Dr Suite B & D, Rms. 2, 4, 9, & 12 Colton CA 92324-8103 |
| Mailing Address |
9465 Farnham St San Diego CA 92123-1308 |
| Practice Telephone | 9093574585 |
| Practice Fax Number | 9093574589 |
| Mailing Telephone | 8585732600 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | JAMES C CALLAGHAN JR. (PRESIDENT/CEO) |
| Authorized Official Telephone | 8585732600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 3682 | 05 |
| Other Name | Type Code |
|---|---|
| Fontana Center for Change | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306483284 | Mental Health Systems, Inc. | Community/Behavioral Health | 5121 Stockdale Hwy Ste 212, Bakersfield, CA 93309-2656 | 2019-12-10 |
| 1831620871 | Mental Health Systems, Inc. | Community/Behavioral Health | 410 Hidden Trails Rd, Escondido, CA 92027-5333 | 2017-03-22 |
| 1144678996 | Mental Health Systems, Inc. | Community/Behavioral Health | 1401 Hanson Ln, Ramona, CA 92065-3304 | 2016-06-01 |
| 1407294564 | Mental Health Systems, Inc. | Community/Behavioral Health | 58945 Business Center Dr Ste Jp&n, Yucca Valley, CA 92284-7307 | 2013-06-11 |
| 1639343544 | Mental Health Systems, Inc. | Community/Behavioral Health | 591 E Elder St Ste C, Fallbrook, CA 92028-5001 | 2008-04-22 |
| 1881722429 | Mental Health Systems, Inc. | Community/Behavioral Health | 2020 N Waterman Ave Ste C, San Bernardino, CA 92404-4849 | 2007-03-02 |
| 1891824371 | Mental Health Systems, Inc. | Community/Behavioral Health | 3340 Kemper St Ste 105&207, San Diego, CA 92110-4906 | 2007-03-02 |
| 1821126889 | Mental Health Systems, Inc. | Community/Behavioral Health | 300 H St, Needles, CA 92363-2928 | 2007-03-01 |
| 1952439804 | Mental Health Systems, Inc. | Community/Behavioral Health | 1172 3rd Ave, Suite D1, Chula Vista, CA 91911-3116 | 2007-03-01 |
| 1104954056 | Mental Health Systems, Inc. | Community/Behavioral Health | 15770 Mojave Dr, Suites K & L, Victorville, CA 92394-1934 | 2007-03-01 |
| Street Address |
1076 SANTO ANTONIO DR SUITE B & D, RMS. 2, 4, 9, & 12 |
| City | COLTON |
| State | CA |
| Zip Code | 92324-8103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093347668 | Nila Jean Gehrett | Counselor | 1076 Santo Antonio Dr, Colton, CA 92324-8103 | 2020-02-11 |
| 1760044853 | Gabriel Ruvalcaba | Counselor | 1076 Santo Antonio Dr, Colton, CA 92324-8103 | 2019-06-28 |
| 1366940579 | Adrian Jacob Carrasco | Counselor | 1076 Santo Antonio Dr, Colton, CA 92324-8103 | 2018-01-23 |
| 1295126134 | Lorena Marshall | Counselor | 1076 Santo Antonio Dr, Suite B, Colton, CA 92324-8103 | 2015-02-13 |
| 1902295322 | Elyse W Perez | Counselor | 1076 Santo Antonio Dr, Suite B, Colton, CA 92324-8103 | 2015-01-22 |
| 1194132019 | Marlene Alvarez | Counselor | 1076 Santo Antonio Dr, Suite B, Colton, CA 92324-8103 | 2014-07-14 |
| 1477981587 | Mentel Health Systems | Counselor | 1076 Santo Antonio Dr, Colton, CA 92324-8103 | 2013-10-29 |
| 1992089320 | Wenceslao Martinez | Counselor | 1076 Santo Antonio Dr, Suit B, Colton, CA 92324-8103 | 2011-10-04 |
| 1578855870 | Gary Layne Scarlett | Counselor | 1076 Santo Antonio Dr, Suit B, Colton, CA 92324-8103 | 2011-05-05 |
| 1225336464 | Thomas Milton Bell | Counselor | 1076 Santo Antonio Dr, Suite B, Colton, CA 92324-8103 | 2011-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| 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 |
|---|---|---|---|---|
| 1780295311 | Borrego Community Health Foundation | Community/Behavioral Health | 1880 E Washington St Ste A, Colton, CA 92324-4621 | 2020-08-17 |
| 1457892713 | Yeckley Speech | Community/Behavioral Health | 1170 N 2nd St, Colton, CA 92324-1760 | 2017-03-19 |
| 1194264515 | Amber Nelson-thorneycroft | Community/Behavioral Health | 1800 E Old Ranch Rd Apt 172, Colton, CA 92324-4667 | 2017-02-17 |
| 1184959116 | Andrea Nadine Santana | Community/Behavioral Health | 790 Vita Lata, Suite 300, Colton, CA 92324-5528 | 2009-10-08 |
| 1235763574 | Hope Avenue Marriage and Family Therapy Inc. | Community/Behavioral Health | 1400 E Cooley Dr Ste 200a, Colton, CA 92324-3939 | 2020-02-25 |
| 1659710275 | South Coast Children's Society | Community/Behavioral Health | 1461 E Cooley Dr, Suite 100, Colton, CA 92324-3921 | 2013-06-17 |
| 1215204201 | South Coast Children's Society | Community/Behavioral Health | 1461 E Cooley Dr, Suite 100, Colton, CA 92324-3921 | 2011-11-19 |
| 1710216270 | A & D Services | Community/Behavioral Health | 582 W Valley Blvd, 12, Colton, CA 92324-2273 | 2009-12-12 |
| 1124280714 | Central Valley Regional Recovery Center | Community/Behavioral Health | 1076 Santo Antonio Dr, Colton, CA 92324-8103 | 2008-06-26 |
| 1942338744 | Mental Health Systems, Inc. | Community/Behavioral Health | 1076 Santo Antonio Dr, Suite B, Colton, CA 92324-8103 | 2007-03-01 |
| Find all providers in COLTON | ||||
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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.