WYLIE CENTER - A PSYCHOLOGICAL CORPORATION


Address: 4164 Brockton Ave, Riverside, CA 92501-3400
Phone: 9516835193

WYLIE CENTER - A PSYCHOLOGICAL CORPORATION (NPI# 1669082590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669082590
Entity Type Organization
Organization Name WYLIE CENTER - A PSYCHOLOGICAL CORPORATION
Practice Address 4164 Brockton Ave
Riverside
CA 92501-3400
Practice Telephone 9516835193
Practice Fax Number 9516836019
Mailing Telephone 9516835193
Mailing Fax Number 9516836019
Enumeration Date 2020-08-05
Last Update Date 2020-08-05
Authorized Official Name MR. MICKEY RUBINSON (CEO)
Authorized Official Telephone 9516835193
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers
N 103T00000X Psychologist Behavioral Health & Social Service Providers
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 4164 BROCKTON AVE
City RIVERSIDE
State CA
Zip Code 92501-3400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831237932 The Carolyn E. Wylie Center for Children, Youth & Families Local Education Agency (LEA) 4164 Brockton Ave, Riverside, CA 92501-3400 2007-02-01
1174174650 Melissa Alejandra Aquino Social Worker 4164 Brockton Ave, Riverside, CA 92501-3400 2019-09-25
1265090435 Elizabeth Crystal Gonzalez Marriage & Family Therapist 4164 Brockton Ave, Riverside, CA 92501-3400 2019-06-03
1316503071 Aaron Mcleish Marriage & Family Therapist 4164 Brockton Ave, Riverside, CA 92501-3400 2019-05-17
1972065209 Annette Casillas Peer Specialist 4164 Brockton Ave, Riverside, CA 92501-3400 2019-04-04
1679047211 Armando Cortes Counselor 4164 Brockton Ave, Riverside, CA 92501-3400 2019-01-16
1043790405 Ogechi Nkwocha Marriage & Family Therapist 4164 Brockton Ave, Riverside, CA 92501-3400 2018-08-15
1982182903 Therapy In A Bag, Licensed Clinical Social Worker, Inc. Counselor 4164 Brockton Ave, Riverside, CA 92501-3400 2018-08-01
1972089217 Carolyn E Wylie Center for Children, Youth and Families Marriage & Family Therapist 4164 Brockton Ave, Riverside, CA 92501-3400 2018-07-18
1255829230 Anthony Ringo Kelly Jr. Behavioral Analyst 4164 Brockton Ave, Riverside, CA 92501-3400 2018-04-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700437605 Mary Horvatin Technician 1811 Rivera Strret, Riverside, CA 92501 2019-09-23
1366905473 Timothy Daniel Collins Student in an Organized Health Care Education/Training Program Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 2019-04-08
1346709672 Lourdes Adame Student in an Organized Health Care Education/Training Program 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 2019-03-16
1740759067 Kristina Ferris-celosse Counselor 2452 Wilshire St., Riverside, CA 92501 2018-11-15
1750888095 Arunmozhi Aravagiri Student in an Organized Health Care Education/Training Program Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 2018-04-12
1720585847 Alan Huynh Student in an Organized Health Care Education/Training Program 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 2018-04-06
1538664834 Wilson Paul Frasca Student in an Organized Health Care Education/Training Program 4445 Magnolia Avenue, Riverside, CA 92501 2018-03-28
1851896575 Geethu Gopinathan Nair Student in an Organized Health Care Education/Training Program Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 2018-03-26
1316465560 Thilini Anne Abeygunaratne Marriage & Family Therapist 1950 Market Street, Riverside, CA 92501 2017-09-07
1194257410 Melissa Chitwood Assistant Behavior Analyst 3078 Cedar St., Riverside, CA 92501 2017-03-28
Find all providers in zip 92501

Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336747005 Beatriz Arredondo Behavioral Analyst 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 2020-10-14
1124632906 Frances Darlene Fernandez Behavioral Analyst 6117 Brockton Ave Ste 202, Riverside, CA 92506-2207 2020-08-31
1790302206 Priscilla Ramirez Behavioral Analyst 11801 Pierce St Ste 102, Riverside, CA 92505-4408 2020-06-30
1205458460 Mark Anthony Vargas Behavioral Analyst 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 2020-05-11
1265067300 Wendy Acosta Behavioral Analyst 517 Glenhill Dr, Riverside, CA 92507-3004 2020-03-09
1992336069 Dustin Le Behavioral Analyst 9309 Equestrian Dr, Riverside, CA 92503-7211 2020-01-28
1043859648 Jeanette Soto Behavioral Analyst 11711 Collett Ave Apt 1835, Riverside, CA 92505-3785 2019-12-30
1083253959 Melanny Garay Behavioral Analyst 3015 Sugarloaf Dr, Riverside, CA 92507-3007 2019-12-24
1194368977 Alondra Itzamar Leon Behavioral Analyst 2595 Atlanta Ave Spc 70, Riverside, CA 92507-2457 2019-10-23
1740831684 Alicia Hinojosa Behavioral Analyst 5750 Division St Ste 194, Riverside, CA 92506-3269 2019-09-23
Find all providers in RIVERSIDE

Competitor

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City RIVERSIDE
Zip Code 92501

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Dataset Information

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.

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