RITE OF PASSAGE, ATCS (NPI# 1699250332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699250332 |
| Entity Type | Organization |
| Organization Name | RITE OF PASSAGE, ATCS |
| Other Organization Name | CYS RITE OF PASSAGE PARAGON |
| Practice Address |
714 Morse Ave Placentia CA 92870-3504 |
| Mailing Address |
2560 Business Pkwy Ste B Minden NV 89423-8961 |
| Practice Telephone | 7145720175 |
| Mailing Telephone | 7753922657 |
| Mailing Fax Number | 3923922455 |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | RUSTY E. ALEXANDER (BUSINESS MANAGING DIRECTOR) |
| Authorized Official Telephone | 7753922639 |
| Is Organization Subpart | Y |
| Parent Organization Name | RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS AND SCHOOLS INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CYS Rite of Passage Paragon | Other Name - Individual/Organization |
| Paragon House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003391467 | Rite of Passage, Atcs | Clinic/Center | 1691 Gramercy Ave, Torrance, CA 90501-3236 | 2018-10-01 |
| 1861977555 | Rite of Passage, Atcs | Clinic/Center | 118 Livingston Ave, Placentia, CA 92870-2546 | 2018-09-27 |
| 1679103006 | Rite of Passage, Atcs | Clinic/Center | 537 W 8th St, San Pedro, CA 90731-3119 | 2020-01-24 |
| 1164852877 | Rite of Passage, Atcs | Residential Treatment Facility, Emotionally Disturbed Children | 2560 Business Pkwy, Suite B, Minden, NV 89423-8985 | 2013-11-15 |
| Street Address |
714 MORSE AVE |
| City | PLACENTIA |
| State | CA |
| Zip Code | 92870-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528507159 | Erika Cristine Zimmerman | Social Worker | 714 Morse Ave, Placentia, CA 92870-3504 | 2017-02-15 |
| 1376142190 | Danielle Allen | Counselor | 714 Morse Ave, Placentia, CA 92870-3504 | 2020-10-22 |
| 1104465905 | Skylar Maxwell | Counselor | 714 Morse Ave, Placentia, CA 92870-3504 | 2019-12-27 |
| 1184272312 | Amanda Morga | Marriage & Family Therapist | 714 Morse Ave, Placentia, CA 92870-3504 | 2019-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952887499 | Makaela Mendelson | Speech-Language Pathologist | 240 South Placentia Avenue, Placentia, CA 92870 | 2018-07-18 |
| 1194186106 | Carrie Schultz | Licensed Vocational Nurse | 543 Del Rey Dr., Placentia, CA 92870 | 2016-03-18 |
| 1710350277 | Caremore Health Plan | Nurse Practitioner | 1325 N. Rose Drive #102, Placentia Linda, CA 92870 | 2015-11-05 |
| 1871999847 | Heather Ellen Johnson | Occupational Therapist | 740 S. Placentia Ave, Suite 100, Placentia, CA 92870 | 2014-11-18 |
| 1992101257 | Arcel Lopez Escoto | Physical Therapist | 740 S. Placentia Ave. Suite 100, Placentia, CA 92870 | 2014-11-14 |
| 1144642109 | Christine Taheran | Nurse Practitioner | 120 Downey Lane, Placentia, CA 92870 | 2014-01-10 |
| 1851644587 | Peter Glickman | Ophthalmology | 1050 E Yorba Linda Blvd., Suite 205, Placentia, CA 92870 | 2012-10-18 |
| 1396003844 | Jaymie Coria, D.d.s., Inc | Dentist | 302 E. Palm Drive, Suite #a, Placentia, CA 92870 | 2012-05-02 |
| 1164798609 | Adelina Rachi | Occupational Therapist | 740 S. Placentia Ave., Suite 100, Placentia, CA 92870 | 2012-03-29 |
| 1023305067 | Patricia Inez Byrne | Registered Nurse | 2001-d E. Orangethorpe Ave., Placentia, CA 92870 | 2011-06-28 |
| Find all providers in zip 92870 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607771 | Tonya Octave, Lcsw, Prof Corp | Clinic/Center | 237 S Lakeview Ave Ste A, Placentia, CA 92870-6756 | 2020-07-27 |
| 1861977555 | Rite of Passage, Atcs | Clinic/Center | 118 Livingston Ave, Placentia, CA 92870-2546 | 2018-09-27 |
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| 1083230262 | Socal Adolescent Wellness, Inc. | Clinic/Center | 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899 | 2020-06-23 |
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| 1538781042 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 3872 Carthage St, Riverside, CA 92501-2102 | 2020-05-07 |
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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.