COUNTY OF RIVERSIDE DEPARTMENT OF MENTAL HEALTH (NPI# 1952793564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952793564 |
| Entity Type | Organization |
| Organization Name | COUNTY OF RIVERSIDE DEPARTMENT OF MENTAL HEALTH |
| Practice Address |
10182 Indiana Ave Riverside CA 92503-5304 |
| Practice Telephone | 9515092400 |
| Mailing Telephone | 9515092400 |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |
| Authorized Official Name | DR. CHRISTOPHER COOPER (SUPERVISOR) |
| Authorized Official Telephone | 9515092400 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104369982 | County of Riverside Department of Mental Health | Clinic/Center | 4000 Orange St, Riverside, CA 92501-3613 | 2016-11-28 |
| 1902211790 | County of Riverside Department of Mental Health | Marriage & Family Therapist | 1688 N Perris Blvd Ste L1, Perris, CA 92571-4701 | 2014-07-01 |
| 1861624132 | County of Riverside Department of Mental Health | Point of Service | 9990 County Farm Rd Ste 6, Riverside, CA 92503-3542 | 2009-08-20 |
| 1679748289 | County of Riverside Department of Mental Health | Community/Behavioral Health | 3768 10th St, Riverside, CA 92501-3621 | 2008-04-24 |
| 1770770364 | County of Riverside Department of Mental Health | Community/Behavioral Health | 9890 County Farm Rd, Riverside, CA 92503-3505 | 2007-09-27 |
| Street Address |
10182 INDIANA AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194812016 | Laurel Gray Coman | Psychologist | 10182 Indiana Ave, Tyler Village Wellness & Recovery Clinic, Riverside, CA 92503-5304 | 2006-10-10 |
| 1033623707 | Rachele Frogge | Case Manager/Care Coordinator | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2017-11-16 |
| 1588057970 | Caleb Brown | Peer Specialist | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2015-03-10 |
| 1588056592 | Karen Shizuye Higashi | Peer Specialist | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2015-02-27 |
| 1851711535 | Joni Terrones | Community Health Worker | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2014-04-22 |
| 1730507377 | Maria Vanessa Galvez | Social Worker | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2014-04-01 |
| 1801158613 | Warren Guy Roberts Sr. | Counselor | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2012-06-08 |
| 1649559113 | Xiomara Caridad Wilson | Case Manager/Care Coordinator | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2011-08-15 |
| 1023309937 | Angie Elizondo | Behavioral Analyst | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2011-04-26 |
| 1194015446 | Jacqueline Gravell | Marriage & Family Therapist | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2011-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| 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 |
|---|---|---|---|---|
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1568098242 | Youth Enterprise, Inc. | Community/Behavioral Health | 8308 Yarrow Ln, Riverside, CA 92508-2923 | 2020-03-13 |
| 1659928752 | Social Resources Connection Inc | Community/Behavioral Health | 5005 La Mart Dr Ste 100b3, Riverside, CA 92507-8902 | 2019-08-22 |
| 1215418165 | Olive Crest | Community/Behavioral Health | 525 Technology Ct Ste 102, Riverside, CA 92507-2181 | 2018-08-28 |
| 1710466487 | Hayley Victoria De La Torre | Community/Behavioral Health | 7622 Saint Andrews Dr, Riverside, CA 92508-6099 | 2018-08-13 |
| 1982197547 | Citrus Crest Family Counseling Inc. | Community/Behavioral Health | 16801 Van Buren Blvd Ste 214, Riverside, CA 92504-5893 | 2018-06-08 |
| 1316440464 | Coryne Poole | Community/Behavioral Health | 4555 Pine St Apt 2b, Riverside, CA 92501-4034 | 2018-03-15 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1255849675 | County of Riverisde | Community/Behavioral Health | 1820 University Avenue, Riverside, CA 92507-5355 | 2018-01-19 |
| 1740797067 | Riza Loreine Peralta Callejas | Community/Behavioral Health | 1650 Spruce St, Riverside, CA 92507-7402 | 2018-01-09 |
| Find all providers in RIVERSIDE | ||||
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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.