FAMILY SERVICE ASSOCIATION (NPI# 1962606475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962606475 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE ASSOCIATION |
| Practice Address |
8172 Magnolia Avenue Riverside CA 92504-3441 |
| Mailing Address |
21250 Box Springs Road Suite 106 Moreno Valley CA 92557-8705 |
| Practice Telephone | 9515098733 |
| Practice Fax Number | 9515098479 |
| Mailing Telephone | 9513698036 |
| Mailing Fax Number | 9513698303 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2011-11-03 |
| Authorized Official Name | MR. DOM BETRO (PRESIDENT/ CEO) |
| Authorized Official Telephone | 9516861096 |
| Authorized Official Credential | ACSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538672878 | Family Service Association | Community/Behavioral Health | 17210 Slover Ave Ste 200, Fontana, CA 92337-7536 | 2017-11-08 |
| 1811412067 | Family Service Association | Community/Behavioral Health | 5888 Mission Blvd, Riverside, CA 92509-4256 | 2017-08-09 |
| 1467866889 | Family Service Association | Community/Behavioral Health | 661 Jackson Rd, Newtonville, NJ 08346 | 2014-06-13 |
| 1366861114 | Family Service Association | Clinic/Center | 4201 Fayette Dr, Bristol, PA 19007-2612 | 2014-04-09 |
| 1649698879 | Family Service Association | Clinic/Center | 1800 Keystone St, Croydon, PA 19021-6830 | 2014-04-04 |
| 1508297094 | Family Service Association | Community/Behavioral Health | 50391 Carmen Ave., Cabazon, CA 92230 | 2013-12-09 |
| 1164715009 | Family Service Association | Community/Behavioral Health | 625 S Pico Ave, San Jacinto, CA 92583-4130 | 2011-05-25 |
| 1285739318 | Family Service Association | Voluntary or Charitable | 21250 Box Springs Road, Suite 106, Moreno Valley, CA 92557-8705 | 2006-09-13 |
| 1063442390 | Family Service Association | Clinic/Center | 184 Salem Ave, Suite 190, Dayton, OH 45406-5804 | 2006-07-03 |
| 1912958513 | Family Service Association | Counselor | 312 E White Horse Pike, Galloway, NJ 08205-9565 | 2006-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY SERVICE ASSOCIATION | 151 Rock St, Fall River, MA 02720-3201 |
| System for Award Management (SAM) Entities | FAMILY SERVICE ASSOCIATION OF BUCKS COUNTY | 4 Cornerstone Dr, Langhorne, PA 19047-1314 |
| Massachusetts Corporations | FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER, INC. | 101 Rock Street, Fall River, MA 02720 |
| System for Award Management (SAM) Entities | FAMILY SERVICE ASSOCIATION OF LINCOLN | 501 S 7th St, Lincoln, NE 68508-2920 |
| System for Award Management (SAM) Entities | FAMILY SERVICE ASSOCIATION OF WYOMING VALLEY | 31 W Market St, Wilkes Barre, PA 18701-1304 |
| Connecticut Business Registrations | FAMILY SERVICE ASSOCIATION, INC. | Family Service Association Inc, 55 Wilcox Road, Stonington, CT 06378 |
| Street Address |
8172 MAGNOLIA AVENUE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92504-3441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
| 1720628993 | Palm Lily LLC | Non-emergency Medical Transport (VAN) | 2900 Adams Street Suite A435, Riverside, CA 92504 | 2020-01-15 |
| 1538630959 | Just for Kids Pediatric Dentistry Raymond Wang | Dentist | 7071 Indiana Ave, Riverside, CA 92504 | 2018-12-11 |
| 1477047835 | Deborah Kay Allen | Peer Specialist | 6939 Morningside Ave, Riverside, CA 92504 | 2018-06-19 |
| 1255833794 | Adiana Loya | Student in an Organized Health Care Education/Training Program | 7550 Orchard St Apt #58, Riverside, CA 92504 | 2018-03-01 |
| 1023524162 | Chiara Heyer | Counselor | 4130 Adams St Ste B, Riverside, CA 92504 | 2017-12-27 |
| 1801313408 | Gustavo Gallo Avelar | Behavioral Analyst | 4125 Rucker Ln, Riverside, CA 92504 | 2017-08-24 |
| 1891226205 | Susana Herold | Assistant Behavior Analyst | 17460 Krameria Ave, Riverside, CA 92504 | 2017-03-27 |
| 1710356167 | Erandi Portugal | Counselor | 6711 Alrington Avenue, Riverside, CA 92504 | 2015-09-16 |
| 1548636012 | Candace Lauren Bynder | Counselor | 6711 Arlington Avenue, Riverside, CA 92504 | 2015-08-19 |
| Find all providers in zip 92504 | ||||
| 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.