BOYS REPUBLIC (NPI# 1962930859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962930859 |
| Entity Type | Organization |
| Organization Name | BOYS REPUBLIC |
| Other Organization Name | BOYS REPUBLIC - MONROVIA |
| Practice Address |
128 E Palm Ave Monrovia CA 91016-5108 |
| Mailing Address |
1907 Boys Republic Dr Chino Hills CA 91709-5447 |
| Practice Telephone | 6263584581 |
| Practice Fax Number | 9096279222 |
| Mailing Telephone | 9096281217 |
| Mailing Fax Number | 9096279222 |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2020-02-07 |
| Authorized Official Name | ELLEN STRICKLAND (HEAD OF SERVICE) |
| Authorized Official Telephone | 9092876433 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | BOYS REPUBLIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Boys Republic - Monrovia | Doing Business As Name - Organization |
| Boys Republic - Monrovia | Other Name - Individual/Organization |
| Monrovia Boys Republic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043879208 | Boys Republic | Community/Behavioral Health | 1260 Monterey Pass Rd, Monterey Park, CA 91754-3617 | 2019-06-11 |
| 1801346655 | Boys Republic | Community/Behavioral Health | 3850 Eucalyptus Ave, Chino Hills, CA 91709-1807 | 2016-10-05 |
| 1124585781 | Boys Republic | Community/Behavioral Health | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2019-03-01 |
| 1457700411 | Boys Republic | Community/Behavioral Health | 1907 Boys Republic Dr, Chino Hills, CA 91709 | 2016-06-09 |
| Street Address |
128 E PALM AVE |
| City | MONROVIA |
| State | CA |
| Zip Code | 91016-5108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914166 | Cynthia Marie Garcia | Behavior Technician | 612 S. Myrtle Ave., Suite 100, Monrovia, CA 91016 | 2019-10-28 |
| 1366096232 | Richard Compton Lamb | Health Educator | 825 S Myrtle Avenue, Monrovia, CA 91016 | 2019-07-30 |
| 1487208450 | Brendan Mai | Behavioral Analyst | 200 W Atara St, Monrovia, CA 91016 | 2019-07-29 |
| 1124672035 | Kathleen Marie Novell | Speech-Language Pathologist | 168 Poinsettia Avenue, Monrovia, CA 91016 | 2019-07-29 |
| 1932675931 | Rainbow Home Inc | Clinic/Center | 917 Monrovista Ave, Unit A, Monrovia, CA 91016 | 2018-10-17 |
| 1386136398 | Anh Van Ly | Physician Assistant | 116 W. Lime Ave, Monrovia, CA 91016 | 2018-06-05 |
| 1447741160 | Vera Lucia Mayorga | Licensed Psychiatric Technician | 816 Bonita St Apt B, Monrovia, CA 91016 | 2018-05-29 |
| 1518484146 | Carolyn Ann Burns | Home Health Aide | 1321 Orange Ave, Monrovia, CA 91016 | 2017-08-24 |
| 1962924357 | Ariela Ettie Emery | Genetic Counselor, MS | 655 East Huntington Drive, Monrovia, CA 91016 | 2017-07-07 |
| 1427578624 | Rebecca Niole Leal | Marriage & Family Therapist | 507 W Foothill Blvd, Monrovia, CA 91016 | 2017-06-20 |
| Find all providers in zip 91016 | ||||
| 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 |
|---|---|---|---|---|
| 1922656131 | D'veal Family and Youth Services | Community/Behavioral Health | 148 W Duarte Rd, Monrovia, CA 91016-4539 | 2019-08-30 |
| 1972151132 | D'veal Family and Youth Services | Community/Behavioral Health | 845 W Colorado Blvd, Monrovia, CA 91016-2517 | 2019-08-30 |
| 1386292761 | D'veal Family and Youth Services | Community/Behavioral Health | 226 S Ivy Ave, Monrovia, CA 91016-2836 | 2019-08-29 |
| 1982252359 | D'veal Family and Youth Services | Community/Behavioral Health | 232 Jasmine Ave, Monrovia, CA 91016-2919 | 2019-08-29 |
| 1619525144 | D'veal Family and Youth Services | Community/Behavioral Health | 1300 Boley St, Monrovia, CA 91016-4905 | 2019-08-28 |
| 1083262513 | D'veal Family and Youth Services | Community/Behavioral Health | 210 N Mayflower Ave, Monrovia, CA 91016-2008 | 2019-08-28 |
| 1700434230 | D'veal Family and Youth Services | Community/Behavioral Health | 402 W Colorado Blvd, Monrovia, CA 91016-2647 | 2019-08-28 |
| 1730737586 | D'veal Family and Youth Services | Community/Behavioral Health | 930 E Lemon Ave, Monrovia, CA 91016-3076 | 2019-08-26 |
| 1083267884 | Telesmart Services | Community/Behavioral Health | 341 Hill St, Monrovia, CA 91016-2337 | 2019-07-20 |
| 1760840177 | Dream Big Children's Services | Community/Behavioral Health | 538 W Walnut Ave, Monrovia, CA 91016-3267 | 2016-02-01 |
| Find all providers in MONROVIA | ||||
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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.