RIVERSIDE COUNTY DEPT OF MENTAL HEALTH (NPI# 1063710507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063710507 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE COUNTY DEPT OF MENTAL HEALTH |
| Other Organization Name | MHSA PEI-PEARLS WEST |
| Practice Address |
2085 Rustin Ave Riverside CA 92507-2498 |
| Mailing Address |
Po Box 7659 Riverside CA 92513 |
| Practice Telephone | 9515092423 |
| Mailing Telephone | 9513586900 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2015-06-25 |
| Authorized Official Name | JERRY WENGERD (DIRECTOR OF MENTAL HEALTH) |
| Authorized Official Telephone | 9513584500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LEGAL ENTITY | 00033 | 01 |
| Other Name | Type Code |
|---|---|
| MHSA PEI-PEARLS West | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336263599 | Riverside County Dept of Mental Health | Community/Behavioral Health | 46-057 Oasis Street, Indio, CA 92201 | 2007-03-16 |
| 1538561444 | Riverside County Dept of Mental Health | Case Management | 771 W Blaine St Ste C, Riverside, CA 92507-3940 | 2014-09-23 |
| 1235418542 | Riverside County Dept of Mental Health | Community/Behavioral Health | 46900 Monroe St, A-101, Indio, CA 92201-4827 | 2011-08-04 |
| 1508164047 | Riverside County Dept of Mental Health | Community/Behavioral Health | 1370 S State St, San Jacinto, CA 92583-4933 | 2011-03-08 |
| 1962700492 | Riverside County Dept of Mental Health | Community/Behavioral Health | 68625 Perez Rd, Suite 11, Cathedral City, CA 92234-7250 | 2011-03-08 |
| 1962708602 | Riverside County Dept of Mental Health | Clinic/Center | 1827 Atlanta Ave, Suite D3, Riverside, CA 92507-7419 | 2011-01-27 |
| 1902100241 | Riverside County Dept of Mental Health | Case Management | 9707 Magnolia Ave, Riverside, CA 92503-3609 | 2010-12-30 |
| 1619159506 | Riverside County Dept of Mental Health | Case Management | 3190 Chicago Ave, Riverside, CA 92507-3448 | 2007-12-03 |
| 1497953855 | Riverside County Dept of Mental Health | Community/Behavioral Health | 6355 Riverside Ave, Riverside, CA 92506-3163 | 2007-07-06 |
| 1972644854 | Riverside County Dept of Mental Health | Intermediate Care Facility, Mental Illness | 4275 Lemon St, Suite 205, Riverside, CA 92501-3844 | 2007-02-12 |
| Street Address |
2085 RUSTIN AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-2498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023104882 | Kristin Jean Miller | Social Worker | 2085 Rustin Ave, Riverside, CA 92507-2498 | 2006-10-05 |
| 1124632443 | Daisy Gutierrez | Counselor | 2085 Rustin Ave, Riverside, CA 92507-2498 | 2020-09-03 |
| 1922612795 | Carmela Ruth Gonzalez-soto | Peer Specialist | 2085 Rustin Ave, Riverside, CA 92507-2498 | 2020-08-31 |
| 1265046007 | Rhonda Rene Taiwo | Peer Specialist | 2085 Rustin Ave, Riverside, CA 92507-2498 | 2020-08-31 |
| 1770196834 | Melissa Anne Coriz | Counselor | 2085 Rustin Ave, Riverside, CA 92507-2498 | 2020-08-28 |
| 1427674365 | Jonathan Michael Brewer | Counselor | 2085 Rustin Ave, Riverside, CA 92507-2498 | 2020-06-16 |
| 1013530534 | Ernestina Elizabeth Mcgrew | Registered Nurse | 2085 Rustin Ave, Riverside, CA 92507-2498 | 2020-05-19 |
| 1215557657 | Evelyn Salaices Serna-balderas | Social Worker | 2085 Rustin Ave, Riverside, CA 92507-2498 | 2020-04-24 |
| 1508495334 | Misty Marie Martin | Counselor | 2085 Rustin Ave, Riverside, CA 92507-2498 | 2020-04-03 |
| 1144868944 | Dakota Meza | Counselor | 2085 Rustin Ave, Riverside, CA 92507-2498 | 2019-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on RIVERSIDE COUNTY DEPT OF MENTAL HEALTH.
| 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.