SOCIAL MODEL RECOVERY SYSTEMS, INC. (NPI# 1821126939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821126939 |
| Entity Type | Organization |
| Organization Name | SOCIAL MODEL RECOVERY SYSTEMS, INC. |
| Other Organization Name | THE RIVER COMMUNITY |
| Practice Address |
23701 E East Fork Rd Azusa CA 91702-1477 |
| Mailing Address |
223 E Rowland St Covina CA 91723-3147 |
| Practice Telephone | 6262503291 |
| Practice Fax Number | 6269101380 |
| Mailing Telephone | 6263323145 |
| Mailing Fax Number | 6269744164 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2018-10-15 |
| Authorized Official Name | DAWN N DADES (SENIOR CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6263323145 |
| Authorized Official Credential | MA, MFT |
| 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 | 01839001 | 05 |
| Other Name | Type Code |
|---|---|
| River Community | Other Name - Individual/Organization |
| The River Community | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487105813 | Social Model Recovery Systems, Inc. | Community/Behavioral Health | 3426 Cogswell Rd, El Monte, CA 91732-2785 | 2016-10-20 |
| 1164709895 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 17727 E Cypress St, Covina, CA 91722-2634 | 2011-11-09 |
| 1124306386 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 453 S Indiana St, Los Angeles, CA 90063-3908 | 2011-07-21 |
| 1740469113 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 4610 Santa Anita Ave Ste D, El Monte, CA 91731-1295 | 2007-11-01 |
| 1497834089 | Social Model Recovery Systems, Inc. | Community/Behavioral Health | 223 E Rowland St, Covina, CA 91723-3147 | 2006-11-03 |
| 1851389993 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 155 Bimini Pl, Los Angeles, CA 90004-5902 | 2005-10-12 |
| 1922096072 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 4445 Burns Ave, Los Angeles, CA 90029-2702 | 2005-10-12 |
| 1821086976 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2005-10-12 |
| 1295004224 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 4445 Burns Ave, Los Angeles, CA 90029-2702 | 2011-12-20 |
| 1407134158 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 3430 Cogswell Rd, El Monte, CA 91732-2785 | 2011-07-29 |
| Street Address |
23701 E EAST FORK RD |
| City | AZUSA |
| State | CA |
| Zip Code | 91702-1477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912518135 | Riley Redman | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2020-08-11 |
| 1548893571 | William Robert Hoffman Jr. | Marriage & Family Therapist | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2020-02-18 |
| 1336787092 | Oriana Gregory | Licensed Psychiatric Technician | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-12-12 |
| 1972149417 | Isabel Rosales | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-11-19 |
| 1538704531 | Devon Edward Lucas | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-11-13 |
| 1518509132 | Steven Stanislas Roseren | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-10-15 |
| 1336780816 | Stephanie Marie Hernandez | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-10-04 |
| 1194382317 | Kristin Wopschall | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-05-22 |
| 1902460868 | Leandro Perez IIi | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-04-25 |
| 1558820175 | Jessica Nhung Nguyen Bear | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407345341 | Rosaura Contreras | Nutritionist | 109 West 6th Street, Azusa, CA 91702 | 2018-05-07 |
| 1093224396 | Beatriz Leyva Torres | Nurse Practitioner | 237 S. Vernon Ave, Azusa, CA 91702 | 2017-09-29 |
| 1871949370 | Angela Marie Mckindley | Case Manager/Care Coordinator | 23701 East Fork Rd., Azusa, CA 91702 | 2016-05-13 |
| 1023489846 | Crystal Horton | Case Manager/Care Coordinator | 23701 E Fork Road, Azusa, CA 91702 | 2015-10-20 |
| 1528438272 | Seann Mckay | Case Manager/Care Coordinator | 23701 E Folk Rd, Azusa, CA 91702 | 2015-10-06 |
| 1437528833 | William Clabaugh | Case Manager/Care Coordinator | 830 S. Azusa Ave., 45, Azusa, CA 91702 | 2015-09-16 |
| 1467850693 | Juana Gaeta | Speech-Language Pathologist | 1016 E Ghent St, Azusa, CA 91702 | 2014-12-22 |
| 1649674508 | Colleen Anne Montz | Nurse Practitioner | 901 E. Alosta Ave., Student Health Center, Azusa, CA 91702 | 2014-10-21 |
| 1285061390 | Patrick Ryan Bergeron | Physical Therapist | 900 W Sierra Madre Avenue, #33, Azusa, CA 91702 | 2013-10-03 |
| 1760768972 | Ashley L Wickliffe | Student in an Organized Health Care Education/Training Program | 901 East Alosta Avenue, Azusa, CA 91702 | 2011-11-01 |
| Find all providers in zip 91702 | ||||
| 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 |
|---|---|---|---|---|
| 1366953994 | Mckinley Children's Center, Inc. | Community/Behavioral Health | 340 W 5th St, Azusa, CA 91702-2912 | 2017-10-23 |
| 1821509563 | Mckinley Children's Center, Inc. | Community/Behavioral Health | 151 N Fenimore Ave, Azusa, CA 91702-3921 | 2017-10-20 |
| 1518299239 | Center for Integrated Family and Health Services | Community/Behavioral Health | 5355 N Enid Ave, Unit D, Azusa, CA 91702 | 2010-02-05 |
| 1033307160 | Pacific Clinics | Community/Behavioral Health | 240 N Cerritos Ave, Azusa, CA 91702-3733 | 2007-10-15 |
| 1376054999 | Mckinley Children's Center, Inc. | Community/Behavioral Health | 240 N Cerritos Ave, Azusa, CA 91702-3733 | 2017-10-23 |
| 1124342845 | California Pediatric & Family Services, Inc. | Community/Behavioral Health | 326 E Foothill Blvd, Azusa, CA 91702-2515 | 2010-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
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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.