MS. DIANE CRUZ (NPI# 1912433897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912433897 |
| Entity Type | Individual |
| Full Name | MS. DIANE CRUZ |
| Credential | RBT |
| Practice Address |
1650 Spruce St Ste 250 Riverside CA 92507 |
| Mailing Address |
874 W Bonita Ave Apt 131 Claremont CA 91711-4180 |
| Practice Telephone | 7606341125 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14427 Meridian Pkwy, Riverside, CA 925183014 | 8555810100 | 9497090311 |
| Street Address |
1650 SPRUCE ST STE 250 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485323 | Jenna Vega | Behavior Technician | 1650 Spruce St Ste 250, Riverside, CA 92507-7429 | 2020-10-23 |
| 1124635347 | Lizbeth Monserrat Perez Morales | Behavior Technician | 1650 Spruce St Ste 250, Riverside, CA 92507-7429 | 2020-10-01 |
| 1033742929 | Bethany Walsh | Behavior Technician | 1650 Spruce St Ste 250, Riverside, CA 92507-7429 | 2020-02-19 |
| 1346873528 | Brooke Marie Peterman | Behavior Technician | 1650 Spruce St Ste 250, Riverside, CA 92507-7429 | 2020-02-17 |
| 1528606670 | Oluwaseyi Adeyinka | Behavior Technician | 1650 Spruce St Ste 250, Riverside, CA 92507-7429 | 2019-12-18 |
| 1932742897 | Jordan Zonner | Behavior Technician | 1650 Spruce St Ste 250, Riverside, CA 92507-7429 | 2019-10-23 |
| 1164064465 | Maritza Rodriguez | Behavior Technician | 1650 Spruce St Ste 250, Riverside, CA 92507-7429 | 2019-10-08 |
| 1902447261 | Merielle Domingo | Behavior Technician | 1650 Spruce St Ste 250, Riverside, CA 92507-7429 | 2019-10-07 |
| 1578104246 | Wendy Y Santos | Behavior Technician | 1650 Spruce St Ste 250, Riverside, CA 92507-7429 | 2019-10-03 |
| 1851944201 | Shamanta Johnson | Behavior Technician | 1650 Spruce St Ste 250, Riverside, CA 92507-7429 | 2019-07-23 |
| 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 | ||||
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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.