RIVERSIDE COUNTY DEPT OF MENTAL HEALTH


Address: 68625 Perez Rd, Suite 11, Cathedral City, CA 92234-7250
Phone: 9515092423

RIVERSIDE COUNTY DEPT OF MENTAL HEALTH (NPI# 1962700492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962700492
Entity Type Organization
Organization Name RIVERSIDE COUNTY DEPT OF MENTAL HEALTH
Other Organization Name MHSA PEI-PEARLS DESERT
Practice Address 68625 Perez Rd
Suite 11
Cathedral City
CA 92234-7250
Mailing Address Po Box 7659
Riverside
CA 92513
Practice Telephone 9515092423
Mailing Telephone 9513586900
Enumeration Date 2011-03-08
Last Update Date 2011-03-08
Authorized Official Name JERRY WENGERD (DIRECTOR OF MENTAL HEALTH)
Authorized Official Telephone 9513584500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
CA LEGAL ENTITY 00033 01

Other Provider/Organization Names

Other Name Type Code
MHSA PEI-PEARLS Desert Doing Business As Name - Organization

Other Provider IDs and Locations

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
1063710507 Riverside County Dept of Mental Health Community/Behavioral Health 2085 Rustin Ave, Riverside, CA 92507-2498 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

Office Location

Street Address 68625 PEREZ RD
SUITE 11
City CATHEDRAL CITY
State CA
Zip Code 92234-7250

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366543704 Thomas Kenneth Ebersten Social Worker 68625 Perez Rd, Cathedral City, CA 92234-7250 2006-09-26
1285064949 Cecily Fernandez Marriage & Family Therapist 68625 Perez Rd, Cathedral City, CA 92234-7250 2013-11-17
1740620954 Diana Avantes Counselor 68625 Perez Rd, Cathedral City, CA 92234-7250 2013-07-02
1477861102 Marjorie Kennedy Social Worker 68625 Perez Rd, Ste 11, Cathedral City, CA 92234-7250 2010-09-15
1942436878 Patrice Jacqueline Lopez-dowrey Marriage & Family Therapist 68625 Perez Rd, Ste 5, Cathedral City, CA 92234-7250 2009-06-05
1174793467 Robert Torres Lopez Counselor 68625 Perez Rd, Ste. 11a, Cathedral City, CA 92234-7250 2008-03-03
1386822005 Patricia Chairez Counselor 68625 Perez Rd, Suite 11 A, Cathedral City, CA 92234-7250 2008-02-05
1578759312 Guadalupe Felix Meraz Case Manager/Care Coordinator 68625 Perez Rd, Suite #11a, Cathedral City, CA 92234-7250 2007-09-14
1235352774 Debbie W Katz Case Manager/Care Coordinator 68625 Perez Rd, Suite 11a, Cathedral City, CA 92234-7250 2007-04-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215559661 Susan Lim Pharmacist 68018 Vista Chino, Cathedral City, CA 92234 2020-05-08
1306479936 Aragon Medical Transport Inc. Non-emergency Medical Transport (VAN) 33775 Wishing Well Trl # 92234, Cathedral City, CA 92234 2020-02-21
1770973984 K C Loo Dds A Dental Corp Dentist 68487 E. Palm Canyon Dr Bldg #1, Cathedral City, CA 92234 2015-01-26
1124426614 Catherine Rodriguez Counselor 68100 Ramon Road, Cathedral City, CA 92234 2014-12-15
1760889323 Serenity Congregate Care Skilled Nursing Facility 31730 Avenida Del Padre, Cathedral City, CA 92234 2014-11-25
1043622202 Ruben Mendez Dds A Professional Corporation Dentist 68100 Ramon Rd., A 4, Cathedral City, CA 92234 2014-05-22
1801224670 Stepping Stones Community Church of The Desert Voluntary or Charitable 216 Via Genova, Cathedral City, CA 92234 2013-10-14
1841576337 Cristina Rene Jester Case Manager/Care Coordinator 68425 Perez Road, Suite 11, Cathedral City, CA 92234 2011-10-27
1356649438 Kimberly Coppage Case Manager/Care Coordinator 68-625 Perez Rd, 11-a, Cathedral City, CA 92234 2011-03-14
1376703355 Michael Day Chiropractor 465 Coyote, Cathedral City, CA 92234 2008-06-12
Find all providers in zip 92234

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457971095 Mark Scott Mendelow Community/Behavioral Health 69326 Serenity Rd, Cathedral City, CA 92234-7919 2020-04-23
1023122454 County of Riverside Community/Behavioral Health 68615 Perez Rd, Suite 6a, Cathedral City, CA 92234-7200 2006-08-19
1669092516 County of Riverside Community/Behavioral Health 68625 Perez Rd Ste 5, Cathedral City, CA 92234-7250 2020-04-21
1710334982 Riverside University Health System - Behavioral Health Community/Behavioral Health 68615 Perez Rd Ste 6a, Cathedral City, CA 92234-7200 2016-05-18
1114372505 Ariana Zaragoza Community/Behavioral Health 68615 Perez Rd Ste 6a, Cathedral City, CA 92234-7200 2016-05-04
1609221779 Riverside University Health System - Behavioral Health Community/Behavioral Health 68615 Perez Rd Ste 6a, Cathedral City, CA 92234-7200 2016-04-26
1528423167 County of Riverside Community/Behavioral Health 68615 Perez Rd Ste 6a, Cathedral City, CA 92234-7200 2015-12-28
1477712164 Patricia Thomas Community/Behavioral Health 68615 Perez Rd, 6a, Cathedral City, CA 92234 2008-06-06

Providers in the same taxonomy and state

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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Competitor

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City CATHEDRAL CITY
Zip Code 92234

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Dataset Information

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.

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