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).
| 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 |
| 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 Desert | 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 |
| 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 |
| Street Address |
68625 PEREZ RD SUITE 11 |
| City | CATHEDRAL CITY |
| State | CA |
| Zip Code | 92234-7250 |
| 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 |
| 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 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CATHEDRAL CITY |
| Zip Code | 92234 |
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.