NPIMap

Organization Active NPI

Riverside Co. Dept. of Mental Health

  • Mental Illness Intermediate Care Facility
  • Riverside, CA
National Provider Identifier
1053451047
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
350830 Issued in CA
Legal business name
RIVERSIDE CO. DEPT. OF MENTAL HEALTH
Practice address
4275 Lemon St
Riverside, CA 92501-3844
Phone
(951) 955-4545
NPI assigned
Feb 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Barbara J. Booker, RN
Title
Psychiatric RN III
Phone
(951) 684-2882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X 350830 CA Primary

Addresses

Primary practice location

4275 Lemon St
Riverside, CA 92501-3844

Mailing address

511 Spruce St
Riverside, CA 92507-3044
Phone (951) 684-2882

National Provider Directory

National Provider Directory
Tax ID family
Riverside Neighborhood244 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053451047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SPRUCE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073044",
            "telephone_number": "951-684-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 LEMON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013844",
            "telephone_number": "951-955-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE CO. DEPT. OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PSYCHIATRIC RN III",
        "authorized_official_telephone_number": "951-684-2882",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "CA",
            "license": "350830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.