NPIMap

Organization Active NPI

Knotts Family & Parenting Institute

  • Community/Behavioral Health Agency
  • San Bernardino, CA
National Provider Identifier
1053512970
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
18119386 Issued in CA
Legal business name
KNOTTS FAMILY & PARENTING INSTITUTE
Practice address
1505 W Highland Ave Ste 19
San Bernardino, CA 92411-1215
Phone
(909) 880-0600
NPI assigned
May 29, 2007
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
Joyce Forest, SOCIAL WORKER
Title
Clinical Q. a. Officer Social Wker
Phone
(909) 880-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 18119386 CA Primary

Addresses

Primary practice location

1505 W Highland Ave Ste 19
San Bernardino, CA 92411-1215

Mailing address

1505 W Highland Ave Ste 19
San Bernardino, CA 92411-1215
Phone (909) 880-0600

Other names 1

  • Knotts Group Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Knotts Family Agency3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1505 W Highland Ave
Ste 19
San Bernardino, CA 92411
Phone (909) 522-4656

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053512970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W HIGHLAND AVE STE 19",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111215",
            "telephone_number": "909-880-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W HIGHLAND AVE STE 19",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111215",
            "telephone_number": "909-880-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOTTS FAMILY & PARENTING INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOREST",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "CLINICAL Q. A. OFFICER SOCIAL WKER",
        "authorized_official_telephone_number": "909-880-0600",
        "authorized_official_credential": "SOCIAL WORKER"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "18119386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knotts Group Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Bernardino, 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.