Cordilleras Mental Health Center

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CORDILLERAS MENTAL HEALTH CENTER

Practice address

200 Edmonds Rd
Redwood City, CA 94062-3813

Phone

(650) 367-1890

NPI assigned

Dec 6, 2022

Organization subpart

No

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

Authorized official

Name

Nelia Lastimosa, BSN, RN

Title

Director of Nursing

Phone

(510) 455-6334

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaela Zenaida Bryant

  • Psychiatric/Mental Health Registered Nurse
  • Redwood City, CA
  • NPI 1295531465
  NPD

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1063123669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 HILLCREST BLVD",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302234",
            "telephone_number": "650-445-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EDMONDS RD",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940623813",
            "telephone_number": "650-367-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDILLERAS MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "LASTIMOSA",
        "authorized_official_first_name": "NELIA",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "510-455-6334",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Madeline Cooper, PT, DPT
• Sheryl Corchnoy
• Chris Cordero
• Rebecca Lynn Cordero, LMFT
• Cordilleras
• Cordilleras Mental Health Center
• Cordilleras Mental Health Corporation (Cordilleras Mental Health Services)
• Cordilleras Mental Health Corporation (Sage House MHRC)
• Cordilleras Mental Health Corporation (Canyon Vista Center)
• Nadine Jae Cordova

• Adult Mental Health Clinic/Center in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.