Organization Active NPI

Palm Valley Behavioral Health II, LLC

  • Health Service Clinic/Center
  • Cathedral City, CA
National Provider Identifier
1083571939
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PALM VALLEY BEHAVIORAL HEALTH II, LLC
Practice address
68275 Verano Rd
Cathedral City, CA 92234-6260
Phone
(856) 282-5590
NPI assigned
Jan 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Jennifer Mellon
Title
VP Compliance
Phone
(856) 282-5590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

68275 Verano Rd
Cathedral City, CA 92234-6260

Mailing address

2940 Summit St Ste 2D
Oakland, CA 94609-3416

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2340124Palm Valley Behavioral Health II, LLC68275 Verano Rd, Cathedral City, CA 92234Certificate of waiverMar 11, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1083571939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 SUMMIT ST STE 2D",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68275 VERANO RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922346260",
            "telephone_number": "856-282-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM VALLEY BEHAVIORAL HEALTH II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "MELLON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VP COMPLIANCE",
        "authorized_official_telephone_number": "856-282-5590"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.