Iclass Treatment Center Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ICLASS TREATMENT CENTER INC.

Practice address

1850 N Riverside Ave Ste 180
Rialto, CA 92376-8071

Phone

(818) 351-6937

NPI assigned

Jul 23, 2021

Organization subpart

No

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

Authorized official

Name

Renaldo R. Moodie Jr., LMFTNPI 1740635499

Title

Clinical Director

Phone

(818) 351-6937

Specialties & licenses 2

Addresses

Practitioners 1

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

• Renaldo R. Moodie Jr., LMFT

  • Marriage & Family Therapist
  • Riverside, CA
  • NPI 1740635499
  NPD Authorized official

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1124691365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 LASIERRA AVENUE",
            "address_2": "SUITE 104-730",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925036754",
            "telephone_number": "909-343-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE STE 180",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768071",
            "telephone_number": "818-351-6937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11801 Pierce St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925054400",
            "country_code": "US",
            "telephone_number": "818-351-6937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ICLASS TREATMENT CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "MOODIE",
        "authorized_official_first_name": "RENALDO",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "818-351-6937",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Alicia Humphrey
• Wan-Chen Hung, PT, DPT
• Luz Janine Ibarra
• Sandy N Ibrahim, DMD, MS
• Iclass Counseling Center, Inc.
• Adekunle Oluremi Ilori
• Steven Indendi, NURSE PRACTITIONER
• Helen J Iniguez, ASW
• Inland Healthcare Group a Medical Corporation
• Innovative Solutions for Youth

• Mental Health Counselor in Rialto, CA
• Providers in Rialto, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.