Inland Counties Regional Center

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

INLAND COUNTIES REGIONAL CENTER

Practice address

674 E Brier Dr
San Bernardino, CA 92408-2800

Phone

(909) 890-3000

Fax

(909) 890-3001

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Mary Lynn Clark

Title

Director

Phone

(909) 890-3400

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• Paul A Greenwald, PH.D.

  • Psychologist
  • San Bernardino, CA
  • NPI 1588806715
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134322159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6127",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924126127",
            "telephone_number": "909-890-3000",
            "fax_number": "909-890-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 E BRIER DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082800",
            "telephone_number": "909-890-3000",
            "fax_number": "909-890-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND COUNTIES REGIONAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-890-3400"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPT001490",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRRP00010",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRRCT00010",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRR000010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inland Behavioral and Health Services, Inc.
• Inland Cardiothoracic Surgical Associates
• Inland Cardiothoracic Surgical Associates Medical Group
• Inland Cardiothoracic Surgical Associates Medical Group Inc
• Inland Cardiothoracic Surgical Associates Medical Group, Inc.
• Inland Dental Center
• Inland Dermatology Medical Group Inc
• Inland Empire Autism Spectrum Disorder Assessment Center of Excellence
• Inland Empire Cardiovascular Consultants, Inc.
• Inland Empire Community Outreach Center

• Case Management Agency in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Case Management Agency in California

• 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.