Onc Mental Health Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ONC MENTAL HEALTH INC

Practice address

9375 Archibald Ave Ste 107
Rancho Cucamonga, CA 91730-5728

Phone

(909) 825-8080

Fax

(909) 360-1550

NPI assigned

Jul 9, 2024

Organization subpart

No

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

Authorized official

Name

Khalida Khanum

Title

Executive Director

Phone

(909) 825-8080

Specialties & licenses 5

Addresses

Other names 1

• Outreach Nation Corp Doing business as

Practitioners 3

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

• Sabrina Ali, MSW

  • Clinical Social Worker
  • Rancho Cucamonga, CA
  • NPI 1922836345
  NPD
• Giselle M Hurtado, MSW

  • Clinical Social Worker
  • Downey, CA
  • NPI 1023848272
  NPD
• Richard Guynn King

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
  • NPI 1699312967
  NPD

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1144067091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 ARCHIBALD AVE STE 107",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305728",
            "telephone_number": "909-825-8080",
            "fax_number": "909-360-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 ARCHIBALD AVE STE 107",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305728",
            "telephone_number": "909-825-8080",
            "fax_number": "909-360-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONC MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "KHANUM",
        "authorized_official_first_name": "KHALIDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-825-8080"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outreach Nation Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Olson
• Nicole Cheri Olson, LEP
• Will Wayne Olson
• Oluwadara Dental Corporation
• Oluwadayo O Oluwadara, MS, PHD, DDS
• One Asterisk Consulting, Inc
• One Source Healing, Inc.
• One Stop Multi-Specialty Medical Group & Therapy, Inc.
• One Stop Multi-Specialty Medical Group, Inc.
• Eseoghene Oniwor I, LMFT

• Community/Behavioral Health Agency in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.