NPIMap

Organization Active NPI

Benchmark Young Adult School Inc

  • Substance Abuse Rehabilitation Facility
  • Montclair, CA
National Provider Identifier
1164102166
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BENCHMARK YOUNG ADULT SCHOOL INC
Practice address
4523 Orchard St
Montclair, CA 91763-3102
Phone
(909) 451-3344
NPI assigned
Jul 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Thomas McNulty, PARM .D.
Title
Partner
Phone
(818) 209-5011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4523 Orchard St
Montclair, CA 91763-3102

Mailing address

1910 Orange Tree LN Ste 300
Redlands, CA 92374-4500

Other practice location 1

4533 Orchard St
Montclair, CA 91763
Phone (909) 451-3344

Other names 1

  • Benchmark Transitions Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Benchmark Young Adult School Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1164102166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ORANGE TREE LN STE 300",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 ORCHARD ST",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917633102",
            "telephone_number": "909-451-3344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4533 Orchard St",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "91763",
            "country_code": "US",
            "telephone_number": "909-451-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BENCHMARK YOUNG ADULT SCHOOL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "818-209-5011",
        "authorized_official_credential": "PARM .D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benchmark Transitions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.