NPIMap

Organization Active NPI

County of Riverside

Doing business as Department of Mental Health

  • Clinical Social Worker
  • Riverside, CA
National Provider Identifier
1184796575
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COUNTY OF RIVERSIDE
Doing business as
Department of Mental Health
Practice address
4095 County Circle Dr
Riverside, CA 92503-3410
Phone
(951) 358-4613
Fax
(951) 358-6868
NPI assigned
Nov 14, 2006
Last updated
May 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Mr. Jerry A Wengerd
Title
Director Dept of Mental Health
Phone
(951) 358-4500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CA Primary
Community/Behavioral Health Agency 251S00000X 00033 CA

Addresses

Primary practice location

4095 County Circle Dr
Riverside, CA 92503-3410

Mailing address

PO Box 7549
Riverside, CA 92513-7549
Phone (951) 358-6900

Other identifiers 2

IdentifierTypeStateIssuer
00F33MedicaidCA
33BFMedicaidCA

Other names 1

  • DEPARTMENT OF MENTAL HEALTH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riverside Neighborhood244 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1184796575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7549",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925137549",
            "telephone_number": "951-358-6900",
            "fax_number": "951-358-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 COUNTY CIRCLE DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033410",
            "telephone_number": "951-358-4613",
            "fax_number": "951-358-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF RIVERSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "WENGERD",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR DEPT OF MENTAL HEALTH",
        "authorized_official_telephone_number": "951-358-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "00033",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00F33",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33BF",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEPARTMENT OF MENTAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.