Organization Active NPI

MCR Behavioral Health Services, Inc

  • Child & Adolescent Psychiatry Physician
  • Temecula, CA
National Provider Identifier
1194057513
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A97944 Issued in CA
Legal business name
MCR BEHAVIORAL HEALTH SERVICES, INC
Practice address
32605 Temecula Pkwy
Suite 219
Temecula, CA 92592-6837
Phone
(951) 506-9112
Fax
(951) 506-9113
NPI assigned
Feb 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Dr. Marilou C Rosas, MD
Title
Medical Director
Phone
(951) 506-9112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X A97944 CA Primary

Addresses

Primary practice location

32605 Temecula Pkwy
Suite 219
Temecula, CA 92592-6837

Mailing address

32605 Temecula Pkwy
Suite 219
Temecula, CA 92592-6837
Phone (951) 506-9112

National Provider Directory

National Provider Directory
Tax ID family
MCR Behavioral Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1194057513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32605 TEMECULA PKWY",
            "address_2": "SUITE 219",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926837",
            "telephone_number": "951-506-9112",
            "fax_number": "951-506-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32605 TEMECULA PKWY",
            "address_2": "SUITE 219",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926837",
            "telephone_number": "951-506-9112",
            "fax_number": "951-506-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCR BEHAVIORAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "ROSAS",
        "authorized_official_first_name": "MARILOU",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-506-9112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A97944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.