NPIMap

Organization Active NPI

Benchmark Young Adult School, Inc.

  • Psychiatric Residential Treatment Facility
  • Montclair, CA
National Provider Identifier
1194585547
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
BENCHMARK YOUNG ADULT SCHOOL, INC.
Practice address
10132 Camulos Ave
Montclair, CA 91763-3608
Phone
(909) 686-6056
NPI assigned
Mar 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Dr. Thomas McNulty, PHARMD
Title
Partner
Phone
(818) 209-5011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

10132 Camulos Ave
Montclair, CA 91763-3608

Mailing address

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

Other names 1

  • Benchmark Transitions Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2316028Benchmark Young Adult School10132 Camulos Ave, Montclair, CA 91763Certificate of waiverDec 25, 2026

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": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1194585547",
    "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": "10132 CAMULOS AVE",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917633608",
            "telephone_number": "909-686-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCHMARK YOUNG ADULT SCHOOL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment 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 Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.