Organization Active NPI

Palm Valley Behavioral Health I, LLC

  • Health Service Clinic/Center
  • Cathedral City, CA
National Provider Identifier
1205793155
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PALM VALLEY BEHAVIORAL HEALTH I, LLC
Practice address
29660 Avenida la Vis
Cathedral City, CA 92234-3822
Phone
(856) 282-5590
NPI assigned
Jan 5, 2026
Last updated
Jan 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Jennifer Mellon
Title
VP Compliance
Phone
(856) 282-5590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

29660 Avenida la Vis
Cathedral City, CA 92234-3822

Mailing address

2940 Summit St Ste 2D
Oakland, CA 94609-3416

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1205793155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 SUMMIT ST STE 2D",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29660 AVENIDA LA VIS",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343822",
            "telephone_number": "856-282-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM VALLEY BEHAVIORAL HEALTH I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "MELLON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VP COMPLIANCE",
        "authorized_official_telephone_number": "856-282-5590"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.