Organization Active NPI

Boys Republic

  • Mental Illness Community Based Residential Treatment Facility
  • Chino Hills, CA
National Provider Identifier
1215628649
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BOYS REPUBLIC
Practice address
14505 Kramer Ranch Rd.
Chino Hills, CA 91709-5454
Phone
(909) 740-3137
Fax
(909) 306-5427
NPI assigned
May 17, 2023
Organization subpart
Yes
Parent organization
BOYS REPUBLICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Wayne Stemmler, LMFTNPI 1033373733
Title
Clinical Supervisor/Head of Service
Phone
(909) 315-9097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

14505 Kramer Ranch Rd.
Chino Hills, CA 91709-5454

Mailing address

1907 Boys Republic Drive
Chino Hills, CA 91709-5447
Phone (909) 628-1217

Other names 1

  • Boys Republic - Laws STRTP Other name

National Provider Directory

National Provider Directory
Tax ID family
Boys Republic11 organizations share this tax ID, including this one
Part of
Boys Republic

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 10

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": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1215628649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 BOYS REPUBLIC DRIVE",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095447",
            "telephone_number": "909-628-1217",
            "fax_number": "909-306-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14505 KRAMER RANCH RD.",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095454",
            "telephone_number": "909-740-3137",
            "fax_number": "909-306-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYS REPUBLIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOYS REPUBLIC",
        "enumeration_date": "2023-05-17",
        "last_updated": "2025-03-26",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "STEMMLER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR/HEAD OF SERVICE",
        "authorized_official_telephone_number": "909-315-9097",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boys Republic - Laws STRTP",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Boys Republic - Laws STRTP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.