NPIMap

Organization Active NPI

Walden Environment

Doing business as Walden Family Services

  • Community/Behavioral Health Agency
  • San Bernardino, CA
National Provider Identifier
1225351828
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WALDEN ENVIRONMENT
Doing business as
Walden Family Services
Practice address
255 N D St.
Suite #412, 408
San Bernardino, CA 92401-1735
Phone
(951) 788-5905
Fax
(951) 788-5903
NPI assigned
Mar 10, 2010
Last updated
Dec 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Ms. Sue Evans, MS
Title
Chief Operating Officer
Phone
(951) 204-8299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

255 N D St.
Suite #412, 408
San Bernardino, CA 92401-1735

Mailing address

8525 Gibbs Dr.
Suite #100
San Diego, CA 92123
Phone (619) 584-5777

Other names 1

  • WALDEN FAMILY SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Walden Environment4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

255 N D St
Ste 412
San Bernardino, CA 92401
Phone (951) 788-5905

255 N D St
Ste 41240
San Bernardino, CA 92401

Practitioners & affiliated clinicians

Practitioners 9

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": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1225351828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 GIBBS DR.",
            "address_2": "SUITE #100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "619-584-5777",
            "fax_number": "619-584-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N D ST.",
            "address_2": "SUITE #412, 408",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011735",
            "telephone_number": "951-788-5905",
            "fax_number": "951-788-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDEN ENVIRONMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "951-204-8299",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALDEN FAMILY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WALDEN FAMILY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.