NPIMap

Organization Active NPI

Institute for Family Centered Services Inc.

Doing business as Ca Mentor

  • Community/Behavioral Health Agency
  • Long Beach, CA
National Provider Identifier
1255714804
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INSTITUTE FOR FAMILY CENTERED SERVICES INC.
Doing business as
Ca Mentor
Practice address
555 E Ocean Blvd Ste 330
Long Beach, CA 90802-5052
Phone
(562) 424-1869
Fax
(562) 683-2686
NPI assigned
Jul 1, 2015
Organization subpart
Yes
Parent organization
NATIONAL MENTOR HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Mary Patricia Rodenberg-Roberts
Title
VP & Sr Asst General Counsel
Phone
(952) 836-2234

Specialties & licenses 1

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

Addresses

Primary practice location

555 E Ocean Blvd Ste 330
Long Beach, CA 90802-5052

Mailing address

9166 Anaheim PL
Suite 200
Rancho Cucamonga, CA 91730-8547
Phone (909) 483-2505

Other names 1

  • CA MENTOR Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL VPN Direct

National Provider Directory

National Provider Directory
Tax ID family
Institute for Family Centered Services47 organizations share this tax ID, including this one
Part of
California Mentor

Other organizations with this tax ID 46

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

View all 46

Locations

555 E Ocean Blvd
Ste 330
Long Beach, CA 90802
Phone (562) 432-0020

3350 Olive Ave
Signal Hill, CA 90755
Phone (562) 424-1869

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1255714804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9166 ANAHEIM PL",
            "address_2": "SUITE 200",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308547",
            "telephone_number": "909-483-2505",
            "fax_number": "909-483-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E OCEAN BLVD STE 330",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025052",
            "telephone_number": "562-424-1869",
            "fax_number": "562-683-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR FAMILY CENTERED SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL MENTOR HEALTHCARE, LLC",
        "enumeration_date": "2015-07-01",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "RODENBERG-ROBERTS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "VP & SR ASST GENERAL COUNSEL",
        "authorized_official_telephone_number": "952-836-2234"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "VPN",
            "affiliation": "N",
            "endpointDescription": "VPN Secuere Network",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "VPN Secure Network",
            "address_1": "555 E Ocean Blvd Ste 330",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908025052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CA MENTOR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CA MENTOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.