NPIMap

Organization Active NPI

Moreno Valley Children'S Interagency Program

  • Community/Behavioral Health Agency
  • Moreno Valley, CA
National Provider Identifier
1255766101
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
73649 Issued in CA
Legal business name
MORENO VALLEY CHILDREN'S INTERAGENCY PROGRAM
Practice address
23119 Cottonwood Ave Ste 110
Moreno Valley, CA 92553-9661
Phone
(951) 413-5678
NPI assigned
Sep 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Authorized official

Name
Cheryl Ritter, LMFT
Title
Mental Health Services Supervisor
Phone
(951) 413-5678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 73649 CA Primary

Addresses

Primary practice location

23119 Cottonwood Ave Ste 110
Moreno Valley, CA 92553-9661

Mailing address

23119 Cottonwood Ave Ste 110
Moreno Valley, CA 92553-9661
Phone (951) 413-5678

National Provider Directory

National Provider Directory

Locations

23119 Cottonwood Ave
Ste 110
Moreno Valley, CA 92553
Phone (951) 413-5678

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1255766101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23119 COTTONWOOD AVE STE 110",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539661",
            "telephone_number": "951-413-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23119 COTTONWOOD AVE STE 110",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539661",
            "telephone_number": "951-413-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORENO VALLEY CHILDREN'S INTERAGENCY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "RITTER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "MENTAL HEALTH SERVICES SUPERVISOR",
        "authorized_official_telephone_number": "951-413-5678",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "73649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.