NPIMap

Organization Active NPI

Rite of Passage Adolescent Treatment Centers and Schools Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Tustin, CA
National Provider Identifier
1255808564
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS AND SCHOOLS INC.
Practice address
15405 Lansdowne Rd Ste D
Tustin, CA 92782-0201
Phone
(714) 258-7710
NPI assigned
Oct 25, 2018
Organization subpart
Yes
Parent organization
RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS AND SCHOOLS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Authorized official

Name
Rusty E. Alexander
Title
Managing Business Director
Phone
(775) 392-2639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

15405 Lansdowne Rd Ste D
Tustin, CA 92782-0201

Mailing address

2560 Business Pkwy Ste B
Minden, NV 89423-8961
Phone (775) 392-2657

Other names 2

  • TFC - STE D Doing business as
  • CYS Rite of Passage Tustin Suite D Other name

National Provider Directory

National Provider Directory
Tax ID family
Ridgeview Youth Services Center31 organizations share this tax ID, including this one
Part of
Ridgeview Youth Services Center

Other organizations with this tax ID 30

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

View all 30

Practitioners & affiliated clinicians

Practitioners 2

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": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1255808564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 BUSINESS PKWY STE B",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894238961",
            "telephone_number": "775-392-2657",
            "fax_number": "775-392-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15405 LANSDOWNE RD STE D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927820201",
            "telephone_number": "714-258-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS AND SCHOOLS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RITE OF PASSAGE  ADOLESCENT TREATMENT CENTERS AND SCHOOLS INC.",
        "enumeration_date": "2018-10-25",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "RUSTY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGING BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "775-392-2639"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TFC - STE D",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CYS Rite of Passage Tustin Suite D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.