Organization Active NPI

San Bernardino County Department of Behavioral Health Chino Multipe Di

  • Mental Health Counselor
  • Chino, CA
National Provider Identifier
1275661068
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SAN BERNARDINO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH CHINO MULTIPE DI
Practice address
6180 Riverside Dr Ste H
Chino, CA 91710-4536
Phone
(909) 590-5355
Fax
(909) 590-5333
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Ms. Gloria Paz
Title
Mental Health Specialist
Phone
(909) 590-5355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6180 Riverside Dr Ste H
Chino, CA 91710-4536

Mailing address

6180 Riverside Dr Ste H
Chino, CA 91710-4536
Phone (909) 590-5355

National Provider Directory

National Provider Directory
Tax ID family
San Bernardino County D142 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1275661068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6180 RIVERSIDE DR STE H",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104536",
            "telephone_number": "909-590-5355",
            "fax_number": "909-590-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 RIVERSIDE DR STE H",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104536",
            "telephone_number": "909-590-5355",
            "fax_number": "909-590-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN BERNARDINO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH CHINO MULTIPE DI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "PAZ",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "MENTAL HEALTH SPECIALIST",
        "authorized_official_telephone_number": "909-590-5355",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.