NPIMap

Organization Active NPI

Institute for Family Centered Services Inc.

Doing business as Ca Mentor

  • Community/Behavioral Health Agency
  • Palmdale, CA
National Provider Identifier
1316311996
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
40015 Sierra Hwy Ste B280
Palmdale, CA 93550-2143
Phone
(508) 740-6803
NPI assigned
Nov 19, 2015
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
No

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 Primary

Addresses

Primary practice location

40015 Sierra Hwy Ste B280
Palmdale, CA 93550-2143

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1316311996MedicaidCA

Other names 1

  • CA MENTOR Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.ca-mentor.com/

National Provider Directory

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

Other organizations with this tax ID 46

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

View all 46

Locations

1529 E Palmdale Blvd
Ste 212
Palmdale, CA 93550
Phone (661) 400-3622

40015 Sierra Hwy
Ste B280
Palmdale, CA 93550
Phone (661) 526-4969

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1316311996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9166 ANAHEIM PL STE 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": "40015 SIERRA HWY STE B280",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502143",
            "telephone_number": "508-740-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR FAMILY CENTERED SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316311996",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.ca-mentor.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "40015 Sierra Hwy Ste B280",
            "city": "Palmdale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935502143",
            "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 Palmdale, 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.