Cornerstone Family Counseling and Behavioral Health Group, Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CORNERSTONE FAMILY COUNSELING AND BEHAVIORAL HEALTH GROUP, INC

Practice address

1809 W Redlands Blvd
Redlands, CA 92373-8054

Phone

(909) 289-4075

Fax

(909) 363-8233

NPI assigned

Nov 2, 2012

Organization subpart

No

Name

Syam P Kunam, M.D

Title

Ceo/Owner

Phone

(909) 747-4224

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 24, 2020.

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1336493071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 W REDLANDS BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738054",
            "telephone_number": "909-289-4075",
            "fax_number": "909-363-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 W REDLANDS BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738054",
            "telephone_number": "909-289-4075",
            "fax_number": "909-363-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE FAMILY COUNSELING AND BEHAVIORAL HEALTH GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "KUNAM",
        "authorized_official_first_name": "SYAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "909-747-4224",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericca Nicole Cook, CCC-SLPT
• Anika Jan Coontz, LCSW
• Kenneth Ladrayn Cooper Jr., LVN
• Karla Coppin, OT
• Linda Angelica Cornell, MSW, ACSW
• Kelly M Cornish, LMFT
• Anastacia Corona
• Bianca Correa
• Melissa Correale
• Drew Correia, R.D.

• All providers in Redlands, CA
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.