NPIMap

Organization Active NPI

Tessie Cleveland Community Services Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Riverside, CA
National Provider Identifier
1346753290
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TESSIE CLEVELAND COMMUNITY SERVICES CORPORATION
Practice address
3576 Arlington Ave Ste 100&104
Riverside, CA 92506-3943
Phone
(323) 586-7333
NPI assigned
Nov 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Authorized official

Name
Carolyn Chadwick
Title
Interim Ceo
Phone
(323) 586-7333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3576 Arlington Ave Ste 100&104
Riverside, CA 92506-3943

Mailing address

3576 Arlington Ave Ste 100
Riverside, CA 92506-3907
Phone (323) 586-7333

National Provider Directory

National Provider Directory
Tax ID family
Tessie Cleveland Comm Serv7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

3576 Arlington Ave
Ste 100104
Riverside, CA 92506

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1346753290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3576 ARLINGTON AVE STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063907",
            "telephone_number": "323-586-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3576 ARLINGTON AVE STE 100&104",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063943",
            "telephone_number": "323-586-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESSIE CLEVELAND COMMUNITY SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "CHADWICK",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "323-586-7333"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.