Riverside County Department of Mental Health

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

RIVERSIDE COUNTY DEPARTMENT OF MENTAL HEALTH

Practice address

4060A County Circle Dr
Riverside, CA 92503-3453

Phone

(951) 358-3047

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Sean FrederiksenNPI 1265694582

Title

Clinical Therapist I

Phone

(951) 358-3047

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean Frederiksen

  • Marriage & Family Therapist
  • Riverside, CA
  • NPI 1265694582
  NPD (past) Authorized official

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1386829976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060A COUNTY CIRCLE DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060A COUNTY CIRCLE DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033453",
            "telephone_number": "951-358-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COUNTY DEPARTMENT OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "FREDERIKSEN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CLINICAL THERAPIST I",
        "authorized_official_telephone_number": "951-358-3047",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside County
• Riverside County
• Riverside County Black Chamber Health and Wellness Foundation Inc.
• Riverside County Black Chamber of Commerce
• Riverside County Department of Mental Health
• Riverside County Department of Mental Health
• Riverside County Department of Mental Health
• Riverside County Department of Mental Health
• Riverside County Department of Mental Health
• Riverside County Department of Mental Health

• Case Management Agency in Riverside, CA
• Providers in Riverside, CA by specialty
• Case Management Agency in California

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