Cordilleras Mental Health Corporation

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

CORDILLERAS MENTAL HEALTH CORPORATION

Doing business as

Sage House MHRC

Practice address

220 Edmonds Rd BLDG E
Redwood City, CA 94062-3813

Phone

(510) 337-7950

Fax

(510) 337-7969

NPI assigned

Jun 3, 2024

Organization subpart

No

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

Authorized official

Name

Lorena Lopez

Title

Provider Relations Supervisor

Phone

(510) 292-7024

Specialties & licenses 1

Addresses

Other names 1

• Sage House MHRC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Cordilleras Mental Health Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Cordilleras Mental Health Corporation

  • Mental Illness Community Based Residential Treatment Facility
  • Redwood City, CA
  • NPI 1063509123
  NPD tax ID
• Cordilleras Mental Health Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Redwood City, CA
  • NPI 1881435154
  NPD tax ID

Locations

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1407697774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 MARINA VILLAGE PKWY STE 100",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011078",
            "telephone_number": "510-337-7950",
            "fax_number": "510-337-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 EDMONDS RD BLDG E",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940623813",
            "telephone_number": "510-337-7950",
            "fax_number": "510-337-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDILLERAS MENTAL HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "PROVIDER RELATIONS SUPERVISOR",
        "authorized_official_telephone_number": "510-292-7024"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage House MHRC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sage House MHRC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Lynn Cordero, LMFT
• Cordilleras
• Cordilleras Mental Health Center
• Cordilleras Mental Health Center
• Cordilleras Mental Health Corporation
• Cordilleras Mental Health Corporation
• Nadine Jae Cordova
• Carol Ann Corley, RN NP
• Paulina Andrea Corona
• Jorge Cortes Martinez

• Mental Illness Community Based Residential Treatment Facility in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.