NPIMap

Organization Active NPI

My Time Therapy Clinic Robbin S Caneva Licensed Clinical Social Wo

Doing business as My Time Therapy Clinic

  • Clinical Social Worker
  • Calimesa, CA
National Provider Identifier
1457052318
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MY TIME THERAPY CLINIC ROBBIN S CANEVA LICENSED CLINICAL SOCIAL WO
Doing business as
My Time Therapy Clinic
Practice address
1096 Calimesa Blvd Ste 110
Calimesa, CA 92320-1563
Phone
(951) 800-5213
Fax
(951) 221-5274
NPI assigned
Mar 16, 2023
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Robbin S Caneva, LCSWNPI 1194044347
Title
LCSW
Phone
(951) 532-0712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1096 Calimesa Blvd Ste 110
Calimesa, CA 92320-1563

Mailing address

1096 Calimesa Blvd Ste 110
Calimesa, CA 92320-1563
Phone (951) 800-5213

Other names 1

  • My Time Therapy Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241127001970 CA Part B Supplier - Clinic/Group Practice 5991230955 Receives reassigned benefits from 1 practitioner
Practice locations: Calimesa, CA

National Provider Directory

National Provider Directory

Locations

1096 Calimesa Blvd
Ste 110
Calimesa, CA 92320
Phone (951) 532-0712

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1457052318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 CALIMESA BLVD STE 110",
            "city": "CALIMESA",
            "state": "CA",
            "postal_code": "923201563",
            "telephone_number": "951-800-5213",
            "fax_number": "951-221-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 CALIMESA BLVD STE 110",
            "city": "CALIMESA",
            "state": "CA",
            "postal_code": "923201563",
            "telephone_number": "951-800-5213",
            "fax_number": "951-221-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY TIME THERAPY CLINIC ROBBIN S CANEVA LICENSED CLINICAL SOCIAL WO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "CANEVA",
        "authorized_official_first_name": "ROBBIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "951-532-0712",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Time Therapy Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Time Therapy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calimesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.