Organization Active NPI

Cherry Professional Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glendora, CA
National Provider Identifier
1508410291
Registry record updated May 19, 2020
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
CHERRY PROFESSIONAL SERVICES INC
Practice address
216 N Glendora Ave Ste 205
Glendora, CA 91741-6924
Phone
(626) 385-6143
Fax
(626) 691-6189
NPI assigned
Jul 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Allison Cherry, LCSWNPI 1609389386
Title
Owner
Phone
(626) 385-6143

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

Addresses

Primary practice location

216 N Glendora Ave Ste 205
Glendora, CA 91741-6924

Mailing address

216 N Glendora Ave Ste 205
Glendora, CA 91741-6924
Phone (626) 385-6143

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200310001066 CA Part B Supplier - Clinic/Group Practice 7618305442 Receives reassigned benefits from 1 practitioner
Practice locations: Glendora, CA

National Provider Directory

National Provider Directory

Locations

216 N Glendora Ave
Ste 205
Glendora, CA 91741
Phone (626) 385-6143

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1508410291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N GLENDORA AVE STE 205",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917416924",
            "telephone_number": "626-385-6143",
            "fax_number": "626-691-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N GLENDORA AVE STE 205",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917416924",
            "telephone_number": "626-385-6143",
            "fax_number": "626-691-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY PROFESSIONAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-385-6143",
        "authorized_official_credential": "LCSW"
    },
    "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 Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.