NPIMap

Organization Active NPI

Tri-City Mental Health Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • La Verne, CA
National Provider Identifier
1568095131
Registry record updated Jun 4, 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
TRI-CITY MENTAL HEALTH AUTHORITY
Practice address
2715 E St
La Verne, CA 91750-4510
Phone
(909) 971-8205
NPI assigned
Feb 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Natalie Majors
Title
Chief Compliance Officer
Phone
(909) 623-6131

Specialties & licenses 1

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

Addresses

Primary practice location

2715 E St
La Verne, CA 91750-4510

Mailing address

1717 N Indian Hill Blvd Ste B
Claremont, CA 91711-2788

Other identifiers 1

IdentifierTypeStateIssuer
W1208OtherCAMEDICARE PROVIDER TRANSACTION ACCESS NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Tri-City Mental Health Auth8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

2715 E St
La Verne, CA 91750
Phone (909) 596-6001

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1568095131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N INDIAN HILL BLVD STE B",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 E ST",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917504510",
            "telephone_number": "909-971-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY MENTAL HEALTH AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "MAJORS",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "909-623-6131"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER TRANSACTION ACCESS NUMBER",
            "identifier": "W1208",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Verne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.