NPIMap

Organization Active NPI

McKinley Children'S Center, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • San Dimas, CA
National Provider Identifier
1629518147
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
191502075 Issued in CA
Legal business name
MCKINLEY CHILDREN'S CENTER, INC.
Practice address
762 Cypress St
San Dimas, CA 91773-3505
Phone
(909) 599-1227
Fax
(909) 592-3841
NPI assigned
Mar 2, 2017
Organization subpart
Yes
Parent organization
MCKINLEY CHILDREN'S CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Mr. Anil Vadaparty, SPHR, ESQ.
Title
Ceo
Phone
(909) 599-1227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 191502075 CA Primary

Addresses

Primary practice location

762 Cypress St
San Dimas, CA 91773-3505

Mailing address

762 Cypress St
San Dimas, CA 91773-3505
Phone (909) 599-1227

Other names 1

  • Mckinley-STRTP Other name

National Provider Directory

National Provider Directory
Tax ID family
McKinley Children'S Center14 organizations share this tax ID, including this one
Part of
McKinley Children'S Center

Other organizations with this tax ID 13

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

View all 13

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1629518147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 CYPRESS ST",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733505",
            "telephone_number": "909-599-1227",
            "fax_number": "909-592-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 CYPRESS ST",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733505",
            "telephone_number": "909-599-1227",
            "fax_number": "909-592-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINLEY CHILDREN'S CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCKINLEY CHILDREN'S CENTER, INC.",
        "enumeration_date": "2017-03-02",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "VADAPARTY",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-599-1227",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SPHR, ESQ."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "191502075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mckinley-STRTP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.