Organization Active NPI

Temecula Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Temecula, CA
National Provider Identifier
1649469966
Registry record updated Oct 23, 2007
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
TEMECULA MENTAL HEALTH
Practice address
41002 County Center Dr
Suite 320
Temecula, CA 92591-6027
Phone
(951) 600-6355
Fax
(951) 600-6365
NPI assigned
Oct 23, 2007
Last updated
Oct 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Mr. Carlos C Gonzalez, LCSW
Title
Clinical Therapist
Phone
(951) 600-6355

Specialties & licenses 1

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

Addresses

Primary practice location

41002 County Center Dr
Suite 320
Temecula, CA 92591-6027

Mailing address

26964 Saint Kitts CT
Murrieta, CA 92563-4004
Phone (951) 696-6868

Other names 1

  • RIVERSIDE COUNTY MENTAL HEALTH Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1649469966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26964 SAINT KITTS CT",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634004",
            "telephone_number": "951-696-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41002 COUNTY CENTER DR",
            "address_2": "SUITE 320",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916027",
            "telephone_number": "951-600-6355",
            "fax_number": "951-600-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMECULA MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "951-600-6355",
        "authorized_official_name_prefix": "Mr.",
        "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": [
        {
            "organization_name": "RIVERSIDE COUNTY MENTAL HEALTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.