NPIMap

Organization Active NPI

Institute for Family Centered Services Inc., Dba California Mentor

  • Community/Behavioral Health Agency
  • Palm Desert, CA
National Provider Identifier
1659933372
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INSTITUTE FOR FAMILY CENTERED SERVICES INC., DBA CALIFORNIA MENTOR
Practice address
41990 Cook St Ste 801a
Palm Desert, CA 92211-6103
Phone
(951) 782-0040
NPI assigned
Jul 2, 2019
Organization subpart
Yes
Parent organization
NATIONAL MENTOR HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Stacey Risotti
Title
Vice President of Operations
Phone
(508) 740-6803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

41990 Cook St Ste 801a
Palm Desert, CA 92211-6103

Mailing address

3756 Santa Rosalia Dr Ste 424
Los Angeles, CA 90008-3614
Phone (909) 736-7361

Other names 1

  • California MENTOR Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Institute for Family Centered Services Inc Dba California Mentor3 organizations share this tax ID, including this one
Part of
Institute for Family Centered Services Inc Dba California Mentor

Other organizations with this tax ID 2

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

Locations

41990 Cook St
Ste 801A
Palm Desert, CA 92211
Phone (442) 666-3217

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1659933372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 SANTA ROSALIA DR STE 424",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083614",
            "telephone_number": "909-736-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41990 COOK ST STE 801A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116103",
            "telephone_number": "951-782-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR FAMILY CENTERED SERVICES INC., DBA CALIFORNIA MENTOR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL MENTOR HEALTHCARE, LLC",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "RISOTTI",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "508-740-6803"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California MENTOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.