Department of Behavioral Health

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

MMFC 37879 Issued in CA

Legal business name

DEPARTMENT OF BEHAVIORAL HEALTH

Practice address

2164 Hackamore PL
Riverside, CA 92506-4616

Phone

(951) 686-4909

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James Joseph Granger, LMFT

Title

Clinical Therapist II

Phone

(909) 421-9384

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700923968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2164 HACKAMORE PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064616",
            "telephone_number": "951-686-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2164 HACKAMORE PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064616",
            "telephone_number": "951-686-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRANGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CLINICAL THERAPIST II",
        "authorized_official_telephone_number": "909-421-9384",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "MMFC 37879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Princess Marie April Tagle Denolo, NP
• Dental Health Riverside
• Erin Denti
• Dentireal Inc.
• Michael Deo, MD
• Gretchen (Gretel) Depillis, CHRISTIAN COUNSEL
• Kathleen Rose Deponte, PA
• Carlos Der Boghossian, DDS
• Raz Derakhshan
• Derek Nguyen MD Inc

• Case Management Agency in Riverside, CA
• Providers in Riverside, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.