Essential Psychiatric Services, a Professional Nursing Corporation

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ESSENTIAL PSYCHIATRIC SERVICES, A PROFESSIONAL NURSING CORPORATION

Practice address

3160 W Ramsey St
Banning, CA 92220-3724

Phone

(951) 366-0661

Fax

(855) 706-2054

NPI assigned

Jan 18, 2021

Organization subpart

No

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

Authorized official

Name

Judith L Diaz, AMHNP-BCNPI 1841610219

Title

Ceo

Phone

(951) 250-5007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judith Lynn Diaz, AMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Banning, CA
  • NPI 1841610219
  Medicare reassignment NPD Authorized official
• Phillip Parra

  • Clinical Social Worker
  • Loma Linda, CA
  • NPI 1063688430
  NPD

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686441600000",
    "number": "1710577358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203724",
            "telephone_number": "951-366-0661",
            "fax_number": "855-706-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203724",
            "telephone_number": "951-366-0661",
            "fax_number": "855-706-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL PSYCHIATRIC SERVICES, A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2023-06-11",
        "certification_date": "2023-06-11",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-250-5007",
        "authorized_official_credential": "AMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin James Walker Emery
• Lisa Monique Encinas
• Yvonne Dejesus Enriquez, NP
• Julie C. Enslow, R.D.
• Mary Joyce Espinoza, FNP
• Marianne Everling
• Faculty Physicians and Surgeons of Llusm
• Faith in Action of San Gorgonio Pass
• Faith Talents and Works Inc
• Jhonathan E Fajardo

• Adult Mental Health Clinic/Center in Banning, CA
• Providers in Banning, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.