Amethyst Behavioral Health, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AMETHYST BEHAVIORAL HEALTH, LLC

Practice address

514 Hartzell Ave
Redlands, CA 92374-2409

Phone

(909) 809-9293

NPI assigned

Jun 4, 2026

Last updated

Jun 4, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

AMETHYST BEHAVIORAL HEALTH, LLCAs reported in NPPES

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

Authorized official

Name

Cole Oliver Fry Jr.

Title

Owner

Phone

(909) 809-9293

Specialties & licenses 1

Addresses

Tax ID family

Amethyst Behavioral Health LLC2 organizations share this tax ID, including this one

Part of

Amethyst Behavioral Health LLC

Other organizations with this tax ID 1

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

• Amethyst Behavioral Health, LLC

  • Clinical Social Worker
  • Redlands, CA
  • NPI 1134714033
  NPD tax ID

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.

• Amethyst Behavioral Health, LLC

  • Clinical Social Worker
  • Redlands, CA
  • NPI 1134714033
  NPPES parent name

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1740113299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E UNION AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923743332",
            "telephone_number": "909-809-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 HARTZELL AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742409",
            "telephone_number": "909-809-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMETHYST BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMETHYST BEHAVIORAL HEALTH, LLC",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "COLE",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-809-9293",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Redlands, CA
• Providers in Redlands, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.