Community Center for Healthy Minds (CCHM)

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

MFC20033 Issued in CA

Legal business name

COMMUNITY CENTER FOR HEALTHY MINDS (CCHM)

Practice address

13800 Heacock St Ste D139B
Moreno Valley, CA 92553-6276

Phone

(951) 656-6969

Fax

(951) 656-6868

NPI assigned

Mar 26, 2015

Last updated

Mar 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack Flournoy, LMFT

Title

President

Phone

(951) 656-6969

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1750775714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 HEACOCK ST STE D139B",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925536276",
            "telephone_number": "951-656-6969",
            "fax_number": "951-656-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 HEACOCK ST STE D139B",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925536276",
            "telephone_number": "951-656-6969",
            "fax_number": "951-656-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CENTER FOR HEALTHY MINDS (CCHM)",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "FLOURNOY",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-656-6969",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "MFC20033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyeisha L Colley
• Carl E Collier, D.O.
• Tomeryl Ellis Collier
• William Charles Coman, CADC I
• Lanett Combs
• Community Dental of Dr. CHI
• Community Dental Services (SmileCare Dental Group)
• Community Health Systems, Inc. (Moreno Valley Family Health Center)
• Compassionate Senior Solutions LLC
• Marinor Anne Marcelo Concepcion, DO

• Health Maintenance Organization in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.