Active NPI
Center for Black Wellness & Excellence Social Purpose Corporation
Doing business as Cbwe
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Bernardino, CA
National Provider Identifier
1760075634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CENTER FOR BLACK WELLNESS & EXCELLENCE SOCIAL PURPOSE CORPORATION
- Doing business as
- Cbwe
- Practice address
- 473 E. Carnegie Dr.
Suite 200
San Bernardino, CA 92408 - Phone
- (909) 505-0557
- NPI assigned
- Feb 11, 2021
- Last updated
- Feb 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharmelle Parker, MSW
- Title
- Ceo & President
- Phone
- (909) 505-0557
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | |||
| Social Worker | 104100000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
473 E. Carnegie Dr.
Suite 200
San Bernardino, CA 92408
Mailing address
473 E Carnegie Drive
Suite 200
San Bernardino, CA 92408
Phone (909) 505-0557
Other names 1
- CBWE
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Riverside, CA
- NPI 1326172388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613001600000",
"number": "1760075634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 E CARNEGIE DRIVE",
"address_2": "SUITE 200",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "92408",
"telephone_number": "909-505-0557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 E. CARNEGIE DR.",
"address_2": "SUITE 200",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "92408",
"telephone_number": "909-505-0557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR BLACK WELLNESS & EXCELLENCE SOCIAL PURPOSE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-11",
"last_updated": "2021-02-11",
"certification_date": "2021-01-25",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "SHARMELLE",
"authorized_official_title_or_position": "CEO & PRESIDENT",
"authorized_official_telephone_number": "909-505-0557",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CBWE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Bernardino, CA
- Alondra Celis
- Christopher Martin Celis, CPHT
- Maria Christina Cabrera Celis, RD
- Cental Dental
- Georgina Centeno
- Central Neighborhood Health Foundation
- Central Neighborhood Health Foundation - Base Line San Bernardino
- Central Neighborhood Health Foundation - Highland
- Central Occupational Medicine Providers - Ontario, a Medical Corporati
- Centre for Plastic Surgery
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.