NPIMap

Organization Active NPI

Divine Truth Unity Fellowship Church, Inc

Doing business as Divine Truth Unity Fellowship Church dba Rainbow Pride Youth Alliance

  • Voluntary or Charitable Agency
  • San Bernardino, CA
National Provider Identifier
1760264246
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
DIVINE TRUTH UNITY FELLOWSHIP CHURCH, INC
Doing business as
Divine Truth Unity Fellowship Church dba Rainbow Pride Youth Alliance
Practice address
330 N D St # 429
San Bernardino, CA 92401-1545
Phone
(909) 519-3927
Fax
(909) 363-7974
NPI assigned
Oct 18, 2023
Last updated
Nov 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Benita Annette Ramsey, JDNPI 1740055581
Title
Executive Director
Phone
(909) 519-3927

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Clinical Child & Adolescent Psychologist 103TC2200X
Case Management Agency 251B00000X
Public Health or Welfare Agency 251K00000X
Community/Behavioral Health Agency 251S00000X
Voluntary or Charitable Agency 251V00000X Primary
Early Intervention Provider Agency 252Y00000X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

330 N D St # 429
San Bernardino, CA 92401-1545

Mailing address

3540 S North Shore Dr
Ontario, CA 91761-9130
Phone (909) 519-3927

Other names 1

  • Divine Truth Unity Fellowship Church dba Rainbow Pride Youth Alliance Doing business as

National Provider Directory

National Provider Directory

Locations

330 N D St
Ste 429
San Bernardino, CA 92401
Phone (909) 206-4830

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1760264246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 S NORTH SHORE DR",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917619130",
            "telephone_number": "909-519-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N D ST # 429",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011545",
            "telephone_number": "909-519-3927",
            "fax_number": "909-363-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE TRUTH UNITY FELLOWSHIP CHURCH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "BENITA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-519-3927",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Truth Unity Fellowship Church dba Rainbow Pride Youth Alliance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Divine Truth Unity Fellowship Church dba Rainbow Pride Youth Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.