Organization Active NPI

Chrysalis Family Counseling Center

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1801122320
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CHRYSALIS FAMILY COUNSELING CENTER
Practice address
4145 9TH St
Riverside, CA 92501-3101
Phone
(951) 782-9616
Fax
(951) 782-9637
NPI assigned
Oct 19, 2009
Last updated
Jul 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Cathy A Palmer
Title
Gen. Partner/Business & Finance MGR
Phone
(951) 782-9616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

4145 9TH St
Riverside, CA 92501-3101

Mailing address

4145 9TH St
Riverside, CA 92501-3101
Phone (951) 782-9616

National Provider Directory

National Provider Directory

Locations

4145 9th St
Riverside, CA 92501
Phone (951) 782-9616

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1801122320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 9TH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013101",
            "telephone_number": "951-782-9616",
            "fax_number": "951-782-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 9TH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013101",
            "telephone_number": "951-782-9616",
            "fax_number": "951-782-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS FAMILY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GEN. PARTNER/BUSINESS & FINANCE MGR",
        "authorized_official_telephone_number": "951-782-9616"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.