Active NPI
Ideal Living Psychology Center, Inc.
- Marriage & Family Therapist
- Rancho Cucamonga, CA
National Provider Identifier
1811314602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 41719
- Legal business name
- IDEAL LIVING PSYCHOLOGY CENTER, INC.
- Practice address
- 9220 Haven Ave Ste 100
Rancho Cucamonga, CA 91730 - Phone
- (909) 758-1743
- Fax
- (909) 758-1708
- NPI assigned
- Mar 18, 2014
- 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
- Rakeshia J Breaux
- Title
- Owner
- Phone
- (909) 758-1743
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 41719 | CA | Primary |
Addresses
Primary practice location
9220 Haven Ave Ste 100
Rancho Cucamonga, CA 91730
Mailing address
9220 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-8551
Phone (909) 758-1743
Other names 1
- Relationship Institute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9220 Haven Ave
Ste 100
Rancho Cucamonga, CA 91730
Phone (909) 758-1743
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Rancho Cucamonga, CA
- NPI 1609076223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780617600000",
"number": "1811314602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9220 HAVEN AVE STE 100",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917308551",
"telephone_number": "909-758-1743",
"fax_number": "909-758-1708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 HAVEN AVE STE 100",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "91730",
"telephone_number": "909-758-1743",
"fax_number": "909-758-1708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDEAL LIVING PSYCHOLOGY CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-18",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A",
"authorized_official_last_name": "BREAUX",
"authorized_official_first_name": "RAKESHIA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-758-1743"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "41719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Relationship Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.