Organization Active NPI

Ideal Living Psychology Center, Inc.

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1811314602
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
41719 Issued in CA
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

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Rakeshia J BreauxNPI 1609076223
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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260608000992 CA Part B Supplier - Clinic/Group Practice 9830660166 Receives reassigned benefits from 1 practitioner
Practice locations: Rancho Cucamonga, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.