Banyan Palm Springs LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BANYAN PALM SPRINGS LLC

Practice address

67580 Jones Rd
Cathedral City, CA 92234-6401

Phone

(760) 616-5800

Fax

(760) 673-7443

NPI assigned

Oct 7, 2019

Organization subpart

No

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

Authorized official

Name

John Sory

Title

Ceo

Phone

(954) 533-7705

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Banyan Palm Springs LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Banyan Palm Springs LLC

  • Substance Abuse Rehabilitation Facility
  • Palm Desert, CA
  • NPI 1912540766
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monique Fincannon, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Palm Springs, CA
  • NPI 1639562093
  NPD (past)
• Deidra Shondrece Lowe, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1386925469
  NPD (past)
• Michael J. McGrath, M.D.

  • Psychiatry Physician
  • Holualoa, HI
  • NPI 1760536759
  NPD (past)

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1851932214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624319",
            "telephone_number": "954-781-7173",
            "fax_number": "954-781-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67580 JONES RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922346401",
            "telephone_number": "760-616-5800",
            "fax_number": "760-673-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANYAN PALM SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "SORY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-533-7705"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Balanay, PT
• Alexis Rose Balkey
• Cheryl Ann Ballou, PSYD
• Susan Cheryl Baltimore, L.C.S.W.
• Jose Banuelos, PMHNP-BC, FNP-C
• Luis Amador Barajas, PMHNP
• Clayton O Barbour II, M.D.
• Wesley Michael Barringer, DDS
• Behavioral Health Solutions of California, LLC
• Emma Bermudez, NP

• Substance Abuse Rehabilitation Facility in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.