NPIMap

Organization Active NPI

Boys Republic

  • Community/Behavioral Health Agency
  • Monrovia, CA
National Provider Identifier
1962930859
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BOYS REPUBLIC
Practice address
128 E Palm Ave
Monrovia, CA 91016-5108
Phone
(626) 358-4581
Fax
(909) 627-9222
NPI assigned
May 23, 2017
Organization subpart
Yes
Parent organization
BOYS REPUBLICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Ellen Strickland, LCSW
Title
Residence Clinical Supervisor
Phone
(909) 287-6433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

128 E Palm Ave
Monrovia, CA 91016-5108

Mailing address

1907 Boys Republic Dr
Chino Hills, CA 91709-5447
Phone (909) 628-1217

Other names 1

  • Boys Republic - Monrovia Other name

National Provider Directory

National Provider Directory
Tax ID family
Boys Republic11 organizations share this tax ID, including this one
Part of
Boys Republic

Other organizations with this tax ID 10

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

  • Boys Republic
    • Mental Illness Community Based Residential Treatment Facility
    • Monrovia, CA
    • NPI 1023560836
    NPD tax ID
  • Boys Republic
    • Mental Illness Community Based Residential Treatment Facility
    • Chino Hills, CA
    • NPI 1083305411
    NPD tax ID
  • Boys Republic
    • Mental Illness Community Based Residential Treatment Facility
    • Chino Hills, CA
    • NPI 1124585781
    NPD tax ID
  • Boys Republic
    • Mental Illness Community Based Residential Treatment Facility
    • Pomona, CA
    • NPI 1215489000
    NPD tax ID
  • Boys Republic
    • Mental Illness Community Based Residential Treatment Facility
    • Chino Hills, CA
    • NPI 1215628649
    NPD tax ID
  • Boys Republic
    • Mental Illness Community Based Residential Treatment Facility
    • Chino Hills, CA
    • NPI 1356032817
    NPD tax ID
  • Boys Republic
    • Mental Illness Community Based Residential Treatment Facility
    • Chino Hills, CA
    • NPI 1457700411
    NPD tax ID
  • Boys Republic
    • Mental Illness Community Based Residential Treatment Facility
    • Monrovia, CA
    • NPI 1700336559
    NPD tax ID
  • Boys Republic
    • Mental Illness Community Based Residential Treatment Facility
    • Chino Hills, CA
    • NPI 1700577137
    NPD tax ID
  • Boys Republic
    • Mental Illness Community Based Residential Treatment Facility
    • Chino Hills, CA
    • NPI 1801346655
    NPD tax ID

Locations

128 E Palm Ave
Monrovia, CA 91016
Phone (626) 358-4581

Practitioners & affiliated clinicians

Practitioners 7

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": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1962930859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 BOYS REPUBLIC DR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095447",
            "telephone_number": "909-628-1217",
            "fax_number": "909-627-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E PALM AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910165108",
            "telephone_number": "626-358-4581",
            "fax_number": "909-627-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYS REPUBLIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOYS REPUBLIC",
        "enumeration_date": "2017-05-23",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "RESIDENCE CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "909-287-6433",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boys Republic - Monrovia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.