NPIMap

Organization Active NPI

Riverside County - Hemet Mental Health Services

  • Case Manager/Care Coordinator
  • Hemet, CA
National Provider Identifier
1972755296
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
RIVERSIDE COUNTY - HEMET MENTAL HEALTH SERVICES
Practice address
650 N State St
Hemet, CA 92543-2960
Phone
(951) 791-3300
NPI assigned
Oct 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Ms. Mariejose Balleza Ruiz
Title
Mental Health Peer Specialist
Phone
(619) 847-7051

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

650 N State St
Hemet, CA 92543-2960

Mailing address

19417 Rotterdam
Riverside, CA 92508-6179

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1972755296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19417 ROTTERDAM",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925086179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N STATE ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925432960",
            "telephone_number": "951-791-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COUNTY - HEMET MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "MARIEJOSE",
        "authorized_official_middle_name": "BALLEZA",
        "authorized_official_title_or_position": "MENTAL HEALTH PEER SPECIALIST",
        "authorized_official_telephone_number": "619-847-7051",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.