Active NPI
The Carolyn E. Wylie Center
- Community/Behavioral Health Agency
- Riverside, CA
National Provider Identifier
1992957823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- THE CAROLYN E. WYLIE CENTER
- Practice address
- 4164 Brockton Ave
Riverside, CA 92501-3400 - Phone
- (951) 683-5193
- NPI assigned
- Oct 22, 2008
- 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
- Mr. Frank Xavier Alonso, M.A. EDS.
- Title
- M.F.T. Intern , Phsycotherapist
- Phone
- (951) 683-5193
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
4164 Brockton Ave
Riverside, CA 92501-3400
Mailing address
4164 Brockton Ave
Riverside, CA 92501-3400
Phone (951) 683-5193
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224633600000",
"number": "1992957823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4164 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013400",
"telephone_number": "951-683-5193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4164 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013400",
"telephone_number": "951-683-5193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CAROLYN E. WYLIE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-22",
"last_updated": "2008-10-22",
"status": "A",
"authorized_official_last_name": "ALONSO",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "XAVIER",
"authorized_official_title_or_position": "M.F.T. INTERN , PHSYCOTHERAPIST",
"authorized_official_telephone_number": "951-683-5193",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.A. EDS."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
- Vincent Thayer, AMFT
- The Benin Medical Corporation
- The C.a.U.S.E. Approach
- The Carolyn E. Wylie Center
- The Carolyn E. Wylie Center
- The Carolyn E. Wylie Center for Children, Youth & Families
- The Carolyn E.Wylie Center for Children, Youth & Families
- The Chaun Collective
- The Children'S Doctor Professional Corporation
- The Dental Office on Magnolia, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.