Kaiser Permanente in Moreno Valley - Mental Health (including Community Mental Health Center)
Kaiser Permanente - NPI 1265639660
Kaiser Permanente is a Mental Health (including Community Mental Health Center) in Moreno Valley, California. Kaiser Permanente practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Kaiser Permanente is 1265639660. The last update date is 2020-08-22.
Kaiser Permanente's current location address is 12815 Heacock St, Moreno Valley, California. You can contact this provider via phone number 516016174 and fax number 9516016224. The mailing address for Kaiser Permanente is 12815 Heacock St, Moreno Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kaiser Permanente |
|---|---|
| Address | 12815 Heacock St, Moreno Valley, California |
| Phone Number | 516016174 |
| Fax Number | 9516016224 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COUNSELOR |
|---|---|
| Authorized Official Name | Melton Jackson Roger |
| Credentials | L.M.F.T. |
| Telephone Number | 9516016171 |
NPI Number Detail
| NPI Number | 1265639660 |
|---|---|
| Provider Enumeration Date | 2007-06-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 12815 Heacock St |
|---|---|
| City | Moreno Valley |
| State | California (CA) |
| Post Code | 925533116 |
| Phone Number | 516016174 |
| Fax Number | 9516016224 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
| Licence No | MFC17474 |
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Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
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Post Comment/ Review Below
What is the Kaiser Permanente's unique identification number?
The Kaiser Permanente has been assigned the NPI (National Provider Identifier) Number 1265639660 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Kaiser Permanente?
The Kaiser Permanente is physically situated at 12815 Heacock St, in the city of Moreno Valley, state of CA, with the postal code 925533116.
What is Kaiser Permanente's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kaiser Permanente's area of specialization is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code that categorizes this field of practice is 261Qm0801X.
On what date did the Centers for Medicare & Medicaid Services issue the 1265639660 to Kaiser Permanente?
The Kaiser Permanente received its 1265639660 assignment from the Centers for Medicare & Medicaid Services on 2007-06-28.
As of what date was the information pertaining to Kaiser Permanente, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kaiser Permanente, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA