RIVERSIDE UNVERSITY BEHAVIORAL HEALTH NPI 1013424522

NPI Information

NPI: 1013424522
Provider Name: RIVERSIDE UNVERSITY BEHAVIORAL HEALTH
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1688 N PERRIS BLVD STE L6-11
PERRIS, CA
ZIP 92571
Phone: (951) 443-2200
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RIVERSIDE UNVERSITY BEHAVIORAL HEALTH is an adult mental health clinic center in Perris, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. RIVERSIDE UNVERSITY BEHAVIORAL HEALTH NPI is 1013424522. The provider is registered as an organization entity type.

The provider's business location address is:

1688 N PERRIS BLVD STE L6-11
PERRIS, CA
ZIP 92571-709
Phone: (951) 443-2200
Fax: (951) 443-2230

The provider's authorized official is Thaddeus A Wicki .
The authorized official title is Supervisor and has the following contact phone number (951) 443-2200.

The enumeration date for this NPI number is 1/5/2018 and was last updated on 1/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	101YM0800X	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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