THE CAROLYN E. WYLIE CENTER NPI 1437273521

NPI Information

  • NPI: 1437273521
  • Provider Name: THE CAROLYN E. WYLIE CENTER
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: THE WYLIE CENTER
  • Address: 4164 BROCKTON AVE
    RIVERSIDE, CA
    ZIP 92501
  • Phone: (951) 683-5193

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NPI Details

THE CAROLYN E. WYLIE CENTER is a mental health (including community mental health center) clinic center in Riverside, CA. THE CAROLYN E. WYLIE CENTER NPI is 1437273521. The provider is registered as an organization entity type.
The provider Is Doing Business As The Wylie Center.

The provider's business location address is:

4164 BROCKTON AVE
RIVERSIDE, CA
ZIP 92501-400
Phone: (951) 683-5193
Fax: (951) 683-6019

The provider's authorized official is Mickey Rubinson .
The authorized official title is C.e.o. and has the following contact phone number (951) 683-5193.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 8/11/2021.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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
133BAA0OTHERCALIFORNIAOTHER
233BA00OTHERCALIFORNIAOTHER

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: 3/30/2025

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