riverside university health systems behavioral health - MHS ...

139
RIVERSIDE UNIVERSITY HEALTH SYSTEMS BEHAVIORAL HEALTH Directory of Network Providers May, 2021 Current as of: 5/4/2021

Transcript of riverside university health systems behavioral health - MHS ...

RIVERSIDE UNIVERSITY HEALTH SYSTEMS

BEHAVIORAL HEALTH

Directory of Network Providers

May, 2021

Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Service Area: Desert

Type of Provider: Contract

Type of Program: CalWorks

Organization Providers

Program: CalWORKs - Desert Hot Springs, 65753 Pierson Boulevard, Desert Hot Springs, CA 92240, Phone: 877-410-8827

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: American Sign Language (ASL), English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention

Staff Name

Cultural

Competence

TrainingLicensure

CHANG, ELLISON (NPI #1508906181, License # G 67488) NoLicensed Psychiatrist

DURAN-EASON, LUPE (NPI #1902299894, License # N/A) NoOther Qualified Provider

GUPTA, NIRAJ (NPI #1073566261, License # A92943) NoLicensed Psychiatrist

MENDOZA, ANA G (NPI #1801273024, License # IMF75404) NoLicensed Marriage and Family Therapist

MENDOZA, ISMAEL (NPI #1619342508, License # CAADE7801-I) YesOther Qualified Provider

REYES, ALEX (NPI #1306901152, License # LCSW78802) NoLicensed Clinical Social Worker

Program: CalWORKs - Indio, 44-199 Monroe Street, Indio, CA 92201, Phone: 760-863-2907

Ages Served: 21+ Accepting Referrals: Yes

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: American Sign Language (ASL), English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention

Page 5 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Staff Name

Cultural

Competence

TrainingLicensure

CAMARENA, MELISSA MARIE (NPI #1447702238, License # N/A) YesOther Qualified Provider

CHANG, ELLISON (NPI #1508906181, License # G 67488) NoLicensed Psychiatrist

DURAN-EASON, LUPE (NPI #1902299894, License # N/A) NoOther Qualified Provider

GUPTA, NIRAJ (NPI #1073566261, License # A92943) NoLicensed Psychiatrist

MENDOZA, ANA G (NPI #1801273024, License # IMF75404) NoLicensed Marriage and Family Therapist

PATEL, NARESH (NPI #1659412666, License # C42959) NoLicensed Psychiatrist

REYES, ALEX (NPI #1306901152, License # LCSW78802) NoLicensed Clinical Social Worker

Type of Program: Mental Health

Organization Providers

Program: Ark Homes Foster Family Agency, 9645 Arrow Route, Blgd.5, Suite A, Rancho Cucamonga, CA 91730, Phone:

909-948-5747, Fax: 909-948-5746

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: No TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Anxiety, Autism/Aspergers, Bereavement/Grief Counseling, Case Management,

Child Abuse Issues, Chronically Homeless/Disabled, Clinical Therapist, Couples/Marriage Therapy, Depression, Developmental Issues, Eating

Disorders, Family Therapy, Female Issues, Foster Youth, Gender Identity Issues, Gender Specific Treatment, Geriatric Counseling, Group Therapy,

Individual Therapy, Learning Disorders, LGBTQ Counseling, Male Issues, Medication Services, Men With Children, Mental Health Counseling, MH

Counselor, Mood Disorders, Obsessive-Compulsive Behaviors, Oppositional Defiance, Peer Support, Personality Disorders, Phobias, Play

Therapy, Post Partum Disorder, Problem Gambling, Psychologist, Psychotic Disorders, PTSD, Rehab Therapist, School Issues, Sign Language,

Social Worker, Stress Management, Substance Abuse, Trauma Informed

Languages: English, Spanish

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Cuban, Puerto Rican, Other Hispanic/Latino

Races Served: Alaskan Native, American Indian, Asian Native, Black/African-American, Cambodian, Chinese, Filipino, Guamanian, Hawaiian,

Japanese, Korean, Laotian, Hispanic/Latino, Samoan, Vietnamese, White, Multiracial, Other Asian, Other Race

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services

Page 6 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Staff Name

Cultural

Competence

TrainingLicensure

ALLISON, KRISTIE (NPI #1023652799, License # ASW94022) YesAssociate Clinical Social Worker

CABRERA, EDUARDO (NPI #1013535806, License # N/A) YesMental Health Rehabilitation Specialist

CEBALLOS, LINDA (NPI #1558906453, License # N/A) YesAssociate Clinical Social Worker

COOK, MONIQUE LEEANN (NPI #1023651197, License # ASW95052) YesAssociate Clinical Social Worker

DENLINGER, NICOLE MARINA

(NPI #1659914414, License # ASW88647)

YesAssociate Clinical Social Worker

LOPEZ, MALIAH AMEYALI (NPI #1740898980, License # N/A) YesMental Health Rehabilitation Specialist

MOREIRA, MONICA (NPI #1982142667, License # N/A) YesAssociate Clinical Social Worker

NAKAMOTO, BREENA (NPI #1205471240, License # N/A) YesAssociate Clinical Social Worker

RIOS, JOSE (NPI #1992954242, License # N/A) YesAssociate Marriage Family Therapist

ROBINSON, TASHINE (NPI #1386289221, License # N/A) YesMental Health Rehabilitation Specialist

SALAZAR, GELZA (NPI #1730623778, License # N/A) YesAssociate Clinical Social Worker

Program: Banning Behavioral Health Clinic, 1330 W. Ramsey Street, Banning, CA 92220, Phone: 951-849-7142

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English, Spanish, Tagalog

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

ANOSA, NELLIE (NPI #1568414936, License # C42489) NoLicensed Physician

BLASY, DAVID (NPI #1922420819, License # 113332) YesLicensed Marriage and Family Therapist

BOHON, MICHAEL (NPI #1851527691, License # LMFT100174) YesLicensed Marriage and Family Therapist

BROCKMANN, BRENDON DOUGLAS

(NPI #1679815765, License # A135079)

NoLicensed Psychiatrist

BUABENG, KWAME (NPI #1316387673, License # A15096) NoLicensed Physician

BUSH, BEVERLY (NPI #1174874887, License # IMF77613) YesLicensed Marriage and Family Therapist

Page 7 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

CAMPAU, CHERI LYNN (NPI #1295015402, License # N/A) YesOther Qualified Provider

CARDONA-ESPINOZA, SAMARA (NPI #1447788989, License # N/A) YesAssociate Clinical Social Worker

CARTER, MARY (NPI #1144668435, License # 107474) YesLicensed Marriage and Family Therapist, Other

Qualified Provider

CHUNG, SARAH JIEUN (NPI #1255750824, License # A148753) NoLicensed Psychiatrist

DELRIO, VANESSA (NPI #1841724838, License # N/A) YesAssociate Professional Clinical Counselor

ELLIOTT, ANDREW (NPI #1053423384, License # G86851) YesLicensed Psychiatrist

EVANS, JUNE (NPI #1336546407, License # N/A) YesOther Qualified Provider

FEUER, ANITA LOUISE (NPI #1962928846, License # N/A) YesOther Qualified Provider

GOMEZ, SUSAN (NPI #1841679909, License # N/A) YesOther Qualified Provider

GRISHAM, JAMES

(NPI #1386731669, License # MFC 31971, RN 401143)

YesLicensed Marriage and Family Therapist, Registered

Nurse

GROTSKY, KELLY (NPI #1679759419, License # LMFT45241) NoLicensed Marriage and Family Therapist

HILARIO, DODJIE (NPI #1942634159, License # 23566) YesNurse Practitioner

HOLGUIN, MARIA (NPI #1043697089, License # 105688) YesAssociate Marriage Family Therapist

HOLMBERG, MEGAN KELLY (NPI #1043799430, License # ASW95225) YesAssociate Clinical Social Worker

HUNTER, JENNIFER (NPI #1942342019, License # LMFT 51112) YesLicensed Marriage and Family Therapist

HUTCHINSONARELLANO, KATELYN TEMPLE

(NPI #1700420817, License # 40106)

NoPsychiatric Technician

LABELLA, FAITH KE (NPI #1598305237, License # N/A) YesOther Qualified Provider

LUNA, CARLOS ALBERTO (NPI #1457893398, License # N/A) YesAssociate Clinical Social Worker

MACIAS, ANGELITO (NPI #1508283276, License # N/A) NoOther Qualified Provider

MCLAUGHLIN, JESSICA ROSCHELLE

(NPI #1386113595, License # 105260)

NoAssociate Marriage Family Therapist

MEDINA, ALEXANDRA (NPI #1275025397, License # N/A) NoOther Qualified Provider

MEJIA, LAQUANCE DENISE (NPI #1457978702, License # N/A) NoOther Qualified Provider

MERAZ, GUADALUPE (NPI #1578759312, License # N/A) NoOther Qualified Provider

PONDER, JENNIFER (NPI #1376780296, License # 33478) YesPsychiatric Technician

RAMIREZ, IRENE ALICIA (NPI #1992250070, License # ASW72153) NoAssociate Clinical Social Worker

RAMIREZ, VICTOR NATE (NPI #1356447965, License # LCSW22784) YesLicensed Clinical Social Worker

RODRIGUEZ, IRENE (NPI #1104249531, License # N/A) YesOther Qualified Provider

ROTH-FELTER, CYNTHIA (NPI #1871630475, License # LCSW22962) NoLicensed Clinical Social Worker

SALCEDO, MONICA (NPI #1578018883, License # N/A) YesOther Qualified Provider

SCURO, VICTORIA (NPI #1386036788, License # N/A) YesOther Qualified Provider

SHAPIRO, SUSAN (NPI #1487805107, License # N/A) YesOther Qualified Provider

Page 8 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

TREVINO, JENNIFER (NPI #1043633423, License # N/A) YesOther Qualified Provider

VELARDE, MAYRA (NPI #1386031599, License # N/A) NoLicensed Vocational Nurse

WEBSTER, ROBERT (NPI #1811040181, License # C057240618) YesOther Qualified Provider

Program: Barbara Sinatra Children's Center, 39000 Bob Hope Drive, Rancho Mirage, CA 92270, Phone: 760-340-2336, Fax:

760-340-1851

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

ENRIQUEZ, VIVIAN (NPI #1538695879, License # IMF83674) YesLicensed Marriage and Family Therapist

LAROSA, MARIA (NPI #1720283419, License # LMFT34865) NoLicensed Marriage and Family Therapist

MARTA, ROSEMARY (NPI #1689865396, License # MFT25669) YesLicensed Marriage and Family Therapist

MARTINEZ, ARACELI (NPI #1225474810, License # LMFT108256) YesLicensed Marriage and Family Therapist

NEVEL, PATRICIA (NPI #1841330149, License # LCSW14456) YesLicensed Clinical Social Worker

SILVA, MARIBEL (NPI #1013932458, License # 92898) YesAssociate Marriage Family Therapist

SMITH, BARBARA (NPI #1316139744, License # PSY14881) YesLicensed Psychologist

Program: Blythe Behavioral Health Clinic, 1297 West Hobsonway, Blythe, CA 92225, Phone: 760-921-5000

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Page 9 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Staff Name

Cultural

Competence

TrainingLicensure

BACAS, RENEE A (NPI #1295952497, License # G76869) NoLicensed Psychiatrist

BLASY, DAVID (NPI #1922420819, License # 113332) YesLicensed Marriage and Family Therapist

BOHON, MICHAEL (NPI #1851527691, License # LMFT100174) YesLicensed Marriage and Family Therapist

CAMPAU, CHERI LYNN (NPI #1295015402, License # N/A) YesOther Qualified Provider

EVANS, JUNE (NPI #1336546407, License # N/A) YesOther Qualified Provider

FEUER, ANITA LOUISE (NPI #1962928846, License # N/A) YesOther Qualified Provider

GIBSON, CHERII RUSELLA (NPI #1043741481, License # 250410) NoLicensed Vocational Nurse

GRAHAM, LLOYD EDWARD (NPI #1093262685, License # AMFT123972) YesAssociate Marriage Family Therapist

GRISHAM, JAMES

(NPI #1386731669, License # MFC 31971, RN 401143)

YesLicensed Marriage and Family Therapist, Registered

Nurse

GROTSKY, KELLY (NPI #1679759419, License # LMFT45241) NoLicensed Marriage and Family Therapist

LELEAUX, ANDREA (NPI #1134419716, License # LMFT87916) YesLicensed Marriage and Family Therapist

LEWIS, JANET (NPI #1114267481, License # 112126) NoLicensed Marriage and Family Therapist

MACIAS, ANGELITO (NPI #1508283276, License # N/A) NoOther Qualified Provider

MEJIA, LAQUANCE DENISE (NPI #1457978702, License # N/A) NoOther Qualified Provider

PHILLIPS, MADISON TAYLOR (NPI #1366080475, License # 91820) NoAssociate Clinical Social Worker

RAMIREZ, IRENE ALICIA (NPI #1992250070, License # ASW72153) NoAssociate Clinical Social Worker

RAMIREZ, VICTOR NATE (NPI #1356447965, License # LCSW22784) YesLicensed Clinical Social Worker

RODRIGUEZ, IRENE (NPI #1104249531, License # N/A) YesOther Qualified Provider

TAMAYO-CONTRERAS, SHIRLEY LESLEY

(NPI #1508351842, License # ASW91189)

NoAssociate Clinical Social Worker

WEBSTER, ROBERT (NPI #1811040181, License # C057240618) YesOther Qualified Provider

Program: CHARLEE FAMILY CARE - TBS BEAUMONT, 136 E. 6th Street, Beaumont, CA 92223, Phone: 951-637-1551

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Greater than 1.0 miles

ADA Compliant for Physical Plant: No TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services

Page 10 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Staff Name

Cultural

Competence

TrainingLicensure

ADAME, ALISA VICTORIA (NPI #1881254795, License # N/A) YesOther Qualified Provider

BEAN, VERONICA (NPI #1467623538, License # N/A) YesOther Qualified Provider

BENTO, DANIELLE (NPI #1083807200, License # N/A) YesOther Qualified Provider

COCHRAN, WHITNEY K (NPI #1376827881, License # N/A) YesOther Qualified Provider

CRUZ, ALONDRA (NPI #1467011684, License # N/A) YesOther Qualified Provider

ESPARZA, JACQUELINE (NPI #1376047571, License # N/A) YesOther Qualified Provider

ESPARZA, LUIS (NPI #1265851166, License # N/A) YesOther Qualified Provider

FAIRLEY, SHERRELL (NPI #1427479278, License # N/A) YesOther Qualified Provider

FLORES, KATHLEEN (NPI #1053901439, License # N/A) YesOther Qualified Provider

GASTELUM, YVETTE AVILA

(NPI #1285020784, License # AMFT 106314)

YesAssociate Marriage Family Therapist

GLASER, RACHEL (NPI #1508230285, License # N/A) YesOther Qualified Provider

GUILLEN, ESPERANSA (NPI #1710547674, License # N/A) YesOther Qualified Provider

HABASHY, GINA (NPI #1114316387, License # N/A) YesOther Qualified Provider

LAGUNAS, CINTHIA (NPI #1316507270, License # N/A) YesOther Qualified Provider

LEE, OMARRA (NPI #1942824024, License # N/A) YesOther Qualified Provider

LINDERBURG, MARILYN S R (NPI #1174897912, License # N/A) YesOther Qualified Provider

MENDOZA, DAISY (NPI #1093301236, License # N/A) YesOther Qualified Provider

MOON, CHRISTINA (NPI #1356971600, License # N/A) YesOther Qualified Provider

PACE, MARUETTE (NPI #1023605235, License # N/A) YesOccupational Therapist

PADILLA, JACQUELINE (NPI #1861925398, License # N/A) YesOther Qualified Provider

REA, ALESSANDRA FELICIA (NPI #1831734458, License # N/A) YesOther Qualified Provider

ROJAS, ESTEBAN (NPI #1558597062, License # N/A) YesOther Qualified Provider

ROMERO, JESSICA (NPI #1316429509, License # N/A) YesOther Qualified Provider

SALAZAR, ADRIANA (NPI #1245738871, License # N/A) YesOther Qualified Provider

STERLING, MARJEAN (NPI #1376004036, License # N/A) YesOther Qualified Provider

TORRES, RENE (NPI #1497169049, License # N/A) YesOther Qualified Provider

VASQUEZ, JANICE RUBY (NPI #1235628702, License # N/A) YesOther Qualified Provider

Program: CHARLEE Family Care Inc. - Indio, 82-704 Miles Ave., Indiiot, CA 92201, Phone: 760-342-5727

Ages Served: All Ages Accepting Referrals: Yes, Therapy Only

Page 11 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

BYRNE, ATHENA (NPI #1083806426, License # 93538) YesLicensed Marriage and Family Therapist

CARLON, MARIA (NPI #1548595515, License # N/A) YesOther Qualified Provider

CURRY, MICHAEL JAMES (NPI #1588221295, License # ASW95056) YesAssociate Marriage Family Therapist

LANIER, KATIE (NPI #1568850303, License # LMFT96395) YesLicensed Marriage and Family Therapist

Program: CHARLEE FAMILY CARE TBS-INDIO, 45691 MONROE ST, I, Indio, CA 92201, Phone: 760-342-5727, Fax: 760-342-5674

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Greater than 1.0 miles

ADA Compliant for Physical Plant: No TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services

Staff Name

Cultural

Competence

TrainingLicensure

ADAME, ALISA VICTORIA (NPI #1881254795, License # N/A) YesOther Qualified Provider

BEAN, VERONICA (NPI #1467623538, License # N/A) YesOther Qualified Provider

BENTO, DANIELLE (NPI #1083807200, License # N/A) YesOther Qualified Provider

CARLON, MARIA (NPI #1548595515, License # N/A) YesOther Qualified Provider

COCHRAN, WHITNEY K (NPI #1376827881, License # N/A) YesOther Qualified Provider

ESPARZA, JACQUELINE (NPI #1376047571, License # N/A) YesOther Qualified Provider

ESPARZA, LUIS (NPI #1265851166, License # N/A) YesOther Qualified Provider

FAIRLEY, SHERRELL (NPI #1427479278, License # N/A) YesOther Qualified Provider

FLORES, KATHLEEN (NPI #1053901439, License # N/A) YesOther Qualified Provider

Page 12 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

GASTELUM, YVETTE AVILA

(NPI #1285020784, License # AMFT 106314)

YesAssociate Marriage Family Therapist

GLASER, RACHEL (NPI #1508230285, License # N/A) YesOther Qualified Provider

GUILLEN, ESPERANSA (NPI #1710547674, License # N/A) YesOther Qualified Provider

HABASHY, GINA (NPI #1114316387, License # N/A) YesOther Qualified Provider

LAGUNAS, CINTHIA (NPI #1316507270, License # N/A) YesOther Qualified Provider

LEE, OMARRA (NPI #1942824024, License # N/A) YesOther Qualified Provider

LINDERBURG, MARILYN S R (NPI #1174897912, License # N/A) YesOther Qualified Provider

MENDOZA, DAISY (NPI #1093301236, License # N/A) YesOther Qualified Provider

MOON, CHRISTINA (NPI #1356971600, License # N/A) YesOther Qualified Provider

PACE, MARUETTE (NPI #1023605235, License # N/A) YesOccupational Therapist

PADILLA, JACQUELINE (NPI #1861925398, License # N/A) YesOther Qualified Provider

REA, ALESSANDRA FELICIA (NPI #1831734458, License # N/A) YesOther Qualified Provider

ROJAS, ESTEBAN (NPI #1558597062, License # N/A) YesOther Qualified Provider

ROMERO, JESSICA (NPI #1316429509, License # N/A) YesOther Qualified Provider

SALAZAR, ADRIANA (NPI #1245738871, License # N/A) YesOther Qualified Provider

STERLING, MARJEAN (NPI #1376004036, License # N/A) YesOther Qualified Provider

TORRES, RENE (NPI #1497169049, License # N/A) YesOther Qualified Provider

VASQUEZ, JANICE RUBY (NPI #1235628702, License # N/A) YesOther Qualified Provider

Program: ChildHelp Inc, 14700 Manzanita Dr, Beaumont, CA 92223, Phone: 951-845-3155

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

ADAMS, PATRICK (NPI #1013318989, License # 75434) YesAssociate Clinical Social Worker

BRILEE, MICHELLE MARIE

(NPI #1114342417, License # NP95000404)

YesNurse Practitioner

Page 13 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

BROWN, NORMAN (NPI #1285112235, License # 55) YesOther Qualified Provider

BURRELL, JAMAAL (NPI #1700281839, License # 1700281839) YesOther Qualified Provider

BUTLER, DANA (NPI #1013331990, License # 124730) YesAssociate Marriage Family Therapist

CHELLSEN-FERNANDEZ, TANYA (NPI #1871625426, License # N/A) YesLicensed Marriage and Family Therapist

CHENG, CHARLENE SAMANO (NPI #1568943918, License # N/A) YesAssociate Professional Clinical Counselor

CHENVEN, MARK (NPI #1114946514, License # 1114946514) YesLicensed Psychiatrist

CLARK, DONNA (NPI #1639211949, License # 40585) YesLicensed Marriage and Family Therapist

CORTES, KIMBERLY MEGHAN (NPI #1932507506, License # 103594) YesLicensed Marriage and Family Therapist

CURIEL, MARIBEL (NPI #1932622370, License # N/A) YesOther Qualified Provider

DOMBROSKE, BRIANNA (NPI #1295367951, License # 7755) YesAssociate Professional Clinical Counselor

DUEBBERT, JEANNE (NPI #1851580385, License # LMFT31335) YesLicensed Marriage and Family Therapist

GARCIA, FABIOLA (NPI #1366998072, License # N/A) YesLicensed Marriage and Family Therapist

GOMEZ, MARK CALEB (NPI #1689230955, License # 98555) NoAssociate Clinical Social Worker

HANNON, SUSAN MARIE (NPI #1518222488, License # 20199) YesLicensed Clinical Social Worker

HUTCHINSON, DANEEN R. (NPI #1073011052, License # N/A) YesOther Qualified Provider

IKEDA, SARAH BETH (NPI #1992345466, License # n/a) YesMental Health Rehabilitation Specialist

JOHNSON, GREGORY (NPI #1285760637, License # N/A) YesLicensed Marriage and Family Therapist

JONES, GEORGE DON III (NPI #1477108983, License # N/A) YesOther Qualified Provider

LUSK, RONNIE (NPI #1508102658, License # N/A) YesLicensed Marriage and Family Therapist

LYON, COLLEEN SUZANNE (NPI #1841314168, License # LCSW27257) YesLicensed Clinical Social Worker

MASIH, JOSHUA JOSEPH (NPI #1407494750, License # 1407494750) YesNurse Practitioner

MURILLO, AMELIA NICOLE (NPI #1669086195, License # N/A) YesOther Qualified Provider

NUNEZ, IVAN (NPI #1932697828, License # N/A) YesOther Qualified Provider

PAULSON, ALYSSA (NPI #1104297266, License # N/A) YesLicensed Marriage and Family Therapist

PHILLIPS, YOLANDA ANGEL (NPI #1497208946, License # 85259) YesAssociate Clinical Social Worker

PONCE, MARIA (NPI #1487161998, License # N/A) YesLicensed Marriage and Family Therapist

SCHMALZER, YVA MARIE (NPI #1871112789, License # 8437) YesAssociate Professional Clinical Counselor

SICILIANODIRENDE, GIANPIERO (NPI #1134567902, License # N/A) YesLicensed Marriage and Family Therapist

TAOETE, DAYANERRAH (NPI #1790396208, License # n/a) NoOther Qualified Provider

WALES, ANISA MARIE (NPI #1467010975, License # N/A) NoOther Qualified Provider

WELCH, NIEDHA (NPI #1477729887, License # 78441) YesLicensed Marriage and Family Therapist

WILLIAMS, MICHELLE (NPI #1023599024, License # N/A) YesOther Qualified Provider

Program: ChildNet Youth and Family Services, Inc., 42-600 Cook Street, 100, Palm Desert, CA 92211, Phone: 760-600-0444

Ages Served: All Ages Accepting Referrals: Yes

Page 14 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Distance to closest public transportation: Between .25-.5 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Intensive Care Coordination, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

ACOSTA, GABRIELA (NPI #1932733979, License # N/A) YesOther Qualified Provider

ALVAREZ-ROCHIN, FABIOLA (NPI #1609412949, License # N/A) YesOther Qualified Provider

BERRY, FERNALD (NPI #1821286071, License # LMFT81719) YesLicensed Marriage and Family Therapist

CARRILLO, YVETTE (NPI #1588978837, License # LMFT88208) YesLicensed Marriage and Family Therapist

CASTRO, BIBIANA (NPI #1639652647, License # 94617) YesLicensed Marriage and Family Therapist

DOSSANTOS, DERRICK (NPI #1639696479, License # N/A) YesOther Qualified Provider

ESQUEDA, ADRIANNA (NPI #1093303166, License # N/A) YesOther Qualified Provider

FELIX, JAMILET (NPI #1821607482, License # N/A) YesOther Qualified Provider

FELIX, YESICA HERAS (NPI #1083222541, License # N/A) YesOther Qualified Provider

FOLK, CRYSTAL (NPI #1972989408, License # AMFT96077) YesAssociate Marriage Family Therapist, Other Qualified

Provider

GALVEZ, ISRA (NPI #1891330957, License # N/A) YesOther Qualified Provider

GLASS, JOE (NPI #1689037830, License # N/A) YesOther Qualified Provider

GUEVARA, JESSICA (NPI #1851996607, License # N/A) YesOther Qualified Provider

HARTHON, KANDYCE (NPI #1871124420, License # N/A) YesOther Qualified Provider

JEFFRIES, CHERI (NPI #1417087669, License # LMFT44067) YesLicensed Marriage and Family Therapist

PATTERSON, RAMON JR (NPI #1740885854, License # N/A) YesOther Qualified Provider

PINONES, SALVADOR (NPI #1316549827, License # N/A) YesOther Qualified Provider

PRIVETTE, KASEY (NPI #1801385372, License # ACSW99967) YesAssociate Clinical Social Worker

RODRIGUEZ, ANDREA LILIANE

(NPI #1184214421, License # AMFT122352)

YesAssociate Marriage Family Therapist

RODRIGUEZ, MADISON REBECCA (NPI #1225624836, License # N/A) YesOther Qualified Provider

RUIZ, JESUS (NPI #1467044370, License # N/A) YesOther Qualified Provider

SANCHEZ, VANESSA (NPI #1043817869, License # N/A) YesOther Qualified Provider

WILENSKY, WILLIAM (NPI #1376071183, License # LCSW70725) YesLicensed Clinical Social Worker

Page 15 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Program: De Novo Forensic Full Service Partnership - Desert, 71687 CA-111, Suite 106, Rancho Mirage, CA 92270, Phone:

442-256-6056

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

WENGER, SARAH JANE (NPI #1144783184, License # 95011489) YesNurse Practitioner

WILEY, PEGGY COLLEEN (NPI #1376610881, License # 25689) YesLicensed Clinical Social Worker

Program: Desert Hot Springs Older Adult Clinic, 14320 Palm Drive, Desert Hot Springs, CA 92240, Phone: 760-773-6767, Fax:

760-773-6760

Ages Served: 21+ Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English, Spanish

Ethnicities Served: Mexican/Mexican American, Cuban, Puerto Rican, Other Hispanic/Latino

Races Served: Black/African-American, Hispanic/Latino, White

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

AVILA, ALEJANDRO A (NPI #1922542612, License # 123466) YesLicensed Marriage and Family Therapist

BUABENG, KWAME (NPI #1316387673, License # A15096) NoLicensed Physician

Page 16 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

CARTER, MARY (NPI #1144668435, License # 107474) YesLicensed Marriage and Family Therapist, Other

Qualified Provider

CASTRO, ARACELI (NPI #1194336917, License # N/A) YesOther Qualified Provider

CHAIREZ, PATRICIA (NPI #1386822005, License # N/A) NoOther Qualified Provider

CORONA, VERONICA V. (NPI #1447421607, License # N/A) YesOther Qualified Provider

DARDEN, MICHAEL (NPI #1568581395, License # N/A) NoMental Health Rehabilitation Specialist

DELCID, JUDITH (NPI #1407217433, License # N/A) NoOther Qualified Provider

ESCOBAR-MANDUJANO, NORA

(NPI #1558797324, License # LMFT # 84553)

NoLicensed Marriage and Family Therapist

GERAURD, ASHLEY (NPI #1700271772, License # N/A) NoOther Qualified Provider

KOEPP, JOANN (NPI #1659558062, License # 586538) NoRegistered Nurse

LARSON, THOMAS (NPI #1851491559, License # 43840) NoLicensed Marriage and Family Therapist

MAHMIC, ELMA (NPI #1558980607, License # N/A) NoOther Qualified Provider

MERAZ, GUADALUPE (NPI #1578759312, License # N/A) NoOther Qualified Provider

NAHMIAS, LARRY MICHAEL (NPI #1033149802, License # C134790) NoLicensed Psychiatrist

RAMIREZ, VICTOR NATE (NPI #1356447965, License # LCSW22784) YesLicensed Clinical Social Worker

SCHEMMER, ANNISSA J (NPI #1205284668, License # LCSW92507) NoLicensed Clinical Social Worker

VELARDE, MAYRA (NPI #1386031599, License # N/A) NoLicensed Vocational Nurse

Program: Desert START, 74-923 Hovley Lane, Palm Desert, CA 92260, Phone: 760-770-2286

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination

Staff Name

Cultural

Competence

TrainingLicensure

BOWLING, DORENE (NPI #1770601775, License # N/A) YesOther Qualified Provider

Program: Desert Wraparound - DHS, 14320 Palm Drive, Desert Hot Springs, CA 92240, Phone: 760-863-8535

Ages Served: 0-20 Accepting Referrals: Yes

Page 17 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Cuban, Puerto Rican, Other Hispanic/Latino

Races Served: Black/African-American, Hispanic/Latino, White

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

BLASY, DAVID (NPI #1922420819, License # 113332) YesLicensed Marriage and Family Therapist

BOHON, MICHAEL (NPI #1851527691, License # LMFT100174) YesLicensed Marriage and Family Therapist

CARDONA-ESPINOZA, SAMARA (NPI #1447788989, License # N/A) YesAssociate Clinical Social Worker

EVANS, JUNE (NPI #1336546407, License # N/A) YesOther Qualified Provider

FEUER, ANITA LOUISE (NPI #1962928846, License # N/A) YesOther Qualified Provider

RODRIGUEZ, IRENE (NPI #1104249531, License # N/A) YesOther Qualified Provider

SALCEDO, MONICA (NPI #1578018883, License # N/A) YesOther Qualified Provider

WEBSTER, ROBERT (NPI #1811040181, License # C057240618) YesOther Qualified Provider

Program: Desert Wraparound- Indio, 47-825 Oasis St., Indio, CA 92201, Phone: 760-863-8455

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English, Spanish

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Cuban, Puerto Rican, Other Hispanic/Latino

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

ALVAREZ, MARIA G (NPI #1780085647, License # ASW71698) YesOther Qualified Provider

Page 18 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

ALVAREZ-TORRES, MELISSA

(NPI #1912436809, License # ASW 84267)

YesOther Qualified Provider

BLASY, DAVID (NPI #1922420819, License # 113332) YesLicensed Marriage and Family Therapist

BOHON, MICHAEL (NPI #1851527691, License # LMFT100174) YesLicensed Marriage and Family Therapist

CAMPAU, CHERI LYNN (NPI #1295015402, License # N/A) YesOther Qualified Provider

CARDONA-ESPINOZA, SAMARA (NPI #1447788989, License # N/A) YesAssociate Clinical Social Worker

CORONADO, ANGELICA (NPI #1619459286, License # N/A) YesOther Qualified Provider

DELACRUZ, JANET (NPI #1780993147, License # 74064) YesLicensed Clinical Social Worker

DIEBOLD, SARAH (NPI #1174799449, License # LCSW29084) YesLicensed Clinical Social Worker

DIXON, JENNIFER (NPI #1164656757, License # LMFT88174) YesLicensed Marriage and Family Therapist

EGAN, DINERY (NPI #1538286109, License # LMFT#53718) YesLicensed Marriage and Family Therapist

EVANS, JUNE (NPI #1336546407, License # N/A) YesOther Qualified Provider

FEUER, ANITA LOUISE (NPI #1962928846, License # N/A) YesOther Qualified Provider

GIRARD, EMMA (NPI #1386883106, License # PSY 19090) YesLicensed Psychologist

GRAHAM, LLOYD EDWARD (NPI #1093262685, License # AMFT123972) YesAssociate Marriage Family Therapist

GROTSKY, KELLY (NPI #1679759419, License # LMFT45241) NoLicensed Marriage and Family Therapist

GUTIERREZ, OLGA (NPI #1376971622, License # n/a) YesOther Qualified Provider

HUNTER, JENNIFER (NPI #1942342019, License # LMFT 51112) YesLicensed Marriage and Family Therapist

INZUNZA, ELENA (NPI #1730308149, License # LCSW79294) YesLicensed Clinical Social Worker

LOZA, ANNA (NPI #1104909969, License # LCSW23117) YesLicensed Clinical Social Worker

MCDANIEL, LARCENIA R (NPI #1770934515, License # ASW84240) YesAssociate Clinical Social Worker

MONTECINO, TANNA (NPI #1386876563, License # LMFT88570) YesLicensed Marriage and Family Therapist

NOVOA, OLIVIA G (NPI #1063954840, License # N/A) YesOther Qualified Provider

RAMOS, ARLENE MARY (NPI #1346583309, License # AMFT 80374) YesLicensed Marriage and Family Therapist

RIVERA, JAIMEE MARIE

(NPI #1801186531, License # LMFT 120736)

YesLicensed Marriage and Family Therapist

ROBINSON, MIRANDA D. (NPI #1841328861, License # LCSW21027) YesLicensed Clinical Social Worker

RODRIGUEZ, IRENE (NPI #1104249531, License # N/A) YesOther Qualified Provider

SALCEDO, MONICA (NPI #1578018883, License # N/A) YesOther Qualified Provider

SANTILLI, ISABEL (NPI #1508045014, License # LMFT95921) YesLicensed Marriage and Family Therapist

SCURO, VICTORIA (NPI #1386036788, License # N/A) YesOther Qualified Provider

TEXEIRA, DUSTIN (NPI #1073691101, License # RN362365) NoRegistered Nurse

WEBSTER, ROBERT (NPI #1811040181, License # C057240618) YesOther Qualified Provider

WHITMORE, ALINA CYPRIANTE

(NPI #1033447339, License # LMFT 53060)

YesLicensed Marriage and Family Therapist

Page 19 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Program: Indio Behavioral Health Clinic, 47-825 Oasis St., Indio, CA 92201, Phone: 760-863-8455

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Specialties: Adjustment Disorders, Adults Only, Anxiety, Autism/Aspergers, Bereavement/Grief Counseling, Case Management, Certified Alcohol

Counselor, Child Abuse Issues, Chronically Homeless/Disabled, Clinical Therapist, Couples/Marriage Therapy, Depression, Developmental

Issues, Eating Disorders, Family Therapy, Female Issues, Gender Identity Issues, Gender Specific Treatment, Group Therapy, Individual Therapy,

LGBTQ Counseling, Male Issues, Medication Services, Men With Children, Mental Health Counseling, MH Counselor, Mood Disorders,

Obsessive-Compulsive Behaviors, Oppositional Defiance, Other, Peer Support, Personality Disorders, Phobias, Post Partum Disorder, Problem

Gambling, Psychiatrist, Psychotic Disorders, PTSD, Social Worker, Stress Management, Substance Abuse, Trauma Informed, Veterans For MH,

Women With Children

Languages: English, Spanish

Ethnicities Served: Mexican/Mexican American, Other Hispanic/Latino

Races Served: American Indian, Black/African-American, Chinese, Filipino, Japanese, Korean, Hispanic/Latino, Samoan, Vietnamese, White,

Multiracial, Other Asian, Other Race

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

ACOSTA, YULISSA (NPI #1558986554, License # N/A) YesAssociate Marriage Family Therapist

AGUILAR, VENESSA MICHELLE (NPI #1629557236, License # N/A) NoLicensed Marriage and Family Therapist

ANASTASI, CHRISTINE (NPI #1205958626, License # N/A) NoOther Qualified Provider

AVILA, ALEJANDRO A (NPI #1922542612, License # 123466) YesLicensed Marriage and Family Therapist

BACHLI, RALPH A (NPI #1700311909, License # N/A) NoOther Qualified Provider

BARRON, ROBERT WAYNE (NPI #1548425051, License # LMFT45967) NoLicensed Marriage and Family Therapist

BOHON, MICHAEL (NPI #1851527691, License # LMFT100174) YesLicensed Marriage and Family Therapist

BRINSON, JOSEPH RAY (NPI #1942557772, License # ACSW74548) YesOther Qualified Provider

BURNS, PETER BURRELL (NPI #1891727533, License # G145142) NoLicensed Psychiatrist

CLEVENGER, JEANNE (NPI #1538433743, License # N/A) YesOther Qualified Provider

DALE, ALEXANDRIA (NPI #1780932236, License # LMFT100643) YesLicensed Marriage and Family Therapist

Page 20 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

DAWSON, TODD (NPI #1548363468, License # A068915) NoLicensed Psychiatrist

DEGRUTT, MICHAEL (NPI #1023415395, License # 106437) NoLicensed Marriage and Family Therapist

DELRIO, VANESSA (NPI #1841724838, License # N/A) YesAssociate Professional Clinical Counselor

DIAZ, ERIKA G (NPI #1023418340, License # ASW73301) NoAssociate Clinical Social Worker

ELIZALDE, KARINA (NPI #1407104854, License # ASW97026) YesAssociate Clinical Social Worker

ELLIOTT, ANDREW (NPI #1053423384, License # G86851) YesLicensed Psychiatrist

GARCIA, CEASAR JUNIOR (NPI #1720572332, License # N/A) NoOther Qualified Provider

GOLDWASSER, HARRY DAVID (NPI #1255370680, License # 132642) NoLicensed Physician

GOMEZ, SUSAN (NPI #1841679909, License # N/A) YesOther Qualified Provider

GONZALEZ, JOSE A (NPI #1962836635, License # 115335) NoAssociate Marriage Family Therapist

GONZALEZ, MARIELENA (NPI #1194177584, License # N/A) YesAssociate Clinical Social Worker

GRANILLO, MICHELLE (NPI #1417241357, License # 101100) YesLicensed Marriage and Family Therapist

GRISHAM, JAMES

(NPI #1386731669, License # MFC 31971, RN 401143)

YesLicensed Marriage and Family Therapist, Registered

Nurse

GROTSKY, KELLY (NPI #1679759419, License # LMFT45241) NoLicensed Marriage and Family Therapist

GUTIERREZ, ARTEMISA (NPI #1942427000, License # N/A) YesOther Qualified Provider

GUY, CAROL (NPI #1750488078, License # LCSW 22805) YesLicensed Clinical Social Worker

HALAMANDARIS, PHILL (NPI #1194944736, License # G66098) YesLicensed Psychiatrist

HARO, EMANUEL (NPI #1568648459, License # N/A) YesOther Qualified Provider

HERNANDEZ, ALEXIS (NPI #1962883975, License # N/A) YesAssociate Marriage Family Therapist

HOWITT, JOSHUA PAUL (NPI #1447736269, License # N/A) NoAssociate Clinical Social Worker

JIMENEZ, MARIA (NPI #1508082967, License # N/A) YesOther Qualified Provider

LAI, CHUN (NPI #1790881381, License # A72495) YesLicensed Psychiatrist

LARA, ROBERT JAMES (NPI #1174169148, License # N/A) YesOther Qualified Provider

LARSON, THOMAS (NPI #1851491559, License # 43840) NoLicensed Marriage and Family Therapist

LOERA, MARYJO (NPI #1831501576, License # N/A) YesOther Qualified Provider

LOGAN, MEGHAN SHALLEN (NPI #1154677516, License # LMFT98536) NoLicensed Marriage and Family Therapist

MARTINEZ, CYNTHIA C (NPI #1447897350, License # N/A) YesOther Qualified Provider

MEDINA, ALEXANDRA (NPI #1275025397, License # N/A) NoOther Qualified Provider

MERCADO-DURAN, ALEJANDRA (NPI #1477808863, License # N/A) YesAssociate Clinical Social Worker

MIRANDA, DANIEL (NPI #1013323948, License # N/A) YesOther Qualified Provider

MOLINA, LORENA SIMO (NPI #1033769963, License # N/A) NoOther Qualified Provider

MOOREHOUSE, BRENDA (NPI #1073926853, License # N/A) NoOther Qualified Provider

MUNOZ, ERIKA (NPI #1134782444, License # N/A) NoOther Qualified Provider

NAHMIAS, LARRY MICHAEL (NPI #1033149802, License # C134790) NoLicensed Psychiatrist

Page 21 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

PESCADOR, ROSIE (NPI #1538335666, License # LMFT85657) YesLicensed Marriage and Family Therapist

PHAN, THU MY (NPI #1235750498, License # N/A) YesLicensed Clinical Social Worker

PINEDO, ALEJANDRO V (NPI #1063828994, License # VN 291896) NoLicensed Vocational Nurse

RAMIREZ, CHRISTINA (NPI #1588061303, License # N/A) YesOther Qualified Provider

RAMIREZ, VICTOR NATE (NPI #1356447965, License # LCSW22784) YesLicensed Clinical Social Worker

REYES, ANNA (NPI #1497180368, License # N/A) YesOther Qualified Provider

RIEMER, CHRISTINA (NPI #1598927519, License # LMFT 52420) YesLicensed Marriage and Family Therapist

ROCHA, SILVIA (NPI #1093162489, License # N/A) YesOther Qualified Provider

RODRIGUEZ, MARIA LUISE

(NPI #1215375134, License # LCSW82307)

YesLicensed Clinical Social Worker

ROMERO, RITA MARIE (NPI #1437658333, License # LMFT #121610) NoLicensed Marriage and Family Therapist

RUIZ-FELIX, GENARO (NPI #1811415011, License # N/A) YesOther Qualified Provider

SANCHEZ, DIANE CAPA (NPI #1245535582, License # N/A) NoOther Qualified Provider

SAUNDERS, BARBARA JEAN (NPI #1144365149, License # C36869) YesLicensed Psychiatrist

SCHEMMER, ANNISSA J (NPI #1205284668, License # LCSW92507) NoLicensed Clinical Social Worker

STILTZ, REBECA (NPI #1790879419, License # LCS26152) YesLicensed Clinical Social Worker

SUBAYAR, JERONIMO B (NPI #1437767589, License # 252073) YesLicensed Vocational Nurse

TREVINO, JENNIFER (NPI #1043633423, License # N/A) YesOther Qualified Provider

VELARDE, MAYRA (NPI #1386031599, License # N/A) NoLicensed Vocational Nurse

VENEGAS, ANGELICA (NPI #1669831400, License # N/A) YesOther Qualified Provider

VILLARREAL, JESSICA (NPI #1760864847, License # ASW73285) NoLicensed Clinical Social Worker

ZARAGOZA, ARTURO (NPI #1437338472, License # N/A) NoOther Qualified Provider

ZERKLE, ANEEKA MARIE (NPI #1215573449, License # AMFT115383) YesAssociate Marriage Family Therapist

Program: Indio Day Reporting Center- Mental Health, 46-900A Monroe St., Suite 101, Indio, CA 92201, Phone: 760-863-7219

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: American Sign Language (ASL), English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention

Staff Name

Cultural

Competence

TrainingLicensure

Page 22 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

ERAZO, LISA MARIE (NPI #1023566213, License # LMFT109322) YesLicensed Marriage and Family Therapist

HAYNES, WILLIAM (NPI #1386998722, License # N/A) NoOther Qualified Provider

KAMPHUIS, MICHELE LYNN (NPI #1265068423, License # N/A) YesOther Qualified Provider

VENEGASMORENO, KARINA (NPI #1316379274, License # N/A) YesAssociate Clinical Social Worker

WILLIAMS, ANDREW L. (NPI #1245422575, License # N/A) YesOther Qualified Provider

Program: Indio Juvenile Hall Behavioral Health, 47-665 Oasis Street, Indio, CA 92201, Phone: 760-863-4709

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Case Management, Crisis Intervention, Intensive Care Coordination

Staff Name

Cultural

Competence

TrainingLicensure

BELTRAN, NATHALY (NPI #1235661893, License # N/A) NoAssociate Clinical Social Worker

PATEL, SHALIN (NPI #1366858656, License # A144153) YesLicensed Physician, Licensed Psychiatrist

TRUONG, KEVIN (NPI #1063804755, License # A158018) NoLicensed Physician

Program: INSTITUTE FOR FAMILY CENTERED SERVICES INC. DBA California Mentor - FSS, 41990 Cook Street, Building I, Suite

801A, Palm Desert, CA 92211, Phone: 442-666-3217

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: No TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Case Management

Staff Name

Cultural

Competence

TrainingLicensure

AGREDANO, LAURA (NPI #1942803523, License # 95669) YesAssociate Clinical Social Worker

Page 23 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

ESTRADA, NORMA A (NPI #1760011753, License # 117322) YesAssociate Marriage Family Therapist

GONZALEZ, KELLIE LYNN (NPI #1730742263, License # 92986) NoAssociate Marriage Family Therapist

HERNANDEZ, GLORIA (NPI #1255982419, License # N/A) YesOther Qualified Provider

MONTANE, GUSTAVO (NPI #1780169383, License # 109915) NoAssociate Marriage Family Therapist

PLAVAJKA, ROBERT (NPI #1346879517, License # 113787) YesAssociate Marriage Family Therapist

REVELO, JOSE MIGUEL (NPI #1902418767, License # N/A) YesOther Qualified Provider

SIMONE, AGNES KWON (NPI #1760845101, License # 15833) YesLicensed Psychiatrist

WEIR, TAWNY (NPI #1205920113, License # 97520) YesLicensed Marriage and Family Therapist

WIGFALL, DONNELL (NPI #1841465556, License # 11625) YesLicensed Psychiatrist

WILLIAMS, CRYSTAL (NPI #1104378850, License # 112575) NoAssociate Marriage Family Therapist

ZUMWALT, SUZANNE MARIE (NPI #1184214348, License # N/A) YesOther Qualified Provider

Program: LATINO COMMISSION COUNSELING CENTER, 1612 1st Street, Coachella, CA 92336, Phone: 760-398-9000, Fax:

760-398-9790

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: No TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

AGUILERA-LONGORIA, ROSALBA

(NPI #1497143119, License # AMFT88086)

YesAssociate Marriage Family Therapist

HERNANDEZ, ALEXIS (NPI #1962883975, License # N/A) YesAssociate Marriage Family Therapist

JONES, ROBERT (NPI #1033228218, License # LCSW21647) YesLicensed Clinical Social Worker

LAI, CHUN (NPI #1790881381, License # A72495) YesLicensed Psychiatrist

LAROSA, MARIA (NPI #1720283419, License # LMFT34865) NoLicensed Marriage and Family Therapist

MALDONADO, BLANCA S. (NPI #1336639350, License # AMFT105476) YesLicensed Marriage and Family Therapist

MARTINEZ, ARACELI (NPI #1225474810, License # LMFT108256) YesLicensed Marriage and Family Therapist

RODRIGUEZ, SARAI (NPI #1780921916, License # AMFT103747) YesAssociate Marriage Family Therapist

SABA, SEHAM (NPI #1912323999, License # 105270) YesLicensed Marriage and Family Therapist

TORRES, LINDSAY (NPI #1083025795, License # 111092) YesLicensed Marriage and Family Therapist

Page 24 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Program: Mental Health Court-Indio, 82-632 Hwy 11, A-3, Indio, CA 92201, Phone: 760-396-5371

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention

Staff Name

Cultural

Competence

TrainingLicensure

BOWLING, DORENE (NPI #1770601775, License # N/A) YesOther Qualified Provider

FREDERIKSEN, SEAN (NPI #1265694582, License # 85244) YesLicensed Marriage and Family Therapist

GALIPPO, RYAN GREGORY (NPI #1518445725, License # 100139) NoAssociate Marriage Family Therapist

Program: MFI RECOVERY CENTER BANNING, 1035 W RAMSEY STREET, A, Banning, CA 92220, Phone: 951-683-6596, Fax:

951-351-1554

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: Family Therapy, Individual Therapy, Medication Assisted Treatment (MAT), Mental Health Counseling, Substance Abuse

Languages: English, Spanish

Service Type: Mental Health Services

Staff Name

Cultural

Competence

TrainingLicensure

ALVARENGA, ROSA (NPI #1134408065, License # IMF74825) NoAssociate Marriage Family Therapist

BARTH, CASSSANDRA (NPI #1467644526, License # IMF99051) YesAssociate Marriage Family Therapist

BLANCO, FRANCES (NPI #1710262738, License # ASW60961) YesLicensed Clinical Social Worker

CLINTON, REBECCA ROSE (NPI #1073130324, License # ASW95220) YesAssociate Clinical Social Worker

Page 25 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

DAGGETT, MARTHA I (NPI #1891071676, License # IMF71634) YesAssociate Marriage Family Therapist

DIMANNO, NATALIE CLAIRE (NPI #1972164499, License # 6149) YesAssociate Marriage Family Therapist

DRAKE, MELINDA GEREMILLO (NPI #1568593168, License # 68954) YesLicensed Clinical Social Worker

ENGLAND, ALLISON

(NPI #1194350439, License # APCC7525, AMFT117765)

YesAssociate Marriage Family Therapist, Associate

Professional Clinical Counselor

FRANKLIN, RUBIE (NPI #1023200136, License # 48719) NoLicensed Marriage and Family Therapist

HICKS, MATTHEW RONALD (NPI #1033240080, License # 21132) YesLicensed Clinical Social Worker

JENNINGS, TAMARA (NPI #1376843672, License # LMFT81538) YesLicensed Marriage and Family Therapist

JOHNSON, WILLIE (NPI #1386157782, License # IMF98198) YesAssociate Marriage Family Therapist

KORNBLUTH, REBECCA (NPI #1760747265, License # IMF78133) YesAssociate Marriage Family Therapist

LACY, DEBRA (NPI #1225333438, License # 86783) NoLicensed Marriage and Family Therapist

LOPEZ, MARIA A. (NPI #1285018176, License # IMF98768) YesAssociate Marriage Family Therapist

MCCALISTER, BETSY (NPI #1730389214, License # LCSW18224) YesLicensed Clinical Social Worker

NAVARRO, SAMANTHA (NPI #1053927335, License # ASW90280) YesAssociate Clinical Social Worker

PATEL, BIPIN (NPI #1528197647, License # A46654) NoLicensed Psychiatrist

RODRIGUEZ, STEFANI (NPI #1659979490, License # AMFT121026) YesAssociate Marriage Family Therapist

Program: Multi-Dimensional Family Therapy Desert Region, 47825 & 47915 Oasis Street, Indio, CA 92201, Phone: 760-863-8550

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

BARNES, ELVA (NPI #1598073819, License # LMFT99112) YesLicensed Marriage and Family Therapist

DIAZ, ANEL NEREIDA (NPI #1710512793, License # N/A) NoOther Qualified Provider

FEUER, ANITA LOUISE (NPI #1962928846, License # N/A) YesOther Qualified Provider

GROTSKY, KELLY (NPI #1679759419, License # LMFT45241) NoLicensed Marriage and Family Therapist

HUNTINGTON, ALISA (NPI #1346262672, License # 36959) YesLicensed Marriage and Family Therapist

LOYA, PAUL (NPI #1144618760, License # N/A) YesOther Qualified Provider

MUNOZ, ROSALBA (NPI #1346639234, License # N/A) YesOther Qualified Provider

Page 26 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Program: Oasis Community Services, 81557 Dr. Carreon Blvd, C9, Indio, CA 92201, Phone: 760-391-6999, Fax: 760-391-6998

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

AMEZQUITA, ALBERTO (NPI #1609003193, License # N/A) NoOther Qualified Provider

AZIZ, ABDUL M (NPI #1346712775, License # 95010748) YesNurse Practitioner

CARRASCO, CURTIS (NPI #1437699246, License # N/A) YesOther Qualified Provider

COZENS, KAITLYN TAYLOR (NPI #1679132294, License # ASW89261) YesAssociate Clinical Social Worker

FIELDS, JARVIS (NPI #1932569993, License # AMFT 91712) YesAssociate Marriage Family Therapist

GASTELUM, YVETTE AVILA

(NPI #1285020784, License # AMFT 106314)

YesAssociate Marriage Family Therapist

HOUSTON, MARGARET (NPI #1164732145, License # N/A) YesOther Qualified Provider

JIMENEZ, LETICIA (NPI #1366796179, License # N/A) YesOther Qualified Provider

LARA, MELANI (NPI #1467578047, License # LVN 197993) YesLicensed Vocational Nurse

LOPEZ, ROBERTO (NPI #1457361230, License # LCSW20218) YesLicensed Clinical Social Worker

NAVARRETE, DAVID CHRISTOPHER

(NPI #1013380153, License # N/A)

YesOther Qualified Provider

SOLIS, FRANCISCO (NPI #1306296355, License # AMFT111178) YesAssociate Marriage Family Therapist

STICKEL, COLLEEN (NPI #1992047559, License # MFT37012) YesLicensed Marriage and Family Therapist

TELLEZ, LUCRECIA (NPI #1376794669, License # N/A) YesOther Qualified Provider

WILLIAMSON, LEONARD ADAM

(NPI #1902461809, License # R1316270718)

YesOther Qualified Provider

Program: Olive Crest Wraparound Svcs - Palm Desert, 42580 CAROLINE CT, A, Palm Desert, CA 92211, Phone: 951-686-8500

Ages Served: All Ages Accepting Referrals: Yes

Page 27 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Specialties: Case Management, Clinical Child Psychology, Clinical Therapist, Other, Psychiatrist

Languages: English, Spanish

Ethnicities Served: Unknown, Not Hispanic, Mexican/Mexican American, Other Hispanic/Latino

Races Served: Black/African-American, White

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

ABAD, CLAUDIA (NPI #1871151019, License # N/A) YesOther Qualified Provider

ALEXANDER, RODERICK (NPI #1265846232, License # N/A) YesOther Qualified Provider

ANGKIANGCO, KATHERINE (NPI #1003118647, License # N/A) YesOther Qualified Provider

ARTEAGA, EVA (NPI #1255854980, License # 83985) YesLicensed Clinical Social Worker

AYER, EMILY (NPI #1407469786, License # 119937) YesAssociate Marriage Family Therapist

BARCOUS, DEBORAH (NPI #1699367516, License # N/A) YesOther Qualified Provider

BARKER, PATRICIA (NPI #1093971830, License # N/A) YesOther Qualified Provider

BAUTISTA, YESSENIA (NPI #1053959403, License # 123126) YesLicensed Marriage and Family Therapist

BAUTISTA-ARREDONDO, ANGELES (NPI #1902488794, License # N/A) YesOther Qualified Provider

BEAVERS, CHERYL (NPI #1225556921, License # N/A) YesOther Qualified Provider

BENSFIELD, CHRISTINA SHARON (NPI #1669023776, License # N/A) YesAssociate Clinical Social Worker

BENZOR, DEANNA (NPI #1255800017, License # N/A) YesOther Qualified Provider

BETANCOURT, CAROLINA (NPI #1053880815, License # N/A) YesOther Qualified Provider

BOUGHTON, MATTHEW (NPI #1033539739, License # N/A) YesOther Qualified Provider

BRITO-BARRIGA, ANDREA (NPI #1962065185, License # N/A) YesOther Qualified Provider

CABALLERO, LUIS ANGEL (NPI #1790389393, License # N/A) YesOther Qualified Provider

CARRILLO, DENISE (NPI #1366920480, License # N/A) YesOther Qualified Provider

CARRILLO, REBECA (NPI #1851948392, License # 114094) YesAssociate Marriage Family Therapist

CASEY, RHONDA (NPI #1235635582, License # N/A) YesOther Qualified Provider

CHERPIN, CRYSTAL (NPI #1417507716, License # N/A) YesOther Qualified Provider

COPPINS, CARMELITA (NPI #1134210446, License # LCSW65448) YesLicensed Clinical Social Worker

CRAWFORD, JENNYFER (NPI #1851862460, License # N/A) YesOther Qualified Provider

Page 28 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

CRUTCHFIELD, JANIE (NPI #1013526003, License # N/A) YesOther Qualified Provider

CRUZ, STEPHANIE (NPI #1053899781, License # N/A) YesOther Qualified Provider

DAIGNEAULT, NICOLE (NPI #1104437508, License # N/A) YesOther Qualified Provider

DELAMANCHA, ASHLEY (NPI #1366895682, License # N/A) YesOther Qualified Provider

DOMINGUEZ, TANIA (NPI #1508210733, License # N/A) YesOther Qualified Provider

EILAND, ERIN ELIZABETH (NPI #1336665967, License # 5747) YesAssociate Professional Clinical Counselor

FINCHER, JESSICA LYN (NPI #1669668265, License # N/A) YesOther Qualified Provider

FISHER, SARAH (NPI #1356873111, License # 113875) YesLicensed Marriage and Family Therapist

FLORES, KORINA (NPI #1114421435, License # N/A) YesOther Qualified Provider

FOWLER, JOLEEN (NPI #1881157261, License # N/A) YesOther Qualified Provider

GALE, MARIBEL (NPI #1356810980, License # N/A) YesOther Qualified Provider

GARCIA-BAYARDO, ANA KORINA

(NPI #1982870754, License # 82910)

YesLicensed Marriage and Family Therapist

GERMANOS, NICOLE (NPI #1417580051, License # 113556) YesAssociate Marriage Family Therapist

GILBERT, GUADALUPE (NPI #1306366067, License # N/A) YesOther Qualified Provider

GODINEZ, NANCY (NPI #1932786464, License # N/A) YesOther Qualified Provider

GOINS, KEITH (NPI #1730787730, License # N/A) YesOther Qualified Provider

GOMEZ, JESSICA (NPI #1154839819, License # N/A) YesOther Qualified Provider

GRANT, RACHEL (NPI #1346822350, License # N/A) YesOther Qualified Provider

GRIFFIN, JENELLE (NPI #1700486289, License # N/A) YesOther Qualified Provider

HARRIS, MARCELUS (NPI #1790309029, License # N/A) YesOther Qualified Provider

HARTS, KIMBERLY (NPI #1912472689, License # N/A) YesOther Qualified Provider

HERNANDEZ, LAURA (NPI #1326584798, License # 118636) YesAssociate Marriage Family Therapist

HERNANDEZ, VANESSA (NPI #1124285044, License # N/A) YesOther Qualified Provider

HERNANDEZ-MIRELEZ, NANCY (NPI #1518445246, License # N/A) YesOther Qualified Provider

HERRERA, CLAUDIA (NPI #1417498619, License # N/A) YesOther Qualified Provider

HUERTA, MARY (NPI #1689212557, License # N/A) YesOther Qualified Provider

JONES, LATRICE (NPI #1114493061, License # N/A) YesOther Qualified Provider

JUAREZ, LELA MARIA (NPI #1558655316, License # 117812) YesAssociate Marriage Family Therapist

KING, CARMEN (NPI #1023278090, License # N/A) YesOther Qualified Provider

LEVI, BRITTANY (NPI #1427551316, License # N/A) YesOther Qualified Provider

LEWIS, AMANDA (NPI #1740713213, License # 107051) YesAssociate Marriage Family Therapist

LIMON, CYNTHIA (NPI #1194280677, License # N/A) YesOther Qualified Provider

LIZARRAGA, VERONICA (NPI #1265746200, License # N/A) YesOther Qualified Provider

LOPEZ, JENNIFER LEE (NPI #1790122042, License # 79513) YesAssociate Marriage Family Therapist

Page 29 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

LOPEZ, LINDA (NPI #1063960896, License # N/A) YesOther Qualified Provider

MADISON, LORRILYNN (NPI #1215515036, License # N/A) YesOther Qualified Provider

MADUENO, MONICA (NPI #1609360023, License # N/A) YesOther Qualified Provider

MALDONADO, CINDY (NPI #1649679382, License # N/A) YesOther Qualified Provider

MCCARTNEY, CAITLYN (NPI #1518545045, License # N/A) YesOther Qualified Provider

MEDINA-AYALA, BRENDA (NPI #1518433473, License # 3061) YesAssociate Professional Clinical Counselor

MENDEZ, ERICA (NPI #1588149694, License # 108356) YesAssociate Marriage Family Therapist

MENDOZA, DIANA (NPI #1427616499, License # 5812) YesAssociate Professional Clinical Counselor

MIRANDA, YENESSA (NPI #1154911469, License # 7833) YesAssociate Professional Clinical Counselor

MUNOZ, CHRISTINE (NPI #1316379696, License # 101798) YesLicensed Marriage and Family Therapist

NAVARRO, NICOLE (NPI #1396206058, License # N/A) YesOther Qualified Provider

NAVRKAL, ROSEMARY CHRISTINA

(NPI #1841722550, License # 94295)

YesAssociate Marriage Family Therapist

NGUYEN, KHAI THANH (NPI #1992102990, License # A151492) NoLicensed Psychiatrist

OAKS, KAITLYNN (NPI #1033672415, License # N/A) YesOther Qualified Provider

OLMOS, ANGEL (NPI #1992145817, License # N/A) YesOther Qualified Provider

ORNELAS, ADRIANA (NPI #1073003968, License # N/A) YesOther Qualified Provider

ORTIZ, GILBERT (NPI #1154894947, License # N/A) YesOther Qualified Provider

OSRETKAR, HAYLEY (NPI #1942700943, License # 108472) YesAssociate Marriage Family Therapist

PARADA, EDNA (NPI #1821565607, License # N/A) YesOther Qualified Provider

PATAL, RAVI R. (NPI #1376836460, License # A 128340) YesLicensed Psychiatrist

QUANDT, MATTHEW (NPI #1538514476, License # N/A) YesOther Qualified Provider

QUINTERO, GABRIELA (NPI #1992821060, License # N/A) YesOther Qualified Provider

RAILEANU, ANNA (NPI #1548862873, License # 121831) YesAssociate Marriage Family Therapist

RAMIREZ, JOHANA (NPI #1962874248, License # N/A) YesOther Qualified Provider

RAMIREZ, MIRIAM (NPI #1538649389, License # N/A) YesOther Qualified Provider

RAMIREZ, RUBY (NPI #1720582497, License # N/A) YesOther Qualified Provider

RODRIGUEZ, MARTHA (NPI #1588213524, License # N/A) YesOther Qualified Provider

RODRIGUEZ, PAULINE (NPI #1659981207, License # N/A) YesOther Qualified Provider

ROJAS, JASMINE (NPI #1578193405, License # N/A) YesOther Qualified Provider

ROLLINS, CHELSEA (NPI #1740656842, License # 100512) YesLicensed Clinical Social Worker

ROSENBERG, PATTI (NPI #1013314335, License # 117282) YesLicensed Marriage and Family Therapist

RUIZ-ROSAS, JESSICA (NPI #1699213116, License # N/A) YesOther Qualified Provider

SAENZ, CINDY (NPI #1366702268, License # N/A) YesOther Qualified Provider

SEGURA, KARINA (NPI #1295208643, License # N/A) YesOther Qualified Provider

Page 30 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

SILVA, MARIBEL (NPI #1013932458, License # 92898) YesAssociate Marriage Family Therapist

SOTOMAYOR, YVETTE (NPI #1255767794, License # N/A) YesOther Qualified Provider

STARKS, JOSHUA (NPI #1124580444, License # 107344) YesAssociate Marriage Family Therapist

TAMBLE, ANGELICA (NPI #1194128777, License # N/A) YesOther Qualified Provider

THOMPSON, SHEENA (NPI #1982049839, License # 113538) YesLicensed Marriage and Family Therapist

TREJO, JACQUELINE (NPI #1477100485, License # N/A) YesOther Qualified Provider

VACKO, LOREN (NPI #1245874429, License # 6472) YesAssociate Professional Clinical Counselor

VELA, RACHEL (NPI #1922646892, License # N/A) YesOther Qualified Provider

WEST, RECHELLE (NPI #1417473059, License # 101289) YesAssociate Clinical Social Worker

WRIGHT, KAYLA (NPI #1427533538, License # N/A) YesOther Qualified Provider

YAMAGUCHI, TOSHIA ANN (NPI #1932558715, License # A 150914) NoLicensed Psychiatrist

ZAMUDIO-GONZALEZ, ELVA (NPI #1982187530, License # N/A) YesOther Qualified Provider

Program: Palm Springs Unified School District, 333 S FARRELL DR, Palm Springs, CA 92262, Phone: 760-416-1360, Fax:

760-416-1362

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Anxiety, Child Abuse Issues, Clinical Therapist, Depression, Family Therapy, Group

Therapy, Individual Therapy, Mental Health Counseling, Mood Disorders, Obsessive-Compulsive Behaviors, Oppositional Defiance, Peer Support,

School Issues, Substance Abuse

Languages: English, Spanish

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Other Hispanic/Latino

Races Served: Black/African-American, Filipino, Hispanic/Latino, White, Multiracial

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

ALCARAZ-LOPEZ, PABLO (NPI #1013552272, License # N/A) YesOther Qualified Provider

CHRISTENSEN, CHASE (NPI #1790970572, License # 51211) YesLicensed Marriage and Family Therapist

COPPINS, CARMELITA (NPI #1134210446, License # LCSW65448) YesLicensed Clinical Social Worker

Page 31 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

GALEANO, JOAQUIN (NPI #1255471447, License # 22546) YesLicensed Psychologist

GONZALEZ, MIREYA I (NPI #1992807846, License # MFC 45772) YesLicensed Marriage and Family Therapist

GRANILLO, CHRISTINA (NPI #1265885537, License # 103033) YesLicensed Marriage and Family Therapist

HAGY-LOPEZ, TAMARA LEE (NPI #1427154848, License # 184835) YesLicensed Marriage and Family Therapist

LEON-RAIGOZA, GUSTAVO (NPI #1568052850, License # N/A) YesOther Qualified Provider

PALENCIA, CHRISTINA GARCIA

(NPI #1609145085, License # LMFT 95304)

YesLicensed Marriage and Family Therapist

PEREZ-AGUILAR, XOCHITL (NPI #1295024842, License # 61810) YesLicensed Clinical Social Worker

RODRIGUEZ, SOFIA (NPI #1134585805, License # N/A) YesOther Qualified Provider

SNYDER, KIMBERLY (NPI #1417044892, License # LMFT 40786) YesLicensed Marriage and Family Therapist

SORIA, JAMIE (NPI #1861035628, License # N/A) NoOther Qualified Provider

TYLER, JULIA (NPI #1114215050, License # LMFT 86822) YesLicensed Marriage and Family Therapist

Program: Windy Springs Wellness Center, 19-531 McLane Street, B, Palm Springs, CA 92262, Phone: 760-288-4579, Fax:

760-288-3752

Ages Served: 21+ Accepting Referrals: Yes

Distance to closest public transportation: Greater than 1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: American Sign Language (ASL), English, Spanish

Ethnicities Served: Mexican/Mexican American, Other Hispanic/Latino

Races Served: American Indian, Black/African-American, Filipino, Hispanic/Latino, White, Multiracial

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

CAIRNS, JACLYN MARIE (NPI #1710541644, License # APCC8789) NoAssociate Professional Clinical Counselor

CARLSON, JULIE (NPI #1770849945, License # N/A) YesOther Qualified Provider

CARMONA, KLARYSA (NPI #1942688437, License # ASW90721) YesAssociate Clinical Social Worker

ELLIOTT, ANDREW (NPI #1053423384, License # G86851) YesLicensed Psychiatrist

GONZALEZ, JOSE A (NPI #1962836635, License # 115335) NoAssociate Marriage Family Therapist

Page 32 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

GRISHAM, JAMES

(NPI #1386731669, License # MFC 31971, RN 401143)

YesLicensed Marriage and Family Therapist, Registered

Nurse

HILDEBRAND, CANDICE (NPI #1700150034, License # LMFT 90673) YesLicensed Marriage and Family Therapist

HUFFORD, MARK (NPI #1609199975, License # N/A) YesOther Qualified Provider

LUNA, CARLOS ALBERTO (NPI #1457893398, License # N/A) YesAssociate Clinical Social Worker

ROJO-PEREZ, JESSICA (NPI #1710511746, License # N/A) YesOther Qualified Provider

SMITH, SHARLINA (NPI #1750651097, License # N/A) YesOther Qualified Provider

SUBAYAR, JERONIMO B (NPI #1437767589, License # 252073) YesLicensed Vocational Nurse

VALDEZ, JONATHAN (NPI #1194802876, License # N/A) YesOther Qualified Provider

Page 33 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Service Area: Mid County

Type of Provider: Contract

Type of Program: CalWorks

Organization Providers

Program: CalWORKs - Hemet, 541 N San Jacinto, Hemet, CA 92513, Phone: 951-509-8282

Ages Served: 21+ Accepting Referrals: Yes

Distance to closest public transportation: Between .25-.5 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: American Sign Language (ASL), English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention

Staff Name

Cultural

Competence

TrainingLicensure

GUPTA, NIRAJ (NPI #1073566261, License # A92943) NoLicensed Psychiatrist

HERNANDEZ, ARTURO (NPI #1598957805, License # N/A) NoOther Qualified Provider

KOENEN, DIANA (NPI #1164552667, License # MFC34962) YesLicensed Marriage and Family Therapist

ROBINSON, CAROL SUE (NPI #1942321377, License # IMF74634) YesLicensed Marriage and Family Therapist

RUGGIERO, JODY (NPI #1487825691, License # MFC101168) NoLicensed Marriage and Family Therapist

WILLIAMS, ANDREW L. (NPI #1245422575, License # N/A) YesOther Qualified Provider

Program: CalWORKs - Lake Elsinore, 1400 Minthorn Street, Lake Elsinore, CA 92530, Phone: 951-245-3100

Ages Served: All Ages Accepting Referrals: Yes, Therapy Only

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: American Sign Language (ASL), English, Other Interpretation Services, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination

Page 34 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Staff Name

Cultural

Competence

TrainingLicensure

GUPTA, NIRAJ (NPI #1073566261, License # A92943) NoLicensed Psychiatrist

HERNANDEZ, ARTURO (NPI #1598957805, License # N/A) NoOther Qualified Provider

KOENEN, DIANA (NPI #1164552667, License # MFC34962) YesLicensed Marriage and Family Therapist

PATEL, NARESH (NPI #1659412666, License # C42959) NoLicensed Psychiatrist

REEDOM, ZERUAH (NPI #1588006357, License # IMF105016) NoLicensed Marriage and Family Therapist

ROBINSON, CAROL SUE (NPI #1942321377, License # IMF74634) YesLicensed Marriage and Family Therapist

Type of Program: Mental Health

Organization Providers

Program: CHARLEE Family Care Inc. - Beaumont, 136 E. 6th Street, Beaumont, CA 92223, Phone: 951-845-3588

Ages Served: All Ages Accepting Referrals: Yes, Medication Only

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

BOCK, LESLIE MARIE (NPI #1447789037, License # 109208) YesAssociate Marriage Family Therapist

BYRNE, ATHENA (NPI #1083806426, License # 93538) YesLicensed Marriage and Family Therapist

CARLON, MARIA (NPI #1548595515, License # N/A) YesOther Qualified Provider

CASTANON, ELIZA (NPI #1659913564, License # N/A) NoOther Qualified Provider

CURRY, MICHAEL JAMES (NPI #1588221295, License # ASW95056) YesAssociate Marriage Family Therapist

JOHNSON, MILANA J. (NPI #1639595689, License # 107222) YesAssociate Marriage Family Therapist

LANIER, KATIE (NPI #1568850303, License # LMFT96395) YesLicensed Marriage and Family Therapist

Program: CHARLEE Family Care Inc. - Murrieta, 25190 HANCOCK AVE, D, Murrieta, CA 92562, Phone: 951-239-8280

Ages Served: All Ages Accepting Referrals: Yes, Medication Only

Page 35 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

BOCK, LESLIE MARIE (NPI #1447789037, License # 109208) YesAssociate Marriage Family Therapist

BYRNE, ATHENA (NPI #1083806426, License # 93538) YesLicensed Marriage and Family Therapist

CARLON, MARIA (NPI #1548595515, License # N/A) YesOther Qualified Provider

CASTANON, ELIZA (NPI #1659913564, License # N/A) NoOther Qualified Provider

GONZALEZ, ROSA ANGELA (NPI #1396987624, License # 107185) YesAssociate Marriage Family Therapist

LANIER, KATIE (NPI #1568850303, License # LMFT96395) YesLicensed Marriage and Family Therapist

Program: CHARLEE FAMILY CARE TBS-MURRIETA, 25190 HANCOCK AVE, D, Murrieta, CA 92562, Phone: 951-637-1551, Fax:

951-239-8274

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Between .25-.5 miles

ADA Compliant for Physical Plant: No TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services

Staff Name

Cultural

Competence

TrainingLicensure

ADAME, ALISA VICTORIA (NPI #1881254795, License # N/A) YesOther Qualified Provider

BEAN, VERONICA (NPI #1467623538, License # N/A) YesOther Qualified Provider

BENTO, DANIELLE (NPI #1083807200, License # N/A) YesOther Qualified Provider

COCHRAN, WHITNEY K (NPI #1376827881, License # N/A) YesOther Qualified Provider

CRUZ, ALONDRA (NPI #1467011684, License # N/A) YesOther Qualified Provider

ESPARZA, JACQUELINE (NPI #1376047571, License # N/A) YesOther Qualified Provider

Page 36 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

ESPARZA, LUIS (NPI #1265851166, License # N/A) YesOther Qualified Provider

FAIRLEY, SHERRELL (NPI #1427479278, License # N/A) YesOther Qualified Provider

FLORES, KATHLEEN (NPI #1053901439, License # N/A) YesOther Qualified Provider

GASTELUM, YVETTE AVILA

(NPI #1285020784, License # AMFT 106314)

YesAssociate Marriage Family Therapist

GLASER, RACHEL (NPI #1508230285, License # N/A) YesOther Qualified Provider

GUILLEN, ESPERANSA (NPI #1710547674, License # N/A) YesOther Qualified Provider

HABASHY, GINA (NPI #1114316387, License # N/A) YesOther Qualified Provider

LAGUNAS, CINTHIA (NPI #1316507270, License # N/A) YesOther Qualified Provider

LEE, OMARRA (NPI #1942824024, License # N/A) YesOther Qualified Provider

LINDERBURG, MARILYN S R (NPI #1174897912, License # N/A) YesOther Qualified Provider

MENDOZA, DAISY (NPI #1093301236, License # N/A) YesOther Qualified Provider

MOON, CHRISTINA (NPI #1356971600, License # N/A) YesOther Qualified Provider

PACE, MARUETTE (NPI #1023605235, License # N/A) YesOccupational Therapist

PADILLA, JACQUELINE (NPI #1861925398, License # N/A) YesOther Qualified Provider

REA, ALESSANDRA FELICIA (NPI #1831734458, License # N/A) YesOther Qualified Provider

ROJAS, ESTEBAN (NPI #1558597062, License # N/A) YesOther Qualified Provider

ROMERO, JESSICA (NPI #1316429509, License # N/A) YesOther Qualified Provider

SALAZAR, ADRIANA (NPI #1245738871, License # N/A) YesOther Qualified Provider

STERLING, MARJEAN (NPI #1376004036, License # N/A) YesOther Qualified Provider

TORRES, RENE (NPI #1497169049, License # N/A) YesOther Qualified Provider

VASQUEZ, JANICE RUBY (NPI #1235628702, License # N/A) YesOther Qualified Provider

Program: Community Access Network, 600 Central Avenue, Lake Elsinore, CA 92530, Phone: 951-471-1426

Ages Served: 21+ Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: No TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Adults Only, Anxiety Disorder, Anxiety, Bereavement/Grief Counseling, Case Management, Child

Abuse Issues, Clinical Therapist, Couples/Marriage Therapy, Depression, Family Therapy, Female Issues, Foster Youth, Gender Identity Issues,

Group Therapy, Individual Therapy, Medication Services, Mental Health Counseling, MH Counselor, Mood Disorders, Obsessive-Compulsive

Behaviors, Oppositional Defiance, Peer Support, Personality Disorders, Play Therapy, PTSD, School Issues, Stress Management, Trauma

Informed, Youth Treatment

Languages: English, Spanish

Page 37 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Ethnicities Served: Not Hispanic, Mexican/Mexican American

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination

Staff Name

Cultural

Competence

TrainingLicensure

ALMEIDA, ERICK ABDON (NPI #1992365506, License # N/A) YesOther Qualified Provider

BARRAGAN, VANESSA D (NPI #1740707082, License # N/A) YesOther Qualified Provider

BARROW, SYLVIA (NPI #1699205286, License # N/A) YesOther Qualified Provider

BRAVO, AMBER N. (NPI #1588194674, License # AMFT 99963) YesAssociate Marriage Family Therapist, Associate

Professional Clinical Counselor

BURKETTE, GILLIAN B. (NPI #1174015754, License # AMFT 99447) YesAssociate Marriage Family Therapist

CEJA, ALEXANDRA (NPI #1588193726, License # N/A) YesOther Qualified Provider

CESAR, PRISCILLA (NPI #1790110922, License # 75275) YesLicensed Clinical Social Worker

CHAVEZ, ERICA (NPI #1720498272, License # 227533) YesLicensed Marriage and Family Therapist

CHAVEZ, JESSICA BERNISE (NPI #1710400452, License # N/A) YesAssociate Clinical Social Worker

CHRISTIANSON, KYLIE J

(NPI #1659803385, License # AMFT 101715)

YesAssociate Marriage Family Therapist, Associate

Professional Clinical Counselor

CONTRERAS, CLARISSA (NPI #1407347255, License # N/A) YesOther Qualified Provider

CORTES, KIMBERLY MEGHAN (NPI #1932507506, License # 103594) YesLicensed Marriage and Family Therapist

DANIELS, SHANI (NPI #1174014831, License # N/A) YesOther Qualified Provider

DELAGARZA, ALEJANDRA (NPI #1801456710, License # N/A) YesOther Qualified Provider

DIAZ-ALVAREZ, DAYRIN (NPI #1316580673, License # N/A) YesOther Qualified Provider

DUARTE, VANESSA (NPI #1982205027, License # N/A) YesOther Qualified Provider

FERNANDEZ, KAREN R. (NPI #1851782361, License # 84176) YesAssociate Marriage Family Therapist

FERNANDEZ-SUTTON, CELIA

(NPI #1255870598, License # LCSW 93566)

YesLicensed Clinical Social Worker

FIERRO, ARLYNNA RAE (NPI #1295384782, License # N/A) YesAssociate Clinical Social Worker

FISHER, SARAH (NPI #1356873111, License # 113875) YesLicensed Marriage and Family Therapist

FRANCO, DIANA (NPI #1871024141, License # N/A) YesLicensed Marriage and Family Therapist

FREEDMANII, ANTHONY (NPI #1932583341, License # N/A) YesOther Qualified Provider

GARCIA, DAVID (NPI #1114426004, License # N/A) YesOther Qualified Provider

GIESSMANN, KRISTINA (NPI #1497141865, License # LPCC 6555) YesLicensed Professional Clinical Counselor

GOMEZ, JESSICA (NPI #1154839819, License # N/A) YesOther Qualified Provider

Page 38 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

GOMEZ, KELSEY (NPI #1336500446, License # LMFT 116901) YesAssociate Professional Clinical Counselor, Licensed

Marriage and Family Therapist

GROEN, MELANIE (NPI #1861550238, License # 29350) YesLicensed Clinical Social Worker

GUERRERO, LESLIE AILEEN (NPI #1407487242, License # N/A) YesOther Qualified Provider

GUTIERREZ, LAURA DIAZ (NPI #1063072791, License # N/A) YesAssociate Clinical Social Worker

HERNANDEZ, GENEVIE (NPI #1477103026, License # N/A) YesOther Qualified Provider

HERNANDEZ, NANNETTE (NPI #1720689474, License # N/A) YesOther Qualified Provider

ISAACS, NATALIA (NPI #1588906952, License # 75948) YesLicensed Clinical Social Worker

JIMENEZ, YANELLY (NPI #1962898304, License # N/A) YesOther Qualified Provider

LANIER, KATIE (NPI #1568850303, License # LMFT96395) YesLicensed Marriage and Family Therapist

LUCAS, LESLIE (NPI #1033375050, License # LMFT106163) YesLicensed Marriage and Family Therapist

LUNA, PAOLA VIDAURI (NPI #1063990828, License # N/A) YesOther Qualified Provider

MANZANO, MIGUEL ANGEL

(NPI #1902226178, License # AMFT 88496)

YesAssociate Marriage Family Therapist

MEZA, PATRICIA (NPI #1205151362, License # 75036) YesLicensed Clinical Social Worker

MORENO, MARISSA (NPI #1952809477, License # N/A) YesOther Qualified Provider

MOSS, MARLENA S (NPI #1982234506, License # N/A) YesOther Qualified Provider

PARISH, KEVYN (NPI #1902023286, License # N/A) YesOther Qualified Provider

PEREZ, STEPHANIE MARIE (NPI #1073173571, License # N/A) YesOther Qualified Provider

PHILOBOS, RAFIK (NPI #1972735173, License # 25611) YesLicensed Clinical Social Worker

PINTO, REGINA (NPI #1720090640, License # 19582) YesLicensed Psychologist

PORTILLO, BRYAN STEVE

(NPI #1720436660, License # AMFT109273)

YesLicensed Marriage and Family Therapist

REED, EBONIE (NPI #1821250481, License # 81228) YesLicensed Marriage and Family Therapist

RUIZ, FRANCISCO (NPI #1336523869, License # N/A) YesOther Qualified Provider

SANCHEZ, JULIO (NPI #1225431828, License # LMFT 113659) YesLicensed Marriage and Family Therapist

SANDOVAL, ANA NOELA (NPI #1629610555, License # N/A) YesOther Qualified Provider

SASTRE, LUIS (NPI #1629638317, License # N/A) YesOther Qualified Provider

SEDBERRY, MONICA (NPI #1588722755, License # 25945) YesLicensed Clinical Social Worker

SOTO, ANGELICA (NPI #1881951358, License # N/A) YesOther Qualified Provider

SPECTOR, ANDREA (NPI #1154782886, License # N/A) YesOther Qualified Provider

TAPIA-BARRERA, MARITZA (NPI #1538627443, License # N/A) YesOther Qualified Provider

TORRES, MARY (NPI #1336661040, License # N/A) YesOther Qualified Provider

URBINA, ISMAEL (NPI #1548362494, License # 24945) YesLicensed Clinical Social Worker

Page 39 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

VALERIO-SANDOVAL, CRYSTAL

(NPI #1104122050, License # 106044)

YesLicensed Marriage and Family Therapist

VARGAS, LIZBETH V (NPI #1790935740, License # AMFT 104278) YesAssociate Marriage Family Therapist

VEGA, ASHLY MICHELLE (NPI #1508376302, License # N/A) YesOther Qualified Provider

WILKINS, LAQUITTA (NPI #1407416282, License # N/A) YesOther Qualified Provider

WILKINS, MARGEAUX (NPI #1407416944, License # N/A) YesOther Qualified Provider

WILSON, CORY (NPI #1073630448, License # N/A) YesOther Qualified Provider

ZAMON, MAYRA (NPI #1851931547, License # N/A) YesOther Qualified Provider

Program: CORC FAMILY COUNSELING - HEMET, 1000 N. STATE ST., 116, Hemet, CA 92543, Phone: 951-318-1351

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English

Service Type: Mental Health Services

Staff Name

Cultural

Competence

TrainingLicensure

ENOJO, BERNADETTE (NPI #1114325487, License # N/A) NoAssociate Marriage Family Therapist

FERREIRO, SHARON (NPI #1225297567, License # 45866) YesLicensed Marriage and Family Therapist

GLEASON, DEBRA (NPI #1093137648, License # 110710) YesLicensed Marriage and Family Therapist

HABASHY, GINA (NPI #1114316387, License # N/A) YesOther Qualified Provider

HOANG, BRAIN (NPI #1720664212, License # N/A) NoAssociate Clinical Social Worker

MAIDEN, CHERYL L. (NPI #1144693045, License # 114834) YesLicensed Marriage and Family Therapist

MATHUR, SACHIN (NPI #1801401211, License # N/A) NoAssociate Marriage Family Therapist

MEESE, XERONA

(NPI #1174977748, License # AMFT-99291 APCC-2855)

YesAssociate Marriage Family Therapist

NICHELLE, KIA (NPI #1083047195, License # N/A) YesAssociate Marriage Family Therapist

PEDEN, TUNISIA L. (NPI #1760924617, License # 80282) YesLicensed Marriage and Family Therapist

Program: CORC FAMILY COUNSELING - LAKE ELSINORE, 224 W.GRAHAM AVE., LAKE ELSINORE, CA 92530, Phone: 951-318-1351

Ages Served: All Ages Accepting Referrals: Yes

Page 40 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Distance to closest public transportation: Between .25-.5 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English

Service Type: Mental Health Services

Staff Name

Cultural

Competence

TrainingLicensure

BROWNLEE, CYNTHIA L. (NPI #1386157667, License # 99521) YesLicensed Marriage and Family Therapist

ENOJO, BERNADETTE (NPI #1114325487, License # N/A) NoAssociate Marriage Family Therapist

FALENCIK, AUDREY MARIE (NPI #1366944019, License # 105200) YesLicensed Marriage and Family Therapist

FERREIRO, SEAN (NPI #1770742009, License # 45865) YesLicensed Marriage and Family Therapist

FERREIRO, SHARON (NPI #1225297567, License # 45866) YesLicensed Marriage and Family Therapist

GLEASON, DEBRA (NPI #1093137648, License # 110710) YesLicensed Marriage and Family Therapist

HABASHY, GINA (NPI #1114316387, License # N/A) YesOther Qualified Provider

HOANG, BRAIN (NPI #1720664212, License # N/A) NoAssociate Clinical Social Worker

HOLZER, JUSTIN (NPI #1780075341, License # 85077) YesLicensed Marriage and Family Therapist

MAIDEN, CHERYL L. (NPI #1144693045, License # 114834) YesLicensed Marriage and Family Therapist

MATHUR, SACHIN (NPI #1801401211, License # N/A) NoAssociate Marriage Family Therapist

MEESE, XERONA

(NPI #1174977748, License # AMFT-99291 APCC-2855)

YesAssociate Marriage Family Therapist

NICHELLE, KIA (NPI #1083047195, License # N/A) YesAssociate Marriage Family Therapist

PEDEN, TUNISIA L. (NPI #1760924617, License # 80282) YesLicensed Marriage and Family Therapist

PUGA, SUSANNA (NPI #1649667288, License # 83842) YesLicensed Marriage and Family Therapist

Program: CORC FAMILY COUNSELING - SUN CITY, 27851 BRADLEY RD., 155, Sun City, CA 92586, Phone: 951-318-1351

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Between .25-.5 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English

Service Type: Mental Health Services

Page 41 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Staff Name

Cultural

Competence

TrainingLicensure

BROWNLEE, CYNTHIA L. (NPI #1386157667, License # 99521) YesLicensed Marriage and Family Therapist

ENOJO, BERNADETTE (NPI #1114325487, License # N/A) NoAssociate Marriage Family Therapist

FALENCIK, AUDREY MARIE (NPI #1366944019, License # 105200) YesLicensed Marriage and Family Therapist

FERREIRO, SEAN (NPI #1770742009, License # 45865) YesLicensed Marriage and Family Therapist

FERREIRO, SHARON (NPI #1225297567, License # 45866) YesLicensed Marriage and Family Therapist

GLEASON, DEBRA (NPI #1093137648, License # 110710) YesLicensed Marriage and Family Therapist

HABASHY, GINA (NPI #1114316387, License # N/A) YesOther Qualified Provider

HOANG, BRAIN (NPI #1720664212, License # N/A) NoAssociate Clinical Social Worker

HOLZER, JUSTIN (NPI #1780075341, License # 85077) YesLicensed Marriage and Family Therapist

MAIDEN, CHERYL L. (NPI #1144693045, License # 114834) YesLicensed Marriage and Family Therapist

MATHUR, SACHIN (NPI #1801401211, License # N/A) NoAssociate Marriage Family Therapist

MEESE, XERONA

(NPI #1174977748, License # AMFT-99291 APCC-2855)

YesAssociate Marriage Family Therapist

NICHELLE, KIA (NPI #1083047195, License # N/A) YesAssociate Marriage Family Therapist

PEDEN, TUNISIA L. (NPI #1760924617, License # 80282) YesLicensed Marriage and Family Therapist

PUGA, SUSANNA (NPI #1649667288, License # 83842) YesLicensed Marriage and Family Therapist

Program: Creative Solutions for Kids & Families, 22445 Alessandro Blvd, 113-114, Moreno Valley, CA 92553, Phone: 951-924-9791,

Fax: 951-924-9754

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Anxiety, Bereavement/Grief Counseling, Case Management, Child Abuse Issues,

Clinical Child Psychology, Clinical Therapist, Depression, Foster Youth, Individual Therapy, LGBTQ Counseling, Mental Health Counseling, Mood

Disorders, Obsessive-Compulsive Behaviors, Oppositional Defiance, Other, Peer Support, Personality Disorders, Play Therapy, Psychologist,

Psychotic Disorders, PTSD, Registered Nurse, School Issues, Sexual Disorders, Social Worker, Stress Management, Trauma Informed, Youth

Treatment

Languages: English, Spanish, Tagalog

Ethnicities Served: Not Hispanic, Other Hispanic/Latino

Page 42 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Races Served: Black/African-American, Hispanic/Latino, Multiracial

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

ALSAADI, ANN (NPI #1841513488, License # N/A) YesOther Qualified Provider

ARGUELLES, MARLENE (NPI #1457941627, License # N/A) YesOther Qualified Provider

BRUMMER, MICHAEL (NPI #1487277505, License # N/A) YesOther Qualified Provider

CHAU, MU-LAN ARANCIBIA (NPI #1538778451, License # 119714) YesAssociate Marriage Family Therapist

CORTEZ, EVALYN MINNA (NPI #1851898910, License # N/A) YesOther Qualified Provider

CRAIN, MICHELLE (NPI #1689239170, License # N/A) YesOther Qualified Provider

DEATON, OLGA JUDITH (NPI #1649837733, License # N/A) YesOther Qualified Provider

DELAO, EDWARD (NPI #1447882022, License # N/A) YesOther Qualified Provider

FAAL, OUMIE K. (NPI #1366928772, License # N/A) YesLicensed Marriage and Family Therapist

FERRO, GUSTAVO (NPI #1588756829, License # 63482) YesAssociate Clinical Social Worker, Other Qualified

Provider

GOMEZ, JAYLENE ALICIA (NPI #1750982534, License # N/A) YesOther Qualified Provider

GRAHAM, ALONZA (NPI #1053912857, License # N/A) YesOther Qualified Provider

HAMMOND, CHARMAINE RENEE (NPI #1598323396, License # N/A) YesOther Qualified Provider

KEME, YETUNDE (NPI #1508424938, License # N/A) YesOther Qualified Provider

KISLING, KAMARYA (NPI #1124622006, License # N/A) YesOther Qualified Provider

LOPEZ, MIGUEL ZUNIGA (NPI #1679119952, License # N/A) YesOther Qualified Provider

MORALES, BEATRIZ CRISTINA (NPI #1609460104, License # N/A) YesAssociate Marriage Family Therapist

MORENO, ANNABELLE MARIE (NPI #1124638051, License # 114645) YesAssociate Marriage Family Therapist

POTTER, CHRISTY MICHELLE (NPI #1164053393, License # 7390) YesAssociate Professional Clinical Counselor

VASQUEZ, ROSEMARIE (NPI #1821591041, License # N/A) YesOther Qualified Provider

WELCH, NIEDHA (NPI #1477729887, License # 78441) YesLicensed Marriage and Family Therapist

WHITE, MELISSA QUINISHA (NPI #1508413691, License # 91193) YesAssociate Clinical Social Worker

Program: De Novo Forensic Full Service Partnership - Mid County, 170 Wilkerson Avenue, Suites C&D, Perris, CA 92570, Phone:

951-345-6378

Ages Served: All Ages Accepting Referrals: Yes

Page 43 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

WENGER, SARAH JANE (NPI #1144783184, License # 95011489) YesNurse Practitioner

WILEY, PEGGY COLLEEN (NPI #1376610881, License # 25689) YesLicensed Clinical Social Worker

Program: Hemet Adult Clinic, 650 N. State St., Hemet, CA 92543, Phone: 951-791-3300

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish, Tagalog

Service Type: Mental Health Services, Case Management, Crisis Intervention, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

AKINS-JOHNSON, CONRAD P

(NPI #1619308491, License # ASW84305)

NoAssociate Clinical Social Worker

ALVARADO, KARINA JUDIT

(NPI #1346870185, License # VN 706729)

NoLicensed Vocational Nurse

ARIAS, JOE LAZARUS (NPI #1740612282, License # 85919) NoLicensed Clinical Social Worker

BEDFORD, LAURIE (NPI #1518158187, License # N/A) NoOther Qualified Provider

CARRIGAN, CHRISTINA (NPI #1508200742, License # 111035) YesAssociate Marriage Family Therapist

GROVER, DOUGLAS SCOTT (NPI #1386178275, License # N/A) NoOther Qualified Provider

KAMAL, SAMER (NPI #1649458977, License # A121370) YesLicensed Psychiatrist

LEON, TERESA (NPI #1255785861, License # N/A) YesOther Qualified Provider

LINDSAY, JASMINE ROSHELL (NPI #1740767037, License # N/A) NoOther Qualified Provider

LONG, DIMPA (NPI #1659562064, License # N/A) NoOther Qualified Provider

Page 44 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

MORRIS, CHRISTOPHER A (NPI #1750683975, License # PA21322) NoPhysician Assistant

NOYLES, RACHAEL (NPI #1013190222, License # VN227205) NoLicensed Vocational Nurse

PORTILLO, YADIRA (NPI #1578929808, License # AMFT 87184) NoLicensed Clinical Social Worker

RAMIREZ, IRENE ALICIA (NPI #1992250070, License # ASW72153) NoAssociate Clinical Social Worker

RAMIREZ, ROSA A (NPI #1205111515, License # N/A) YesOther Qualified Provider

SALSBERRY, BARBARA (NPI #1710179841, License # N/A) NoOther Qualified Provider

SCHMITZ, NATALIE (NPI #1417277963, License # LCSW 64000) NoLicensed Clinical Social Worker

SEARCY, EKATERINA VASSILENKO

(NPI #1861425332, License # A055158)

NoLicensed Psychiatrist

SWAROVSKI, NATALIA NATASHA

(NPI #1861433252, License # A88189)

NoLicensed Psychiatrist

URIBE, DELFINO (NPI #1831672237, License # N/A) NoOther Qualified Provider

WILLIAMS, ALI (NPI #1902182090, License # PA21657) NoPhysician Assistant

YU, LAWRENCE (NPI #1013229210, License # A121621) NoLicensed Psychiatrist

Program: HEMET HOUSE, 25873 HEMET ST, HEMET, CA 92544, Phone: 951-927-2482, Fax: 951-306-0129

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Greater than 1.0 miles

ADA Compliant for Physical Plant: No TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Anxiety, Autism/Aspergers, Bereavement/Grief Counseling, Case Management,

Child Abuse Issues, Chronically Homeless/Disabled, Clinical Therapist, Depression, Developmental Issues, Eating Disorders, Family Therapy,

Female Issues, Foster Youth, Gender Identity Issues, Group Therapy, HIV/AIDS Counseling, Individual Therapy, Learning Disorders, LGBTQ

Counseling, Medication Assisted Treatment (MAT), Medication Services, Mental Health Counseling, MH Counselor, Mood Disorders,

Obsessive-Compulsive Behaviors, Oppositional Defiance, Peer Support, Personality Disorders, Phobias, Play Therapy, PTSD, Sexual Disorders,

Social Worker, Stress Management, Substance Abuse, Tourettes, Trauma Informed, Women With Children, Youth Treatment

Languages: English, Spanish, Tagalog

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Other Hispanic/Latino

Races Served: American Indian, Black/African-American, Chinese, Filipino, Hawaiian, Hispanic/Latino, White, Multiracial

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services, Short

Term Residential Therapeutic Progm, Medication Support

Page 45 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Staff Name

Cultural

Competence

TrainingLicensure

BARELA, DEBORAH SUE (NPI #1144455635, License # LMFT 113146) YesLicensed Marriage and Family Therapist

BERMUDEZ, ROBERT JR (NPI #1023137106, License # LMFT53457) YesLicensed Marriage and Family Therapist

HARMON, AMANDA (NPI #1598250573, License # 6115) NoAssociate Professional Clinical Counselor

JAWORSKI, TINA (NPI #1538554530, License # 72488) YesOther Qualified Provider

RIVERA-ROBLES, PATRICIA N

(NPI #1619520145, License # AMFT 121304)

YesAssociate Marriage Family Therapist

SANDERS, LAURA (NPI #1003382177, License # 7059) NoAssociate Professional Clinical Counselor

TRUJILLO, APRIL (NPI #1730655986, License # LVN 286935) YesLicensed Vocational Nurse

Program: HEMET RANCH, 41431 GIBBEL RD, HEMET, CA 92543, Phone: 951-765-6955, Fax: 951-765-6966

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Greater than 1.0 miles

ADA Compliant for Physical Plant: No TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Anxiety, Autism/Aspergers, Bereavement/Grief Counseling, Case Management,

Child Abuse Issues, Chronically Homeless/Disabled, Clinical Therapist, Depression, Developmental Issues, Eating Disorders, Family Therapy,

Female Issues, Foster Youth, Gender Identity Issues, Group Therapy, HIV/AIDS Counseling, Individual Therapy, Learning Disorders, LGBTQ

Counseling, Medication Assisted Treatment (MAT), Medication Services, Mental Health Counseling, MH Counselor, Mood Disorders,

Obsessive-Compulsive Behaviors, Oppositional Defiance, Peer Support, Personality Disorders, Phobias, Play Therapy, PTSD, School Issues,

Sexual Disorders, Social Worker, Stress Management, Substance Abuse, Tourettes, Trauma Informed, Women With Children, Youth Treatment

Languages: English, Spanish, Tagalog

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Other Hispanic/Latino

Races Served: American Indian, Black/African-American, Chinese, Filipino, Hawaiian, Hispanic/Latino, White, Multiracial

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services, Short

Term Residential Therapeutic Progm, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

BARELA, DEBORAH SUE (NPI #1144455635, License # LMFT 113146) YesLicensed Marriage and Family Therapist

Page 46 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

BERMUDEZ, ROBERT JR (NPI #1023137106, License # LMFT53457) YesLicensed Marriage and Family Therapist

HARMON, AMANDA (NPI #1598250573, License # 6115) NoAssociate Professional Clinical Counselor

JAWORSKI, TINA (NPI #1538554530, License # 72488) YesOther Qualified Provider

RIVERA-ROBLES, PATRICIA N

(NPI #1619520145, License # AMFT 121304)

YesAssociate Marriage Family Therapist

SANDERS, LAURA (NPI #1003382177, License # 7059) NoAssociate Professional Clinical Counselor

TRUJILLO, APRIL (NPI #1730655986, License # LVN 286935) YesLicensed Vocational Nurse

Program: INSTITUTE FOR FAMILY CENTERED SERVICES INC. DBA California Mentor - FSS, 1300 W Florida Ave, B, Hemet, CA

92543, Phone: 951-658-7122, Fax: 951-658-7140

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: No TDD/TTY Equipment Available: No

Specialties: Clinical Therapist

Languages: English, Spanish

Races Served: Black/African-American, Hispanic/Latino, White, Multiracial

Service Type: Mental Health Services, Crisis Intervention

Staff Name

Cultural

Competence

TrainingLicensure

AGREDANO, LAURA (NPI #1942803523, License # 95669) YesAssociate Clinical Social Worker

CAMPOS, CHRISTINA MICHELLE (NPI #1033760525, License # N/A) YesOther Qualified Provider

ESTRADA, NORMA A (NPI #1760011753, License # 117322) YesAssociate Marriage Family Therapist

GONZALEZ, KELLIE LYNN (NPI #1730742263, License # 92986) NoAssociate Marriage Family Therapist

HARITOPOULOS, MARIA (NPI #1114434917, License # 100936) YesLicensed Marriage and Family Therapist

HERNANDEZ, GLORIA (NPI #1255982419, License # N/A) YesOther Qualified Provider

MAYS-CANCINO, BRANDY (NPI #1629484605, License # 68715) YesAssociate Clinical Social Worker

MEDLYN, PHILIP ARTHUR (NPI #1437416997, License # 111454) YesLicensed Marriage and Family Therapist

MONTANE, GUSTAVO (NPI #1780169383, License # 109915) NoAssociate Marriage Family Therapist

PLAVAJKA, ROBERT (NPI #1346879517, License # 113787) YesAssociate Marriage Family Therapist

REVELO, JOSE MIGUEL (NPI #1902418767, License # N/A) YesOther Qualified Provider

SADENWASSER, BRANDY (NPI #1114385523, License # N/A) NoOther Qualified Provider

Page 47 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

SIMONE, AGNES KWON (NPI #1760845101, License # 15833) YesLicensed Psychiatrist

VELEZ-RAMOS, AMAIRANI (NPI #1164067401, License # N/A) YesOther Qualified Provider

WEIR, TAWNY (NPI #1205920113, License # 97520) YesLicensed Marriage and Family Therapist

WIGFALL, DONNELL (NPI #1841465556, License # 11625) YesLicensed Psychiatrist

WILLIAMS, CRYSTAL (NPI #1104378850, License # 112575) NoAssociate Marriage Family Therapist

ZUMWALT, SUZANNE MARIE (NPI #1184214348, License # N/A) YesOther Qualified Provider

Program: Lake Elsinore Behavioral Health Clinic, 31760 & 31764 Casino Drive, 100 & 300, Lake Elsinore, CA 92530, Phone:

951-471-4645

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English, Spanish, Tagalog

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

AGGREY, PHEONA T (NPI #1558872564, License # 264286) NoLicensed Vocational Nurse

ALVAREZ-MOLINA, SANDY (NPI #1922624055, License # 117626) YesAssociate Marriage Family Therapist

ARVIZU, JEANETTE (NPI #1205367604, License # N/A) YesOther Qualified Provider

BACH, IDA (NPI #1598038747, License # 79275) YesLicensed Marriage and Family Therapist

BARKER, JOHNATHAN (NPI #1750533915, License # N/A) NoOther Qualified Provider

BIRKINSHA, REBECKAH (NPI #1144412297, License # 48887) YesLicensed Marriage and Family Therapist

BRAVO, LUIS ROBERTO (NPI #1023271319, License # N/A) YesOther Qualified Provider

CANCELADA, MARIA (NPI #1134263189, License # 29205) NoLicensed Clinical Social Worker

DEPAZ, RITA (NPI #1700213162, License # N/A) YesMental Health Rehabilitation Specialist, Other

Qualified Provider

DOBOS, DAVID MICHAEL (NPI #1548318348, License # G57276) NoLicensed Psychiatrist

DRISSEN, JENNIFER LYNN (NPI #1952828543, License # N/A) YesAssociate Clinical Social Worker

DUMLAO, RHEMIE (NPI #1982094629, License # 492917) YesRegistered Nurse

ENCINAS, LISA M (NPI #1104324730, License # 103027) YesAssociate Marriage Family Therapist

ERRICO, JOSEPH RONALD (NPI #1225085731, License # C129921) YesLicensed Psychiatrist

Page 48 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

GIORDANO, TINA L (NPI #1356823207, License # 687897) YesLicensed Vocational Nurse

GLASSMAN, JAGANATH SINGH (NPI #1558409771, License # G55004) YesLicensed Physician

GREEN, HEIDI (NPI #1477814655, License # N/A) YesOther Qualified Provider

HARRIGAN, CYNTHIA LYNN (NPI #1386760460, License # N/A) NoOther Qualified Provider

HERRERA, JENNIFER (NPI #1922470822, License # N/A) NoOther Qualified Provider

JOHANSON, MARY C (NPI #1376168674, License # N/A) YesOther Qualified Provider

JONES, JENNIFER J (NPI #1356591697, License # N/A) YesOther Qualified Provider

KUMARI, NEETA (NPI #1508094830, License # A 122624) NoLicensed Psychiatrist

LARA, EVELYN (NPI #1326443490, License # N/A) NoOther Qualified Provider

LINDO, JOHN (NPI #1487947958, License # A142898) NoLicensed Psychiatrist

LISSAUR, RALPH (NPI #1245287960, License # A 88975) YesLicensed Psychiatrist

MALLYA, SARITA (NPI #1588648588, License # C54259) NoLicensed Psychiatrist

MANNING, DARSHANNA I'M UNIQUE

(NPI #1578069027, License # N/A)

YesOther Qualified Provider

MARTINEZCOLBER, MARIA

(NPI #1972805729, License # LMFT107316)

YesLicensed Marriage and Family Therapist

NAWAZ, SHAJITHA (NPI #1659476331, License # C54583) YesLicensed Psychiatrist

NOVAK, NANCY (NPI #1508994690, License # 557049) YesRegistered Nurse

OVERBEY, HEIDI ANN (NPI #1437663895, License # LMFT118229) YesLicensed Marriage and Family Therapist

QUIROZ, ILSE M. (NPI #1134524200, License # N/A) NoOther Qualified Provider

RANDALL, TRISTAN H (NPI #1043693369, License # N/A) YesAssociate Clinical Social Worker, Other Qualified

Provider

ROJAS, EDWIN (NPI #1437578036, License # N/A) NoOther Qualified Provider

SANCHEZ, AURELIO (NPI #1932515897, License # N/A) NoAssociate Clinical Social Worker

STALLINGS, JAMIE (NPI #1881049963, License # ASW64279) YesAssociate Clinical Social Worker

STANARD, KARRENE L (NPI #1700423779, License # N/A) YesOther Qualified Provider

STEVENS, MADELAINE (NPI #1831561752, License # N/A) YesOther Qualified Provider

TERRAZAS, ANGELICA (NPI #1114316528, License # N/A) NoOther Qualified Provider

TERRONES, JONI (NPI #1851711535, License # N/A) NoOther Qualified Provider

TORRES, EFREN (NPI #1609102953, License # N/A) NoOther Qualified Provider

VELEZ, FRANCES (NPI #1144613530, License # N/A) NoOther Qualified Provider

WARE, TIMICA (NPI #1811220940, License # N/A) YesMental Health Rehabilitation Specialist

Program: Lake Elsinore Children's, 31946 Mission Trail, B, Lake Elsinore, CA 92530, Phone: 951-245-7663, Fax: 951-674-6431

Ages Served: 0-20 Accepting Referrals: Yes

Page 49 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

ALVAREZ, MARIA G (NPI #1780085647, License # ASW71698) YesOther Qualified Provider

ALVAREZ-TORRES, MELISSA

(NPI #1912436809, License # ASW 84267)

YesOther Qualified Provider

ARRIETA, DOLORES MARIE (NPI #1205096179, License # N/A) NoOther Qualified Provider

BARDEN, LEAH (NPI #1386036648, License # N/A) NoOther Qualified Provider

BUSTAMANTE, HEATHER E (NPI #1457542318, License # LMFT52295) NoLicensed Marriage and Family Therapist

CARDONA, GLORIA MONTES (NPI #1356999049, License # N/A) NoOther Qualified Provider

CASTILLO, LETICIA (NPI #1225419492, License # 120310) NoAssociate Professional Clinical Counselor, Licensed

Marriage and Family Therapist

CHOI, KANG WON MATHEW (NPI #1457643355, License # 20A12512) YesLicensed Psychiatrist

COONEY, HEATHER R (NPI #1659525012, License # N/A) NoOther Qualified Provider

CORONADO, ANGELICA (NPI #1619459286, License # N/A) YesOther Qualified Provider

COURY, CURTIS (NPI #1447378005, License # N/A) NoOther Qualified Provider

CRUZ, MAYRA (NPI #1588053433, License # 108159) YesLicensed Marriage and Family Therapist

DELACRUZ, JANET (NPI #1780993147, License # 74064) YesLicensed Clinical Social Worker

DIEBOLD, SARAH (NPI #1174799449, License # LCSW29084) YesLicensed Clinical Social Worker

DIXON, JENNIFER (NPI #1164656757, License # LMFT88174) YesLicensed Marriage and Family Therapist

EGAN, DINERY (NPI #1538286109, License # LMFT#53718) YesLicensed Marriage and Family Therapist

ESCOBEDO, CARLOS (NPI #1689042392, License # N/A) YesOther Qualified Provider

GIRARD, EMMA (NPI #1386883106, License # PSY 19090) YesLicensed Psychologist

GUERRERO, CRYSTAL GUERRERO

(NPI #1508217357, License # ASW80142)

NoLicensed Clinical Social Worker

GUSTAFSSON, CARINA (NPI #1033487707, License # LMFT79609) YesLicensed Marriage and Family Therapist

GUTIERREZ, OLGA (NPI #1376971622, License # n/a) YesOther Qualified Provider

INZUNZA, ELENA (NPI #1730308149, License # LCSW79294) YesLicensed Clinical Social Worker

Page 50 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

KUMAR, GAURAV (NPI #1235513102, License # A151187) YesLicensed Physician, Licensed Psychiatrist

LACY, DEBRA (NPI #1225333438, License # 86783) NoLicensed Marriage and Family Therapist

LOZA, ANNA (NPI #1104909969, License # LCSW23117) YesLicensed Clinical Social Worker

MCDANIEL, LARCENIA R (NPI #1770934515, License # ASW84240) YesAssociate Clinical Social Worker

MCKEDDIE, BEVERLY (NPI #N/A, License # LMFT 46099) YesLicensed Marriage and Family Therapist

MONTECINO, TANNA (NPI #1386876563, License # LMFT88570) YesLicensed Marriage and Family Therapist

MORENO, ADELAIDA (NPI #1366616682, License # LMFT112604) NoLicensed Marriage and Family Therapist

MURILLO, ERICA PINAL (NPI #1861852774, License # N/A) NoOther Qualified Provider

NOVOA, OLIVIA G (NPI #1063954840, License # N/A) YesOther Qualified Provider

PEOPLES, STEPHANIE (NPI #1568520666, License # 20062) YesLicensed Psychologist

PORTILLO, CLAUDIA (NPI #1295144970, License # N/A) NoOther Qualified Provider

RAMOS, ARLENE MARY (NPI #1346583309, License # AMFT 80374) YesLicensed Marriage and Family Therapist

RIVERA, JAIMEE MARIE

(NPI #1801186531, License # LMFT 120736)

YesLicensed Marriage and Family Therapist

ROBINSON, LA TRISE RENEE (NPI #1700310745, License # N/A) YesOther Qualified Provider

ROBINSON, MIRANDA D. (NPI #1841328861, License # LCSW21027) YesLicensed Clinical Social Worker

SANTILLI, ISABEL (NPI #1508045014, License # LMFT95921) YesLicensed Marriage and Family Therapist

SMITH, VALAI KENDALL (NPI #1508164518, License # N/A) NoAssociate Clinical Social Worker

SOTO, OLGA (NPI #1205007572, License # N/A) YesOther Qualified Provider

TEXEIRA, DUSTIN (NPI #1073691101, License # RN362365) NoRegistered Nurse

TORRES, CARLI N (NPI #1750833315, License # N/A) YesOther Qualified Provider

WHITMORE, ALINA CYPRIANTE

(NPI #1033447339, License # LMFT 53060)

YesLicensed Marriage and Family Therapist

Program: Mental Health Court-Murrieta, 40925 County Center Drive, 200, Temecula, CA 92591, Phone: 951-696-3049

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English

Service Type: Mental Health Services

Staff Name

Cultural

Competence

TrainingLicensure

Page 51 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

ALVIDREZ, LORENA (NPI #1740656743, License # N/A) YesOther Qualified Provider

CONTRERAS, JESSIE-RAE (NPI #1558968396, License # N/A) NoOther Qualified Provider

FREDERIKSEN, SEAN (NPI #1265694582, License # 85244) YesLicensed Marriage and Family Therapist

GALIPPO, RYAN GREGORY (NPI #1518445725, License # 100139) NoAssociate Marriage Family Therapist

Program: MFI Murrieta Outpatient, 24885 Whitewood Rd, 105, Murrieta, CA 92563, Phone: 951-683-6596, Fax: 951-351-1554

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Between .25-.5 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: Certified Alcohol Counselor, Individual Therapy, MH Counselor, Trauma Informed

Languages: English, Other Interpretation Services, Spanish

Service Type: Mental Health Services

Staff Name

Cultural

Competence

TrainingLicensure

BLANCO, FRANCES (NPI #1710262738, License # ASW60961) YesLicensed Clinical Social Worker

CLINTON, REBECCA ROSE (NPI #1073130324, License # ASW95220) YesAssociate Clinical Social Worker

DIMANNO, NATALIE CLAIRE (NPI #1972164499, License # 6149) YesAssociate Marriage Family Therapist

ENGLAND, ALLISON

(NPI #1194350439, License # APCC7525, AMFT117765)

YesAssociate Marriage Family Therapist, Associate

Professional Clinical Counselor

HICKS, MATTHEW RONALD (NPI #1033240080, License # 21132) YesLicensed Clinical Social Worker

JENNINGS, TAMARA (NPI #1376843672, License # LMFT81538) YesLicensed Marriage and Family Therapist

NAVARRO, SAMANTHA (NPI #1053927335, License # ASW90280) YesAssociate Clinical Social Worker

RODRIGUEZ, STEFANI (NPI #1659979490, License # AMFT121026) YesAssociate Marriage Family Therapist

Program: MFI RECOVERY CENTER - SAN JACINTO, 950 S State Street, D & E, Hemet, CA 92543, Phone: 951-683-6596, Fax:

951-351-1554

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: Family Therapy, Individual Therapy, Medication Assisted Treatment (MAT), Mental Health Counseling, Trauma Informed

Page 52 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Languages: English, Spanish

Service Type: Mental Health Services, Case Management

Staff Name

Cultural

Competence

TrainingLicensure

ALVARENGA, ROSA (NPI #1134408065, License # IMF74825) NoAssociate Marriage Family Therapist

BARTH, CASSSANDRA (NPI #1467644526, License # IMF99051) YesAssociate Marriage Family Therapist

BLANCO, FRANCES (NPI #1710262738, License # ASW60961) YesLicensed Clinical Social Worker

CLINTON, REBECCA ROSE (NPI #1073130324, License # ASW95220) YesAssociate Clinical Social Worker

DAGGETT, MARTHA I (NPI #1891071676, License # IMF71634) YesAssociate Marriage Family Therapist

DIMANNO, NATALIE CLAIRE (NPI #1972164499, License # 6149) YesAssociate Marriage Family Therapist

DRAKE, MELINDA GEREMILLO (NPI #1568593168, License # 68954) YesLicensed Clinical Social Worker

ENGLAND, ALLISON

(NPI #1194350439, License # APCC7525, AMFT117765)

YesAssociate Marriage Family Therapist, Associate

Professional Clinical Counselor

FRANKLIN, RUBIE (NPI #1023200136, License # 48719) NoLicensed Marriage and Family Therapist

HICKS, MATTHEW RONALD (NPI #1033240080, License # 21132) YesLicensed Clinical Social Worker

JENNINGS, TAMARA (NPI #1376843672, License # LMFT81538) YesLicensed Marriage and Family Therapist

JOHNSON, WILLIE (NPI #1386157782, License # IMF98198) YesAssociate Marriage Family Therapist

KORNBLUTH, REBECCA (NPI #1760747265, License # IMF78133) YesAssociate Marriage Family Therapist

LACY, DEBRA (NPI #1225333438, License # 86783) NoLicensed Marriage and Family Therapist

LOPEZ, MARIA A. (NPI #1285018176, License # IMF98768) YesAssociate Marriage Family Therapist

MCCALISTER, BETSY (NPI #1730389214, License # LCSW18224) YesLicensed Clinical Social Worker

NAVARRO, SAMANTHA (NPI #1053927335, License # ASW90280) YesAssociate Clinical Social Worker

PATEL, BIPIN (NPI #1528197647, License # A46654) NoLicensed Psychiatrist

RODRIGUEZ, STEFANI (NPI #1659979490, License # AMFT121026) YesAssociate Marriage Family Therapist

Program: Multi-Dimensional Family Therapy Mid-County, 308 E. SAN JACINTO AVE, Perris, CA 92570, Phone: 951-943-1130, Fax:

951-657-7146

Ages Served: 0-20 Accepting Referrals: Yes, Therapy Only

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Page 53 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Specialties: ADHD, Adjustment Disorders, Anxiety, Case Management, Clinical Therapist, Family Therapy, Individual Therapy, Oppositional

Defiance, Substance Abuse

Languages: Arabic, English, Spanish

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Other Hispanic/Latino

Races Served: Black/African-American, Hispanic/Latino, White, Other Race

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

BOJORQUEZ, CLAUDIA (NPI #1164842209, License # N/A) NoOther Qualified Provider

FUENTES, STEPHANIE (NPI #1962801795, License # 99896) NoLicensed Marriage and Family Therapist

GALINDO, CELIA (NPI #1629307335, License # N/A) NoOther Qualified Provider

GONZALEZ, ADRIANA (NPI #1982059309, License # AMFT102120) NoAssociate Marriage Family Therapist

MADDOX, TAI (NPI #1063956670, License # 116079) YesLicensed Marriage and Family Therapist

MASSOUD, SOULAFA (NPI #1174657209, License # LCSW 66427) YesLicensed Clinical Social Worker

MCKEDDIE, BEVERLY (NPI #N/A, License # LMFT 46099) YesLicensed Marriage and Family Therapist

Program: New Haven Youth & Family Services - Temecula, 28765 Single Oak Drive, Temecula, CA 92590, Phone: 951-699-4906, Fax:

951-587-2625

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Greater than 1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

AUKAI, COLLIN (NPI #1508398876, License # N/A) YesOther Qualified Provider

BITUIN-HARRIS, ALEXIS (NPI #1992278378, License # N/A) YesOther Qualified Provider

BRIBIESCA, JEANNETTE (NPI #1801373865, License # N/A) YesOther Qualified Provider

Page 54 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

BUTINDARO, JOSEPH ELIHU SHIGERU

(NPI #1902364854, License # N/A)

YesOther Qualified Provider

COLEMAN-DORSEY, SHEANIA NAKICH

(NPI #1619124484, License # LMFT119855)

YesLicensed Marriage and Family Therapist

CORTEZ, MICHAEL (NPI #1558827840, License # N/A) YesOther Qualified Provider

EMERY, DENNIS (NPI #1821280876, License # N/A) YesOther Qualified Provider

ENDRES, EVAN (NPI #1902274830, License # N/A) YesOther Qualified Provider

FOLK, CRYSTAL (NPI #1972989408, License # AMFT96077) YesAssociate Marriage Family Therapist, Other Qualified

Provider

FOSTER, TREVOR (NPI #1689009102, License # N/A) YesOther Qualified Provider

FRANKS, LISA (NPI #1760818082, License # 99058) YesLicensed Clinical Social Worker, Other Qualified

Provider

FREED, MIKAYLA ELISE (NPI #1699324814, License # N/A) YesOther Qualified Provider

FRITH, JONATHAN STEVEN (NPI #1922598622, License # N/A) YesLicensed Marriage and Family Therapist, Other

Qualified Provider

GONZALES, MORGAN (NPI #1922609973, License # N/A) YesOther Qualified Provider

GONZALEZ, ISABEL LIDUVING (NPI #1548443864, License # N/A) YesOther Qualified Provider

HEINEMAN, MICHAEL (NPI #1093108276, License # N/A) YesOther Qualified Provider

JOHNSON, JENNIFER (NPI #1164652806, License # 111437) YesLicensed Marriage and Family Therapist

JOHNSON, LAWRENCE (NPI #1710482005, License # N/A) YesOther Qualified Provider

LUKE, BREANA (NPI #1427680032, License # N/A) YesOther Qualified Provider

MALDONADO, ASHLEY MARIE (NPI #1184259194, License # N/A) YesOther Qualified Provider

MCOMBER, JEANNIE (NPI #1972153054, License # N/A) YesOther Qualified Provider

MEDRANO, SAIRA (NPI #1104209733, License # N/A) YesOther Qualified Provider

MENDEZ, CECLILIA (NPI #1184990970, License # IMF74490) NoAssociate Marriage Family Therapist

MEYERS, ROBERT (NPI #1669741815, License # N/A) YesOther Qualified Provider

NAN, PAULINE (NPI #1760713408, License # N/A) YesOther Qualified Provider

PEREZ, CARLOS (NPI #1639361769, License # N/A) YesOther Qualified Provider

RAMIREZ, ROSALVA (NPI #1821683582, License # N/A) YesOther Qualified Provider

ROMAN, GERALDINE (NPI #1912306416, License # AMFT 106261) YesAssociate Marriage Family Therapist

ROMERO, CHEYENNE JUSTINA (NPI #1942788476, License # N/A) YesOther Qualified Provider

SOTELO, KAYLA (NPI #1619524238, License # N/A) YesOther Qualified Provider

TAKAKI, MOLLY (NPI #1285259986, License # N/A) YesOther Qualified Provider

TAYLOR, WARREN (NPI #1457543159, License # N/A) YesOther Qualified Provider

Page 55 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

THOMAS, RACHEL (NPI #1831510098, License # 38401) YesLicensed Marriage and Family Therapist, Other

Qualified Provider

THRELFALL, NATALIE NICOLE (NPI #1235796749, License # N/A) YesOther Qualified Provider

VEROSA, ROWENA (NPI #1295927754, License # 20838) YesLicensed Psychologist, Other Qualified Provider

WELCH, NIEDHA (NPI #1477729887, License # 78441) YesLicensed Marriage and Family Therapist

WOODWARD, GLENN (NPI #1821548264, License # N/A) YesOther Qualified Provider

Program: New Hope Christian Counseling Center, 464 S. Palm, C & D, Hemet, CA 92543, Phone: 951-247-6542, Fax: 951-247-6959

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Anxiety, Bereavement/Grief Counseling, Case Management, Child Abuse Issues,

Chronically Homeless/Disabled, Clinical Therapist, Couples/Marriage Therapy, Depression, Family Therapy, Female Issues, Foster Youth, Gender

Identity Issues, Geriatric Counseling, Group Therapy, Individual Therapy, Male Issues, Men With Children, Mental Health Counseling, MH

Counselor, Mood Disorders, Obsessive-Compulsive Behaviors, Oppositional Defiance, Personality Disorders, Phobias, Play Therapy, Post

Partum Disorder, Psychotic Disorders, School Issues, Sexual Disorders, Stress Management, Substance Abuse, Trauma Informed, Veterans For

MH, Women With Children

Languages: English, Spanish

Ethnicities Served: Mexican/Mexican American, Other Hispanic/Latino

Races Served: Black/African-American, Hispanic/Latino, White, Multiracial

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination

Staff Name

Cultural

Competence

TrainingLicensure

HAYDEN, AMANDA (NPI #1083213748, License # N/A) YesLicensed Marriage and Family Therapist

JORDAN, RYAN R (NPI #1255961132, License # N/A) YesAssociate Marriage Family Therapist, Licensed

Marriage and Family Therapist

KAYES, MAX (NPI #1306905492, License # MFC22998) YesLicensed Marriage and Family Therapist

KRYGIER, ALEXI (NPI #1629693098, License # AMFT 119948) YesLicensed Marriage and Family Therapist

LILIENTHALJR., MALCOLM BERNARD

(NPI #1669972295, License # AMFT 101046)

YesLicensed Marriage and Family Therapist

Page 56 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

LIRA, JEANNINE A (NPI #1174148563, License # AMFT) YesLicensed Marriage and Family Therapist

MENA, ANGELICA (NPI #1427656826, License # N/A) YesLicensed Marriage and Family Therapist

MINERO, GERMAN J (NPI #1639603251, License # AMFT 100152) YesLicensed Marriage and Family Therapist

NAVARRO, ALEX JR. (NPI #1578049342, License # 108385) NoLicensed Marriage and Family Therapist

NAVARRO, CHAELENE (NPI #1447778105, License # 108384) NoLicensed Marriage and Family Therapist

OAKES, ANNELISE REBECCA (NPI #1609462647, License # N/A) YesLicensed Marriage and Family Therapist

PARRAGA, AN-TONIA (NPI #1801136411, License # 87071) YesLicensed Marriage and Family Therapist

REYNA, ARIANNA MONIQUE (NPI #1881150530, License # 112013) NoLicensed Marriage and Family Therapist

SULLIVAN, DEBI (NPI #1669826848, License # 87827) YesLicensed Marriage and Family Therapist

THOMAS, HILLARY (NPI #1972990208, License # N/A) YesLicensed Marriage and Family Therapist

Program: Oak Grove Center, 24275 Jefferson Ave., Murrieta, CA 92562, Phone: 951-677-5599, Fax: 951-698-0461

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Greater than 1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Specialties: ADHD, Anxiety Disorder, Anxiety, Case Management, Child Abuse Issues, Clinical Child Psychology, Clinical Therapist, Depression,

Family Therapy, Foster Youth, Gender Identity Issues, Group Therapy, Individual Therapy, Medication Services, Mental Health Counseling, Mood

Disorders, Oppositional Defiance, Peer Support, Play Therapy, Psychiatrist, Psychotic Disorders, PTSD, Rehab Therapist, Stress Management,

Substance Abuse, Trauma Informed, Youth Treatment

Languages: Arabic, English, Spanish

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Other Hispanic/Latino

Races Served: Black/African-American, Japanese, Hispanic/Latino, White, Multiracial, Other Asian

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services, Short

Term Residential Therapeutic Progm, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

AZZAM, MATT (NPI #1427603315, License # 692783) YesLicensed Vocational Nurse

BAEZ, MARY E (NPI #1245322874, License # 48302) YesLicensed Marriage and Family Therapist

BALDWIN, THOMAS JAMES (NPI #1659926830, License # 106206) YesLicensed Marriage and Family Therapist

BANKS-RASKEY, LAURIE (NPI #1558816678, License # 90847) YesLicensed Marriage and Family Therapist

Page 57 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

BERGREEN-BROWN, BRANDY (NPI #1659756427, License # 5083) YesLicensed Professional Clinical Counselor

BOULES-SYTA, JENNIFER (NPI #1699300194, License # 89239) YesAssociate Clinical Social Worker

CAIPO, CHRIS (NPI #1326670563, License # N/A) YesOther Qualified Provider

CALLAHAN, JEFFERY (NPI #1407264799, License # 80260) YesAssociate Marriage Family Therapist

CHAVEZ, PAULINA (NPI #1467041681, License # N/A) YesOther Qualified Provider

CLARK, BRIANNA LINDSEY (NPI #1194345082, License # N/A) YesOther Qualified Provider

CRUZ, STEPHANIE (NPI #1124659701, License # N/A) YesOther Qualified Provider

DECHRISTOPHER, JESSICA (NPI #1992198030, License # 119302) YesLicensed Marriage and Family Therapist

DEDDEH, CHRISTINA MARIE (NPI #1609407527, License # N/A) YesOther Qualified Provider

DEHARO, ERIK (NPI #1346872421, License # N/A) YesOther Qualified Provider

DIAZ, GABRIELA (NPI #1962033886, License # N/A) YesOther Qualified Provider

ERWIN, KARISSA (NPI #1053737429, License # 110849) YesLicensed Marriage and Family Therapist

FLORES, ANTONIO JOHN MATHEW (NPI #1508364670, License # N/A) YesOther Qualified Provider

GENGLER, BILLIE (NPI #1336591148, License # 12964) YesLicensed Clinical Social Worker

GREWAL, HARINDER (NPI #1114041712, License # A32070) YesLicensed Psychiatrist

GUADALUPE, BRENDA (NPI #1598017139, License # 109520) YesLicensed Marriage and Family Therapist

GUERRERO, JISSICA (NPI #1518517911, License # N/A) YesOther Qualified Provider

IVEY, ANTHONY (NPI #1508456575, License # N/A) YesOther Qualified Provider

JESTER, WILL KENNETH III (NPI #1194357269, License # N/A) YesOther Qualified Provider

KIELER, SANDRA ELENA (NPI #1730745258, License # 97997) YesAssociate Clinical Social Worker

LEARY, MEAGAN (NPI #1962003392, License # 97676) YesAssociate Clinical Social Worker

LOCKHART, LACY (NPI #1811529043, License # N/A) YesOther Qualified Provider

LOVIO, BRITTANY (NPI #1588110886, License # N/A) YesOther Qualified Provider

MARROQUIN, JENNIFER (NPI #1972198976, License # N/A) YesOther Qualified Provider

MCCAULEY, MALLARY ROSE (NPI #1669066163, License # N/A) YesOther Qualified Provider

MCCOLLUM, BROOK LINDSEY (NPI #1609420108, License # 270224) YesLicensed Vocational Nurse

MCCOLLUM, GEORGIA ROSE (NPI #1861049280, License # 695104) YesLicensed Vocational Nurse

MESTAS, SARA L. (NPI #1912359738, License # 107255) YesLicensed Marriage and Family Therapist

MUNFORD, DANYELLE (NPI #1538713029, License # 283738) YesLicensed Vocational Nurse

OROZCO, CYNTHIA (NPI #1588249585, License # N/A) YesOther Qualified Provider

OROZCO, RAYMOND WALTER (NPI #1689205528, License # N/A) YesOther Qualified Provider

ORTIZ, TIFFANY (NPI #1396321519, License # N/A) YesOther Qualified Provider

PENLAND, BEATRIZ (NPI #1023648441, License # N/A) YesOther Qualified Provider

PHILLIPS, MEGHAN (NPI #1164859476, License # 99788) YesLicensed Marriage and Family Therapist

QUINTO, RODERIC N (NPI #1457834855, License # 93064) YesLicensed Marriage and Family Therapist

Page 58 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

REDDY, VEDHIRE (NPI #1427156173, License # A46202) YesLicensed Psychiatrist

RIDLEY, MICHAEL JON (NPI #1730710195, License # N/A) YesOther Qualified Provider

SISSON, NATALIE L (NPI #1629623236, License # N/A) YesOther Qualified Provider

SOCH, KRYSTYNA (NPI #1497300115, License # 111874) YesAssociate Marriage Family Therapist

STERNDALE, GARY (NPI #1720663966, License # N/A) YesOther Qualified Provider

SWEANEY, KAYLA BELL (NPI #1093346660, License # N/A) YesOther Qualified Provider

TOTMAN, JERRY RICHARD (NPI #1679107858, License # N/A) YesOther Qualified Provider

VOGEL, LAURA (NPI #1093270183, License # 87211) YesAssociate Clinical Social Worker

Program: Pathways to Success Vocational Service - Mid-County, 40925 County Center Dr., 110, Temecula, CA 92591, Phone:

951-940-6233

Ages Served: 21+ Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Specialties: Anxiety Disorder, Other

Languages: English, Spanish

Ethnicities Served: Mexican/Mexican American, Other Hispanic/Latino

Races Served: Black/African-American, White

Service Type: Mental Health Services

Staff Name

Cultural

Competence

TrainingLicensure

CORDERO, ROBERTO (NPI #1053731125, License # N/A) YesOther Qualified Provider

DELGADILLO, ADRIANA (NPI #1477752566, License # N/A) NoOther Qualified Provider

EVOLA, DALE (NPI #1952673402, License # LMFT48473) YesLicensed Marriage and Family Therapist

HAROLD, JACOB DANIEL (NPI #1710416268, License # N/A) NoOther Qualified Provider

HERNANDEZ, ALICIA (NPI #1003936600, License # N/A) NoOther Qualified Provider

KOCHEVAR-NOLTE, CHEYRL (NPI #1588034250, License # N/A) NoOther Qualified Provider

VELASCO, ENEDINA (NPI #1710009790, License # N/A) NoOther Qualified Provider

Program: Perris Family Room Clinic, 450 E San Jacinto Ave, PERRIS, CA 92570, Phone: 951-443-2200

Page 59 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Ages Served: 21+ Accepting Referrals: Yes, Medication Only

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention

Staff Name

Cultural

Competence

TrainingLicensure

ALVAREZ-MOLINA, SANDY (NPI #1922624055, License # 117626) YesAssociate Marriage Family Therapist

ARVIZU, JEANETTE (NPI #1205367604, License # N/A) YesOther Qualified Provider

BACH, IDA (NPI #1598038747, License # 79275) YesLicensed Marriage and Family Therapist

BIRKINSHA, REBECKAH (NPI #1144412297, License # 48887) YesLicensed Marriage and Family Therapist

BULACAN, JERIC (NPI #1477157097, License # vn252831) YesLicensed Vocational Nurse

CADENA, VANESSA S (NPI #1215577424, License # 115209) NoAssociate Marriage Family Therapist, Associate

Professional Clinical Counselor

CAYLAN, LILIAN (NPI #1871660696, License # A42541) YesLicensed Psychiatrist

CHANG, MICHAEL (NPI #1467553073, License # A 104922) YesLicensed Psychiatrist

CHON, ELIZABETH (NPI #1528429735, License # N/A) YesOther Qualified Provider

DEPAZ, RITA (NPI #1700213162, License # N/A) YesMental Health Rehabilitation Specialist, Other

Qualified Provider

DRISSEN, JENNIFER LYNN (NPI #1952828543, License # N/A) YesAssociate Clinical Social Worker

DUMLAO, RHEMIE (NPI #1982094629, License # 492917) YesRegistered Nurse

ENCINAS, LISA M (NPI #1104324730, License # 103027) YesAssociate Marriage Family Therapist

ERRICO, JOSEPH RONALD (NPI #1225085731, License # C129921) YesLicensed Psychiatrist

FLORES, JILL SUZANNE (NPI #1134638570, License # N/A) YesMental Health Rehabilitation Specialist

GIORDANO, TINA L (NPI #1356823207, License # 687897) YesLicensed Vocational Nurse

GLASSMAN, JAGANATH SINGH (NPI #1558409771, License # G55004) YesLicensed Physician

GONZALEZ, LORRAINE (NPI #1760728844, License # N/A) YesOther Qualified Provider

GORDON, MONICA (NPI #1114117603, License # A86089) YesLicensed Psychiatrist

GREEN, HEIDI (NPI #1477814655, License # N/A) YesOther Qualified Provider

JAYARATNA, MAHINDA ALACKMAN

(NPI #1902836190, License # A 42511)

YesLicensed Psychiatrist

JOHANSON, MARY C (NPI #1376168674, License # N/A) YesOther Qualified Provider

Page 60 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

JONES, JENNIFER J (NPI #1356591697, License # N/A) YesOther Qualified Provider

LAMONS, FRANCES STEPHANIE (NPI #1194054890, License # N/A) YesOther Qualified Provider

MANNING, DARSHANNA I'M UNIQUE

(NPI #1578069027, License # N/A)

YesOther Qualified Provider

MARTINEZCOLBER, MARIA

(NPI #1972805729, License # LMFT107316)

YesLicensed Marriage and Family Therapist

MILLER, DENISE (NPI #1710240288, License # LCSW82997) NoLicensed Clinical Social Worker

MOGHADDAS, MEHDI (NPI #1407884406, License # C 41299) YesLicensed Psychiatrist

MOULTON, FERNANDO (NPI #1134546617, License # 107226) YesAssociate Marriage Family Therapist, Other Qualified

Provider

NAWAZ, SHAJITHA (NPI #1659476331, License # C54583) YesLicensed Psychiatrist

NNAMANI, OLUCHI LYNDA (NPI #1194289231, License # 95146426) NoRegistered Nurse

OVERBEY, HEIDI ANN (NPI #1437663895, License # LMFT118229) YesLicensed Marriage and Family Therapist

PADUA, DANIEL (NPI #1689626483, License # A 55584) YesLicensed Psychiatrist

PENA, SYLVIA JEANNETTE (NPI #1174045074, License # N/A) NoOther Qualified Provider

STALLINGS, JAMIE (NPI #1881049963, License # ASW64279) YesAssociate Clinical Social Worker

STEVENS, MADELAINE (NPI #1831561752, License # N/A) YesOther Qualified Provider

STIVERS, ADRIANA (NPI #1790100188, License # N/A) NoAssociate Marriage Family Therapist

TERRAZANO, MAUREEN CATHY

(NPI #1942341920, License # G 73113)

NoLicensed Physician, Licensed Psychiatrist

TONDRO, MAUDIE (NPI #1104077072, License # 34165) YesPsychiatric Technician

URIBE, CANDY ROSE (NPI #1174959092, License # N/A) YesOther Qualified Provider

WARE, TIMICA (NPI #1811220940, License # N/A) YesMental Health Rehabilitation Specialist

YAMAGUCHI, TOSHIA ANN (NPI #1932558715, License # A 150914) NoLicensed Psychiatrist

Program: San Jacinto Children's Program, 950 North Ramona Blvd., 1-3, San Jacinto, CA 92582, Phone: 951-487-2674, Fax:

951-487-2679

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Between .25-.5 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English, Portuguese, Spanish

Service Type: Mental Health Services, Medication Support

Page 61 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Staff Name

Cultural

Competence

TrainingLicensure

BOJORQUEZ, CLAUDIA (NPI #1164842209, License # N/A) NoOther Qualified Provider

IJEAKU, IJEOMA (NPI #1295978229, License # A118450) YesLicensed Psychiatrist

KURZ, TROY LEWIS (NPI #1154862357, License # a157190) NoLicensed Physician

MCKEDDIE, BEVERLY (NPI #N/A, License # LMFT 46099) YesLicensed Marriage and Family Therapist

MCKNIGHT, THOMAS SPENCER

(NPI #1861817157, License # LMFT 99271)

YesLicensed Marriage and Family Therapist

MONTE, KENNETH ALAN (NPI #1447546882, License # 20A15002) YesLicensed Psychiatrist

NGUYEN, KHAI THANH (NPI #1992102990, License # A151492) NoLicensed Psychiatrist

PATEL, SHALIN (NPI #1366858656, License # A144153) YesLicensed Physician, Licensed Psychiatrist

TRUONG, KEVIN (NPI #1063804755, License # A158018) NoLicensed Physician

YAMAGUCHI, TOSHIA ANN (NPI #1932558715, License # A 150914) NoLicensed Psychiatrist

Program: San Jacinto Older Adult Wellness & Recovery Center, 1370 S. State St., San Jacinto, CA 92583, Phone: 951-791-3330

Ages Served: 21+ Accepting Referrals: Yes

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Specialties: Other

Languages: English, Spanish

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Other Hispanic/Latino

Races Served: American Indian, Black/African-American, Filipino, Hispanic/Latino, White, Other Race

Service Type: Mental Health Services, Case Management, Crisis Intervention, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

ALVAREZ-MOLINA, SANDY (NPI #1922624055, License # 117626) YesAssociate Marriage Family Therapist

ARVIZU, JEANETTE (NPI #1205367604, License # N/A) YesOther Qualified Provider

BACH, IDA (NPI #1598038747, License # 79275) YesLicensed Marriage and Family Therapist

BARRERA, MICHELLE (NPI #1629612924, License # N/A) YesOther Qualified Provider

Page 62 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

BIRKINSHA, REBECKAH (NPI #1144412297, License # 48887) YesLicensed Marriage and Family Therapist

CASTANEDA, YESENIA (NPI #1265704993, License # N/A) YesMental Health Rehabilitation Specialist

CAYLAN, LILIAN (NPI #1871660696, License # A42541) YesLicensed Psychiatrist

DEPAZ, RITA (NPI #1700213162, License # N/A) YesMental Health Rehabilitation Specialist, Other

Qualified Provider

DRISSEN, JENNIFER LYNN (NPI #1952828543, License # N/A) YesAssociate Clinical Social Worker

DUMLAO, RHEMIE (NPI #1982094629, License # 492917) YesRegistered Nurse

ENCINAS, LISA M (NPI #1104324730, License # 103027) YesAssociate Marriage Family Therapist

ERRICO, JOSEPH RONALD (NPI #1225085731, License # C129921) YesLicensed Psychiatrist

FLORES, JILL SUZANNE (NPI #1134638570, License # N/A) YesMental Health Rehabilitation Specialist

GLASSMAN, JAGANATH SINGH (NPI #1558409771, License # G55004) YesLicensed Physician

GONZALEZ, LORRAINE (NPI #1760728844, License # N/A) YesOther Qualified Provider

GORDON, MONICA (NPI #1114117603, License # A86089) YesLicensed Psychiatrist

JOHANSON, MARY C (NPI #1376168674, License # N/A) YesOther Qualified Provider

JONES, JENNIFER J (NPI #1356591697, License # N/A) YesOther Qualified Provider

KAMAL, SAMER (NPI #1649458977, License # A121370) YesLicensed Psychiatrist

LAMONS, FRANCES STEPHANIE (NPI #1194054890, License # N/A) YesOther Qualified Provider

MANNING, DARSHANNA I'M UNIQUE

(NPI #1578069027, License # N/A)

YesOther Qualified Provider

MARTINEZCOLBER, MARIA

(NPI #1972805729, License # LMFT107316)

YesLicensed Marriage and Family Therapist

MILLER, DENISE (NPI #1710240288, License # LCSW82997) NoLicensed Clinical Social Worker

NAWAZ, SHAJITHA (NPI #1659476331, License # C54583) YesLicensed Psychiatrist

NNAMANI, OLUCHI LYNDA (NPI #1194289231, License # 95146426) NoRegistered Nurse

OVERBEY, HEIDI ANN (NPI #1437663895, License # LMFT118229) YesLicensed Marriage and Family Therapist

POMARES, BURNSHELL (NPI #1396075461, License # VN 244130) YesLicensed Vocational Nurse

RAMIREZ, IRENE ALICIA (NPI #1992250070, License # ASW72153) NoAssociate Clinical Social Worker

STALLINGS, JAMIE (NPI #1881049963, License # ASW64279) YesAssociate Clinical Social Worker

STEVENS, MADELAINE (NPI #1831561752, License # N/A) YesOther Qualified Provider

THOMAS, DAPHNE (NPI #1316100985, License # N/A) YesMental Health Rehabilitation Specialist, Other

Qualified Provider

URIBE, CANDY ROSE (NPI #1174959092, License # N/A) YesOther Qualified Provider

WARE, TIMICA (NPI #1811220940, License # N/A) YesMental Health Rehabilitation Specialist

YAMAGUCHI, TOSHIA ANN (NPI #1932558715, License # A 150914) NoLicensed Psychiatrist

Page 63 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Program: Sigil Social Foundation, 41715 Enterprise Circle North, 102, Temecula, CA 92590, Phone: 951-291-2997, Fax: 951-346-3000

Ages Served: All Ages Accepting Referrals: Yes, Therapy Only

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English

Service Type: Mental Health Services

Staff Name

Cultural

Competence

TrainingLicensure

BELISLE, MICHELLE (NPI #1336545060, License # AMFT185198) YesLicensed Marriage and Family Therapist

PAULSON, ROBIN (NPI #1114207131, License # LMFT46994) NoLicensed Marriage and Family Therapist

VINCENT, SANDRA (NPI #1639788557, License # APCC8061) YesAssociate Professional Clinical Counselor

Program: SUNSET HOUSE, 41021 SUNSET LANE, HEMET, CA 92544, Phone: 951-929-0111

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Greater than 1.0 miles

ADA Compliant for Physical Plant: No TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Anxiety, Autism/Aspergers, Bereavement/Grief Counseling, Case Management,

Child Abuse Issues, Chronically Homeless/Disabled, Clinical Therapist, Depression, Developmental Issues, Eating Disorders, Family Therapy,

Female Issues, Foster Youth, Gender Identity Issues, Gender Specific Treatment, Group Therapy, HIV/AIDS Counseling, Individual Therapy,

Learning Disorders, LGBTQ Counseling, Medication Assisted Treatment (MAT), Medication Services, Mental Health Counseling, MH Counselor,

Mood Disorders, Obsessive-Compulsive Behaviors, Oppositional Defiance, Peer Support, Personality Disorders, Phobias, Play Therapy, PTSD,

School Issues, Sexual Disorders, Social Worker, Stress Management, Substance Abuse, Tourettes, Trauma Informed, Women With Children,

Youth Treatment

Languages: English, Spanish, Tagalog

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Other Hispanic/Latino

Races Served: American Indian, Black/African-American, Filipino, Hawaiian, Hispanic/Latino, White, Multiracial

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services, Short

Term Residential Therapeutic Progm, Medication Support

Page 64 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Staff Name

Cultural

Competence

TrainingLicensure

BARELA, DEBORAH SUE (NPI #1144455635, License # LMFT 113146) YesLicensed Marriage and Family Therapist

BERMUDEZ, ROBERT JR (NPI #1023137106, License # LMFT53457) YesLicensed Marriage and Family Therapist

HARMON, AMANDA (NPI #1598250573, License # 6115) NoAssociate Professional Clinical Counselor

JAWORSKI, TINA (NPI #1538554530, License # 72488) YesOther Qualified Provider

RIVERA-ROBLES, PATRICIA N

(NPI #1619520145, License # AMFT 121304)

YesAssociate Marriage Family Therapist

SANDERS, LAURA (NPI #1003382177, License # 7059) NoAssociate Professional Clinical Counselor

TRUJILLO, APRIL (NPI #1730655986, License # LVN 286935) YesLicensed Vocational Nurse

Program: Temecula Adult Behavioral Health Clinic, 40925 County Center Drive, 101 and 200, Temecula, CA 92591, Phone:

951-600-6300, Fax: 951-600-6377

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: Anxiety Disorder, Anxiety, Bereavement/Grief Counseling, Case Management, Chronically Homeless/Disabled, Clinical Therapist,

Depression, Developmental Issues, Geriatric Counseling, Group Therapy, Individual Therapy, LGBTQ Counseling, Medication Services, Mental

Health Counseling, MH Counselor, Mood Disorders, Obsessive-Compulsive Behaviors, Other, Peer Support, Personality Disorders, Psychiatrist,

Psychotic Disorders, PTSD, Registered Nurse, Senior Specific Counseling, Social Worker, Stress Management, Substance Abuse

Languages: Arabic, English, Italian, Other Non-English, Spanish, Tagalog

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

ALVAREZ-MOLINA, SANDY (NPI #1922624055, License # 117626) YesAssociate Marriage Family Therapist

ARVIZU, JEANETTE (NPI #1205367604, License # N/A) YesOther Qualified Provider

BACH, IDA (NPI #1598038747, License # 79275) YesLicensed Marriage and Family Therapist

BIRKINSHA, REBECKAH (NPI #1144412297, License # 48887) YesLicensed Marriage and Family Therapist

BRAVO, LUIS ROBERTO (NPI #1023271319, License # N/A) YesOther Qualified Provider

Page 65 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

CRUZ, NOELLE MARIE (NPI #1538684576, License # N/A) NoOther Qualified Provider

DEPAZ, RITA (NPI #1700213162, License # N/A) YesMental Health Rehabilitation Specialist, Other

Qualified Provider

DRISSEN, JENNIFER LYNN (NPI #1952828543, License # N/A) YesAssociate Clinical Social Worker

DUMLAO, RHEMIE (NPI #1982094629, License # 492917) YesRegistered Nurse

EICHLER, LAURIE (NPI #1275938938, License # N/A) NoOther Qualified Provider

ENCINAS, LISA M (NPI #1104324730, License # 103027) YesAssociate Marriage Family Therapist

ERRICO, JOSEPH RONALD (NPI #1225085731, License # C129921) YesLicensed Psychiatrist

FARNSWORTH, JAROD (NPI #1952900029, License # N/A) YesOther Qualified Provider

FICERE, IRMA ISELA (NPI #1477642775, License # 92350) NoOther Qualified Provider

GLASSMAN, JAGANATH SINGH (NPI #1558409771, License # G55004) YesLicensed Physician

HAKOPIAN, ANNIE MARIE (NPI #1386152759, License # 621366) NoRegistered Nurse

JEFFERSON-GLIPA, FRANCIS (NPI #1356498612, License # 42577) NoLicensed Professional Clinical Counselor, Licensed

Marriage and Family Therapist

JOHANSON, MARY C (NPI #1376168674, License # N/A) YesOther Qualified Provider

JONES, JENNIFER J (NPI #1356591697, License # N/A) YesOther Qualified Provider

LISSAUR, RALPH (NPI #1245287960, License # A 88975) YesLicensed Psychiatrist

MANNING, DARSHANNA I'M UNIQUE

(NPI #1578069027, License # N/A)

YesOther Qualified Provider

MARTINEZCOLBER, MARIA

(NPI #1972805729, License # LMFT107316)

YesLicensed Marriage and Family Therapist

MEDINA, NATALIE (NPI #1720314404, License # 73526) NoOther Qualified Provider

MERINO, BERTHA (NPI #1265504492, License # N/A) NoOther Qualified Provider

MILLER, DENISE (NPI #1710240288, License # LCSW82997) NoLicensed Clinical Social Worker

NAWAZ, SHAJITHA (NPI #1659476331, License # C54583) YesLicensed Psychiatrist

NOVAK, NANCY (NPI #1508994690, License # 557049) YesRegistered Nurse

OVERBEY, HEIDI ANN (NPI #1437663895, License # LMFT118229) YesLicensed Marriage and Family Therapist

PEARSON, SAMANTHA RASHEEN-SHANEL

(NPI #1629571054, License # 291382)

NoLicensed Vocational Nurse

SAUNDERS, BRITTANY NICOLE

(NPI #1972155182, License # LVN 701227)

YesLicensed Vocational Nurse

SMITH, KAREN (NPI #1467098301, License # N/A) NoOther Qualified Provider

STALLINGS, JAMIE (NPI #1881049963, License # ASW64279) YesAssociate Clinical Social Worker

STANARD, KARRENE L (NPI #1700423779, License # N/A) YesOther Qualified Provider

STEVENS, MADELAINE (NPI #1831561752, License # N/A) YesOther Qualified Provider

Page 66 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

VASQUEZ, JENNIFER (NPI #1457416448, License # LMFT33963) NoLicensed Marriage and Family Therapist

WALLIS, KENNETH CRAIG (NPI #1649243692, License # C41960) NoLicensed Psychiatrist

WARE, TIMICA (NPI #1811220940, License # N/A) YesMental Health Rehabilitation Specialist

Program: Temecula Children's Behavioral Health, 41002 County Center Drive, 320, Temecula, CA 92591, Phone: 951-600-6355

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Anxiety, Case Management, Child Abuse Issues, Clinical Therapist, Depression,

Eating Disorders, Family Therapy, Foster Youth, Group Therapy, Individual Therapy, Medication Services, Obsessive-Compulsive Behaviors,

Oppositional Defiance, Peer Support, Psychiatrist, Psychotic Disorders, PTSD, Stress Management, Trauma Informed, Youth Treatment

Languages: English, Farsi, Spanish

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Other Hispanic/Latino

Races Served: Black/African-American, Chinese, Filipino, Hispanic/Latino, White, Multiracial

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

BUSTAMANTE, HEATHER E (NPI #1457542318, License # LMFT52295) NoLicensed Marriage and Family Therapist

CONTRANO, ELLAVELINE PULIDO

(NPI #1134253891, License # 110799)

NoAssociate Marriage Family Therapist

ESHRAGHI, SAEED (NPI #1073740254, License # A118501) NoLicensed Psychiatrist

EVANS, WENDY (NPI #1033426366, License # LCSW 71271) YesLicensed Clinical Social Worker

GINESTA, ARLENNE (NPI #1720308612, License # A124266) YesLicensed Psychiatrist

MASSOUD, SOULAFA (NPI #1174657209, License # LCSW 66427) YesLicensed Clinical Social Worker

MCKEDDIE, BEVERLY (NPI #N/A, License # LMFT 46099) YesLicensed Marriage and Family Therapist

MENDOZA, JULIA (NPI #1699035139, License # LMFT97624) YesLicensed Marriage and Family Therapist

MONTE, KENNETH ALAN (NPI #1447546882, License # 20A15002) YesLicensed Psychiatrist

ORTIZ, BEVERLY (NPI #1760826572, License # LMFT 121355) NoLicensed Marriage and Family Therapist

RIVERA, EVELYN (NPI #1467904268, License # N/A) NoMental Health Rehabilitation Specialist

Page 67 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

SAUNDERS, BRITTANY NICOLE

(NPI #1972155182, License # LVN 701227)

YesLicensed Vocational Nurse

SCIALOIA, CHRISTINA (NPI #1831504620, License # LMFT 111729) YesLicensed Marriage and Family Therapist

WHITE, VICTORIA STAPP (NPI #1598804981, License # 25860) YesLicensed Marriage and Family Therapist

YALE, KIRK (NPI #1356505499, License # MFC 52338) YesLicensed Marriage and Family Therapist

Program: Temecula Day Reporting Center - Mental Health, 41002 County Circle Drive, A225, Temecula, CA 92591, Phone:

951-600-6009

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: American Sign Language (ASL), English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention

Staff Name

Cultural

Competence

TrainingLicensure

ERAZO, LISA MARIE (NPI #1023566213, License # LMFT109322) YesLicensed Marriage and Family Therapist

KAMPHUIS, MICHELE LYNN (NPI #1265068423, License # N/A) YesOther Qualified Provider

SASSO, MATTHEW (NPI #1497106215, License # ACSW85290) YesAssociate Clinical Social Worker

WILLIAMS, ANDREW L. (NPI #1245422575, License # N/A) YesOther Qualified Provider

Program: The Arena TAY Resource and Support Center Mid-County, 2560 N. Perris Blvd., N1, Perris`, CA 92571, Phone: 951-940-6755

Ages Served: 21+ Accepting Referrals: Yes

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

Page 68 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

BALSAMO, DALIA (NPI #1003141847, License # A142906) YesLicensed Psychiatrist

CONTRANO, ELLAVELINE PULIDO

(NPI #1134253891, License # 110799)

NoAssociate Marriage Family Therapist

FUENTES, STEPHANIE (NPI #1962801795, License # 99896) NoLicensed Marriage and Family Therapist

GUPTA, NIRAJ (NPI #1073566261, License # A92943) NoLicensed Psychiatrist

HERNANDEZ, JENNIFER MICHELLE

(NPI #1871085076, License # N/A)

NoAssociate Clinical Social Worker

MARKUSSEN, JACQUELINE (NPI #1780814335, License # N/A) YesLicensed Marriage and Family Therapist

SAUNDERS, BRITTANY NICOLE

(NPI #1972155182, License # LVN 701227)

YesLicensed Vocational Nurse

SILVA-LUJANO, ADRIANA (NPI #1104332840, License # 292194) NoLicensed Vocational Nurse

VELASQUEZ, SARAI GRACIA (NPI #1518594191, License # N/A) NoAssociate Professional Clinical Counselor

Program: The Heart Matters Mental Health Center, 21935 Van Buren St, Suite A-1, Grand Terrace, CA 92313, Phone: 909-906-1023,

Fax: 909-906-1032

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Anxiety, Bereavement/Grief Counseling, Case Management, Child Abuse Issues,

Clinical Child Psychology, Clinical Therapist, Depression, Family Therapy, Female Issues, Foster Youth, Gender Identity Issues, Group Therapy,

Individual Therapy, Mental Health Counseling, MH Counselor, Mood Disorders, Oppositional Defiance, Peer Support, Play Therapy, PTSD, Rehab

Therapist, School Issues, Social Worker, Stress Management, Trauma Informed, Youth Treatment

Languages: English

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

ANDREWS, LIA (NPI #1376140871, License # 92642) YesLicensed Clinical Social Worker

GUTIERREZ, JESSICA (NPI #1033698931, License # N/A) YesAssociate Clinical Social Worker

MARTIN, PIERRA (NPI #1558891416, License # N/A) YesLicensed Marriage and Family Therapist

MILES, AKILAH (NPI #1366969941, License # N/A) YesMental Health Rehabilitation Specialist

SCOTT-HAGGER, DONNA (NPI #1699179259, License # N/A) YesMental Health Rehabilitation Specialist

Page 69 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Program: Victor Community Support Services - TBS, 265 San Jacinto River Rd., 106 & 107, Lake Elsinore, CA 92530, Phone:

951-674-9243, Fax: 951-674-9635

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

AGUIRRE, MARIXA (NPI #1003152927, License # 100555) YesAssociate Marriage Family Therapist

ALVARADO, JAZMIN (NPI #1588112965, License # N/A) YesMental Health Rehabilitation Specialist

ARRIETA, MELISSA (NPI #1538300512, License # 46857) YesLicensed Marriage and Family Therapist

BRYAN, JOHN B (NPI #1932253440, License # 44869) YesLicensed Marriage and Family Therapist

CASILLASHARRIS, MYRNA VERONICA

(NPI #1811130941, License # N/A)

NoMental Health Rehabilitation Specialist

CELIS, GEMA NAVA (NPI #1154827434, License # N/A) YesOther Qualified Provider

CERRUDO, LYSANDER (NPI #1245724194, License # N/A) YesOther Qualified Provider

CHOI, BENEDICT (NPI #1386960029, License # 86069) YesLicensed Marriage and Family Therapist

COOPER, MARGARITA (NPI #1033373006, License # 90716) YesLicensed Marriage and Family Therapist

CORDON, STEPHANIE (NPI #1033651831, License # 108486) YesAssociate Marriage Family Therapist

CORTES, AURORA (NPI #1467954032, License # N/A) YesOther Qualified Provider

DELGADO, JOHNNY (NPI #1396250841, License # N/A) YesOther Qualified Provider

DESJARDINS, MARK (NPI #1578944161, License # 77759) YesAssociate Clinical Social Worker

DEVRIES, JOHN (NPI #1932253747, License # 39344) YesLicensed Marriage and Family Therapist

EICHELBERG, VALERIE (NPI #1225534746, License # 108182) YesAssociate Marriage Family Therapist

GADDIS, AMANDA (NPI #1629498639, License # 111055) YesAssociate Marriage Family Therapist

GASTON, DANIELLE (NPI #1679091680, License # 119328) YesLicensed Marriage and Family Therapist

GONZALEZ, JOHANNA (NPI #1356888101, License # N/A) YesMental Health Rehabilitation Specialist

GUNSETH, SAMANTHA (NPI #1376949818, License # N/A) NoOther Qualified Provider

HOLMES, GEMMA (NPI #1265799654, License # 119155) YesLicensed Marriage and Family Therapist

Page 70 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

HOOVER, NATALIE (NPI #1407296619, License # 79643) YesAssociate Clinical Social Worker

HUIZAR, JAEL (NPI #1841601507, License # 121894) YesLicensed Marriage and Family Therapist

LOPEZ, MARIA A. (NPI #1285018176, License # IMF98768) YesAssociate Marriage Family Therapist

MACIAS, MAGALY (NPI #1821650722, License # N/A) YesAssociate Clinical Social Worker

MCCAMISH, TAMMY (NPI #1265586879, License # 39425) YesLicensed Marriage and Family Therapist

MCDANIEL, YESICA (NPI #1518219997, License # 108280) YesLicensed Marriage and Family Therapist

MCKEDDIE, BEVERLY (NPI #N/A, License # LMFT 46099) YesLicensed Marriage and Family Therapist

OLVERA, JOSEPH PATRICK (NPI #1831351162, License # 116287) YesLicensed Marriage and Family Therapist

PANDO, SUZEN (NPI #1083253918, License # N/A) YesOther Qualified Provider

PAVLICK, MICHELLE N. (NPI #1235658113, License # 124519) YesAssociate Marriage Family Therapist

PELUCE, POPPY (NPI #1922152834, License # 23689) YesLicensed Clinical Social Worker

PEREZ, VERONICA H. (NPI #1366822272, License # 115532) YesLicensed Marriage and Family Therapist

RIVERA-ROBLES, PATRICIA N

(NPI #1619520145, License # AMFT 121304)

YesAssociate Marriage Family Therapist

RODRIGUEZ, LUISA (NPI #1679744254, License # 99955) YesLicensed Clinical Social Worker

RUIZ, LETICIA (NPI #1669856712, License # 115747) YesLicensed Marriage and Family Therapist

RUSSON, DEANN (NPI #1528248796, License # 60515) YesLicensed Clinical Social Worker

SANCHEZ, EFREN (NPI #1396076568, License # N/A) YesMental Health Rehabilitation Specialist

SANCHEZ, MARISA (NPI #1306181458, License # 121159) YesLicensed Marriage and Family Therapist

TAKEDA, GEORGE (NPI #1659790541, License # 106171) YesLicensed Marriage and Family Therapist

THOMPSON, CELESTE (NPI #1881104321, License # 99535) YesAssociate Clinical Social Worker

TORRES, WILLIS DEAN (NPI #1699380204, License # N/A) YesOther Qualified Provider

VANCE, MARRISSA (NPI #1942737515, License # 99428) YesAssociate Marriage Family Therapist

VELASCO, ERICA (NPI #1134387368, License # 102400) YesAssociate Marriage Family Therapist

VILLAREAL, ANN-SOPHIE (NPI #1033624598, License # 121899) YesLicensed Marriage and Family Therapist

Program: Victor Community Support Services (VCSS Hemet), 1105 E Florida Ave, Hemet, CA 92543, Phone: 951-439-2939

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination

Page 71 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Staff Name

Cultural

Competence

TrainingLicensure

AGUIAR, BIANCA ROMERO (NPI #1134628605, License # N/A) YesOther Qualified Provider

ALATORRE, ANA (NPI #1922614163, License # N/A) YesMental Health Rehabilitation Specialist

AVALOS, ERIC (NPI #1730634932, License # N/A) YesMental Health Rehabilitation Specialist

BARROW, LEAHMONTAINE (NPI #1821477639, License # ASW71504) YesAssociate Marriage Family Therapist

BRYAN, JOHN B (NPI #1932253440, License # 44869) YesLicensed Marriage and Family Therapist

BUTLER, MOLLY (NPI #1902272537, License # LMFT102651) YesLicensed Marriage and Family Therapist

CABRERA, HENRY (NPI #1245722362, License # 95013674) NoOther Qualified Provider

CANANDA-RUDOLPH, JESSICA (NPI #1710577978, License # N/A) YesAssociate Marriage Family Therapist

CARLOS, RUBITH (NPI #1750786109, License # LMFT124769) YesLicensed Marriage and Family Therapist

CARTER, COURTNEY (NPI #1649408741, License # LMFT92503) YesLicensed Marriage and Family Therapist

CASTELLON, GRISELDA GUADALUPE

(NPI #1831666718, License # N/A)

YesAssociate Marriage Family Therapist

CERRUDO, LYSANDER (NPI #1245724194, License # N/A) YesOther Qualified Provider

COLEMAN-DORSEY, SHEANIA NAKICH

(NPI #1619124484, License # LMFT119855)

YesLicensed Marriage and Family Therapist

CORREA, PAOLA (NPI #1730745969, License # ACSW95246) YesAssociate Clinical Social Worker

DIAZ, RAYMOND (NPI #1871083105, License # LMFT) YesLicensed Marriage and Family Therapist

DOMINUEZ, DANIELLE NORET

(NPI #1477855583, License # AMFT103716)

YesAssociate Marriage Family Therapist

DUNN, ALANA (NPI #1629122122, License # 237079) YesLicensed Marriage and Family Therapist

ELMASHAT, ASHRAF (NPI #1851322887, License # A68922) NoLicensed Psychiatrist

GALLARD, NATHALI (NPI #1326236456, License # N/A) YesMental Health Rehabilitation Specialist

GARCIA, JANET M (NPI #1881118255, License # LMFT121252) YesAssociate Clinical Social Worker

GILBERT, CHERYLL (NPI #1700236122, License # LCSW88683) YesLicensed Clinical Social Worker

GONZALEZ, BELEN (NPI #1366803397, License # ACSW94858) YesAssociate Clinical Social Worker

GONZALEZ, MARICELA (NPI #1689087017, License # LCSW96564) YesLicensed Clinical Social Worker

HERNANDEZ, ERNESTO ARMANDO

(NPI #1669089918, License # 115527)

YesAssociate Marriage Family Therapist

HORTON, MEGHANN (NPI #1740865476, License # N/A) YesMental Health Rehabilitation Specialist

LANIER, KATIE (NPI #1568850303, License # LMFT96395) YesLicensed Marriage and Family Therapist

LERMA, LATICIA (NPI #1366826273, License # LMFT111854) YesLicensed Marriage and Family Therapist

LINDO, JOHN (NPI #1487947958, License # A142898) NoLicensed Psychiatrist

Page 72 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

MACIAS, BIANCA MARIA (NPI #1972143667, License # 275394) YesAssociate Marriage Family Therapist

MCDANIEL, LARCENIA R (NPI #1770934515, License # ASW84240) YesAssociate Clinical Social Worker

MITCHELL, JACQUELINE (NPI #1386021814, License # 76168) YesLicensed Marriage and Family Therapist

MOORE, SUSANA (NPI #1710234364, License # AMFT116321) YesAssociate Marriage Family Therapist

MOYER, GINGER (NPI #1902105844, License # 267691) YesAssociate Marriage Family Therapist

MUNOZ, YOBANA (NPI #1891189502, License # AMFT113528) YesAssociate Marriage Family Therapist

NIEBLA-BACA, LIZETH (NPI #1952953614, License # AMFT106442) YesAssociate Marriage Family Therapist

PENA, MIRIAM (NPI #1619442332, License # N/A) YesOther Qualified Provider

PHILLIPPE, JENNIFER (NPI #1811442940, License # ASW89641) YesAssociate Clinical Social Worker

POPE, ROBERT J (NPI #1083228191, License # AMFT117849) YesAssociate Marriage Family Therapist

RODRIGUEZ, FIBIOLA (NPI #1598130106, License # N/A) YesAssociate Clinical Social Worker

RODRIGUEZ, MELISSA M (NPI #1225513187, License # ASW91669) YesAssociate Clinical Social Worker

SALAZAR, MA SELENE (NPI #1205446929, License # N/A) YesMental Health Rehabilitation Specialist

SCHULTZ, DERICK (NPI #1871001362, License # N/A) YesMental Health Rehabilitation Specialist

SMITH, MONICA (NPI #1699247122, License # AMFT104950) YesAssociate Marriage Family Therapist

THUONG, QUAN (NPI #1902381080, License # N/A) YesMental Health Rehabilitation Specialist

VANG, NANCY (NPI #1144578881, License # ASW79127) YesAssociate Clinical Social Worker

VIZCAYA, ELOISA CISNEROS (NPI #1225671282, License # 189265) YesAssociate Clinical Social Worker

WANAMAKER, IAN MICHAEL (NPI #1780202242, License # N/A) YesLicensed Marriage and Family Therapist

YAO, PHILLIP (NPI #1780290908, License # AMFT121456) YesAssociate Marriage Family Therapist

YU, LAWRENCE (NPI #1013229210, License # A121621) NoLicensed Psychiatrist

Program: Victor Community Support Services (VCSS Lake Elsinore), 265 San Jacinto River Rd., 107, Lake Elsinore, CA 92530,

Phone: 951-674-9243, Fax: 951-674-9635

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

Page 73 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

AGUIRRE, MARIXA (NPI #1003152927, License # 100555) YesAssociate Marriage Family Therapist

ARRIETA, MELISSA (NPI #1538300512, License # 46857) YesLicensed Marriage and Family Therapist

BRYAN, JOHN B (NPI #1932253440, License # 44869) YesLicensed Marriage and Family Therapist

CABRERA, HENRY (NPI #1245722362, License # 95013674) NoOther Qualified Provider

CASILLASHARRIS, MYRNA VERONICA

(NPI #1811130941, License # N/A)

NoMental Health Rehabilitation Specialist

CELIS, GEMA NAVA (NPI #1154827434, License # N/A) YesOther Qualified Provider

CHOI, BENEDICT (NPI #1386960029, License # 86069) YesLicensed Marriage and Family Therapist

CORDON, STEPHANIE (NPI #1033651831, License # 108486) YesAssociate Marriage Family Therapist

CORTES, AURORA (NPI #1467954032, License # N/A) YesOther Qualified Provider

DELGADO, JOHNNY (NPI #1396250841, License # N/A) YesOther Qualified Provider

DESJARDINS, MARK (NPI #1578944161, License # 77759) YesAssociate Clinical Social Worker

EICHELBERG, VALERIE (NPI #1225534746, License # 108182) YesAssociate Marriage Family Therapist

ELMASHAT, ASHRAF (NPI #1851322887, License # A68922) NoLicensed Psychiatrist

ETTI-EYONG, LYSETTE (NPI #1992990519, License # 63441) YesAssociate Clinical Social Worker

GADDIS, AMANDA (NPI #1629498639, License # 111055) YesAssociate Marriage Family Therapist

GASTON, DANIELLE (NPI #1679091680, License # 119328) YesLicensed Marriage and Family Therapist

GONZALEZ, JOHANNA (NPI #1356888101, License # N/A) YesMental Health Rehabilitation Specialist

GUNSETH, SAMANTHA (NPI #1376949818, License # N/A) NoOther Qualified Provider

HOLMES, GEMMA (NPI #1265799654, License # 119155) YesLicensed Marriage and Family Therapist

HOOVER, NATALIE (NPI #1407296619, License # 79643) YesAssociate Clinical Social Worker

HUIZAR, JAEL (NPI #1841601507, License # 121894) YesLicensed Marriage and Family Therapist

MCCAMISH, TAMMY (NPI #1265586879, License # 39425) YesLicensed Marriage and Family Therapist

MCDANIEL, YESICA (NPI #1518219997, License # 108280) YesLicensed Marriage and Family Therapist

OLVERA, JOSEPH PATRICK (NPI #1831351162, License # 116287) YesLicensed Marriage and Family Therapist

PANDO, SUZEN (NPI #1083253918, License # N/A) YesOther Qualified Provider

PAVLICK, MICHELLE N. (NPI #1235658113, License # 124519) YesAssociate Marriage Family Therapist

PELUCE, POPPY (NPI #1922152834, License # 23689) YesLicensed Clinical Social Worker

PEREZ, VERONICA H. (NPI #1366822272, License # 115532) YesLicensed Marriage and Family Therapist

RIVERA-ROBLES, PATRICIA N

(NPI #1619520145, License # AMFT 121304)

YesAssociate Marriage Family Therapist

RODRIGUEZ, LUISA (NPI #1679744254, License # 99955) YesLicensed Clinical Social Worker

RUIZ, LETICIA (NPI #1669856712, License # 115747) YesLicensed Marriage and Family Therapist

RUSSON, DEANN (NPI #1528248796, License # 60515) YesLicensed Clinical Social Worker

SANCHEZ, EFREN (NPI #1396076568, License # N/A) YesMental Health Rehabilitation Specialist

Page 74 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

SANCHEZ, MARISA (NPI #1306181458, License # 121159) YesLicensed Marriage and Family Therapist

TAKEDA, GEORGE (NPI #1659790541, License # 106171) YesLicensed Marriage and Family Therapist

THOMPSON, CELESTE (NPI #1881104321, License # 99535) YesAssociate Clinical Social Worker

TORRES, WILLIS DEAN (NPI #1699380204, License # N/A) YesOther Qualified Provider

VANCE, MARRISSA (NPI #1942737515, License # 99428) YesAssociate Marriage Family Therapist

VELASCO, ERICA (NPI #1134387368, License # 102400) YesAssociate Marriage Family Therapist

VILLAREAL, ANN-SOPHIE (NPI #1033624598, License # 121899) YesLicensed Marriage and Family Therapist

Program: Victor Community Support Services (VCSS Lake Elsinore), 265 San Jacinto River Rd., 107, 201-207, Lake Elsinore, CA

92530, Phone: 951-674-9243, Fax: 951-674-9635

Ages Served: 0-20 Accepting Referrals: Yes, Therapy Only

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

AGUIRRE, MARIXA (NPI #1003152927, License # 100555) YesAssociate Marriage Family Therapist

ARRIETA, MELISSA (NPI #1538300512, License # 46857) YesLicensed Marriage and Family Therapist

BERMUDEZ, ROBERT JR (NPI #1023137106, License # LMFT53457) YesLicensed Marriage and Family Therapist

BRYAN, JOHN B (NPI #1932253440, License # 44869) YesLicensed Marriage and Family Therapist

CABRERA, HENRY (NPI #1245722362, License # 95013674) NoOther Qualified Provider

CASILLASHARRIS, MYRNA VERONICA

(NPI #1811130941, License # N/A)

NoMental Health Rehabilitation Specialist

CASTANEDA, SANDRA (NPI #1518298264, License # LCSW69622) YesLicensed Clinical Social Worker

CELIS, GEMA NAVA (NPI #1154827434, License # N/A) YesOther Qualified Provider

CHOI, BENEDICT (NPI #1386960029, License # 86069) YesLicensed Marriage and Family Therapist

COOPER, MARGARITA (NPI #1033373006, License # 90716) YesLicensed Marriage and Family Therapist

CORDON, STEPHANIE (NPI #1033651831, License # 108486) YesAssociate Marriage Family Therapist

DELGADO, JOHNNY (NPI #1396250841, License # N/A) YesOther Qualified Provider

DESJARDINS, MARK (NPI #1578944161, License # 77759) YesAssociate Clinical Social Worker

Page 75 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

DEVRIES, JOHN (NPI #1932253747, License # 39344) YesLicensed Marriage and Family Therapist

DUNN, ALANA (NPI #1629122122, License # 237079) YesLicensed Marriage and Family Therapist

EICHELBERG, VALERIE (NPI #1225534746, License # 108182) YesAssociate Marriage Family Therapist

ELMASHAT, ASHRAF (NPI #1851322887, License # A68922) NoLicensed Psychiatrist

ETTI-EYONG, LYSETTE (NPI #1992990519, License # 63441) YesAssociate Clinical Social Worker

GADDIS, AMANDA (NPI #1629498639, License # 111055) YesAssociate Marriage Family Therapist

GASTON, DANIELLE (NPI #1679091680, License # 119328) YesLicensed Marriage and Family Therapist

GONZALEZ, JOHANNA (NPI #1356888101, License # N/A) YesMental Health Rehabilitation Specialist

GUNSETH, SAMANTHA (NPI #1376949818, License # N/A) NoOther Qualified Provider

HOLMES, GEMMA (NPI #1265799654, License # 119155) YesLicensed Marriage and Family Therapist

HOOVER, NATALIE (NPI #1407296619, License # 79643) YesAssociate Clinical Social Worker

HUIZAR, JAEL (NPI #1841601507, License # 121894) YesLicensed Marriage and Family Therapist

LOPEZ, MARIA A. (NPI #1285018176, License # IMF98768) YesAssociate Marriage Family Therapist

MACIAS, MAGALY (NPI #1821650722, License # N/A) YesAssociate Clinical Social Worker

MCCAMISH, TAMMY (NPI #1265586879, License # 39425) YesLicensed Marriage and Family Therapist

MCDANIEL, YESICA (NPI #1518219997, License # 108280) YesLicensed Marriage and Family Therapist

MCKEDDIE, BEVERLY (NPI #N/A, License # LMFT 46099) YesLicensed Marriage and Family Therapist

OLVERA, JOSEPH PATRICK (NPI #1831351162, License # 116287) YesLicensed Marriage and Family Therapist

PAVLICK, MICHELLE N. (NPI #1235658113, License # 124519) YesAssociate Marriage Family Therapist

PELUCE, POPPY (NPI #1922152834, License # 23689) YesLicensed Clinical Social Worker

PEREZ, VERONICA H. (NPI #1366822272, License # 115532) YesLicensed Marriage and Family Therapist

RIVERA-ROBLES, PATRICIA N

(NPI #1619520145, License # AMFT 121304)

YesAssociate Marriage Family Therapist

RODRIGUEZ, LUISA (NPI #1679744254, License # 99955) YesLicensed Clinical Social Worker

RUIZ, LETICIA (NPI #1669856712, License # 115747) YesLicensed Marriage and Family Therapist

RUSSON, DEANN (NPI #1528248796, License # 60515) YesLicensed Clinical Social Worker

SANCHEZ, EFREN (NPI #1396076568, License # N/A) YesMental Health Rehabilitation Specialist

SANCHEZ, MARISA (NPI #1306181458, License # 121159) YesLicensed Marriage and Family Therapist

TAKEDA, GEORGE (NPI #1659790541, License # 106171) YesLicensed Marriage and Family Therapist

THOMPSON, CELESTE (NPI #1881104321, License # 99535) YesAssociate Clinical Social Worker

TORRES, WILLIS DEAN (NPI #1699380204, License # N/A) YesOther Qualified Provider

VANCE, MARRISSA (NPI #1942737515, License # 99428) YesAssociate Marriage Family Therapist

VELASCO, ERICA (NPI #1134387368, License # 102400) YesAssociate Marriage Family Therapist

VILLAREAL, ANN-SOPHIE (NPI #1033624598, License # 121899) YesLicensed Marriage and Family Therapist

Page 76 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Program: Victor Community Support Services (VCSS Perris), 555 N Perris Blvd, Bldg. A, Perris, CA 92571, Phone: 951-436-5366, Fax:

951-943-2653

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Anxiety, Case Management, Child Abuse Issues, Clinical Therapist, Depression,

Family Therapy, Foster Youth, Group Therapy, Individual Therapy, Medication Services, Mental Health Counseling, Mood Disorders,

Obsessive-Compulsive Behaviors, Oppositional Defiance, Peer Support, Psychiatrist, Psychologist, PTSD, Trauma Informed, Youth Treatment

Languages: English, Other Interpretation Services, Spanish

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Other Hispanic/Latino

Races Served: Black/African-American, Hispanic/Latino, White, Multiracial, Other Race

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

AGUIAR, BIANCA ROMERO (NPI #1134628605, License # N/A) YesOther Qualified Provider

ALVAREZ, CARLA (NPI #1649864075, License # N/A) NoOther Qualified Provider

AVALOS, ERIC (NPI #1730634932, License # N/A) YesMental Health Rehabilitation Specialist

BARROW, LEAHMONTAINE (NPI #1821477639, License # ASW71504) YesAssociate Marriage Family Therapist

BROWER, KELLI (NPI #1316592827, License # N/A) YesOther Qualified Provider

BUTLER, MOLLY (NPI #1902272537, License # LMFT102651) YesLicensed Marriage and Family Therapist

CABRERA, HENRY (NPI #1245722362, License # 95013674) NoOther Qualified Provider

CASTANEDA, SANDRA (NPI #1518298264, License # LCSW69622) YesLicensed Clinical Social Worker

CASTELLON, GRISELDA GUADALUPE

(NPI #1831666718, License # N/A)

YesAssociate Marriage Family Therapist

CERRUDO, LYSANDER (NPI #1245724194, License # N/A) YesOther Qualified Provider

COLEMAN-DORSEY, SHEANIA NAKICH

(NPI #1619124484, License # LMFT119855)

YesLicensed Marriage and Family Therapist

COMPAU, BEAU (NPI #1467962555, License # LCSW95780) YesLicensed Clinical Social Worker

CORREA, PAOLA (NPI #1730745969, License # ACSW95246) YesAssociate Clinical Social Worker

Page 77 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

CORTES, AURORA (NPI #1467954032, License # N/A) YesOther Qualified Provider

DELGADO-ESCALARA, LESLIE

(NPI #1538618020, License # AMFT120034)

YesAssociate Marriage Family Therapist

DEVRIES, JOHN (NPI #1932253747, License # 39344) YesLicensed Marriage and Family Therapist

DIAZ, RAYMOND (NPI #1871083105, License # LMFT) YesLicensed Marriage and Family Therapist

DOMINUEZ, DANIELLE NORET

(NPI #1477855583, License # AMFT103716)

YesAssociate Marriage Family Therapist

ELMASHAT, ASHRAF (NPI #1851322887, License # A68922) NoLicensed Psychiatrist

FELIX, RACHELLE (NPI #1790267623, License # APCC6818) YesAssociate Professional Clinical Counselor

FOREMAN-BOGGUS, MICHELE

(NPI #1508333154, License # ASW80610)

YesAssociate Clinical Social Worker

GALLARD, NATHALI (NPI #1326236456, License # N/A) YesMental Health Rehabilitation Specialist

GARCIA, JANET M (NPI #1881118255, License # LMFT121252) YesAssociate Clinical Social Worker

GLASSER, AMBER RENA (NPI #1184128035, License # 113091) YesAssociate Marriage Family Therapist

GOLDBACH, SHANE (NPI #1053506832, License # AMFT84166) YesAssociate Marriage Family Therapist

GONZALEZ, BELEN (NPI #1366803397, License # ACSW94858) YesAssociate Clinical Social Worker

GONZALEZ, MARICELA (NPI #1689087017, License # LCSW96564) YesLicensed Clinical Social Worker

HORTON, MEGHANN (NPI #1740865476, License # N/A) YesMental Health Rehabilitation Specialist

KEYES, MICHAEL (NPI #1598072233, License # N/A) YesMental Health Rehabilitation Specialist

LANIER, KATIE (NPI #1568850303, License # LMFT96395) YesLicensed Marriage and Family Therapist

LERMA, LATICIA (NPI #1366826273, License # LMFT111854) YesLicensed Marriage and Family Therapist

LICON, CHLOE IVANA (NPI #1417573676, License # 118851) YesAssociate Marriage Family Therapist

LOPEZ, MARIA A. (NPI #1285018176, License # IMF98768) YesAssociate Marriage Family Therapist

LOVVORN, ANDREA (NPI #1184008112, License # LCSW79900) YesLicensed Clinical Social Worker

MAHONE, SHATERRA (NPI #1073969093, License # N/A) YesMental Health Rehabilitation Specialist

MCKEDDIE, BEVERLY (NPI #N/A, License # LMFT 46099) YesLicensed Marriage and Family Therapist

MCLAUGHLIN, DESIREE (NPI #1023431939, License # LMFT105097) YesLicensed Marriage and Family Therapist

MEDINADEFLORES, ERIKA (NPI #1265891311, License # N/A) YesOther Qualified Provider

MELENDEZ, EDGAR (NPI #1811409956, License # AMFT108979) YesAssociate Marriage Family Therapist

MITCHELL, JACQUELINE (NPI #1386021814, License # 76168) YesLicensed Marriage and Family Therapist

MOORE, SUSANA (NPI #1710234364, License # AMFT116321) YesAssociate Marriage Family Therapist

MORA, MONICA (NPI #1881233971, License # ASW81850) YesAssociate Clinical Social Worker

MUNOZ, YOBANA (NPI #1891189502, License # AMFT113528) YesAssociate Marriage Family Therapist

PEARLMAN, MICHAEL (NPI #1770939563, License # N/A) YesMental Health Rehabilitation Specialist

PHILLIPPE, JENNIFER (NPI #1811442940, License # ASW89641) YesAssociate Clinical Social Worker

Page 78 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

POPE, ROBERT J (NPI #1083228191, License # AMFT117849) YesAssociate Marriage Family Therapist

RIVAS, LUIS (NPI #1740527977, License # N/A) YesMental Health Rehabilitation Specialist

RIVERA, VERENICA (NPI #1740816594, License # 118499) YesAssociate Marriage Family Therapist

RODRIGUEZ, FIBIOLA (NPI #1598130106, License # N/A) YesAssociate Clinical Social Worker

SALAZAR, MA SELENE (NPI #1205446929, License # N/A) YesMental Health Rehabilitation Specialist

SANCHEZ, YANETT (NPI #1083008551, License # N/A) YesMental Health Rehabilitation Specialist

SAUCEDO, ERMINILLA (NPI #1316547250, License # AMFT117180) NoAssociate Marriage Family Therapist

SMITH, ALEXANDRIA (NPI #1255949269, License # N/A) NoOther Qualified Provider

TEJERA, CASSANDRA (NPI #1700298494, License # LMFT112197) YesLicensed Marriage and Family Therapist

TORRES, MARTHA LETICIA

(NPI #1598829640, License # AMFT91694)

NoAssociate Marriage Family Therapist

TRAN, TAYLOR (NPI #1215273479, License # LMFT92750) YesLicensed Marriage and Family Therapist

VANG, NANCY (NPI #1144578881, License # ASW79127) YesAssociate Clinical Social Worker

VAZQUEZ, CRISTAL CORTES (NPI #1386109965, License # N/A) YesOther Qualified Provider

VILLANUEVA, ALANNA (NPI #1558926303, License # ASW90181) YesAssociate Clinical Social Worker

WANAMAKER, IAN MICHAEL (NPI #1780202242, License # N/A) YesLicensed Marriage and Family Therapist

WILKINSON, MALLORY (NPI #1275071771, License # LMFT120945) YesLicensed Marriage and Family Therapist

WILLIAMS, KIONE (NPI #1760907851, License # ASW85836) YesAssociate Clinical Social Worker

WISE, DEVI SOPHIA (NPI #1457880320, License # ASW81804) NoAssociate Clinical Social Worker

ZEPEDA, VERONICA (NPI #1962765685, License # LCSW74249) YesLicensed Clinical Social Worker

Program: Victor Community Support Services Perris, 555 N Perris Blvd., D, Perris, CA 92571, Phone: 951-436-5300, Fax: 951-436-5350

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Anxiety, Case Management, Child Abuse Issues, Clinical Therapist, Depression,

Family Therapy, Group Therapy, Individual Therapy, Medication Services, Mental Health Counseling, Mood Disorders, Obsessive-Compulsive

Behaviors, Oppositional Defiance, Peer Support, Psychiatrist, Psychotic Disorders, PTSD, Trauma Informed

Languages: English, Other Interpretation Services, Spanish

Ethnicities Served: Unknown, Mexican/Mexican American, Other Hispanic/Latino

Races Served: Black/African-American, Hispanic/Latino, White, Multiracial, Other Race

Page 79 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

ADELABU-SOULE, ADEOLA (NPI #1386199131, License # ASW76588) YesAssociate Clinical Social Worker

ALVAREZ, CARLA (NPI #1649864075, License # N/A) NoOther Qualified Provider

ARIZA, ERICA (NPI #1669973343, License # LCSW86315) YesLicensed Clinical Social Worker

BERMUDEZ, ROBERT JR (NPI #1023137106, License # LMFT53457) YesLicensed Marriage and Family Therapist

BROWER, KELLI (NPI #1316592827, License # N/A) YesOther Qualified Provider

CABRERA, HENRY (NPI #1245722362, License # 95013674) NoOther Qualified Provider

COMPAU, BEAU (NPI #1467962555, License # LCSW95780) YesLicensed Clinical Social Worker

CORTES, AURORA (NPI #1467954032, License # N/A) YesOther Qualified Provider

FELIX, RACHELLE (NPI #1790267623, License # APCC6818) YesAssociate Professional Clinical Counselor

FOREMAN-BOGGUS, MICHELE

(NPI #1508333154, License # ASW80610)

YesAssociate Clinical Social Worker

GOLDBACH, SHANE (NPI #1053506832, License # AMFT84166) YesAssociate Marriage Family Therapist

KEYES, MICHAEL (NPI #1598072233, License # N/A) YesMental Health Rehabilitation Specialist

LICON, CHLOE IVANA (NPI #1417573676, License # 118851) YesAssociate Marriage Family Therapist

LOVVORN, ANDREA (NPI #1184008112, License # LCSW79900) YesLicensed Clinical Social Worker

MAHONE, SHATERRA (NPI #1073969093, License # N/A) YesMental Health Rehabilitation Specialist

MCLAUGHLIN, DESIREE (NPI #1023431939, License # LMFT105097) YesLicensed Marriage and Family Therapist

MEDINADEFLORES, ERIKA (NPI #1265891311, License # N/A) YesOther Qualified Provider

MELENDEZ, EDGAR (NPI #1811409956, License # AMFT108979) YesAssociate Marriage Family Therapist

MORA, MONICA (NPI #1881233971, License # ASW81850) YesAssociate Clinical Social Worker

NORRIS, ROBYN DANIELLE

(NPI #1659711539, License # LMFT103252)

YesLicensed Marriage and Family Therapist

PEARLMAN, MICHAEL (NPI #1770939563, License # N/A) YesMental Health Rehabilitation Specialist

RIVAS, LUIS (NPI #1740527977, License # N/A) YesMental Health Rehabilitation Specialist

RIVERA, VERENICA (NPI #1740816594, License # 118499) YesAssociate Marriage Family Therapist

SANCHEZ, YANETT (NPI #1083008551, License # N/A) YesMental Health Rehabilitation Specialist

SAUCEDO, ERMINILLA (NPI #1316547250, License # AMFT117180) NoAssociate Marriage Family Therapist

SMITH, ALEXANDRIA (NPI #1255949269, License # N/A) NoOther Qualified Provider

TEJERA, CASSANDRA (NPI #1700298494, License # LMFT112197) YesLicensed Marriage and Family Therapist

Page 80 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

TORRES, MARTHA LETICIA

(NPI #1598829640, License # AMFT91694)

NoAssociate Marriage Family Therapist

TRAN, TAYLOR (NPI #1215273479, License # LMFT92750) YesLicensed Marriage and Family Therapist

VAZQUEZ, CRISTAL CORTES (NPI #1386109965, License # N/A) YesOther Qualified Provider

VILLANUEVA, ALANNA (NPI #1558926303, License # ASW90181) YesAssociate Clinical Social Worker

WILKINSON, MALLORY (NPI #1275071771, License # LMFT120945) YesLicensed Marriage and Family Therapist

WILLIAMS, KIONE (NPI #1760907851, License # ASW85836) YesAssociate Clinical Social Worker

WISE, DEVI SOPHIA (NPI #1457880320, License # ASW81804) NoAssociate Clinical Social Worker

ZEPEDA, VERONICA (NPI #1962765685, License # LCSW74249) YesLicensed Clinical Social Worker

Program: Walden Family Services, 3576 Arlington Ave., 106, Riverside, CA 92506, Phone: 951-788-5905

Ages Served: All Ages Accepting Referrals: Yes, Therapy Only

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

ALSAADI, ANN (NPI #1841513488, License # N/A) YesOther Qualified Provider

ALVAREZ, IMELDA (NPI #1962668061, License # 85408) YesAssociate Marriage Family Therapist

AREVALO, DIANA (NPI #1841804770, License # N/A) NoOccupational Therapist

HERNANDEZ, DEBORAH MARIE (NPI #1275142093, License # N/A) YesOther Qualified Provider

HERNANDEZ, PAOLA ANDREA (NPI #1902206410, License # 88753) YesLicensed Clinical Social Worker

HOWARD, SARAH FRANCIS (NPI #1760933915, License # ASW86478) YesAssociate Clinical Social Worker

LUCAS, LESLIE (NPI #1033375050, License # LMFT106163) YesLicensed Marriage and Family Therapist

Page 81 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Service Area: Out of County

Type of Provider: Contract

Type of Program: Mental Health

Individual Providers

Program: Kenneth Hutchins, PhD Psychologist, 12 Nevada Street, B, Redlands, CA 92373, Phone: 909-422-7409

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English

Service Type: Mental Health Services

Staff Name

Cultural

Competence

TrainingLicensure

HUTCHINS, KENNETH (NPI #1033269675, License # PSY 15486) YesLicensed Psychologist

Organization Providers

Program: New Haven Youth & Family Services - Vista, 216 W Los Angeles Drive, Vista, CA 92083, Phone: 760-630-4065

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Greater than 1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

AUKAI, COLLIN (NPI #1508398876, License # N/A) YesOther Qualified Provider

BITUIN-HARRIS, ALEXIS (NPI #1992278378, License # N/A) YesOther Qualified Provider

BRIBIESCA, JEANNETTE (NPI #1801373865, License # N/A) YesOther Qualified Provider

Page 82 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

BUTINDARO, JOSEPH ELIHU SHIGERU

(NPI #1902364854, License # N/A)

YesOther Qualified Provider

COLEMAN-DORSEY, SHEANIA NAKICH

(NPI #1619124484, License # LMFT119855)

YesLicensed Marriage and Family Therapist

CORTEZ, MICHAEL (NPI #1558827840, License # N/A) YesOther Qualified Provider

EMERY, DENNIS (NPI #1821280876, License # N/A) YesOther Qualified Provider

ENDRES, EVAN (NPI #1902274830, License # N/A) YesOther Qualified Provider

FOLK, CRYSTAL (NPI #1972989408, License # AMFT96077) YesAssociate Marriage Family Therapist, Other Qualified

Provider

FRANKS, LISA (NPI #1760818082, License # 99058) YesLicensed Clinical Social Worker, Other Qualified

Provider

FREED, MIKAYLA ELISE (NPI #1699324814, License # N/A) YesOther Qualified Provider

FRITH, JONATHAN STEVEN (NPI #1922598622, License # N/A) YesLicensed Marriage and Family Therapist, Other

Qualified Provider

GONZALES, MORGAN (NPI #1922609973, License # N/A) YesOther Qualified Provider

GONZALEZ, ISABEL LIDUVING (NPI #1548443864, License # N/A) YesOther Qualified Provider

HEINEMAN, MICHAEL (NPI #1093108276, License # N/A) YesOther Qualified Provider

JOHNSON, JENNIFER (NPI #1164652806, License # 111437) YesLicensed Marriage and Family Therapist

JOHNSON, LAWRENCE (NPI #1710482005, License # N/A) YesOther Qualified Provider

LUKE, BREANA (NPI #1427680032, License # N/A) YesOther Qualified Provider

MALDONADO, ASHLEY MARIE (NPI #1184259194, License # N/A) YesOther Qualified Provider

MCOMBER, JEANNIE (NPI #1972153054, License # N/A) YesOther Qualified Provider

MEDRANO, SAIRA (NPI #1104209733, License # N/A) YesOther Qualified Provider

MEYERS, ROBERT (NPI #1669741815, License # N/A) YesOther Qualified Provider

NAN, PAULINE (NPI #1760713408, License # N/A) YesOther Qualified Provider

PEREZ, CARLOS (NPI #1639361769, License # N/A) YesOther Qualified Provider

RAMIREZ, ROSALVA (NPI #1821683582, License # N/A) YesOther Qualified Provider

ROMAN, GERALDINE (NPI #1912306416, License # AMFT 106261) YesAssociate Marriage Family Therapist

ROMERO, CHEYENNE JUSTINA (NPI #1942788476, License # N/A) YesOther Qualified Provider

SOTELO, KAYLA (NPI #1619524238, License # N/A) YesOther Qualified Provider

TAKAKI, MOLLY (NPI #1285259986, License # N/A) YesOther Qualified Provider

TAYLOR, WARREN (NPI #1457543159, License # N/A) YesOther Qualified Provider

THOMAS, RACHEL (NPI #1831510098, License # 38401) YesLicensed Marriage and Family Therapist, Other

Qualified Provider

THRELFALL, NATALIE NICOLE (NPI #1235796749, License # N/A) YesOther Qualified Provider

Page 83 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

VEROSA, ROWENA (NPI #1295927754, License # 20838) YesLicensed Psychologist, Other Qualified Provider

WOODWARD, GLENN (NPI #1821548264, License # N/A) YesOther Qualified Provider

Program: New Haven Youth & Family Services - Vista (Melrose), 1126 N Melrose Drive, Vista, CA 92803, Phone: 760-630-4065

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Greater than 1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

AUKAI, COLLIN (NPI #1508398876, License # N/A) YesOther Qualified Provider

BITUIN-HARRIS, ALEXIS (NPI #1992278378, License # N/A) YesOther Qualified Provider

BRIBIESCA, JEANNETTE (NPI #1801373865, License # N/A) YesOther Qualified Provider

BUTINDARO, JOSEPH ELIHU SHIGERU

(NPI #1902364854, License # N/A)

YesOther Qualified Provider

CORTEZ, MICHAEL (NPI #1558827840, License # N/A) YesOther Qualified Provider

ENDRES, EVAN (NPI #1902274830, License # N/A) YesOther Qualified Provider

FOLK, CRYSTAL (NPI #1972989408, License # AMFT96077) YesAssociate Marriage Family Therapist, Other Qualified

Provider

FOSTER, TREVOR (NPI #1689009102, License # N/A) YesOther Qualified Provider

FRANKS, LISA (NPI #1760818082, License # 99058) YesLicensed Clinical Social Worker, Other Qualified

Provider

FREED, MIKAYLA ELISE (NPI #1699324814, License # N/A) YesOther Qualified Provider

FRITH, JONATHAN STEVEN (NPI #1922598622, License # N/A) YesLicensed Marriage and Family Therapist, Other

Qualified Provider

GONZALES, MORGAN (NPI #1922609973, License # N/A) YesOther Qualified Provider

GONZALEZ, ISABEL LIDUVING (NPI #1548443864, License # N/A) YesOther Qualified Provider

HEINEMAN, MICHAEL (NPI #1093108276, License # N/A) YesOther Qualified Provider

JOHNSON, JENNIFER (NPI #1164652806, License # 111437) YesLicensed Marriage and Family Therapist

JOHNSON, LAWRENCE (NPI #1710482005, License # N/A) YesOther Qualified Provider

LUKE, BREANA (NPI #1427680032, License # N/A) YesOther Qualified Provider

Page 84 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

MALDONADO, ASHLEY MARIE (NPI #1184259194, License # N/A) YesOther Qualified Provider

MCOMBER, JEANNIE (NPI #1972153054, License # N/A) YesOther Qualified Provider

MEDRANO, SAIRA (NPI #1104209733, License # N/A) YesOther Qualified Provider

MEYERS, ROBERT (NPI #1669741815, License # N/A) YesOther Qualified Provider

PEREZ, CARLOS (NPI #1639361769, License # N/A) YesOther Qualified Provider

RAMIREZ, ROSALVA (NPI #1821683582, License # N/A) YesOther Qualified Provider

ROMAN, GERALDINE (NPI #1912306416, License # AMFT 106261) YesAssociate Marriage Family Therapist

ROMERO, CHEYENNE JUSTINA (NPI #1942788476, License # N/A) YesOther Qualified Provider

SOTELO, KAYLA (NPI #1619524238, License # N/A) YesOther Qualified Provider

TAKAKI, MOLLY (NPI #1285259986, License # N/A) YesOther Qualified Provider

THOMAS, RACHEL (NPI #1831510098, License # 38401) YesLicensed Marriage and Family Therapist, Other

Qualified Provider

THRELFALL, NATALIE NICOLE (NPI #1235796749, License # N/A) YesOther Qualified Provider

VEROSA, ROWENA (NPI #1295927754, License # 20838) YesLicensed Psychologist, Other Qualified Provider

WOODWARD, GLENN (NPI #1821548264, License # N/A) YesOther Qualified Provider

Program: Trinity Youth Services, 9570 center ave, Rancho Cucamonga, CA 91730, Phone: 714-713-0561

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: Arabic, English, Spanish, Tagalog

Ethnicities Served: Mexican/Mexican American, Other Hispanic/Latino

Races Served: Black/African-American

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

ADAMS, JAMES R (NPI #1487778569, License # N/A) YesOther Qualified Provider

ALLEN, SHAMIKA SHAVONNE (NPI #1154939734, License # N/A) YesOther Qualified Provider

ARREDONDO, JOHN ANDREW (NPI #1366056533, License # N/A) YesOther Qualified Provider

BONNER, CHANTEL (NPI #1639716137, License # 115732) YesOther Qualified Provider

BRUCE, ADRIENNE M (NPI #1366794646, License # N/A) YesLicensed Marriage and Family Therapist

Page 85 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

HUCKLEBY, DYNASTY (NPI #1225649437, License # N/A) YesLicensed Marriage and Family Therapist

JEFFERY, LESLIE (NPI #1346784550, License # N/A) YesOther Qualified Provider

MITCHELL, ASHLEY (NPI #1548739311, License # N/A) YesOther Qualified Provider

MOCK, PHYLLIS (NPI #1982241642, License # 105239) YesLicensed Marriage and Family Therapist

ROSE, JESSICA PONCE (NPI #1568964443, License # N/A) YesOther Qualified Provider

ROY, SANJAYA (NPI #1013547124, License # 116908) YesMental Health Rehabilitation Specialist

SCHMIDT, MICHAEL (NPI #1639660814, License # 101533) YesLicensed Marriage and Family Therapist

YOUNG, JANEE BREEANNA (NPI #1558712042, License # N/A) YesLicensed Marriage and Family Therapist

Type of Program: Public Guardian

Individual Providers

Program: Douglas D. Buche, Ph.D, Licensed Psychologist, 1338 Zinnia St., Upland, CA 91784, Phone: 909-560-5204, Fax:

909-982-6047

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Between .25-.5 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services

Staff Name

Cultural

Competence

TrainingLicensure

BUCHE, DOUGLAS (NPI #1770557365, License # PSY12837) YesLicensed Psychologist

Program: Jerry M. Goffman, Ph.D., 1040 S. Mt. Vernon Ave., 306, Colton, CA 92324, Phone: 951-312-1041

Ages Served: 21+ Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: No TDD/TTY Equipment Available: No

Languages: English

Service Type: Mental Health Services

Page 86 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Staff Name

Cultural

Competence

TrainingLicensure

GOFFMAN, JERRY (NPI #1124137765, License # PSY7081) YesLicensed Psychologist

Page 87 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Service Area: Western

Type of Provider: Contract

Type of Program: CalWorks

Organization Providers

Program: CalWORKs - La Sierra, 11060 Magnolia Avenue, Riverside, CA 92505, Phone: 951-509-8282

Ages Served: 21+ Accepting Referrals: Yes

Distance to closest public transportation: Between .25-.5 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: American Sign Language (ASL), English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention

Staff Name

Cultural

Competence

TrainingLicensure

CLARK, ARTHUR (NPI #1720378896, License # N/A) NoOther Qualified Provider

GUPTA, NIRAJ (NPI #1073566261, License # A92943) NoLicensed Psychiatrist

HERNANDEZ, ARTURO (NPI #1598957805, License # N/A) NoOther Qualified Provider

LOPEZ, KERIMA SOCARRAS (NPI #1356612691, License # N/A) YesOther Qualified Provider

PATEL, NARESH (NPI #1659412666, License # C42959) NoLicensed Psychiatrist

SALCEDO, CRISTINA CASTRO

(NPI #1760907752, License # ASW89232)

YesAssociate Clinical Social Worker

WILLIAMS, ANDREW L. (NPI #1245422575, License # N/A) YesOther Qualified Provider

Program: CalWORKs - Moreno Valley, 12625 Heacock Street, Moreno Valley, CA 92553, Phone: 877-410-8827

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: American Sign Language (ASL), English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention

Page 88 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Staff Name

Cultural

Competence

TrainingLicensure

CHANG, ELLISON (NPI #1508906181, License # G 67488) NoLicensed Psychiatrist

CORPREW, DEWRAISE (NPI #1811315260, License # N/A) NoOther Qualified Provider

FOX, CASSANDRA ANN (NPI #1295387744, License # N/A) NoOther Qualified Provider

HERNANDEZ, CECELIA (NPI #1770714164, License # LCSW80426) YesLicensed Clinical Social Worker

HULL, DAWN (NPI #1942499702, License # MFC47856) NoLicensed Marriage and Family Therapist

MORENO, MARIO A (NPI #1619515475, License # N/A) NoAssociate Clinical Social Worker

OROZCO, DIANA CAROLINA (NPI #1669773156, License # IMF97069) NoAssociate Marriage Family Therapist

RODRIGUEZ, ANTONIO (NPI #1033585021, License # LCSW94079) YesLicensed Clinical Social Worker

Program: CalWORKs - Perris, 201 Redlands Avenue, Perris, CA 92571, Phone: 951-940-6600

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: American Sign Language (ASL), English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention

Staff Name

Cultural

Competence

TrainingLicensure

CORPREW, DEWRAISE (NPI #1811315260, License # N/A) NoOther Qualified Provider

FOX, CASSANDRA ANN (NPI #1295387744, License # N/A) NoOther Qualified Provider

HERNANDEZ, CECELIA (NPI #1770714164, License # LCSW80426) YesLicensed Clinical Social Worker

HULL, DAWN (NPI #1942499702, License # MFC47856) NoLicensed Marriage and Family Therapist

MORENO, MARIO A (NPI #1619515475, License # N/A) NoAssociate Clinical Social Worker

OROZCO, DIANA CAROLINA (NPI #1669773156, License # IMF97069) NoAssociate Marriage Family Therapist

PATEL, NARESH (NPI #1659412666, License # C42959) NoLicensed Psychiatrist

RODRIGUEZ, ANTONIO (NPI #1033585021, License # LCSW94079) YesLicensed Clinical Social Worker

Type of Program: Housing

Organization Providers

Page 89 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Program: HHOPE, 1405 Spruce St., A, Riverside, CA 92507, Phone: 951-715-5050, Fax: 951-784-4986

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: Other

Languages: English, Spanish

Ethnicities Served: Mexican/Mexican American, Cuban, Puerto Rican, Other Hispanic/Latino

Races Served: American Indian, Black/African-American, Japanese, Hispanic/Latino, White, Multiracial, Other Asian, Other Race

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

ADAMSON, LAUREN ALEXIS (NPI #1336757541, License # N/A) NoOther Qualified Provider

BARRERA, MICHELLE (NPI #1629612924, License # N/A) YesOther Qualified Provider

BRAVO, LUIS ROBERTO (NPI #1023271319, License # N/A) YesOther Qualified Provider

CAMERON, KEVIN (NPI #1710103064, License # N/A) NoOther Qualified Provider

LECHUGA, JOSE GUILLERMO (NPI #1275179038, License # N/A) YesOther Qualified Provider

LOPEZ, SONYA (NPI #1982216198, License # N/A) NoOther Qualified Provider

PEREZ, KELLY STEPHANIE (NPI #1114581055, License # N/A) YesOther Qualified Provider

SHIELD, CHRISTINE (NPI #1881116275, License # LCSW23245) YesLicensed Clinical Social Worker

TREJOS, SASHA (NPI #1639482110, License # 76424) YesLicensed Clinical Social Worker

Type of Program: Juvenile Justice

Organization Providers

Program: AMC-YTEC Behavioral Health, 10000 County Farm Rd., Riverside, CA 92503, Phone: 951-358-5112

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Page 90 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Service Type: Mental Health Services, Case Management, Crisis Intervention

Staff Name

Cultural

Competence

TrainingLicensure

ADUDDELL, CHRISTINE YVONNE (NPI #1275056806, License # N/A) YesOther Qualified Provider

BALSAMO, DALIA (NPI #1003141847, License # A142906) YesLicensed Psychiatrist

BELTRAN, NATHALY (NPI #1235661893, License # N/A) NoAssociate Clinical Social Worker

HEARN, AMBER NICHOLE (NPI #1083950307, License # N/A) NoLicensed Marriage and Family Therapist

KENNEDY, REGINA (NPI #1104973494, License # 105394) YesLicensed Marriage and Family Therapist

KURZ, TROY LEWIS (NPI #1154862357, License # a157190) NoLicensed Physician

MARES, MARIA ANTONIETA (NPI #1518399724, License # 94192) YesLicensed Clinical Social Worker

MUNOZ, MONICA (NPI #1538677612, License # N/A) NoOther Qualified Provider

PATEL, BIPIN (NPI #1528197647, License # A46654) NoLicensed Psychiatrist

PATEL, SHALIN (NPI #1366858656, License # A144153) YesLicensed Physician, Licensed Psychiatrist

POTTS, KATHRYN (NPI #1558701961, License # LCSW82169) YesLicensed Clinical Social Worker

THOMPSON, KELLY DAWN (NPI #1376067231, License # INTERN MFT) YesAssociate Marriage Family Therapist

TRUONG, KEVIN (NPI #1063804755, License # A158018) NoLicensed Physician

ULRICH, THUY (NPI #1831427285, License # 105701) YesLicensed Marriage and Family Therapist

YAMAGUCHI, TOSHIA ANN (NPI #1932558715, License # A 150914) NoLicensed Psychiatrist

Type of Program: Mental Health

Individual Providers

Program: Dr. Robert L. Suiter, Ph.D., Psy.D., 6117 Brockton Avenue, 207, Riverside, CA 92506, Phone: 951-276-0645, Fax:

951-276-4769

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English

Service Type: Mental Health Services

Page 91 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Staff Name

Cultural

Competence

TrainingLicensure

SUITER, ROBERT (NPI #1386851236, License # PSY9946) NoLicensed Psychologist

Program: Life Arts Counseling Center, 4192 Brockton Avenue, 202, Riverside, CA 92501, Phone: 951-683-6322

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: No TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Anxiety, Bereavement/Grief Counseling, Child Abuse Issues, Clinical Therapist,

Couples/Marriage Therapy, Depression, Family Therapy, Female Issues, Foster Youth, Gender Identity Issues, Individual Therapy, Learning

Disorders, LGBTQ Counseling, Mental Health Counseling, MH Counselor, Mood Disorders, Oppositional Defiance, Play Therapy, Post Partum

Disorder, Women With Children

Languages: English

Ethnicities Served: Unknown, Not Hispanic, Mexican/Mexican American, Cuban, Puerto Rican, Other Hispanic/Latino

Races Served: Alaskan Native, Asian Native, Black/African-American, Filipino, Hawaiian, Hispanic/Latino, White, Multiracial, Other Asian, Other

Race

Service Type: Mental Health Services, Crisis Intervention, Intensive Care Coordination

Staff Name

Cultural

Competence

TrainingLicensure

STAMENKOVIC, VERA (NPI #1639395858, License # MFC25858) YesLicensed Marriage and Family Therapist

Organization Providers

Program: A Coming of Age Foster Family Agency & Counseling Center, 7891 Mission Grove Parkway, B, Riverside, CA 92508, Phone:

951-776-9223, Fax: 951-776-9250

Ages Served: 0-20 Accepting Referrals: Yes, Therapy Only

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Page 92 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Specialties: ADHD, Anxiety, Bereavement/Grief Counseling, Case Management, Child Abuse Issues, Depression, Family Therapy, Foster Youth,

Group Therapy, Individual Therapy, Mental Health Counseling, Mood Disorders, Oppositional Defiance, Peer Support, Play Therapy, PTSD, Social

Worker, Stress Management, Trauma Informed, Women With Children, Youth Treatment

Languages: English

Ethnicities Served: Not Hispanic, Mexican/Mexican American

Races Served: Black/African-American, Cambodian, Filipino, Hispanic/Latino, Samoan, Vietnamese, White, Multiracial

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

BROOME, RHAYVEN (NPI #1457817827, License # N/A) YesOther Qualified Provider

DANG, HUE KIM (NPI #1346774171, License # 98269) YesLicensed Clinical Social Worker

WATSON, SHANNA (NPI #1912592056, License # N/A) YesOther Qualified Provider

Program: ALMA FAMILY SERVICES-RIVERSIDE COUNTY, 3924 RIVERVIEW Dr., JURUPA VALLEY, CA 92509, Phone: 951-416-1111,

Fax: 951-346-3781

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Specialties: Case Management, Clinical Therapist, Individual Therapy, Medication Services, Mental Health Counseling, MH Counselor, Psychiatrist

Languages: Cantonese, English, Mandarin, Spanish

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Cuban, Puerto Rican, Other Hispanic/Latino

Races Served: American Indian, Black/African-American, Hawaiian, Hispanic/Latino, White, Multiracial, Other Race

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

BORJA, VANESSA (NPI #1538552831, License # 37906) YesPsychiatric Technician

Page 93 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

CABRERA, SHIRLEY ANN (NPI #1194387233, License # AMFT121592) YesAssociate Marriage Family Therapist

HEDGLIN, LITA (NPI #1114052487, License # G78032) YesLicensed Psychiatrist

KWOK, XENIA TSZ-SHAN (NPI #1144594748, License # LMFT 84865) YesLicensed Marriage and Family Therapist

LOPEZ, MIGUEL ZUNIGA (NPI #1679119952, License # N/A) YesOther Qualified Provider

LOPEZ, NATALIE IVY (NPI #1730651605, License # PT41073) YesPsychiatric Technician

MANZANO, MIGUEL ANGEL

(NPI #1902226178, License # AMFT 88496)

YesAssociate Marriage Family Therapist

ROMAN, GERALDINE (NPI #1912306416, License # AMFT 106261) YesAssociate Marriage Family Therapist

TOPETE, ASTRID ANNETTE

(NPI #1710344577, License # LMFT125456)

YesLicensed Marriage and Family Therapist

VALDEPENA, NATALIE ALIANA

(NPI #1336692912, License # ASW 91838)

YesAssociate Clinical Social Worker

YEE, HLA HLA (NPI #1790865822, License # A76344) YesLicensed Psychiatrist

Program: AMC-YTEC Aftercare, 10000 County Farm Road, Riverside, CA 92503, Phone: 951-358-4477

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Puerto Rican, Other Hispanic/Latino

Races Served: American Indian, Asian Native, Black/African-American, Filipino, Hispanic/Latino, White, Multiracial, Other Asian

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

ANDERSON, ATHENA (NPI #1568892669, License # 83556) NoAssociate Marriage Family Therapist

CASTRO, RAQUEL (NPI #1336505254, License # n/a) YesOther Qualified Provider

HAGANS, TABITHA DAWN (NPI #1790244127, License # N/A) NoAssociate Professional Clinical Counselor

HEARN, AMBER NICHOLE (NPI #1083950307, License # N/A) NoLicensed Marriage and Family Therapist

MARTINEZ, MELECHIA A (NPI #1285764142, License # LMFT 50375) YesLicensed Marriage and Family Therapist

MUNOZ, MONICA (NPI #1538677612, License # N/A) NoOther Qualified Provider

Page 94 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Program: Blaine Street Clinic, 769 W. Blaine St., B, Riverside, CA 92507, Phone: 951-358-4705, Fax: 951-358-4719

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

AMADOR, ARTHUR (NPI #1043203466, License # C52414) NoLicensed Psychiatrist

ANDREWS, MARIAH (NPI #1083755664, License # MFT44986) YesLicensed Marriage and Family Therapist

BECKER, SUZANNE ANDREA (NPI #1649895053, License # N/A) YesOther Qualified Provider

BENITEZ, LILLIAN (NPI #1770855744, License # ASW76015) YesAssociate Clinical Social Worker

BROWN, PAYTON (NPI #1669434361, License # G37780) NoLicensed Psychiatrist

CARREON, JUSTIN ORDONEZ (NPI #1538784962, License # N/A) YesOther Qualified Provider

CHAGOLLA, ANA LUCIA (NPI #1639627300, License # N/A) YesOther Qualified Provider

DRISCOLL, CORNELIUS (NPI #1093893307, License # LCSW 20816) NoLicensed Clinical Social Worker

FLORES, GRACE (NPI #1356471288, License # ACSW81265) YesAssociate Clinical Social Worker, Other Qualified

Provider

GERREN, NATASHA (NPI #1700297827, License # N/A) NoOther Qualified Provider

HAYFORD, JENNIFER JEWELL (NPI #1427590058, License # N/A) NoOther Qualified Provider

HF, TRUST (NPI #1912089418, License # A72484) NoLicensed Psychiatrist

KIM, JEONG (NPI #1326270224, License # A105883) NoLicensed Psychiatrist

MARBUN, BRITHANY BRAITER (NPI #1992215669, License # N/A) YesOther Qualified Provider

MORENO, VICKY (NPI #1831426824, License # N/A) NoOther Qualified Provider

MURALLES, CARLOS ANTONIO (NPI #1003948787, License # A34401) NoLicensed Psychiatrist

NELSON, PATRICIA LYNN (NPI #1275163818, License # 95066118) NoRegistered Nurse

ORANTES, NORMA (NPI #1629444377, License # VN 230206) NoLicensed Vocational Nurse

ORTIZ-ALEJOS, GABRIELLA (NPI #1467862896, License # N/A) NoOther Qualified Provider

PADILLA, ARLENE (NPI #1770108607, License # N/A) YesOther Qualified Provider

PINEDA, ANDREA ANAHI (NPI #1336764430, License # N/A) YesOther Qualified Provider

RAMOS, FRANK (NPI #1902023294, License # N/A) NoMental Health Rehabilitation Specialist

ROJAS, EDWIN (NPI #1437578036, License # N/A) NoOther Qualified Provider

Page 95 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

RUFFINI, ROSEANN MARIE (NPI #1184123432, License # N/A) NoOther Qualified Provider

SANCHEZ, JACQUELYN (NPI #1194121392, License # N/A) NoOther Qualified Provider

SEPULVEDA, LINDA (NPI #1073840245, License # N/A) NoOther Qualified Provider

SIERRA, ERICA ELISSA (NPI #1518519503, License # N/A) YesOther Qualified Provider

WANG, JIANPENG (NPI #1821259086, License # A115730) NoLicensed Psychiatrist

Program: CHARLEE Family Care Inc. - Riverside, 6711 Arlington Ave, B, Riverside, CA 92504, Phone: 951-352-4964

Ages Served: All Ages Accepting Referrals: Yes, Medication Only

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Farsi, Spanish

Service Type: Mental Health Services, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

BOCK, LESLIE MARIE (NPI #1447789037, License # 109208) YesAssociate Marriage Family Therapist

BYRNE, ATHENA (NPI #1083806426, License # 93538) YesLicensed Marriage and Family Therapist

CARLON, MARIA (NPI #1548595515, License # N/A) YesOther Qualified Provider

CASTANON, ELIZA (NPI #1659913564, License # N/A) NoOther Qualified Provider

CURRY, MICHAEL JAMES (NPI #1588221295, License # ASW95056) YesAssociate Marriage Family Therapist

GONZALEZ, ROSA ANGELA (NPI #1396987624, License # 107185) YesAssociate Marriage Family Therapist

JOHNSON, MILANA J. (NPI #1639595689, License # 107222) YesAssociate Marriage Family Therapist

LANIER, KATIE (NPI #1568850303, License # LMFT96395) YesLicensed Marriage and Family Therapist

OWRAGHI, MIELAD (NPI #1962826289, License # 87089) YesAssociate Marriage Family Therapist

Program: CHARLEE FAMILY CARE TBS RIVERSIDE, 6711 Arlington Ave, B, Riverside, CA 92504, Phone: 951-637-1551, Fax:

951-239-8274

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Greater than 1.0 miles

ADA Compliant for Physical Plant: No TDD/TTY Equipment Available: No

Languages: English, Spanish

Page 96 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Service Type: Mental Health Services

Staff Name

Cultural

Competence

TrainingLicensure

ADAME, ALISA VICTORIA (NPI #1881254795, License # N/A) YesOther Qualified Provider

BEAN, VERONICA (NPI #1467623538, License # N/A) YesOther Qualified Provider

BENTO, DANIELLE (NPI #1083807200, License # N/A) YesOther Qualified Provider

BYRNE, ATHENA (NPI #1083806426, License # 93538) YesLicensed Marriage and Family Therapist

COCHRAN, WHITNEY K (NPI #1376827881, License # N/A) YesOther Qualified Provider

CRUZ, ALONDRA (NPI #1467011684, License # N/A) YesOther Qualified Provider

ESPARZA, JACQUELINE (NPI #1376047571, License # N/A) YesOther Qualified Provider

ESPARZA, LUIS (NPI #1265851166, License # N/A) YesOther Qualified Provider

FAIRLEY, SHERRELL (NPI #1427479278, License # N/A) YesOther Qualified Provider

FLORES, KATHLEEN (NPI #1053901439, License # N/A) YesOther Qualified Provider

GLASER, RACHEL (NPI #1508230285, License # N/A) YesOther Qualified Provider

GUILLEN, ESPERANSA (NPI #1710547674, License # N/A) YesOther Qualified Provider

HABASHY, GINA (NPI #1114316387, License # N/A) YesOther Qualified Provider

LAGUNAS, CINTHIA (NPI #1316507270, License # N/A) YesOther Qualified Provider

LEE, OMARRA (NPI #1942824024, License # N/A) YesOther Qualified Provider

LINDERBURG, MARILYN S R (NPI #1174897912, License # N/A) YesOther Qualified Provider

MENDOZA, DAISY (NPI #1093301236, License # N/A) YesOther Qualified Provider

MOON, CHRISTINA (NPI #1356971600, License # N/A) YesOther Qualified Provider

PACE, MARUETTE (NPI #1023605235, License # N/A) YesOccupational Therapist

PADILLA, JACQUELINE (NPI #1861925398, License # N/A) YesOther Qualified Provider

REA, ALESSANDRA FELICIA (NPI #1831734458, License # N/A) YesOther Qualified Provider

ROJAS, ESTEBAN (NPI #1558597062, License # N/A) YesOther Qualified Provider

ROMERO, JESSICA (NPI #1316429509, License # N/A) YesOther Qualified Provider

SALAZAR, ADRIANA (NPI #1245738871, License # N/A) YesOther Qualified Provider

STERLING, MARJEAN (NPI #1376004036, License # N/A) YesOther Qualified Provider

TORRES, RENE (NPI #1497169049, License # N/A) YesOther Qualified Provider

VASQUEZ, JANICE RUBY (NPI #1235628702, License # N/A) YesOther Qualified Provider

Program: ChildNet Youth and Family Services, Inc., 1950 Market Street, Riverside, CA 92501, Phone: 951-530-5900, Fax: 951-530-5945

Ages Served: All Ages Accepting Referrals: Yes

Page 97 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Mandarin, Other Chinese Languages, Spanish

Service Type: Mental Health Services, Case Management, Intensive Care Coordination, Intensive Home Based Services, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

ABEYGUNARATNE, THILINI (NPI #1316465560, License # 107089) YesLicensed Marriage and Family Therapist

ACOSTA, GABRIELA (NPI #1932733979, License # N/A) YesOther Qualified Provider

ALAN, ROBLES (NPI #1417571167, License # N/A) YesOther Qualified Provider

ALONZO, MAYRA (NPI #1760817910, License # N/A) YesOther Qualified Provider

ALVAREZ, REBECA (NPI #1295356129, License # N/A) YesOther Qualified Provider

ALVAREZ-ROCHIN, FABIOLA (NPI #1609412949, License # N/A) YesOther Qualified Provider

AMAYA, GABRIELA (NPI #1407201726, License # N/A) YesOther Qualified Provider

ANTUNEZ, ELIZABETH (NPI #1639616212, License # AMFT120953) YesAssociate Marriage Family Therapist

ARRINGTON, JOE (NPI #1003457987, License # N/A) YesOther Qualified Provider

ARRINGTON, LORI (NPI #1285275156, License # N/A) YesOther Qualified Provider

BARRAZA, MARIA (NPI #1598280943, License # N/A) YesOther Qualified Provider

BERRY, FERNALD (NPI #1821286071, License # LMFT81719) YesLicensed Marriage and Family Therapist

BRADLEY, CAMILLIA (NPI #1235768292, License # AMFT116879) YesLicensed Marriage and Family Therapist

BRINSON, DASHANNA (NPI #1508301334, License # ASW75801) YesAssociate Clinical Social Worker

CACHU, JASMIN (NPI #1376061879, License # N/A) YesOther Qualified Provider

CARRILLO, IRMA (NPI #1770062192, License # LMFT88208) YesLicensed Clinical Social Worker

CARRILLO, YVETTE (NPI #1588978837, License # LMFT88208) YesLicensed Marriage and Family Therapist

CASTRO, BIBIANA (NPI #1639652647, License # 94617) YesLicensed Marriage and Family Therapist

CHAMPION, BEAU (NPI #1225339534, License # ASW74272) YesOther Qualified Provider

CHAVEZ, DANIELLA (NPI #1902315419, License # AMFT109161) YesAssociate Marriage Family Therapist

COLEMAN, LAKEYIA (NPI #1689274466, License # N/A) YesOther Qualified Provider

DAY, CODY (NPI #1205493160, License # N/A) YesOther Qualified Provider

DIAZ, KYMBERLY (NPI #1437759198, License # N/A) YesOther Qualified Provider

DOSSANTOS, DERRICK (NPI #1639696479, License # N/A) YesOther Qualified Provider

ESQUEDA, ADRIANNA (NPI #1093303166, License # N/A) YesOther Qualified Provider

FELIX, JAMILET (NPI #1821607482, License # N/A) YesOther Qualified Provider

Page 98 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

FELIX, YESICA HERAS (NPI #1083222541, License # N/A) YesOther Qualified Provider

FOLK, CRYSTAL (NPI #1972989408, License # AMFT96077) YesAssociate Marriage Family Therapist, Other Qualified

Provider

GALVEZ, ISRA (NPI #1891330957, License # N/A) YesOther Qualified Provider

GARCIA, CHRISTINA (NPI #1053851295, License # N/A) YesOther Qualified Provider

GARCIA, ROSELIE (NPI #1477058956, License # N/A) YesOther Qualified Provider

GLASS, JOE (NPI #1689037830, License # N/A) YesOther Qualified Provider

GONZALES, JOHNNY CASTILLO

(NPI #1013318807, License # IMF97673)

YesOther Qualified Provider

GREENE, EARL ANTHONY (NPI #1962030007, License # N/A) NoOther Qualified Provider

GREENE, YASMEEN COVAY (NPI #1760010904, License # N/A) NoOther Qualified Provider

GUEVARA, JESSICA (NPI #1851996607, License # N/A) YesOther Qualified Provider

GUTIERREZ, MAYAN (NPI #1164038998, License # N/A) YesOther Qualified Provider

HARTHON, KANDYCE (NPI #1871124420, License # N/A) YesOther Qualified Provider

HERNANDEZ, VANESSA (NPI #1124379946, License # ACSW34458) YesOther Qualified Provider

HERNANDEZ, VANESSA (NPI #1326656828, License # N/A) YesOther Qualified Provider

HERNANDEZ-FLOREZ, KARLA GIOVANNA

(NPI #1073007654, License # N/A)

YesOther Qualified Provider

HOGREBE, JAMES (NPI #1023150265, License # G27646) YesLicensed Psychiatrist

HOLCOMB, DANIEL (NPI #1669013538, License # N/A) YesOther Qualified Provider

HOLCOMB, ELIZABETH (NPI #1306487277, License # N/A) YesOther Qualified Provider

JEFFRIES, CHERI (NPI #1417087669, License # LMFT44067) YesLicensed Marriage and Family Therapist

JORDAN, MARISA (NPI #1639521461, License # N/A) YesOther Qualified Provider

JUAREZ, YADIRA (NPI #1427598309, License # AMFT108733) YesLicensed Marriage and Family Therapist

LAWSON, CAYLYN (NPI #1598329039, License # N/A) YesMental Health Rehabilitation Specialist

LEON, JENNIFER (NPI #1144752304, License # N/A) YesOther Qualified Provider

LEWIS, TERESA (NPI #1851742910, License # N/A) YesOther Qualified Provider

MALDONADO, STEPHANIE (NPI #1093298473, License # N/A) YesOther Qualified Provider

MATA, ISABELLA (NPI #1124537345, License # N/A) YesOther Qualified Provider

MCGOVERN, MELINDA LEE (NPI #1043844764, License # N/A) NoOther Qualified Provider

NELSON, SHAMEKA NICOLE (NPI #1023658580, License # N/A) YesOther Qualified Provider

ORTEGA, LUCY (NPI #1366086217, License # N/A) YesOther Qualified Provider

PATTERSON, RAMON JR (NPI #1740885854, License # N/A) YesOther Qualified Provider

PELAEZ, AMANDA (NPI #1881055044, License # 106835) YesLicensed Marriage and Family Therapist

PINONES, SALVADOR (NPI #1316549827, License # N/A) YesOther Qualified Provider

Page 99 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

PORTILLO, BRYAN STEVE

(NPI #1720436660, License # AMFT109273)

YesLicensed Marriage and Family Therapist

PRIVETTE, KASEY (NPI #1801385372, License # ACSW99967) YesAssociate Clinical Social Worker

RAMIREZ, ANDREHI (NPI #1023648227, License # N/A) YesOther Qualified Provider

REED, LAWANDA (NPI #1518503515, License # N/A) YesOther Qualified Provider

RODRIGUEZ, ALICIA (NPI #1326592973, License # N/A) YesOther Qualified Provider

RODRIGUEZ, ANDREA LILIANE

(NPI #1184214421, License # AMFT122352)

YesAssociate Marriage Family Therapist

RODRIGUEZ, MADISON REBECCA (NPI #1225624836, License # N/A) YesOther Qualified Provider

RODRIGUEZ, MICHELLE (NPI #1609393776, License # N/A) YesOther Qualified Provider

ROSSMAN, VIGINA (NPI #1053940692, License # N/A) NoOther Qualified Provider

RUIZ, JESUS (NPI #1467044370, License # N/A) YesOther Qualified Provider

SANCHEZ, VANESSA (NPI #1043817869, License # N/A) YesOther Qualified Provider

SAUCEDO, ASHLEY (NPI #1992220347, License # AMFT96053) YesAssociate Marriage Family Therapist, Other Qualified

Provider

SOYEMI, ADERAYO (NPI #1457828741, License # N/A) YesOther Qualified Provider

VILLANUEVA, KAYLA (NPI #1811590649, License # N/A) YesOther Qualified Provider

WALKER, ISAAC (NPI #1437763117, License # N/A) YesOther Qualified Provider

WILENSKY, WILLIAM (NPI #1376071183, License # LCSW70725) YesLicensed Clinical Social Worker

Program: Children's Treatment Services, 3125 Myers Street, Riverside, CA 92503, Phone: 951-358-4840, Fax: 951-358-4848

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Between .25-.5 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: American Sign Language (ASL), English, Spanish

Service Type: Mental Health Services

Staff Name

Cultural

Competence

TrainingLicensure

ARELLANO, HAILEY (NPI #1407364292, License # 114020, 6523) YesAssociate Marriage Family Therapist, Associate

Professional Clinical Counselor

ARELLANO, MARIA (NPI #1316122013, License # N/A) NoOther Qualified Provider

BALSAMO, DALIA (NPI #1003141847, License # A142906) YesLicensed Psychiatrist

Page 100 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

BEAMER, JANE (NPI #1396198602, License # N/A) NoOther Qualified Provider

CAZARES, LILIE (NPI #N/A, License # N/A) NoOther Qualified Provider

CONTRERAS, MIRIAM (NPI #1447446604, License # N/A) YesOther Qualified Provider

DARGA, MARIE CLARA (NPI #1902211790, License # 52196) NoLicensed Marriage and Family Therapist

DIAZ-GREEN, JOSEPHINE (NPI #1063877215, License # N/A) YesOther Qualified Provider

FLORES, MARI (NPI #1558703637, License # LCSW88265) YesLicensed Clinical Social Worker

FRANCO, KIMBERLY (NPI #1831723980, License # 115908) NoAssociate Marriage Family Therapist

GALLEGOS, LILIANA (NPI #1508197153, License # LMFT 46014) NoLicensed Marriage and Family Therapist

GREEN, ZYRIL ROXAS (NPI #1720503337, License # AMFT 117552) YesAssociate Marriage Family Therapist

HANSON, ASHLEY (NPI #1952723009, License # N/A) YesOther Qualified Provider

HERNANDEZ, JENNIFER (NPI #1336613066, License # 111882) YesAssociate Marriage Family Therapist, Associate

Professional Clinical Counselor

JARQUIN, LUIS (NPI #1790810554, License # LMFT41743) YesLicensed Marriage and Family Therapist

JONES, JOSEPH (NPI #1669898037, License # LMFT 51233) YesLicensed Marriage and Family Therapist

KHAIL, KIM (NPI #1518102888, License # N/A) YesOther Qualified Provider

KURZ, TROY LEWIS (NPI #1154862357, License # a157190) NoLicensed Physician

LEE, RICHARD (NPI #1407968068, License # A72701) YesLicensed Psychiatrist

MARQUEZ, RIAN (NPI #1235323494, License # LMFT49194) YesLicensed Marriage and Family Therapist

MURILLO, SANDY (NPI #1427342666, License # N/A) YesOther Qualified Provider

NGUYEN, KHAI THANH (NPI #1992102990, License # A151492) NoLicensed Psychiatrist

OGBEBOR, AMENZE (NPI #1285763318, License # LCSW28472) YesLicensed Clinical Social Worker

OLAGUES, LISA (NPI #1821288218, License # N/A) NoOther Qualified Provider

PARMAR, MONISH (NPI #1033505813, License # A 144627) YesLicensed Physician

REDDY, VEDHIRE (NPI #1427156173, License # A46202) YesLicensed Psychiatrist

RIOS, RICHARD (NPI #1659411288, License # N/A) NoOther Qualified Provider

ROBBIN, SARA (NPI #1205214897, License # N/A) NoOther Qualified Provider

ROBINSON, MIRANDA D. (NPI #1841328861, License # LCSW21027) YesLicensed Clinical Social Worker

RODRIGUEZ, MARITZA (NPI #1437774452, License # N/A) YesOther Qualified Provider

SANCHEZ, LILIANA (NPI #1962841874, License # ASW62995) YesLicensed Clinical Social Worker

SIERRA, ERICA ELISSA (NPI #1518519503, License # N/A) YesOther Qualified Provider

TRUONG, KEVIN (NPI #1063804755, License # A158018) NoLicensed Physician

URBINA, ISMAEL (NPI #1548362494, License # 24945) YesLicensed Clinical Social Worker

WILSON, BENJAMIN (NPI #1295990992, License # PSY 25427) YesLicensed Psychologist

WRIGHT, XKIZIN (NPI #1194104372, License # LMFT123370) YesLicensed Marriage and Family Therapist

XAYARATH, NOVANH (NPI #1821108374, License # 39607) YesLicensed Marriage and Family Therapist

Page 101 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

YU, LAWRENCE (NPI #1013229210, License # A121621) NoLicensed Psychiatrist

ZAMBRANO, LORENA (NPI #1689934580, License # AMFT 112230) NoLicensed Marriage and Family Therapist

Program: Community Access Network (CAN), 2275 S. Main St., 201, Corona, CA 92282, Phone: 951-279-1333

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Anxiety, Bereavement/Grief Counseling, Case Management, Chronically

Homeless/Disabled, Clinical Therapist, Couples/Marriage Therapy, Depression, Developmental Issues, Eating Disorders, Family Therapy, Female

Issues, Foster Youth, Group Therapy, Individual Therapy, Learning Disorders, Medication Services, Mental Health Counseling, Mood Disorders,

Obsessive-Compulsive Behaviors, Oppositional Defiance, Other, Peer Support, Personality Disorders, Phobias, Post Partum Disorder, PTSD,

School Issues, Social Worker, Stress Management

Languages: Arabic, English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination

Staff Name

Cultural

Competence

TrainingLicensure

AGUIRRE, BEVERLY MARITZA (NPI #1992153647, License # N/A) NoMental Health Rehabilitation Specialist

ALMEIDA, ERICK ABDON (NPI #1992365506, License # N/A) YesOther Qualified Provider

BARRAGAN, VANESSA D (NPI #1740707082, License # N/A) YesOther Qualified Provider

BARROW, SYLVIA (NPI #1699205286, License # N/A) YesOther Qualified Provider

BRAVO, AMBER N. (NPI #1588194674, License # AMFT 99963) YesAssociate Marriage Family Therapist, Associate

Professional Clinical Counselor

BURKETTE, GILLIAN B. (NPI #1174015754, License # AMFT 99447) YesAssociate Marriage Family Therapist

CEJA, ALEXANDRA (NPI #1588193726, License # N/A) YesOther Qualified Provider

CESAR, PRISCILLA (NPI #1790110922, License # 75275) YesLicensed Clinical Social Worker

CHAVEZ, ERICA (NPI #1720498272, License # 227533) YesLicensed Marriage and Family Therapist

CHAVEZ, JESSICA BERNISE (NPI #1710400452, License # N/A) YesAssociate Clinical Social Worker

CHRISTIANSON, KYLIE J

(NPI #1659803385, License # AMFT 101715)

YesAssociate Marriage Family Therapist, Associate

Professional Clinical Counselor

CONTRERAS, CLARISSA (NPI #1407347255, License # N/A) YesOther Qualified Provider

CORTES, KIMBERLY MEGHAN (NPI #1932507506, License # 103594) YesLicensed Marriage and Family Therapist

Page 102 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

DANIELS, SHANI (NPI #1174014831, License # N/A) YesOther Qualified Provider

DELAGARZA, ALEJANDRA (NPI #1801456710, License # N/A) YesOther Qualified Provider

DIAZ-ALVAREZ, DAYRIN (NPI #1316580673, License # N/A) YesOther Qualified Provider

DUARTE, VANESSA (NPI #1982205027, License # N/A) YesOther Qualified Provider

FERNANDEZ, KAREN R. (NPI #1851782361, License # 84176) YesAssociate Marriage Family Therapist

FERNANDEZ-SUTTON, CELIA

(NPI #1255870598, License # LCSW 93566)

YesLicensed Clinical Social Worker

FIERRO, ARLYNNA RAE (NPI #1295384782, License # N/A) YesAssociate Clinical Social Worker

FISHER, SARAH (NPI #1356873111, License # 113875) YesLicensed Marriage and Family Therapist

FRANCO, DIANA (NPI #1871024141, License # N/A) YesLicensed Marriage and Family Therapist

FREEDMANII, ANTHONY (NPI #1932583341, License # N/A) YesOther Qualified Provider

GARCIA, DAVID (NPI #1114426004, License # N/A) YesOther Qualified Provider

GIESSMANN, KRISTINA (NPI #1497141865, License # LPCC 6555) YesLicensed Professional Clinical Counselor

GOMEZ, JESSICA (NPI #1154839819, License # N/A) YesOther Qualified Provider

GOMEZ, KELSEY (NPI #1336500446, License # LMFT 116901) YesAssociate Professional Clinical Counselor, Licensed

Marriage and Family Therapist

GROEN, MELANIE (NPI #1861550238, License # 29350) YesLicensed Clinical Social Worker

GUERRERO, LESLIE AILEEN (NPI #1407487242, License # N/A) YesOther Qualified Provider

GUTIERREZ, LAURA DIAZ (NPI #1063072791, License # N/A) YesAssociate Clinical Social Worker

HERNANDEZ, ARASELI (NPI #1033242557, License # N/A) YesMental Health Rehabilitation Specialist, Other

Qualified Provider

HERNANDEZ, GENEVIE (NPI #1477103026, License # N/A) YesOther Qualified Provider

HERNANDEZ, NANNETTE (NPI #1720689474, License # N/A) YesOther Qualified Provider

ISAACS, NATALIA (NPI #1588906952, License # 75948) YesLicensed Clinical Social Worker

JIMENEZ, YANELLY (NPI #1962898304, License # N/A) YesOther Qualified Provider

KUMAR, GAURAV (NPI #1235513102, License # A151187) YesLicensed Physician, Licensed Psychiatrist

LANIER, KATIE (NPI #1568850303, License # LMFT96395) YesLicensed Marriage and Family Therapist

LUCAS, LESLIE (NPI #1033375050, License # LMFT106163) YesLicensed Marriage and Family Therapist

LUNA, PAOLA VIDAURI (NPI #1063990828, License # N/A) YesOther Qualified Provider

MANZANO, MIGUEL ANGEL

(NPI #1902226178, License # AMFT 88496)

YesAssociate Marriage Family Therapist

MEZA, PATRICIA (NPI #1205151362, License # 75036) YesLicensed Clinical Social Worker

MORENO, MARISSA (NPI #1952809477, License # N/A) YesOther Qualified Provider

MOSS, MARLENA S (NPI #1982234506, License # N/A) YesOther Qualified Provider

PARISH, KEVYN (NPI #1902023286, License # N/A) YesOther Qualified Provider

Page 103 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

PEREZ, STEPHANIE MARIE (NPI #1073173571, License # N/A) YesOther Qualified Provider

PHILOBOS, RAFIK (NPI #1972735173, License # 25611) YesLicensed Clinical Social Worker

PIAZZISI-MOYES, MEGAN (NPI #1952842627, License # N/A) YesAssociate Clinical Social Worker

PINTO, REGINA (NPI #1720090640, License # 19582) YesLicensed Psychologist

REED, EBONIE (NPI #1821250481, License # 81228) YesLicensed Marriage and Family Therapist

RUIZ, FRANCISCO (NPI #1336523869, License # N/A) YesOther Qualified Provider

SANCHEZ, JULIO (NPI #1225431828, License # LMFT 113659) YesLicensed Marriage and Family Therapist

SANDOVAL, ANA NOELA (NPI #1629610555, License # N/A) YesOther Qualified Provider

SASTRE, LUIS (NPI #1629638317, License # N/A) YesOther Qualified Provider

SEDBERRY, MONICA (NPI #1588722755, License # 25945) YesLicensed Clinical Social Worker

SOTO, ANGELICA (NPI #1881951358, License # N/A) YesOther Qualified Provider

SPECTOR, ANDREA (NPI #1154782886, License # N/A) YesOther Qualified Provider

TAPIA-BARRERA, MARITZA (NPI #1538627443, License # N/A) YesOther Qualified Provider

TORRES, MARY (NPI #1336661040, License # N/A) YesOther Qualified Provider

URBINA, ISMAEL (NPI #1548362494, License # 24945) YesLicensed Clinical Social Worker

VALERIO-SANDOVAL, CRYSTAL

(NPI #1104122050, License # 106044)

YesLicensed Marriage and Family Therapist

VARGAS, LIZBETH V (NPI #1790935740, License # AMFT 104278) YesAssociate Marriage Family Therapist

VEGA, ASHLY MICHELLE (NPI #1508376302, License # N/A) YesOther Qualified Provider

WILKINS, LAQUITTA (NPI #1407416282, License # N/A) YesOther Qualified Provider

WILKINS, MARGEAUX (NPI #1407416944, License # N/A) YesOther Qualified Provider

WILSON, CORY (NPI #1073630448, License # N/A) YesOther Qualified Provider

ZAMON, MAYRA (NPI #1851931547, License # N/A) YesOther Qualified Provider

Program: Corona Wellness and Recovery Center, 2813 South Main Street, Second Floor, Corona, CA 92882, Phone: 951-737-2962,

Fax: 951-737-2783

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Between .25-.5 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: Certified Alcohol Counselor, Female Issues, Group Therapy, Individual Therapy, Male Issues, Medication Assisted Treatment (MAT),

School Issues, Sign Language, Social Worker, Substance Abuse, Youth Treatment

Languages: American Sign Language (ASL), English, Russian, Spanish

Ethnicities Served: Mexican/Mexican American

Page 104 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Races Served: Black/African-American, Hispanic/Latino, White

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

BARTON-ANDERSON, LARISSA MARY

(NPI #1255953717, License # N/A)

NoOther Qualified Provider

BENDLIN, KATHERINE (NPI #1326305640, License # N/A) NoOther Qualified Provider

FABE, CECILIA ISABEL (NPI #1275185282, License # N/A) NoOther Qualified Provider

FOURONG, LACY RAE (NPI #1982939138, License # 87955) YesLicensed Marriage and Family Therapist

MENDEZ, CECLILIA (NPI #1184990970, License # IMF74490) NoAssociate Marriage Family Therapist

REDDY, VEDHIRE (NPI #1427156173, License # A46202) YesLicensed Psychiatrist

REYNA, RICHARD PANTOJA

(NPI #1942736327, License # VN 230721)

YesLicensed Vocational Nurse

SANJUAN, VERONICA (NPI #1578780771, License # 100280) NoLicensed Marriage and Family Therapist

ULLOA, ANDREA JACQUELINE (NPI #1356848683, License # N/A) NoOther Qualified Provider

Program: INSTITUTE FOR FAMILY CENTERED SERVICES INC. DBA California Mentor - FSS, 6800 Indiana Ave, 260, Riverside, CA

92506, Phone: 951-782-0040

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services

Staff Name

Cultural

Competence

TrainingLicensure

AGREDANO, LAURA (NPI #1942803523, License # 95669) YesAssociate Clinical Social Worker

ESTRADA, NORMA A (NPI #1760011753, License # 117322) YesAssociate Marriage Family Therapist

GARCIA, TRACY DENISE (NPI #1740598408, License # 91927) YesAssociate Marriage Family Therapist

GLOVER, ANGEL (NPI #1821573338, License # N/A) YesOther Qualified Provider

Page 105 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

GONZALES, EDSON LUCERO (NPI #1609435254, License # N/A) YesOther Qualified Provider

GONZALEZ, KELLIE LYNN (NPI #1730742263, License # 92986) NoAssociate Marriage Family Therapist

HERNANDEZ, MARIA (NPI #1437756038, License # N/A) YesOther Qualified Provider

JANUARY, MIRACLE (NPI #1316470263, License # 91868) YesAssociate Marriage Family Therapist

MONTANE, GUSTAVO (NPI #1780169383, License # 109915) NoAssociate Marriage Family Therapist

PLAVAJKA, ROBERT (NPI #1346879517, License # 113787) YesAssociate Marriage Family Therapist

RAMIREZ, JESUS JAVIER (NPI #1346883253, License # N/A) YesOther Qualified Provider

REVELO, JOSE MIGUEL (NPI #1902418767, License # N/A) YesOther Qualified Provider

SANCHEZ-MUNOZ, MARIA DE LOURDES

(NPI #1225597982, License # N/A)

YesOther Qualified Provider

SIMONE, AGNES KWON (NPI #1760845101, License # 15833) YesLicensed Psychiatrist

WARD, BRIDGET (NPI #1992277636, License # N/A) YesOther Qualified Provider

WEIR, TAWNY (NPI #1205920113, License # 97520) YesLicensed Marriage and Family Therapist

WIGFALL, DONNELL (NPI #1841465556, License # 11625) YesLicensed Psychiatrist

WILLIAMS, CRYSTAL (NPI #1104378850, License # 112575) NoAssociate Marriage Family Therapist

ZUMWALT, SUZANNE MARIE (NPI #1184214348, License # N/A) YesOther Qualified Provider

Program: Interagency Services for Families Wraparound, 3125 Myers St., Riverside, CA 92503, Phone: 951-358-4850

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

CASTANEDA, LIBET (NPI #1770770364, License # N/A) NoOther Qualified Provider

CONTRERAS, MIRIAM (NPI #1447446604, License # N/A) YesOther Qualified Provider

CRANE, SUSANA (NPI #1447628532, License # N/A) NoOther Qualified Provider

ELIZALDE-MANCENIDO, ZOAN (NPI #1275073702, License # N/A) NoOther Qualified Provider

GONZALES, ERNEST (NPI #1275863797, License # LMFT 105854) NoLicensed Marriage and Family Therapist

HARRIS, JESENIA (NPI #1770820805, License # N/A) YesOther Qualified Provider

LOPEZ, CLAUDIA SEGURA (NPI #1992050421, License # N/A) YesOther Qualified Provider

Page 106 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

MCCOY, ESTHER (NPI #1366534984, License # LCSW 17773) YesLicensed Clinical Social Worker

OLAGUES, LISA (NPI #1821288218, License # N/A) NoOther Qualified Provider

RAMOS, ANA (NPI #1437311404, License # N/A) YesOther Qualified Provider

XAYARATH, NOVANH (NPI #1821108374, License # 39607) YesLicensed Marriage and Family Therapist

Program: Jefferson Wellness Center, 2085 Rustin Ave., Riverside, CA 92507, Phone: 951-955-8000

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English, Spanish, Vietnamese

Service Type: Mental Health Services, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

AGUIRRE, BEVERLY MARITZA (NPI #1992153647, License # N/A) NoMental Health Rehabilitation Specialist

ANGULO, OCTAVIANO (NPI #1851989206, License # N/A) YesOther Qualified Provider

ARCHER, STEPHANIE B (NPI #1699364547, License # N/A) YesOther Qualified Provider

AYALA, RENA C (NPI #1386834232, License # N/A) NoMental Health Rehabilitation Specialist

BELTRAN, NATHALY (NPI #1235661893, License # N/A) NoAssociate Clinical Social Worker

BRAVO, LUIS ROBERTO (NPI #1023271319, License # N/A) YesOther Qualified Provider

COPELAND, JEFFREY THOMAS (NPI #1225650708, License # N/A) NoOther Qualified Provider

DAVIS, KIM (NPI #1700923133, License # 219798) YesLicensed Vocational Nurse

DIAZ, GABRIELA (NPI #1962033886, License # N/A) YesOther Qualified Provider

FISHER, MICHELLE VICTORIA (NPI #1962021030, License # N/A) NoOther Qualified Provider

GONZALEZ, ANTONIA (NPI #1356893424, License # N/A) NoOther Qualified Provider

GRACIAN, JONATHAN EDUARDO (NPI #1780226522, License # N/A) NoOther Qualified Provider

HANLON, CHRISTOPER JOHN (NPI #1013516855, License # N/A) NoAssociate Clinical Social Worker

HAYNES, WILLIAM (NPI #1386998722, License # N/A) NoOther Qualified Provider

JOHNS, LANCE J (NPI #1871945048, License # N/A) NoOther Qualified Provider

LARKIN, JENNIFER (NPI #1417138652, License # N/A) NoOther Qualified Provider

LECHUGA, JOSE GUILLERMO (NPI #1275179038, License # N/A) YesOther Qualified Provider

LUNA, ERIKA MARILEE (NPI #1841529658, License # N/A) NoOther Qualified Provider

MILLER, KELSEY ERIN (NPI #1881230399, License # N/A) NoMental Health Rehabilitation Specialist

Page 107 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

MILLER, KRISTIN (NPI #1023104882, License # 20890) NoLicensed Clinical Social Worker

MORRIS, LISA (NPI #1568689602, License # N/A) YesMental Health Rehabilitation Specialist

MUSIELAK, VALERIE (NPI #1316381874, License # N/A) YesMental Health Rehabilitation Specialist

NOBLE, LISA (NPI #1518320571, License # VN254024) NoLicensed Vocational Nurse

PRATHER, RICHARD (NPI #1033207881, License # G57996) NoLicensed Psychiatrist

REGAN, BERNADETTE (NPI #1922186493, License # LCS 19841) NoLicensed Clinical Social Worker

RUSSELL, JA'MISHA LENETTA (NPI #1912420035, License # N/A) YesOther Qualified Provider

SEGURA, ALVARO (NPI #1306371554, License # N/A) NoOther Qualified Provider

SEPULVEDA, LINDA (NPI #1073840245, License # N/A) NoOther Qualified Provider

SHEPPARD, ROSALINDA (NPI #1568848877, License # N/A) NoOther Qualified Provider

SYLVESTER, HEATHER (NPI #1174740161, License # LCSW59635) YesLicensed Clinical Social Worker

VALENCIA, MARIELLA (NPI #1568845873, License # 99098) NoAssociate Marriage Family Therapist

VALENSON, STEPHANIE ELIZABETH

(NPI #1609355510, License # N/A)

YesOther Qualified Provider

VERTTI, ANTONIO (NPI #1821175522, License # N/A) NoOther Qualified Provider

WEIGOLD, SCOTT (NPI #1992895056, License # A84380) YesLicensed Psychiatrist

WILINSKI, JESSICA ELIZABETH

(NPI #1003345992, License # Student Intern)

NoAssociate Clinical Social Worker

WILLIAMS, RACHEL ELEANOR (NPI #1962986711, License # N/A) NoOther Qualified Provider

YARBROUGH, RICHARD (NPI #1023339025, License # N/A) NoOther Qualified Provider

YOULIN-BARTLETT, PAULINE

(NPI #1104088046, License # LMFT53024)

YesLicensed Marriage and Family Therapist

Program: Jurupa Unified School District, 3924 Riverview Dr., Jurupa Valley, CA 92509, Phone: 951-360-4175

Ages Served: 0-20 Accepting Referrals: Yes, Therapy Only

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: Anxiety Disorder, Anxiety, Bereavement/Grief Counseling, Case Management, Foster Youth, Mental Health Counseling, MH

Counselor, Peer Support, Play Therapy, School Issues, Social Worker, Stress Management, Trauma Informed, Youth Treatment

Languages: English, Spanish

Ethnicities Served: Mexican/Mexican American, Other Hispanic/Latino

Races Served: Asian Native, Black/African-American, Chinese, Hispanic/Latino, White, Multiracial, Other Asian, Other Race

Page 108 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

ADAMS, OFIR (NPI #1861095929, License # N/A) NoOther Qualified Provider

BARRAZA, MELISSA ANDREA (NPI #1154948909, License # 96168) NoAssociate Clinical Social Worker

BRISENO, JENNIFER (NPI #1104447390, License # 74169) NoAssociate Clinical Social Worker

CAMPOS, EDUARDO JOSE (NPI #1275153959, License # N/A) NoOther Qualified Provider

CASTANON, YVETTE (NPI #1881028710, License # 91655) NoAssociate Clinical Social Worker

GARCIA-RUACHO, CRYSTAL (NPI #1699088716, License # 72552) NoLicensed Clinical Social Worker

LAKE, SAMANTHA (NPI #1427595065, License # 93919) NoAssociate Clinical Social Worker

RIOS, LIZET (NPI #1780053132, License # 87784) NoAssociate Clinical Social Worker

SANTANA, AUDRIANA (NPI #1083232920, License # 95625) NoAssociate Clinical Social Worker

VAZQUEZ, DESTINY (NPI #1639772585, License # N/A) NoOther Qualified Provider

Program: Kamali'i Counseling Center, 31772 Casino Drive, B, Lake Elsinore, CA 92530, Phone: 951-674-9400, Fax: 951-674-9486

Ages Served: All Ages Accepting Referrals: Yes, Therapy Only

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Anxiety, Case Management, Child Abuse Issues, Clinical Child Psychology, Clinical Therapist,

Couples/Marriage Therapy, Depression, Developmental Issues, Family Therapy, Female Issues, Foster Youth, Gender Identity Issues, Group

Therapy, Individual Therapy, Learning Disorders, LGBTQ Counseling, Male Issues, Men With Children, Mental Health Counseling, MH Counselor,

Mood Disorders, Obsessive-Compulsive Behaviors, Oppositional Defiance, PTSD, School Issues, Social Worker, Stress Management, Trauma

Informed, Women With Children, Youth Treatment

Languages: English

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

AGUILAR, JOSELYNN (NPI #1487139101, License # 113572) YesAssociate Marriage Family Therapist

HYATT, JENNIFER (NPI #1588173025, License # 99355) YesLicensed Marriage and Family Therapist

Page 109 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

LINDEOTH, STEPHANIE (NPI #1609485531, License # N/A) YesAssociate Professional Clinical Counselor

PERRY, JAYZME A (NPI #1962015172, License # 95844) YesAssociate Clinical Social Worker

Program: Long Term Care - Board & Care Program, 3625 14th Street, Riverside, CA 92501, Phone: 951-955-1540, Fax: 951-955-1620

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: American Sign Language (ASL), English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

JONES, CARMEN MARIE (NPI #1770906042, License # N/A) NoOther Qualified Provider

KANSAL, TAPEESH (NPI #1841291408, License # c52158) NoLicensed Psychiatrist

OGUGUA, LINDA (NPI #1417113903, License # N/A) NoOther Qualified Provider

ORONA, TONY JR (NPI #1124566591, License # N/A) YesOther Qualified Provider

THOMAS, ANITA (NPI #1902184955, License # N/A) YesOther Qualified Provider

THOMAS, SUNIL JOSE (NPI #1962865113, License # AMFT 1000159) NoAssociate Marriage Family Therapist

WASHINGTON-FINNEY, DEBBIE (NPI #1396121679, License # N/A) NoOther Qualified Provider

Program: Long Term Care - ITF Discharge Planning, 3625 14th Street, Riverside, CA 92501, Phone: 951-955-1540, Fax: 951-955-1620

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Intensive Care Coordination

Staff Name

Cultural

Competence

TrainingLicensure

JONES, CARMEN MARIE (NPI #1770906042, License # N/A) NoOther Qualified Provider

Page 110 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

OGUGUA, LINDA (NPI #1417113903, License # N/A) NoOther Qualified Provider

ORONA, TONY JR (NPI #1124566591, License # N/A) YesOther Qualified Provider

THOMAS, ANITA (NPI #1902184955, License # N/A) YesOther Qualified Provider

THOMAS, SUNIL JOSE (NPI #1962865113, License # AMFT 1000159) NoAssociate Marriage Family Therapist

WASHINGTON-FINNEY, DEBBIE (NPI #1396121679, License # N/A) NoOther Qualified Provider

Program: Main Street Clinic, 2813 South Main Street, Second Floor, Corona, CA 92882, Phone: 951-737-2962, Fax: 951-737-2783

Ages Served: All Ages Accepting Referrals: Yes, Medication Only

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: American Sign Language (ASL), Arabic, Cambodian, Cantonese, English, Farsi, Hmong, Korean, Mandarin, Other Chinese

Languages, Russian, Spanish, Tagalog, Vietnamese

Service Type: Mental Health Services, Case Management, Crisis Intervention, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

BARTON-ANDERSON, LARISSA MARY

(NPI #1255953717, License # N/A)

NoOther Qualified Provider

BENDLIN, KATHERINE (NPI #1326305640, License # N/A) NoOther Qualified Provider

CASTRO, JONATHAN MARSHALL

(NPI #1285105965, License # AMFT 79509)

NoLicensed Marriage and Family Therapist

FABE, CECILIA ISABEL (NPI #1275185282, License # N/A) NoOther Qualified Provider

HENDERSON, CHRISTINA (NPI #1316163934, License # N/A) NoOther Qualified Provider

HENRY, LUEVINA (NPI #1609171297, License # N/A) NoOther Qualified Provider

MENDEZ, CECLILIA (NPI #1184990970, License # IMF74490) NoAssociate Marriage Family Therapist

MOON, THERESA (NPI #1477581270, License # A 43482) NoLicensed Psychiatrist

PATEL, RAMESH (NPI #1912044520, License # A46148) NoLicensed Psychiatrist

RAJANI, RAJ (NPI #1861566572, License # A42580) NoLicensed Psychiatrist

REYNA, RICHARD PANTOJA

(NPI #1942736327, License # VN 230721)

YesLicensed Vocational Nurse

SANJUAN, VERONICA (NPI #1578780771, License # 100280) NoLicensed Marriage and Family Therapist

SILVA-LUJANO, ADRIANA (NPI #1104332840, License # 292194) NoLicensed Vocational Nurse

TOMINELLO, MARIA G (NPI #1285883439, License # 553899) NoRegistered Nurse

Page 111 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

ULLOA, ANDREA JACQUELINE (NPI #1356848683, License # N/A) NoOther Qualified Provider

Program: Mental Health Court-Riverside, 3625 14th Street, Riverside, CA 92501, Phone: 951-955-1560

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: American Sign Language (ASL), English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention

Staff Name

Cultural

Competence

TrainingLicensure

ALVIDREZ, LORENA (NPI #1740656743, License # N/A) YesOther Qualified Provider

ANTILLON, CARLEE N. (NPI #1730586587, License # N/A) NoOther Qualified Provider

BOWLING, DORENE (NPI #1770601775, License # N/A) YesOther Qualified Provider

BRAYLEY, ALEXANDRA SHAY (NPI #1306397997, License # 113732) YesAssociate Marriage Family Therapist

CONTRERAS, JESSIE-RAE (NPI #1558968396, License # N/A) NoOther Qualified Provider

FREDERIKSEN, SEAN (NPI #1265694582, License # 85244) YesLicensed Marriage and Family Therapist

GALIPPO, RYAN GREGORY (NPI #1518445725, License # 100139) NoAssociate Marriage Family Therapist

GONZALEZ, ANASTACIA MELISSA

(NPI #1164892220, License # 167524II CATCII)

YesOther Qualified Provider

PRICE, DARRELL (NPI #1609990878, License # N/A) YesOther Qualified Provider

SCHOOLEY, TINA (NPI #1427382654, License # N/A) YesOther Qualified Provider

Program: MFI RECOVERY CENTER - RIVERSIDE, 5870 Arlington Ave, Riverside, CA 92504, Phone: 951-683-6596

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: Individual Therapy, Medication Assisted Treatment (MAT), Other, School Issues, Social Worker, Substance Abuse, Trauma Informed

Languages: American Sign Language (ASL), English, Spanish, Tagalog

Service Type: Mental Health Services, Case Management, Crisis Intervention, Medication Support

Page 112 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Staff Name

Cultural

Competence

TrainingLicensure

ALVARENGA, ROSA (NPI #1134408065, License # IMF74825) NoAssociate Marriage Family Therapist

BARTH, CASSSANDRA (NPI #1467644526, License # IMF99051) YesAssociate Marriage Family Therapist

BLANCO, FRANCES (NPI #1710262738, License # ASW60961) YesLicensed Clinical Social Worker

CLINTON, REBECCA ROSE (NPI #1073130324, License # ASW95220) YesAssociate Clinical Social Worker

DAGGETT, MARTHA I (NPI #1891071676, License # IMF71634) YesAssociate Marriage Family Therapist

DIMANNO, NATALIE CLAIRE (NPI #1972164499, License # 6149) YesAssociate Marriage Family Therapist

DRAKE, MELINDA GEREMILLO (NPI #1568593168, License # 68954) YesLicensed Clinical Social Worker

ENGLAND, ALLISON

(NPI #1194350439, License # APCC7525, AMFT117765)

YesAssociate Marriage Family Therapist, Associate

Professional Clinical Counselor

FRANKLIN, RUBIE (NPI #1023200136, License # 48719) NoLicensed Marriage and Family Therapist

HICKS, MATTHEW RONALD (NPI #1033240080, License # 21132) YesLicensed Clinical Social Worker

JENNINGS, TAMARA (NPI #1376843672, License # LMFT81538) YesLicensed Marriage and Family Therapist

JOHNSON, WILLIE (NPI #1386157782, License # IMF98198) YesAssociate Marriage Family Therapist

KORNBLUTH, REBECCA (NPI #1760747265, License # IMF78133) YesAssociate Marriage Family Therapist

LACY, DEBRA (NPI #1225333438, License # 86783) NoLicensed Marriage and Family Therapist

LOPEZ, MARIA A. (NPI #1285018176, License # IMF98768) YesAssociate Marriage Family Therapist

MCCALISTER, BETSY (NPI #1730389214, License # LCSW18224) YesLicensed Clinical Social Worker

NAVARRO, SAMANTHA (NPI #1053927335, License # ASW90280) YesAssociate Clinical Social Worker

PATEL, BIPIN (NPI #1528197647, License # A46654) NoLicensed Psychiatrist

RODRIGUEZ, STEFANI (NPI #1659979490, License # AMFT121026) YesAssociate Marriage Family Therapist

Program: Moreno Valley Childrens Interagency Program, 23119 Cottonwood Ave Bld A, 110, Moreno Valley, CA 92553, Phone:

951-413-5678, Fax: 951-413-5660

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: No TDD/TTY Equipment Available: No

Specialties: ADHD, Case Management, Clinical Therapist, Depression, Group Therapy, Individual Therapy, Mood Disorders, PTSD, Trauma

Informed

Languages: English, Farsi, Other Non-English, Spanish

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Cuban, Puerto Rican, Other Hispanic/Latino

Page 113 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Races Served: Black/African-American, Hispanic/Latino, White, Multiracial, Other Asian, Other Race

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

BETTOSINI, NICK (NPI #1750780060, License # ASW84524) YesAssociate Clinical Social Worker, Other Qualified

Provider

CAMACHO, CYNTHIA (NPI #1033544770, License # AMFT110798) YesAssociate Marriage Family Therapist

DELEON, EDWIN (NPI #1871735464, License # A118530) NoLicensed Psychiatrist

ESPINOZA, IRIS (NPI #1851760755, License # ASW78896) YesAssociate Clinical Social Worker

FELLOWS, LESDY L (NPI #1033655022, License # 1033655022) YesOther Qualified Provider

GENTLE, TANYA LOUISE (NPI #1104441559, License # N/A) YesOther Qualified Provider

KUMAR, GAURAV (NPI #1235513102, License # A151187) YesLicensed Physician, Licensed Psychiatrist

LINDO, JOHN (NPI #1487947958, License # A142898) NoLicensed Psychiatrist

MIGLANI-NAYAR, JASJEET (NPI #1851419337, License # A62373) NoLicensed Psychiatrist

MONROE, DONNA (NPI #1861504268, License # LCSW23345) YesLicensed Clinical Social Worker

MURCIA, ANA (NPI #1336259605, License # 403582) YesLicensed Marriage and Family Therapist

NGUYEN, KHAI THANH (NPI #1992102990, License # A151492) NoLicensed Psychiatrist

OURSLER, ABBY (NPI #1629170253, License # LMFT31479) YesLicensed Marriage and Family Therapist

REYNA, RICHARD PANTOJA

(NPI #1942736327, License # VN 230721)

YesLicensed Vocational Nurse

SANCHEZ-GARCIA, JENNY (NPI #1861800062, License # N/A) YesOther Qualified Provider

SUAZO, SOFIA ALEJANDRA

(NPI #1922444819, License # LMFT116285)

YesLicensed Marriage and Family Therapist

WEBB, KATHY (NPI #1417372137, License # N/A) YesOther Qualified Provider

XAYARATH, NOVANH (NPI #1821108374, License # 39607) YesLicensed Marriage and Family Therapist

YAMAGUCHI, TOSHIA ANN (NPI #1932558715, License # A 150914) NoLicensed Psychiatrist

Program: Multi-Dimensional Family Therapy-West Expansion, 2085 Rustin Ave., 2, Riverside, CA 92507, Phone: 951-358-5730, Fax:

951-358-6622

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

Page 114 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

BAKER, SUSAN (NPI #1093140048, License # LMFT109571) NoLicensed Marriage and Family Therapist

BEAM, BRIANA (NPI #1003204157, License # N/A) NoOther Qualified Provider

HOPKINS, HEATHER (NPI #1487005260, License # LCSW98623) YesAssociate Clinical Social Worker

MYERS, PATTY (NPI #1619056785, License # MFC21605) NoLicensed Marriage and Family Therapist

XAYARATH, NOVANH (NPI #1821108374, License # 39607) YesLicensed Marriage and Family Therapist

Program: Murrieta Juvenile Hall, 30755 Auld Road, Murrieta, CA 92563-2599, Phone: 951-600-6801

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Between .25-.5 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Languages: English

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

ADUDDELL, CHRISTINE YVONNE (NPI #1275056806, License # N/A) YesOther Qualified Provider

BELTRAN, NATHALY (NPI #1235661893, License # N/A) NoAssociate Clinical Social Worker

LINDO, JOHN (NPI #1487947958, License # A142898) NoLicensed Psychiatrist

MARTINEZ, MELECHIA A (NPI #1285764142, License # LMFT 50375) YesLicensed Marriage and Family Therapist

MUNOZ, MONICA (NPI #1538677612, License # N/A) NoOther Qualified Provider

NEMISH, CARRIE (NPI #1689832263, License # LMFT 84789) NoLicensed Marriage and Family Therapist

PATEL, BIPIN (NPI #1528197647, License # A46654) NoLicensed Psychiatrist

Program: New Beginnings Residential Treatment Facilities- New Beginning, 2464 Slew of Gold, Perris, CA 92572, Phone:

951-637-6754

Page 115 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Ages Served: 0-20 Accepting Referrals: Yes, Therapy Only

Distance to closest public transportation: Between .25-.5 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Child Abuse Issues, Depression, Family Therapy, Foster Youth, Gender Identity

Issues, Group Therapy, Individual Therapy, Mental Health Counseling, Mood Disorders, Oppositional Defiance, PTSD

Languages: English

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Puerto Rican, Other Hispanic/Latino

Races Served: Black/African-American, Filipino, Hispanic/Latino, White, Multiracial, Other Asian

Service Type: Short Term Residential Therapeutic Progm, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

BRACKEN, ALEXIS MARIE (NPI #1184103343, License # N/A) YesAssociate Clinical Social Worker

BROWN, SHANEE MARZE (NPI #1548622889, License # 91973) YesLicensed Clinical Social Worker

GILMORE, TYRONE (NPI #1275153256, License # 661284) YesRegistered Nurse

GRIFFIN, KARLETA (NPI #1033739347, License # N/A) YesMental Health Rehabilitation Specialist

LICON, CHLOE IVANA (NPI #1417573676, License # 118851) YesAssociate Marriage Family Therapist

VERMILION, ADRIANNA MARIE (NPI #1396883013, License # 40200) YesLicensed Marriage and Family Therapist

Program: New Beginnings Residential Treatment Facilities- Raja, 2579 Spectacular Bid St, Perris, CA 92572, Phone: 951-637-6754

Ages Served: 0-20 Accepting Referrals: Yes, Therapy Only

Distance to closest public transportation: Between .25-.5 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Child Abuse Issues, Depression, Family Therapy, Foster Youth, Gender Identity

Issues, Group Therapy, Individual Therapy, Mental Health Counseling, Mood Disorders, Oppositional Defiance, PTSD, Registered Nurse, Trauma

Informed

Languages: English

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Other Hispanic/Latino

Page 116 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Races Served: Black/African-American, Filipino, Hispanic/Latino, White, Multiracial, Other Asian

Service Type: Short Term Residential Therapeutic Progm, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

BRACKEN, ALEXIS MARIE (NPI #1184103343, License # N/A) YesAssociate Clinical Social Worker

BROWN, SHANEE MARZE (NPI #1548622889, License # 91973) YesLicensed Clinical Social Worker

GILMORE, TYRONE (NPI #1275153256, License # 661284) YesRegistered Nurse

GRIFFIN, KARLETA (NPI #1033739347, License # N/A) YesMental Health Rehabilitation Specialist

LICON, CHLOE IVANA (NPI #1417573676, License # 118851) YesAssociate Marriage Family Therapist

VERMILION, ADRIANNA MARIE (NPI #1396883013, License # 40200) YesLicensed Marriage and Family Therapist

Program: New Beginnings Residential Treatment Facilities Shalom, 106 Worth St, Perris, CA 92571, Phone: 951-637-6754

Ages Served: 0-20 Accepting Referrals: Yes, Therapy Only

Distance to closest public transportation: Between .25-.5 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: ADHD, Anxiety Disorder, Child Abuse Issues, Clinical Therapist, Depression, Family Therapy, Foster Youth, Gender Identity Issues,

Group Therapy, Individual Therapy, LGBTQ Counseling, Mental Health Counseling, Oppositional Defiance, PTSD, Registered Nurse, Rehab

Therapist, School Issues, Social Worker, Stress Management, Trauma Informed

Languages: English

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Other Hispanic/Latino

Races Served: Black/African-American, Filipino, Hispanic/Latino, White, Multiracial

Service Type: Short Term Residential Therapeutic Progm, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

BRACKEN, ALEXIS MARIE (NPI #1184103343, License # N/A) YesAssociate Clinical Social Worker

BROWN, SHANEE MARZE (NPI #1548622889, License # 91973) YesLicensed Clinical Social Worker

GRIFFIN, KARLETA (NPI #1033739347, License # N/A) YesMental Health Rehabilitation Specialist

LICON, CHLOE IVANA (NPI #1417573676, License # 118851) YesAssociate Marriage Family Therapist

Page 117 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

VERMILION, ADRIANNA MARIE (NPI #1396883013, License # 40200) YesLicensed Marriage and Family Therapist

Program: New Hope Christian Counseling, 12810 Heacock Street, B-202, Moreno Valley, CA 92533, Phone: 951-247-6542, Fax:

951-247-6959

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Anxiety, Bereavement/Grief Counseling, Case Management, Child Abuse Issues,

Chronically Homeless/Disabled, Clinical Child Psychology, Clinical Therapist, Couples/Marriage Therapy, Depression, Developmental Issues,

Eating Disorders, Family Therapy, Female Issues, Foster Youth, Gender Identity Issues, Geriatric Counseling, Group Therapy, Individual Therapy,

Male Issues, Men With Children, Mental Health Counseling, MH Counselor, Mood Disorders, Obsessive-Compulsive Behaviors, Oppositional

Defiance, Peer Support, Personality Disorders, Phobias, Play Therapy, Post Partum Disorder, Problem Gambling, Psychotic Disorders, PTSD,

School Issues, Stress Management, Substance Abuse, Trauma Informed, Veterans For MH, Women With Children, Youth Treatment

Languages: English, Spanish

Ethnicities Served: Mexican/Mexican American, Other Hispanic/Latino

Races Served: Black/African-American, Hispanic/Latino, White, Multiracial

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

HAYDEN, AMANDA (NPI #1083213748, License # N/A) YesLicensed Marriage and Family Therapist

JORDAN, RYAN R (NPI #1255961132, License # N/A) YesAssociate Marriage Family Therapist, Licensed

Marriage and Family Therapist

KAYES, MAX (NPI #1306905492, License # MFC22998) YesLicensed Marriage and Family Therapist

KRYGIER, ALEXI (NPI #1629693098, License # AMFT 119948) YesLicensed Marriage and Family Therapist

LILIENTHALJR., MALCOLM BERNARD

(NPI #1669972295, License # AMFT 101046)

YesLicensed Marriage and Family Therapist

LIRA, JEANNINE A (NPI #1174148563, License # AMFT) YesLicensed Marriage and Family Therapist

MENA, ANGELICA (NPI #1427656826, License # N/A) YesLicensed Marriage and Family Therapist

MINERO, GERMAN J (NPI #1639603251, License # AMFT 100152) YesLicensed Marriage and Family Therapist

NAVARRO, ALEX JR. (NPI #1578049342, License # 108385) NoLicensed Marriage and Family Therapist

Page 118 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

NAVARRO, CHAELENE (NPI #1447778105, License # 108384) NoLicensed Marriage and Family Therapist

OAKES, ANNELISE REBECCA (NPI #1609462647, License # N/A) YesLicensed Marriage and Family Therapist

PARRAGA, AN-TONIA (NPI #1801136411, License # 87071) YesLicensed Marriage and Family Therapist

REYNA, ARIANNA MONIQUE (NPI #1881150530, License # 112013) NoLicensed Marriage and Family Therapist

SULLIVAN, DEBI (NPI #1669826848, License # 87827) YesLicensed Marriage and Family Therapist

THOMAS, HILLARY (NPI #1972990208, License # N/A) YesLicensed Marriage and Family Therapist

Program: Olive Crest - Riverside, 555 Technology Ct, 300, Riverside, CA 92507, Phone: 951-688-6500

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Specialties: Case Management, Clinical Child Psychology, Clinical Therapist, Depression, Family Therapy, Foster Youth, Group Therapy,

Individual Therapy, Medication Services, Psychiatrist, Social Worker

Languages: English, Spanish

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Other Hispanic/Latino

Races Served: Black/African-American, White

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

ABAD, CLAUDIA (NPI #1871151019, License # N/A) YesOther Qualified Provider

ACEVEDO, NOELIA (NPI #1043739162, License # 99297) YesAssociate Marriage Family Therapist

ALEXANDER, RODERICK (NPI #1265846232, License # N/A) YesOther Qualified Provider

ANGKIANGCO, KATHERINE (NPI #1003118647, License # N/A) YesOther Qualified Provider

ARTEAGA, EVA (NPI #1255854980, License # 83985) YesLicensed Clinical Social Worker

AVALOS, ANTHONY (NPI #1124659057, License # N/A) YesMental Health Rehabilitation Specialist

AVALOS, VANESSA (NPI #1679057467, License # N/A) YesOther Qualified Provider

AVILA, CARINA (NPI #1396386900, License # 109230) YesAssociate Marriage Family Therapist

AYER, EMILY (NPI #1407469786, License # 119937) YesAssociate Marriage Family Therapist

BARCOUS, DEBORAH (NPI #1699367516, License # N/A) YesOther Qualified Provider

Page 119 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

BARKER, PATRICIA (NPI #1093971830, License # N/A) YesOther Qualified Provider

BAUTISTA, YESSENIA (NPI #1053959403, License # 123126) YesLicensed Marriage and Family Therapist

BAUTISTA-ARREDONDO, ANGELES (NPI #1902488794, License # N/A) YesOther Qualified Provider

BAYSMORE, KATHERINE (NPI #1548699622, License # N/A) YesOther Qualified Provider

BEAVERS, CHERYL (NPI #1225556921, License # N/A) YesOther Qualified Provider

BENSFIELD, CHRISTINA SHARON (NPI #1669023776, License # N/A) YesAssociate Clinical Social Worker

BENZOR, DEANNA (NPI #1255800017, License # N/A) YesOther Qualified Provider

BETANCOURT, CAROLINA (NPI #1053880815, License # N/A) YesOther Qualified Provider

BOUGHTON, MATTHEW (NPI #1033539739, License # N/A) YesOther Qualified Provider

BOYD, SHEENA (NPI #1376972455, License # 109664) YesLicensed Marriage and Family Therapist

BRITO-BARRIGA, ANDREA (NPI #1962065185, License # N/A) YesOther Qualified Provider

BROWN, JACQUELINE (NPI #1598161374, License # 107876) YesLicensed Marriage and Family Therapist

CABALLERO, LUIS ANGEL (NPI #1790389393, License # N/A) YesOther Qualified Provider

CABRERA, BRENDA (NPI #1740738574, License # N/A) YesOther Qualified Provider

CARRILLO, DENISE (NPI #1366920480, License # N/A) YesOther Qualified Provider

CARRILLO, REBECA (NPI #1851948392, License # 114094) YesAssociate Marriage Family Therapist

CASEY, RHONDA (NPI #1235635582, License # N/A) YesOther Qualified Provider

CATHEY, KRYSTLE (NPI #1962815993, License # N/A) YesOther Qualified Provider

CHERPIN, CRYSTAL (NPI #1417507716, License # N/A) YesOther Qualified Provider

COPPINS, CARMELITA (NPI #1134210446, License # LCSW65448) YesLicensed Clinical Social Worker

CRAWFORD, JENNYFER (NPI #1851862460, License # N/A) YesOther Qualified Provider

CRISPO, ASHLEE (NPI #1467094151, License # N/A) YesOther Qualified Provider

CRUTCHFIELD, JANIE (NPI #1013526003, License # N/A) YesOther Qualified Provider

CRUZ, LORRAINE (NPI #1629631833, License # N/A) YesOther Qualified Provider

CRUZ, STEPHANIE (NPI #1053899781, License # N/A) YesOther Qualified Provider

DAIGNEAULT, NICOLE (NPI #1104437508, License # N/A) YesOther Qualified Provider

DELAMANCHA, ASHLEY (NPI #1366895682, License # N/A) YesOther Qualified Provider

DELIFUS, CHANDA (NPI #1891146536, License # N/A) YesOther Qualified Provider

DOMINGUEZ, TANIA (NPI #1508210733, License # N/A) YesOther Qualified Provider

EDWARDS, DAPHNE (NPI #1700435377, License # N/A) YesOther Qualified Provider

EILAND, ERIN ELIZABETH (NPI #1336665967, License # 5747) YesAssociate Professional Clinical Counselor

FLORES, KORINA (NPI #1114421435, License # N/A) YesOther Qualified Provider

FOWLER, JOLEEN (NPI #1881157261, License # N/A) YesOther Qualified Provider

GALE, MARIBEL (NPI #1356810980, License # N/A) YesOther Qualified Provider

GARCIA, ALEXIA (NPI #1114490901, License # N/A) YesOther Qualified Provider

Page 120 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

GARCIA, TATIANA (NPI #1992355846, License # N/A) YesOther Qualified Provider

GARCIA-BAYARDO, ANA KORINA

(NPI #1982870754, License # 82910)

YesLicensed Marriage and Family Therapist

GAREY, PAMELA (NPI #1164891065, License # N/A) YesOther Qualified Provider

GERMANOS, NICOLE (NPI #1417580051, License # 113556) YesAssociate Marriage Family Therapist

GILBERT, GUADALUPE (NPI #1306366067, License # N/A) YesOther Qualified Provider

GLASSER, AMBER RENA (NPI #1184128035, License # 113091) YesAssociate Marriage Family Therapist

GODINEZ, NANCY (NPI #1932786464, License # N/A) YesOther Qualified Provider

GOINS, KEITH (NPI #1730787730, License # N/A) YesOther Qualified Provider

GOMEZ, JESSICA (NPI #1154839819, License # N/A) YesOther Qualified Provider

GRANT, RACHEL (NPI #1346822350, License # N/A) YesOther Qualified Provider

GRIFFIN, JENELLE (NPI #1700486289, License # N/A) YesOther Qualified Provider

HARRIS, MARCELUS (NPI #1790309029, License # N/A) YesOther Qualified Provider

HARTS, KIMBERLY (NPI #1912472689, License # N/A) YesOther Qualified Provider

HERNANDEZ, LAURA (NPI #1326584798, License # 118636) YesAssociate Marriage Family Therapist

HERNANDEZ, VANESSA (NPI #1124285044, License # N/A) YesOther Qualified Provider

HERNANDEZ-MIRELEZ, NANCY (NPI #1518445246, License # N/A) YesOther Qualified Provider

HERRERA, CLAUDIA (NPI #1417498619, License # N/A) YesOther Qualified Provider

JONES, LATRICE (NPI #1114493061, License # N/A) YesOther Qualified Provider

JUAREZ, LELA MARIA (NPI #1558655316, License # 117812) YesAssociate Marriage Family Therapist

KING, CARMEN (NPI #1023278090, License # N/A) YesOther Qualified Provider

KING, STACEY (NPI #1649717323, License # N/A) YesOther Qualified Provider

LEVI, BRITTANY (NPI #1427551316, License # N/A) YesOther Qualified Provider

LEWIS, AMANDA (NPI #1740713213, License # 107051) YesAssociate Marriage Family Therapist

LIMA, ANA (NPI #1255630877, License # N/A) YesOther Qualified Provider

LIMON, CYNTHIA (NPI #1194280677, License # N/A) YesOther Qualified Provider

LITTLEFIELD, KIMBERLY (NPI #1538728274, License # N/A) YesOther Qualified Provider

LOPEZ, EDDIE (NPI #1689077182, License # N/A) NoOther Qualified Provider

LOPEZ, JENNIFER LEE (NPI #1790122042, License # 79513) YesAssociate Marriage Family Therapist

LOPEZ, LINDA (NPI #1063960896, License # N/A) YesOther Qualified Provider

MADISON, LORRILYNN (NPI #1215515036, License # N/A) YesOther Qualified Provider

MADUENO, MONICA (NPI #1609360023, License # N/A) YesOther Qualified Provider

MALDONADO, CINDY (NPI #1649679382, License # N/A) YesOther Qualified Provider

MALONE, MARIA (NPI #1912566712, License # N/A) YesOther Qualified Provider

MARES, CARLOS (NPI #1700194974, License # 5999) YesAssociate Professional Clinical Counselor

Page 121 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

MARQUEZ, BLANCA (NPI #1467923052, License # N/A) YesOther Qualified Provider

MARQUEZ-CLAYPOOL, ALEJANDRA (NPI #1073155693, License # N/A) YesOther Qualified Provider

MARTIN, PIERRA (NPI #1558891416, License # N/A) YesLicensed Marriage and Family Therapist

MARTINEZ, MARTHA (NPI #1639736242, License # N/A) YesOther Qualified Provider

MCCARTNEY, CAITLYN (NPI #1518545045, License # N/A) YesOther Qualified Provider

MCLAUGHLIN, DESIREE (NPI #1023431939, License # LMFT105097) YesLicensed Marriage and Family Therapist

MCMORAN, LISA (NPI #1770034217, License # N/A) YesOther Qualified Provider

MEDINA, VALERIE (NPI #1992363147, License # 95706) YesAssociate Marriage Family Therapist

MEDINA-AYALA, BRENDA (NPI #1518433473, License # 3061) YesAssociate Professional Clinical Counselor

MENDEZ, ERICA (NPI #1588149694, License # 108356) YesAssociate Marriage Family Therapist

MENDOZA, ANA G (NPI #1801273024, License # IMF75404) NoLicensed Marriage and Family Therapist

MENDOZA, DIANA (NPI #1427616499, License # 5812) YesAssociate Professional Clinical Counselor

MENDOZA, JOHN ANTHONY (NPI #1548772163, License # 92067) YesAssociate Marriage Family Therapist

MINGUELA, ERIKA URRUTIA (NPI #1619212586, License # N/A) YesOther Qualified Provider

MIRANDA, YENESSA (NPI #1154911469, License # 7833) YesAssociate Professional Clinical Counselor

MUNOZ, CHRISTINE (NPI #1316379696, License # 101798) YesLicensed Marriage and Family Therapist

MURILLO, ERICA PINAL (NPI #1861852774, License # N/A) NoOther Qualified Provider

NAVARRO, NICOLE (NPI #1396206058, License # N/A) YesOther Qualified Provider

NGUYEN, KHAI THANH (NPI #1992102990, License # A151492) NoLicensed Psychiatrist

NICHOLS, JESSICA CHRISTINE (NPI #1902399793, License # N/A) YesOther Qualified Provider

OAKS, KAITLYNN (NPI #1033672415, License # N/A) YesOther Qualified Provider

OLMOS, ANGEL (NPI #1992145817, License # N/A) YesOther Qualified Provider

ORNELAS, ADRIANA (NPI #1073003968, License # N/A) YesOther Qualified Provider

ORTIZ, GILBERT (NPI #1154894947, License # N/A) YesOther Qualified Provider

OSORNIO, MICHELLA C (NPI #1841787231, License # N/A) YesOther Qualified Provider

OSRETKAR, HAYLEY (NPI #1942700943, License # 108472) YesAssociate Marriage Family Therapist

PADILLA, KYLIE (NPI #1841780897, License # N/A) YesOther Qualified Provider

PARADA, EDNA (NPI #1821565607, License # N/A) YesOther Qualified Provider

PATAL, RAVI R. (NPI #1376836460, License # A 128340) YesLicensed Psychiatrist

PEREZ, ERIKA (NPI #1750628988, License # N/A) YesOther Qualified Provider

PRIMERO-AGUILAR, JACQUELINE (NPI #1730633306, License # N/A) YesOther Qualified Provider

QUANDT, MATTHEW (NPI #1538514476, License # N/A) YesOther Qualified Provider

QUINTERO, GABRIELA (NPI #1992821060, License # N/A) YesOther Qualified Provider

RAILEANU, ANNA (NPI #1548862873, License # 121831) YesAssociate Marriage Family Therapist

RAMIREZ, JOHANA (NPI #1962874248, License # N/A) YesOther Qualified Provider

Page 122 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

RAMIREZ, MIRIAM (NPI #1538649389, License # N/A) YesOther Qualified Provider

RAMIREZ, RUBY (NPI #1720582497, License # N/A) YesOther Qualified Provider

RODRIGUEZ, MARTHA (NPI #1588213524, License # N/A) YesOther Qualified Provider

RODRIGUEZ, PAULINE (NPI #1659981207, License # N/A) YesOther Qualified Provider

RODRIGUEZ, SARAI (NPI #1780921916, License # AMFT103747) YesAssociate Marriage Family Therapist

ROJAS, JASMINE (NPI #1578193405, License # N/A) YesOther Qualified Provider

ROLLINS, CHELSEA (NPI #1740656842, License # 100512) YesLicensed Clinical Social Worker

ROSENBERG, PATTI (NPI #1013314335, License # 117282) YesLicensed Marriage and Family Therapist

RUIZ, MIREYA (NPI #1730715111, License # N/A) YesOther Qualified Provider

RUIZ-ROSAS, JESSICA (NPI #1699213116, License # N/A) YesOther Qualified Provider

SAENZ, CINDY (NPI #1366702268, License # N/A) YesOther Qualified Provider

SALAS, LISA (NPI #1497391833, License # N/A) YesOther Qualified Provider

SEGURA, KARINA (NPI #1295208643, License # N/A) YesOther Qualified Provider

SILVA, MARIBEL (NPI #1013932458, License # 92898) YesAssociate Marriage Family Therapist

SOTOMAYOR, YVETTE (NPI #1255767794, License # N/A) YesOther Qualified Provider

STARKS, JOSHUA (NPI #1124580444, License # 107344) YesAssociate Marriage Family Therapist

TAMBLE, ANGELICA (NPI #1194128777, License # N/A) YesOther Qualified Provider

THOMPSON, SHEENA (NPI #1982049839, License # 113538) YesLicensed Marriage and Family Therapist

THREADGILL, BRITTANEE (NPI #1114350329, License # N/A) YesOther Qualified Provider

TREJO, JACQUELINE (NPI #1477100485, License # N/A) YesOther Qualified Provider

TRIMBLE, DARIUS (NPI #1356781223, License # N/A) YesOther Qualified Provider

VACKO, LOREN (NPI #1245874429, License # 6472) YesAssociate Professional Clinical Counselor

VALDIVIA, JEANETTE (NPI #1962971598, License # N/A) YesOther Qualified Provider

VANEGAS, RACHEL (NPI #1629565098, License # N/A) YesOther Qualified Provider

VASQUEZ, SILVIA (NPI #1508206137, License # N/A) YesOther Qualified Provider

VELA, RACHEL (NPI #1922646892, License # N/A) YesOther Qualified Provider

VILLA, DOLORES (NPI #1104255207, License # N/A) YesOther Qualified Provider

WATSON, TIREEKA (NPI #1629472287, License # N/A) YesOther Qualified Provider

WEST, RECHELLE (NPI #1417473059, License # 101289) YesAssociate Clinical Social Worker

WRIGHT, KAYLA (NPI #1427533538, License # N/A) YesOther Qualified Provider

WROTEN, YULON (NPI #1952866436, License # N/A) YesOther Qualified Provider

YAMAGUCHI, TOSHIA ANN (NPI #1932558715, License # A 150914) NoLicensed Psychiatrist

YOUNG, JESSICA KELLI (NPI #1861033995, License # N/A) YesOther Qualified Provider

ZAMUDIO-GONZALEZ, ELVA (NPI #1982187530, License # N/A) YesOther Qualified Provider

Page 123 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Program: Pathways to Success Vocational Services - Riverside, 769 Blaine St., A, Riverside, CA 92507, Phone: 951-358-5186, Fax:

951-358-5011

Ages Served: 21+ Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: Anxiety, Other

Languages: English, Spanish

Ethnicities Served: Mexican/Mexican American, Other Hispanic/Latino

Races Served: Black/African-American, White

Service Type: Mental Health Services

Staff Name

Cultural

Competence

TrainingLicensure

CORDERO, ROBERTO (NPI #1053731125, License # N/A) YesOther Qualified Provider

DELGADILLO, ADRIANA (NPI #1477752566, License # N/A) NoOther Qualified Provider

EVOLA, DALE (NPI #1952673402, License # LMFT48473) YesLicensed Marriage and Family Therapist

HAROLD, JACOB DANIEL (NPI #1710416268, License # N/A) NoOther Qualified Provider

HERNANDEZ, ALICIA (NPI #1003936600, License # N/A) NoOther Qualified Provider

KOCHEVAR-NOLTE, CHEYRL (NPI #1588034250, License # N/A) NoOther Qualified Provider

VELASCO, ENEDINA (NPI #1710009790, License # N/A) NoOther Qualified Provider

Program: Riverside Day Reporting Center - Mental Health, 1020 Iowa Avenue, B, Riverside, CA 92507, Phone: 951-358-6691

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: American Sign Language (ASL), English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination

Page 124 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Staff Name

Cultural

Competence

TrainingLicensure

ERAZO, LISA MARIE (NPI #1023566213, License # LMFT109322) YesLicensed Marriage and Family Therapist

GILLESPIE, NICOLE KRISTEN

(NPI #1649652413, License # ASW72936)

YesAssociate Clinical Social Worker

HAYNES, WILLIAM (NPI #1386998722, License # N/A) NoOther Qualified Provider

JIMENEZ, BRIAHNA (NPI #1851905152, License # 702293) YesLicensed Vocational Nurse

MARISA, CHARLES (NPI #1821292459, License # 9999999) YesOther Qualified Provider

MARTINEZ, ANTONIO (NPI #1477904001, License # N/A) NoOther Qualified Provider

REYNOSA, IRENE (NPI #1437772316, License # AMFT107369) YesAssociate Marriage Family Therapist

ROMANDO, MARYJOE (NPI #1821291030, License # 11309) YesLicensed Psychiatrist

SASSO, MATTHEW (NPI #1497106215, License # ACSW85290) YesAssociate Clinical Social Worker

WILLIAMS, ANDREW L. (NPI #1245422575, License # N/A) YesOther Qualified Provider

Program: Riverside Family Wellness Center, 2085 Rustin Avenue, 2, Riverside, CA 92507, Phone: 951-509-8200, Fax: 951-358-6622

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Anxiety, Bereavement/Grief Counseling, Case Management, Child Abuse Issues,

Chronically Homeless/Disabled, Clinical Therapist, Depression, Developmental Issues, Eating Disorders, Family Therapy, Foster Youth, Gender

Identity Issues, Group Therapy, Individual Therapy, LGBTQ Counseling, Medication Services, Mental Health Counseling, Mood Disorders,

Obsessive-Compulsive Behaviors, Oppositional Defiance, Peer Support, Phobias, Play Therapy, Psychiatrist, Psychotic Disorders, PTSD, School

Issues, Social Worker, Stress Management, Substance Abuse, Tourettes, Trauma Informed, Youth Treatment

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

BAKER, SUSAN (NPI #1093140048, License # LMFT109571) NoLicensed Marriage and Family Therapist

Page 125 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

BROCKMANN, BRENDON DOUGLAS

(NPI #1679815765, License # A135079)

NoLicensed Psychiatrist

CHUNG, SARAH JIEUN (NPI #1255750824, License # A148753) NoLicensed Psychiatrist

LOPEZ, CLAUDIA SEGURA (NPI #1992050421, License # N/A) YesOther Qualified Provider

MYERS, PATTY (NPI #1619056785, License # MFC21605) NoLicensed Marriage and Family Therapist

NGUYEN, KHAI THANH (NPI #1992102990, License # A151492) NoLicensed Psychiatrist

NUNEZ, DANITZA M (NPI #1063937316, License # N/A) YesOther Qualified Provider

PARMAR, MONISH (NPI #1033505813, License # A 144627) YesLicensed Physician

TRUONG, KEVIN (NPI #1063804755, License # A158018) NoLicensed Physician

XAYARATH, NOVANH (NPI #1821108374, License # 39607) YesLicensed Marriage and Family Therapist

YAMAGUCHI, TOSHIA ANN (NPI #1932558715, License # A 150914) NoLicensed Psychiatrist

Program: Riverside New Life and FFSP, 771 W. Blaine Street, C, Riverside, CA 92507, Phone: 951-955-2233

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: American Sign Language (ASL), English, Spanish

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Other Hispanic/Latino

Races Served: American Indian, Asian Native, Black/African-American, Chinese, Filipino, Korean, Hispanic/Latino, Samoan, Vietnamese, White,

Multiracial, Other Asian, Other Race

Service Type: Mental Health Services, Case Management, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

AKABA, VALENTINE (NPI #1437329067, License # LMFT88798) YesAssociate Marriage Family Therapist

BROWN, WILLIAM EDWARD (NPI #1760951529, License # ASW90429) YesAssociate Clinical Social Worker

DIAZ, DANIEL J (NPI #1649713108, License # N/A) YesOther Qualified Provider

ERAZO, LISA MARIE (NPI #1023566213, License # LMFT109322) YesLicensed Marriage and Family Therapist

GILLESPIE, NICOLE KRISTEN

(NPI #1649652413, License # ASW72936)

YesAssociate Clinical Social Worker

HAYNES, WILLIAM (NPI #1386998722, License # N/A) NoOther Qualified Provider

JIMENEZ, BRIAHNA (NPI #1851905152, License # 702293) YesLicensed Vocational Nurse

Page 126 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

MARISA, CHARLES (NPI #1821292459, License # 9999999) YesOther Qualified Provider

MARTINEZ, ANTONIO (NPI #1477904001, License # N/A) NoOther Qualified Provider

REYNOSA, IRENE (NPI #1437772316, License # AMFT107369) YesAssociate Marriage Family Therapist

RODRIGUEZ, DIANA (NPI #1477161081, License # N/A) YesOther Qualified Provider

ROJAS, EDWIN (NPI #1437578036, License # N/A) NoOther Qualified Provider

ROMANDO, MARYJOE (NPI #1821291030, License # 11309) YesLicensed Psychiatrist

SASSO, MATTHEW (NPI #1497106215, License # ACSW85290) YesAssociate Clinical Social Worker

TRUJILLO, LISA ANNETTE (NPI #1932627957, License # N/A) YesOther Qualified Provider

WILLIAMS, ANDREW L. (NPI #1245422575, License # N/A) YesOther Qualified Provider

Program: Riverside START, 3525 Presley Ave., Riverside, CA 92507, Phone: 951-782-2400, Fax: 951-955-6980

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English

Service Type: Case Management

Staff Name

Cultural

Competence

TrainingLicensure

BEDOLLA, CARINA (NPI #1649750803, License # 105911) NoLicensed Marriage and Family Therapist

Program: Rubidoux Family Care Center, 5256 Mission Blvd., Rubidoux, CA 92509, Phone: 951-955-0840

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English

Service Type: Mental Health Services, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

Page 127 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

BENITEZ, LILLIAN (NPI #1770855744, License # ASW76015) YesAssociate Clinical Social Worker

WANG, JIANPENG (NPI #1821259086, License # A115730) NoLicensed Psychiatrist

Program: SMART PROGRAM OLDER ADULTS WEST, 2085 Rustin Ave., 5, Riverside, CA 92507, Phone: 951-509-2400, Fax:

951-509-2404

Ages Served: 21+ Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English, Korean, Polish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

BROWN, CALEB (NPI #1588057970, License # N/A) NoOther Qualified Provider

CHAN, CHRISTIANY

(NPI #1497285712, License # ASW82891 (Associate Number))

YesAssociate Clinical Social Worker

HAKKER, STEPHANIE (NPI #1205137031, License # N/A) NoOther Qualified Provider

HAWKINS, LAURESHA ZINATAE (NPI #1972936185, License # N/A) NoAssociate Clinical Social Worker

LECHUGA, JOSE GUILLERMO (NPI #1275179038, License # N/A) YesOther Qualified Provider

LISSAUR, RALPH (NPI #1245287960, License # A 88975) YesLicensed Psychiatrist

LOPEZ, JACINTA (NPI #1588981823, License # N/A) NoOther Qualified Provider

MANKIN-SEWANI, PEGGY (NPI #1124249354, License # N/A) NoOther Qualified Provider

NOVAK, NANCY (NPI #1508994690, License # 557049) YesRegistered Nurse

OGBEBOR, AMENZE (NPI #1285763318, License # LCSW28472) YesLicensed Clinical Social Worker

ROBERTS, WARREN (NPI #1801158613, License # N/A) NoOther Qualified Provider

RUIZ, PETER (NPI #1083883573, License # N/A) NoOther Qualified Provider

SALINAS, LENA MARIE (NPI #1770024291, License # N/A) NoOther Qualified Provider

STIFF, MONICA (NPI #1427474626, License # N/A) NoOther Qualified Provider

WALIA, JASWINDER (NPI #1982898136, License # A 101014) NoLicensed Psychiatrist

Program: SSG Riverside Counseling Center, 13800 Heacock St, D-111, Moreno Valley, CA 92553, Phone: 951-653-1800, Fax:

951-653-1815

Page 128 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Anxiety, Case Management, Child Abuse Issues, Clinical Therapist, Depression,

Family Therapy, Female Issues, Foster Youth, Gender Identity Issues, Group Therapy, Individual Therapy, Male Issues, Medication Services, Mental

Health Counseling, MH Counselor, Mood Disorders, Oppositional Defiance, Play Therapy, Psychotic Disorders, PTSD, School Issues, Social

Worker, Stress Management, Trauma Informed, Youth Treatment

Languages: English, Mandarin, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

CHEN, TAMMY (NPI #1356827232, License # 115251) NoAssociate Marriage Family Therapist

CUELLAR, DENISE (NPI #1497106058, License # 106966) YesAssociate Marriage Family Therapist

GALINDO, MIRLIAM NOEMI (NPI #1093320491, License # N/A) NoOther Qualified Provider

GARRETT, JANA RENEE (NPI #1528291838, License # LCSW70969) YesLicensed Clinical Social Worker

HSU, CHI CHIUNG (NPI #1023361672, License # LCSW82068) YesLicensed Clinical Social Worker

LEE, SANDRA J (NPI #1205975729, License # G67878) YesLicensed Psychiatrist

MENDOZA, ELVIA (NPI #1407448525, License # N/A) NoAssociate Marriage Family Therapist

PIMENTEL, JULIO (NPI #1366998882, License # N/A) NoAssociate Clinical Social Worker

RIOS, CECILIA RIOS (NPI #1770054827, License # AMFT108882) YesAssociate Marriage Family Therapist

ROMANURQUIZA, MARIA JANNET

(NPI #1760936520, License # ASW77944)

YesAssociate Clinical Social Worker

VENEGAS, GENOVEVA (NPI #1285852285, License # N/A) NoOther Qualified Provider

ZHANG, ZHENYU (NPI #1831702463, License # N/A) YesOther Qualified Provider

Program: Stepping Stones TAY Resource Center, 1820 University Ave, A2, Riverside, CA 92507, Phone: 951-955-9800, Fax:

951-955-9840

Ages Served: All Ages Accepting Referrals: Yes, Therapy Only

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: No TDD/TTY Equipment Available: No

Page 129 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Languages: English, Spanish

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Cuban, Puerto Rican, Other Hispanic/Latino

Races Served: American Indian, Asian Native, Black/African-American, Filipino, Hispanic/Latino, Vietnamese, White, Multiracial, Other Asian,

Other Race

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

AGUILERA, JOSE (NPI #1093136210, License # N/A) YesOther Qualified Provider

BALSAMO, DALIA (NPI #1003141847, License # A142906) YesLicensed Psychiatrist

BAUM, PAUL DAVID (NPI #1962808758, License # 91744) YesAssociate Clinical Social Worker

HUNTER, MATTHEW PEYTON (NPI #1003474552, License # N/A) YesOther Qualified Provider

LOPEZ, CLAUDIA SEGURA (NPI #1992050421, License # N/A) YesOther Qualified Provider

MARENCO, ALICIA (NPI #1932533213, License # ASW68139) YesLicensed Clinical Social Worker

MCCLUNG, SCOTT (NPI #1174655906, License # 34485) YesLicensed Marriage and Family Therapist

MCMULLEN, SARAH FAYE (NPI #1538678222, License # N/A) YesOther Qualified Provider

NGUYEN, KHAI THANH (NPI #1992102990, License # A151492) NoLicensed Psychiatrist

REYNA, RICHARD PANTOJA

(NPI #1942736327, License # VN 230721)

YesLicensed Vocational Nurse

SHIELDS, ANTHONY DAVID (NPI #1467700120, License # 92419) YesLicensed Marriage and Family Therapist

YAMAGUCHI, TOSHIA ANN (NPI #1932558715, License # A 150914) NoLicensed Psychiatrist

Program: TAY Desert Drop In Center, 78140 Calle Tampico, 200, La Quinta, CA 92553, Phone: 760-863-7970, Fax: 760-863-7955

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Specialties: Clinical Therapist, Psychotic Disorders

Languages: English, Spanish

Ethnicities Served: Mexican/Mexican American, Other Hispanic/Latino

Page 130 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Races Served: Black/African-American, Hispanic/Latino, White

Service Type: Mental Health Services, Case Management, Crisis Intervention

Staff Name

Cultural

Competence

TrainingLicensure

BACAS, RENEE A (NPI #1295952497, License # G76869) NoLicensed Psychiatrist

BARRON, ROBERT WAYNE (NPI #1548425051, License # LMFT45967) NoLicensed Marriage and Family Therapist

CERVANTES, CESAR (NPI #1174042121, License # N/A) NoOther Qualified Provider

GROTSKY, KELLY (NPI #1679759419, License # LMFT45241) NoLicensed Marriage and Family Therapist

HUNTINGTON, ALISA (NPI #1346262672, License # 36959) YesLicensed Marriage and Family Therapist

JEAN, ASHLEY (NPI #1699305458, License # N/A) YesOther Qualified Provider

MEDINA, ALEXANDRA (NPI #1275025397, License # N/A) NoOther Qualified Provider

NAVARRETE, DAVID CHRISTOPHER

(NPI #1013380153, License # N/A)

YesOther Qualified Provider

TREVINO, JENNIFER (NPI #1043633423, License # N/A) YesOther Qualified Provider

TUCKER, ALICIA LUPITA (NPI #1740800010, License # 114204) NoAssociate Marriage Family Therapist

Program: Tessie Cleveland Community Services Corp (TCCSC), 3576 Arlington Ave, 100, Riverside, CA 92506, Phone: 951-374-1555,

Fax: 951-394-7426

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Between .5-1.0 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Anxiety, Bereavement/Grief Counseling, Child Abuse Issues, Chronically

Homeless/Disabled, Clinical Therapist, Depression, Developmental Issues, Eating Disorders, Family Therapy, Foster Youth, Gender Identity

Issues, Gender Specific Treatment, Group Therapy, Individual Therapy, Learning Disorders, Medication Services, Men With Children, Mental

Health Counseling, MH Counselor, Mood Disorders, Obsessive-Compulsive Behaviors, Oppositional Defiance, Personality Disorders, Phobias,

Psychiatrist, Psychotic Disorders, PTSD, Rehab Therapist, School Issues, Sexual Disorders, Trauma Informed, Women With Children

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Page 131 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Staff Name

Cultural

Competence

TrainingLicensure

ALI, ASHRAF (NPI #1396906616, License # C50761) YesLicensed Psychiatrist

AVILA, MARIELA (NPI #1316430630, License # N/A) NoAssociate Clinical Social Worker

BRUCE, CELENA (NPI #1538556063, License # N/A) YesMental Health Rehabilitation Specialist

FLORES, VERONICA JANET (NPI #1063929636, License # 91892) NoAssociate Clinical Social Worker

GIVENS, SHRONDA LYNN (NPI #1457506024, License # LCSW29238) YesLicensed Clinical Social Worker

HEARD, ANTOINE (NPI #1316558026, License # N/A) NoAssociate Clinical Social Worker

MONCADA, ALMA LETICIA (NPI #1467903724, License # N/A) YesAssociate Marriage Family Therapist

MUNOZ, YESEIRA (NPI #1760979322, License # N/A) YesMental Health Rehabilitation Specialist

NAJEEB, RUBINA TANZEEB (NPI #1811086036, License # A 53937) YesLicensed Psychiatrist

OSIAS, CANDIDA (NPI #1861010902, License # 118016) YesAssociate Marriage Family Therapist

RAMIREZ, JENNY Y. (NPI #1760922900, License # N/A) YesMental Health Rehabilitation Specialist

RODRIGUEZ, VALLERY (NPI #1558808915, License # N/A) YesMental Health Rehabilitation Specialist

VALDEZ, BARIANA (NPI #1134576739, License # 87619) YesLicensed Clinical Social Worker

WASHINGTON, SYDNEY (NPI #1376058636, License # N/A) YesOther Qualified Provider

Program: The Carolyn E. Wylie Center 0 to 21 Program, Western and Mid-County, 4164 Brockton Ave, Riverside, CA 92501, Phone:

951-683-5193, Fax: 951-683-6019

Ages Served: 0-20 Accepting Referrals: Yes, Therapy Only

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Anxiety, Bereavement/Grief Counseling, Case Management, Child Abuse Issues,

Chronically Homeless/Disabled, Clinical Therapist, Depression, Eating Disorders, Family Therapy, Female Issues, Foster Youth, Gender Identity

Issues, Gender Specific Treatment, Group Therapy, Individual Therapy, LGBTQ Counseling, Male Issues, Men With Children, Mental Health

Counseling, Mood Disorders, Obsessive-Compulsive Behaviors, Oppositional Defiance, Peer Support, Personality Disorders, Phobias, Play

Therapy, Post Partum Disorder, Psychiatrist, Psychotic Disorders, PTSD, School Issues, Social Worker, Stress Management, Trauma Informed,

Women With Children, Youth Treatment

Languages: English, Spanish

Ethnicities Served: Not Hispanic, Mexican/Mexican American, Puerto Rican, Other Hispanic/Latino

Races Served: Black/African-American, Hispanic/Latino, White, Multiracial, Other Asian

Page 132 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

ARINGER, ALEXANDRA (NPI #1437742814, License # N/A) YesMental Health Rehabilitation Specialist

BATTAGLIA, ANDREANA (NPI #1679993380, License # 114498) YesLicensed Marriage and Family Therapist

CASILLAS, ANNETTE (NPI #1972065209, License # N/A) YesMental Health Rehabilitation Specialist

EAGLIN, CATRINA (NPI #1417322066, License # 41120) YesLicensed Marriage and Family Therapist

FOURONG, LACY RAE (NPI #1982939138, License # 87955) YesLicensed Marriage and Family Therapist

GARCIA, JAVIER EDUARCIO (NPI #1518357821, License # 88764) YesLicensed Clinical Social Worker

KHAMVONGSA, ERICA LAUREN (NPI #1942705363, License # N/A) YesAssociate Marriage Family Therapist

KHAN, MASHAAL (NPI #1750894986, License # 116747) YesAssociate Marriage Family Therapist

MENDOZA, ARLYN X. (NPI #1619383999, License # 121545) YesLicensed Marriage and Family Therapist

MONCADA, ALMA LETICIA (NPI #1467903724, License # N/A) YesAssociate Marriage Family Therapist

NKWOCHA, OGECHI M. (NPI #1043790405, License # AMFT115243) YesAssociate Marriage Family Therapist

SAUNDERS, BARBARA JEAN (NPI #1144365149, License # C36869) YesLicensed Psychiatrist

TAMBAR, ASHISH (NPI #1932498136, License # A151648) YesLicensed Psychiatrist

Program: The Carolyn E. Wylie Center A.C.T. SOC) Program Western and Mid-County, 4164 Brockton Ave, Riverside, CA 92501,

Phone: 951-683-5193, Fax: 951-683-6019

Ages Served: All Ages Accepting Referrals: Yes, Therapy Only

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No

Specialties: ADHD, Adjustment Disorders, Anxiety Disorder, Anxiety, Bereavement/Grief Counseling, Case Management, Child Abuse Issues,

Chronically Homeless/Disabled, Clinical Therapist, Depression, Eating Disorders, Family Therapy, Female Issues, Foster Youth, Gender Identity

Issues, Group Therapy, Individual Therapy, LGBTQ Counseling, Male Issues, Men With Children, Mental Health Counseling, Mood Disorders,

Obsessive-Compulsive Behaviors, Oppositional Defiance, Peer Support, Personality Disorders, Phobias, Play Therapy, Post Partum Disorder,

Psychotic Disorders, PTSD, School Issues, Social Worker, Stress Management, Trauma Informed, Women With Children, Youth Treatment

Languages: English, Spanish

Ethnicities Served: Mexican/Mexican American, Puerto Rican, Other Hispanic/Latino

Page 133 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Races Served: Black/African-American, White, Multiracial, Other Asian

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

ARINGER, ALEXANDRA (NPI #1437742814, License # N/A) YesMental Health Rehabilitation Specialist

BATTAGLIA, ANDREANA (NPI #1679993380, License # 114498) YesLicensed Marriage and Family Therapist

CASILLAS, ANNETTE (NPI #1972065209, License # N/A) YesMental Health Rehabilitation Specialist

EAGLIN, CATRINA (NPI #1417322066, License # 41120) YesLicensed Marriage and Family Therapist

FOURONG, LACY RAE (NPI #1982939138, License # 87955) YesLicensed Marriage and Family Therapist

GARCIA, JAVIER EDUARCIO (NPI #1518357821, License # 88764) YesLicensed Clinical Social Worker

HERNANDEZ, ARASELI (NPI #1033242557, License # N/A) YesMental Health Rehabilitation Specialist, Other

Qualified Provider

KHAMVONGSA, ERICA LAUREN (NPI #1942705363, License # N/A) YesAssociate Marriage Family Therapist

KHAN, MASHAAL (NPI #1750894986, License # 116747) YesAssociate Marriage Family Therapist

MENDOZA, ARLYN X. (NPI #1619383999, License # 121545) YesLicensed Marriage and Family Therapist

MONCADA, ALMA LETICIA (NPI #1467903724, License # N/A) YesAssociate Marriage Family Therapist

NKWOCHA, OGECHI M. (NPI #1043790405, License # AMFT115243) YesAssociate Marriage Family Therapist

SAUNDERS, BARBARA JEAN (NPI #1144365149, License # C36869) YesLicensed Psychiatrist

TAMBAR, ASHISH (NPI #1932498136, License # A151648) YesLicensed Psychiatrist

Program: The Journey TAY Program, 2085 Rustin Ave, Riverside, CA 92507, Phone: 951-358-4100, Fax: 951-358-4192

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English, Spanish

Ethnicities Served: Not Hispanic, Mexican/Mexican American

Races Served: Black/African-American, Hispanic/Latino, White, Multiracial, Other Race

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Page 134 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

Staff Name

Cultural

Competence

TrainingLicensure

BALSAMO, DALIA (NPI #1003141847, License # A142906) YesLicensed Psychiatrist

BERNSTEIN, AMANDA J (NPI #1255709010, License # N/A) YesOther Qualified Provider

BOWMAN, CANDICE L (NPI #1184136012, License # N/A) YesOther Qualified Provider

BRAVO, LUIS ROBERTO (NPI #1023271319, License # N/A) YesOther Qualified Provider

DAVIS, KIM (NPI #1700923133, License # 219798) YesLicensed Vocational Nurse

DAVIS, LA-THEA SONYA (NPI #1639671332, License # 119138) NoAssociate Marriage Family Therapist

DELEON, EDWIN (NPI #1871735464, License # A118530) NoLicensed Psychiatrist

GOMEZ, MEGAN (NPI #1801114434, License # N/A) YesAssociate Clinical Social Worker

HANSON, ASHLEY (NPI #1952723009, License # N/A) YesOther Qualified Provider

JEFFERSON-GLIPA, FRANCIS (NPI #1356498612, License # 42577) NoLicensed Professional Clinical Counselor, Licensed

Marriage and Family Therapist

MARQUEZ-NIEBLAS, GRECIA E (NPI #1972139301, License # N/A) YesOther Qualified Provider

OLIVAS, JACOB JEREMIAH (NPI #1750800579, License # N/A) NoOther Qualified Provider

SERNA-BALDERAS, EVELYN S (NPI #1215557657, License # 93808) YesAssociate Clinical Social Worker

SILVA-LUJANO, ADRIANA (NPI #1104332840, License # 292194) NoLicensed Vocational Nurse

Program: The Lehman Center- Adults, 769 Blaine St, B, Riverside, CA 92507, Phone: 951-509-8270, Fax: 951-358-3548

Ages Served: All Ages Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English, Spanish, Vietnamese

Service Type: Mental Health Services, Case Management, Crisis Intervention

Staff Name

Cultural

Competence

TrainingLicensure

BECKER, SUZANNE ANDREA (NPI #1649895053, License # N/A) YesOther Qualified Provider

BENDLIN, KATHERINE (NPI #1326305640, License # N/A) NoOther Qualified Provider

CARREON, JUSTIN ORDONEZ (NPI #1538784962, License # N/A) YesOther Qualified Provider

CHAGOLLA, ANA LUCIA (NPI #1639627300, License # N/A) YesOther Qualified Provider

JOHNS, LANCE J (NPI #1871945048, License # N/A) NoOther Qualified Provider

Page 135 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

JORDAN, ADRIENNE (NPI #1720163595, License # LCSW 28898) NoLicensed Clinical Social Worker

LE, NINA (NPI #1194864363, License # 24284) NoLicensed Clinical Social Worker

MARBUN, BRITHANY BRAITER (NPI #1992215669, License # N/A) YesOther Qualified Provider

PADILLA, ARLENE (NPI #1770108607, License # N/A) YesOther Qualified Provider

PINEDA, ANDREA ANAHI (NPI #1336764430, License # N/A) YesOther Qualified Provider

SANCHEZ, AURELIO (NPI #1932515897, License # N/A) NoAssociate Clinical Social Worker

SCHMITZ, NATALIE (NPI #1417277963, License # LCSW 64000) NoLicensed Clinical Social Worker

SIERRA, ERICA ELISSA (NPI #1518519503, License # N/A) YesOther Qualified Provider

Program: Wellness and Recovery Clinic for Mature Adults, 2085 Rustin Ave., 5, Riverside, CA 92507, Phone: 951-509-2400

Ages Served: 21+ Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English, Korean, Polish, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

BROWN, CALEB (NPI #1588057970, License # N/A) NoOther Qualified Provider

CHAN, CHRISTIANY

(NPI #1497285712, License # ASW82891 (Associate Number))

YesAssociate Clinical Social Worker

CHANG, ELLISON (NPI #1508906181, License # G 67488) NoLicensed Psychiatrist

DELGADILLO, CHRISTOPHER (NPI #1366873655, License # N/A) NoOther Qualified Provider

HAKKER, STEPHANIE (NPI #1205137031, License # N/A) NoOther Qualified Provider

HAMRANG, NASIM NICOLE (NPI #1285129866, License # 103254) NoAssociate Marriage Family Therapist

HAWKINS, LAURESHA ZINATAE (NPI #1972936185, License # N/A) NoAssociate Clinical Social Worker

LISSAUR, RALPH (NPI #1245287960, License # A 88975) YesLicensed Psychiatrist

LOPEZ, JACINTA (NPI #1588981823, License # N/A) NoOther Qualified Provider

MANKIN-SEWANI, PEGGY (NPI #1124249354, License # N/A) NoOther Qualified Provider

NOVAK, NANCY (NPI #1508994690, License # 557049) YesRegistered Nurse

OGBEBOR, AMENZE (NPI #1285763318, License # LCSW28472) YesLicensed Clinical Social Worker

ROBERTS, WARREN (NPI #1801158613, License # N/A) NoOther Qualified Provider

Page 136 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

RUIZ, PETER (NPI #1083883573, License # N/A) NoOther Qualified Provider

SALINAS, LENA MARIE (NPI #1770024291, License # N/A) NoOther Qualified Provider

STIFF, MONICA (NPI #1427474626, License # N/A) NoOther Qualified Provider

WALIA, JASWINDER (NPI #1982898136, License # A 101014) NoLicensed Psychiatrist

Program: Youth & Family Community Services, 3125 Myers Street, Riverside, CA 92503, Phone: 951-358-6858

Ages Served: 0-20 Accepting Referrals: Yes

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services

Staff Name

Cultural

Competence

TrainingLicensure

CHEELEY, TOSHIE MINHAE (NPI #1255630935, License # 27769) NoLicensed Clinical Social Worker

CLOAKE, WILLIAM T (NPI #1689824179, License # 78622) YesLicensed Marriage and Family Therapist

EGAN, DINERY (NPI #1538286109, License # LMFT#53718) YesLicensed Marriage and Family Therapist

ELLIOTT, NISHA (NPI #1841378072, License # N/A) NoLicensed Marriage and Family Therapist

FLORES, MARI (NPI #1558703637, License # LCSW88265) YesLicensed Clinical Social Worker

GALLEGOS, LILIANA (NPI #1508197153, License # LMFT 46014) NoLicensed Marriage and Family Therapist

GAYLER, JAMES (NPI #1285809814, License # LMFT52087) YesLicensed Marriage and Family Therapist

GUTIERREZ, RAUL (NPI #1134522386, License # ASW79303) YesOther Qualified Provider

HERRERA, ERICA (NPI #1710174032, License # 79295) NoLicensed Marriage and Family Therapist

JARQUIN, LUIS (NPI #1790810554, License # LMFT41743) YesLicensed Marriage and Family Therapist

KEMP, DELASHAWN YAVONNE

(NPI #1740679216, License # LMFT108565)

NoLicensed Marriage and Family Therapist

KERR, KAIVALYA (NPI #1225212855, License # 80878) NoLicensed Marriage and Family Therapist

MARQUEZ, RIAN (NPI #1235323494, License # LMFT49194) YesLicensed Marriage and Family Therapist

MICHAEL, KATHRYN (NPI #1053594598, License # LMFT52306) YesLicensed Marriage and Family Therapist

NEMISH, CARRIE (NPI #1689832263, License # LMFT 84789) NoLicensed Marriage and Family Therapist

POWERS, NICHOLAS (NPI #1760714919, License # LMFT 80013) NoLicensed Marriage and Family Therapist

REICH, DEBBIE (NPI #1174710073, License # 37895) YesLicensed Marriage and Family Therapist

ROBINSON, MIRANDA D. (NPI #1841328861, License # LCSW21027) YesLicensed Clinical Social Worker

Page 137 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

SCHRECK, DENELLE (NPI #1265557516, License # 38854) NoLicensed Marriage and Family Therapist

SEMENOV, EDUARD (NPI #1912086448, License # 48423) NoLicensed Marriage and Family Therapist

VALENCIA, LESLIE (NPI #1992002018, License # 25890) NoLicensed Clinical Social Worker, Licensed Marriage

and Family Therapist

ZAMBRANO, LORENA (NPI #1689934580, License # AMFT 112230) NoLicensed Marriage and Family Therapist

Type of Program: MHSA Prevention and Early Intervention

Organization Providers

Program: Preschool 0-5 Programs & Children's Mental Health Services, 3075 & 3125 Myers Street, Riverside, CA 92503, Phone:

951-358-4625

Ages Served: 0-20 Accepting Referrals: Yes, Therapy Only

Distance to closest public transportation: Less than .25 miles

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Languages: American Sign Language (ASL), English, Spanish

Service Type: Mental Health Services, Case Management, Crisis Intervention, Intensive Care Coordination, Intensive Home Based Services,

Medication Support

Staff Name

Cultural

Competence

TrainingLicensure

ALVAREZ, MARIA G (NPI #1780085647, License # ASW71698) YesOther Qualified Provider

ALVAREZ-TORRES, MELISSA

(NPI #1912436809, License # ASW 84267)

YesOther Qualified Provider

BEAMER, JANE (NPI #1396198602, License # N/A) NoOther Qualified Provider

BECKER, SUZANNE ANDREA (NPI #1649895053, License # N/A) YesOther Qualified Provider

BROWN, NICOLE J (NPI #1740806488, License # N/A) YesOther Qualified Provider

CORONADO, ANGELICA (NPI #1619459286, License # N/A) YesOther Qualified Provider

DELACRUZ, JANET (NPI #1780993147, License # 74064) YesLicensed Clinical Social Worker

DIEBOLD, SARAH (NPI #1174799449, License # LCSW29084) YesLicensed Clinical Social Worker

DIXON, JENNIFER (NPI #1164656757, License # LMFT88174) YesLicensed Marriage and Family Therapist

DORSEY, CHELSEA LEEANN (NPI #1437755311, License # N/A) YesOther Qualified Provider

EGAN, DINERY (NPI #1538286109, License # LMFT#53718) YesLicensed Marriage and Family Therapist

FEINSTEIN, CARL (NPI #1366587677, License # G84411) YesLicensed Psychiatrist

Page 138 of 139Current as of: 5/4/2021

Riverside University Health System - Behavioral Health

GIRARD, EMMA (NPI #1386883106, License # PSY 19090) YesLicensed Psychologist

GUTIERREZ, OLGA (NPI #1376971622, License # n/a) YesOther Qualified Provider

HANSON, ASHLEY (NPI #1952723009, License # N/A) YesOther Qualified Provider

INZUNZA, ELENA (NPI #1730308149, License # LCSW79294) YesLicensed Clinical Social Worker

JORDAN, ADRIENNE (NPI #1720163595, License # LCSW 28898) NoLicensed Clinical Social Worker

LE, NINA (NPI #1194864363, License # 24284) NoLicensed Clinical Social Worker

LOZA, ANNA (NPI #1104909969, License # LCSW23117) YesLicensed Clinical Social Worker

MCDANIEL, LARCENIA R (NPI #1770934515, License # ASW84240) YesAssociate Clinical Social Worker

MONTECINO, TANNA (NPI #1386876563, License # LMFT88570) YesLicensed Marriage and Family Therapist

NGUYEN, KHAI THANH (NPI #1992102990, License # A151492) NoLicensed Psychiatrist

NOVOA, OLIVIA G (NPI #1063954840, License # N/A) YesOther Qualified Provider

PATEL, SHALIN (NPI #1366858656, License # A144153) YesLicensed Physician, Licensed Psychiatrist

PINEDA, ANDREA ANAHI (NPI #1336764430, License # N/A) YesOther Qualified Provider

RAMOS, ARLENE MARY (NPI #1346583309, License # AMFT 80374) YesLicensed Marriage and Family Therapist

RIOS, RICHARD (NPI #1659411288, License # N/A) NoOther Qualified Provider

RIVERA, JAIMEE MARIE

(NPI #1801186531, License # LMFT 120736)

YesLicensed Marriage and Family Therapist

ROBINSON, MIRANDA D. (NPI #1841328861, License # LCSW21027) YesLicensed Clinical Social Worker

RODRIGUEZ, MARITZA (NPI #1437774452, License # N/A) YesOther Qualified Provider

SALINAS, REBECCA (NPI #1669010096, License # N/A) NoOther Qualified Provider

SANTILLI, ISABEL (NPI #1508045014, License # LMFT95921) YesLicensed Marriage and Family Therapist

SCHMITZ, NATALIE (NPI #1417277963, License # LCSW 64000) NoLicensed Clinical Social Worker

TEXEIRA, DUSTIN (NPI #1073691101, License # RN362365) NoRegistered Nurse

TRUJILLO, LISA ANNETTE (NPI #1932627957, License # N/A) YesOther Qualified Provider

VARGAS, JASSEL (NPI #1710502711, License # N/A) YesOther Qualified Provider

VILLALPANDO, ERICA (NPI #1225668940, License # N/A) YesOther Qualified Provider

WHITMORE, ALINA CYPRIANTE

(NPI #1033447339, License # LMFT 53060)

YesLicensed Marriage and Family Therapist

YAMAGUCHI, TOSHIA ANN (NPI #1932558715, License # A 150914) NoLicensed Psychiatrist

YU, LAWRENCE (NPI #1013229210, License # A121621) NoLicensed Psychiatrist

Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice.

Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory

Page 139 of 139Current as of: 5/4/2021