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CORDILLERAS MENTAL HEALTH SERVICES
NPI 1063509123
Community Based Residential Treatment Facility, Mental Illness in Redwood City, CA

Active since October 09, 2006
200 EDMONDS RD, REDWOOD CITY, CA 94062(650) 367-1890(650) 369-6465 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2023, Mar 4, 2016 (2 updates tracked since 2016).

About Cordilleras Mental Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORDILLERAS MENTAL HEALTH SERVICES (NPI 1063509123) is a healthcare organization registered as a community based residential treatment facility, mental illness in Redwood City, California and active in the NPI registry since October 2006. The organization lists Lorena Lopez, Provider Relations Supervisor, as its authorized official.

NPPES Registry Identity

NPI1063509123
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameCORDILLERAS MENTAL HEALTH CORPORATION
Location Address200 EDMONDS RDRedwood City, CA 94062-3813
Mailing Address1080 Marina Village Parkway, Suite 100Alameda, CA 94501-1078 · (510) 337-7950 · Fax (510) 337-7969
Phone(650) 367-1890
Fax(650) 369-6465
Organization SubpartNo
Authorized OfficialLorena LopezProvider Relations Supervisor · (510) 337-7950
Enumeration DateOctober 9, 2006
Last NPPES UpdateMarch 31, 20232 updates tracked since enumeration
NPPES CertifiedMarch 31, 2023
✔ NPI 1063509123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in CA · DMH 02 68 015
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
200 EDMONDS RD, Redwood City, CA 94062
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Other Names 1

Doing Business AsCordilleras Mental Health Services

Other Identifiers 1

OtherZZR18511GCA · Medicaid

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY ANTOINETTE BRIDGES
Day Training/Habilitation Specialist
200 EDMONDS RD
REDWOOD CITY, CA 94062
San Mateo County (650) 249-0445
CORDILLERAS
Counselor (Mental Health)
200 EDMONDS RD
REDWOOD CITY, CA 94062
San Mateo County (650) 367-1890
CHRISTYNA TORRES RN
Registered Nurse (Psychiatric/Mental Health, Adult)
200 EDMONDS RD
REDWOOD CITY, CA 94062
San Mateo County (650) 367-1890
REBECCA BUTLER
Counselor (Mental Health)
200 EDMONDS RD
REDWOOD CITY, CA 94062
San Mateo County (650) 367-1890
CYRUS SARRAFPOUR
Counselor (Mental Health)
200 EDMONDS RD
REDWOOD CITY, CA 94062
San Mateo County (650) 367-1890
MATTHEW THOMAS WYNNE
Counselor (Mental Health)
200 EDMONDS RD
REDWOOD CITY, CA 94062
San Mateo County (650) 367-1890
STEPHANIE ENG
Peer Specialist
200 EDMONDS RD
REDWOOD CITY, CA 94062
San Mateo County (650) 249-0445
MARION MINER-MCGEE
Counselor (Mental Health)
200 EDMONDS RD
REDWOOD CITY, CA 94062
San Mateo County (650) 367-1890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cordilleras Mental Health Corporation's NPI number?

The NPI number for Cordilleras Mental Health Corporation is 1063509123. It was assigned to this organization in the NPPES registry on October 9, 2006. The provider is doing business as Cordilleras Mental Health Services.

Where is Cordilleras Mental Health Corporation located?

Cordilleras Mental Health Corporation is located at 200 Edmonds Rd, Redwood City, CA 94062. The listed phone number is (650) 367-1890.

What is Cordilleras Mental Health Corporation's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Cordilleras Mental Health Corporation was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.