HIGH DESERT JUVENILE DETENTION AND ASSESSMENT CENTER
NPI 1124159033
Marriage & Family Therapist in Apple Valley, CA

Q: What is High Desert Juvenile Detention And Assessment Center's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since March 09, 2007CLIA 05D2136655 · Waiver

21101 DALE EVANS PKWY, APPLE VALLEY, CA 92307(760) 961-6767(760) 961-6717 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About High Desert Juvenile Detention And Assessment Center NPPES

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

HIGH DESERT JUVENILE DETENTION AND ASSESSMENT CENTER (NPI 1124159033) is a healthcare organization registered as a marriage & family therapist in Apple Valley, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through September 12, 2027 and lists Raylene Robinson, Lmft, as its authorized official.

NPPES Registry Identity

NPI1124159033

Entity TypeOrganization

Primary Taxonomy106H00000X

Legal Business NameHIGH DESERT JUVENILE DETENTION AND ASSESSMENT CENTER

Location Address21101 DALE EVANS PKWYApple Valley, CA 92307-9356

Mailing Address21101 Dale Evans PkwyApple Valley, CA 92307-9356 · (760) 961-6767 · Fax (760) 961-6717

Phone(760) 961-6767

Fax(760) 961-6717

Organization SubpartNo

Authorized OfficialRaylene RobinsonLmft · (760) 961-6713

Enumeration DateMarch 9, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1124159033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · IMF 48171

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

21101 DALE EVANS PKWY, Apple Valley, CA 92307

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2136655

High Desert Juvenile Detention And Assessment Center · Apple Valley, CA

Active · expires Sep 12, 2027

CLIA Number05D2136655

Laboratory TypeJuvenile Detention Center

Certificate Effective DateSeptember 13, 2025

Certificate Expiration DateSeptember 12, 2027

Laboratory DirectorMicheal Neeki, Do

Laboratory Phone(909) 387-5878

Laboratory LocationHigh Desert Juvenile Detention And Assessment Center21011 Dale Evens Parkway, Apple Valley, CA 92307

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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.

COUNTY OF SAN BERNARDINO

Clinic/Center (Adolescent and Children Mental Health)