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PALM SPRINGS REHAB LLC
NPI 1154016558
Marriage & Family Therapist in Cathedral City, CA

Active since April 10, 2023CLIA 05D2306074 · Waiver
68487 E PALM CANYON DR STE 44, CATHEDRAL CITY, CA 92234(310) 343-8684 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2023, Apr 10, 2023 (2 updates tracked since 2023).

About Palm Springs Rehab Llc NPPES

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

PALM SPRINGS REHAB LLC (NPI 1154016558) is a healthcare organization registered as a marriage & family therapist in Cathedral City, California and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through June 10, 2028 and lists Nathan Young, Manager, as its authorized official.

NPPES Registry Identity

NPI1154016558
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NamePALM SPRINGS REHAB LLC
Location Address68487 E PALM CANYON DR STE 44Cathedral City, CA 92234-5434
Mailing Address68487 E Palm Canyon Dr Ste 44Cathedral City, CA 92234-5434
Phone(310) 343-8684
Organization SubpartNo
Authorized OfficialNathan YoungManager · (310) 343-8684
Enumeration DateApril 10, 2023
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1154016558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
68487 E PALM CANYON DR STE 44, Cathedral City, CA 92234
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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 05D2306074

Palm Springs Rehab LLC · Cathedral City, CA
Active · expires Jun 10, 2028
CLIA Number05D2306074
Laboratory TypeResidential Drug Treat
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorJiseung Yoon
Laboratory Phone(734) 833-1454
Laboratory LocationPalm Springs Rehab LLC68487 E Palm Canyon Drive Suite 44, Cathedral City, CA 92234
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Palm Springs Rehab LLC's NPI number?

The NPI number for Palm Springs Rehab LLC is 1154016558. It was assigned to this organization in the NPPES registry on April 10, 2023.

Where is Palm Springs Rehab LLC located?

Palm Springs Rehab LLC is located at 68487 E Palm Canyon Dr Ste 44, Cathedral City, CA 92234. The listed phone number is (310) 343-8684.

What is Palm Springs Rehab LLC's specialty?

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

Does Palm Springs Rehab LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2306074) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Palm Springs Rehab LLC was last updated on June 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.