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PROTOTYPES OUTPATIENT SERVICES
NPI 1659575678
Community/Behavioral Health in Pomona, CA

Active since June 13, 2007
831 E ARROW HWY, POMONA, CA 91767(909) 398-4383(909) 398-0127 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Prototypes Outpatient Services NPPES

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

PROTOTYPES OUTPATIENT SERVICES (NPI 1659575678) is a healthcare organization registered as a community/behavioral health in Pomona, California and active in the NPI registry since June 2007. The organization lists Carolyn Latta-clark, Director, as its authorized official.

NPPES Registry Identity

NPI1659575678
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePROTOTYPES OUTPATIENT SERVICES
Location Address831 E ARROW HWYPomona, CA 91767-2535
Mailing Address831 E Arrow HwyPomona, CA 91767-2535 · (909) 398-4383 · Fax (909) 398-0127
Phone(909) 398-4383
Fax(909) 398-0127
Organization SubpartNo
Authorized OfficialCarolyn Latta-clarkDirector · (909) 398-4383
Enumeration DateJune 13, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1659575678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
831 E ARROW HWY, Pomona, CA 91767
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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.

LIZBETH DIAZ ACSW
Social Worker
831 E ARROW HWY
POMONA, CA 91767
Los Angeles County (909) 624-1233
PROTOTYPES CENTERS FOR INNOVATION IN HEALTH, MENTAL HEALTH AND SOCIAL
Community/Behavioral Health
831 E ARROW HWY
POMONA, CA 91767
Los Angeles County (909) 398-4383
ASILI MAISHA WILBOURN LVN
Licensed Vocational Nurse
831 E ARROW HWY
POMONA, CA 91767
Los Angeles County (909) 398-4383
MAYTE MURILLO
Case Manager/Care Coordinator
831 E ARROW HWY
POMONA, CA 91767
Los Angeles County (909) 398-4383
KELLI HUMPHREYS
Day Training/Habilitation Specialist
831 E ARROW HWY
POMONA, CA 91767
Los Angeles County (909) 398-4383
BRITTNEY LEE LCSW
Social Worker (Clinical)
831 E ARROW HWY
POMONA, CA 91767
Los Angeles County (909) 398-4383
ELVIA VILLALOBOS RADT
Counselor (Addiction (Substance Use Disorder))
831 E ARROW HWY
POMONA, CA 91767
Los Angeles County (909) 624-1233
JAIMIE BJUR
Student in an Organized Health Care Education/Training Program
831 E ARROW HWY
POMONA, CA 91767
Los Angeles County (909) 398-4383

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 Prototypes Outpatient Services's NPI number?

The NPI number for Prototypes Outpatient Services is 1659575678. It was assigned to this organization in the NPPES registry on June 13, 2007.

Where is Prototypes Outpatient Services located?

Prototypes Outpatient Services is located at 831 E Arrow Hwy, Pomona, CA 91767. The listed phone number is (909) 398-4383.

What is Prototypes Outpatient Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Prototypes Outpatient Services was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.