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CAROLYN E. WYLIE CENTER
NPI 1972838670
Point of Service in Riverside, CA

Active since October 14, 2009
4164 BROCKTON AVE, RIVERSIDE, CA 92501(951) 683-5193(951) 683-6019 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carolyn E. Wylie Center NPPES

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

CAROLYN E. WYLIE CENTER (NPI 1972838670) is a healthcare organization registered as a point of service in Riverside, California and active in the NPI registry since October 2009. The organization lists Mickey Robinson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972838670
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameCAROLYN E. WYLIE CENTER
Location Address4164 BROCKTON AVERiverside, CA 92501-3400
Mailing Address4164 Brockton AveRiverside, CA 92501-3400 · (951) 683-5193 · Fax (951) 683-6019
Phone(951) 683-5193
Fax(951) 683-6019
Organization SubpartNo
Authorized OfficialMickey RobinsonCeo · (951) 683-5193
Enumeration DateOctober 14, 2009
Last NPPES UpdateMay 17, 2021
NPPES CertifiedMay 17, 2021
✔ NPI 1972838670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in CA · 60910
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
4164 BROCKTON AVE, Riverside, CA 92501
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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.

JENNIFER MILLER COTA/L
Occupational Therapy Assistant
4164 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-5193
KIMBERLY TOBIAS
Student in an Organized Health Care Education/Training Program
4164 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-5193
MONICA MAGANA
Peer Specialist
4164 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-5193
DR. MIRIAM ANDRADE STAUB M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4164 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-5193
OGECHI NKWOCHA
Marriage & Family Therapist
4164 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-5198
WENDY OROZCO-TORRES
Marriage & Family Therapist
4164 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-5193
BLUME USITA REGIS
Marriage & Family Therapist
4164 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-5193
YACKELINE C CASILLAS
Marriage & Family Therapist
4164 BROCKTON AVE
RIVERSIDE, CA 92501
Riverside County (951) 683-5193

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 Carolyn E. Wylie Center's NPI number?

The NPI number for Carolyn E. Wylie Center is 1972838670. It was assigned to this organization in the NPPES registry on October 14, 2009.

Where is Carolyn E. Wylie Center located?

Carolyn E. Wylie Center is located at 4164 Brockton Ave, Riverside, CA 92501. The listed phone number is (951) 683-5193.

What is Carolyn E. Wylie Center's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Carolyn E. Wylie Center was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.