NPI Code Detail JSON Logo

1356255830 NPI number — TIP OF THE SPEAR MENTAL HEALTH SERVICES, LICENSED CLINICAL SOCIAL WORKER, INC.

NPI Number: 1356255830
Health Care Provider/Practitioner: TIP OF THE SPEAR MENTAL HEALTH SERVICES, LICENSED CLINICAL SOCIAL WORKER, INC.

Information about “1356255830” NPI (TIP OF THE SPEAR MENTAL HEALTH SERVICES, LICENSED CLINICAL SOCIAL WORKER, INC.) exists in 1356255830 in HTML format HTML  |  1356255830 in plain Text format TXT  |  1356255830 in PDF (Portable Document Format) PDF  |  1356255830 in an XML format XML  formats.

NPI Number : 1356255830 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356255830",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TIP OF THE SPEAR MENTAL HEALTH SERVICES, LICENSED CLINICAL SOCIAL WORKER, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "28812 TRIPLE C RANCH RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MURRIETA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92563-8442",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "28812 TRIPLE C RANCH RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MURRIETA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92563-8442",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "714-345-4021",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/30/2026",
    "LastUpdateDate": "09/30/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PERSONS",
    "AuthorizedOfficialFirstName": "MONICA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR OF BILLING",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "619-227-9731",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "320800000X",
        "TaxonomyName": "Mental Illness Community Based Residential Treatment Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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