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1457265936 NPI number — TIP OF THE SPEAR MENTAL HEALTH SERVICES, LICENSED CLINICAL SOCIAL WORKER, INC.

NPI Number: 1457265936
Health Care Provider/Practitioner: TIP OF THE SPEAR MENTAL HEALTH SERVICES, LICENSED CLINICAL SOCIAL WORKER, INC.

Information about “1457265936” NPI (TIP OF THE SPEAR MENTAL HEALTH SERVICES, LICENSED CLINICAL SOCIAL WORKER, INC.) exists in 1457265936 in HTML format HTML  |  1457265936 in plain Text format TXT  |  1457265936 in PDF (Portable Document Format) PDF  |  1457265936 in an XML format XML  formats.

NPI Number : 1457265936 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457265936",
    "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": "24400 JACKSON AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MURRIETA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92562-1991",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-345-4021",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "24400 JACKSON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MURRIETA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92562-1991",
    "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": "261QM0801X",
        "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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