NPI Code Detail JSON Logo

1760012330 NPI number — BEHAVIORAL EMOTIONAL & ACADEMIC MENTORING (BEAM), LLC

NPI Number: 1760012330
Health Care Provider/Practitioner: BEHAVIORAL EMOTIONAL & ACADEMIC MENTORING (BEAM), LLC

Information about “1760012330” NPI (BEHAVIORAL EMOTIONAL & ACADEMIC MENTORING (BEAM), LLC) exists in 1760012330 in HTML format HTML  |  1760012330 in plain Text format TXT  |  1760012330 in PDF (Portable Document Format) PDF  |  1760012330 in an XML format XML  formats.

NPI Number : 1760012330 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760012330",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BEHAVIORAL EMOTIONAL & ACADEMIC MENTORING (BEAM), LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "13104 PHILADELPHIA ST STE 218",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WHITTIER",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90601-6315",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-307-7213",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13104 PHILADELPHIA ST STE 218",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WHITTIER",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90601-6315",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "714-307-7213",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/22/2020",
    "LastUpdateDate": "01/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RUBIO",
    "AuthorizedOfficialFirstName": "JOSEPH",
    "AuthorizedOfficialMiddleName": "ANTHONY",
    "AuthorizedOfficialTitle": "CHIEF EXECUTIVE OFFICER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LEP, ED.S., M.A.",
    "AuthorizedOfficialTelephoneNumber": "714-307-7213",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QM0801X",
          "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0855X",
          "TaxonomyName": "Adolescent and Children Mental Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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