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1962077644 NPI number — COLLEGE COMMUNITY SERVICES

NPI Number: 1962077644
Health Care Provider/Practitioner: COLLEGE COMMUNITY SERVICES

Information about “1962077644” NPI (COLLEGE COMMUNITY SERVICES) exists in 1962077644 in HTML format HTML  |  1962077644 in plain Text format TXT  |  1962077644 in PDF (Portable Document Format) PDF  |  1962077644 in an XML format XML  formats.

NPI Number : 1962077644 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962077644",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COLLEGE COMMUNITY SERVICES",
    "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": "4821 KATELLA AVE",
    "SecondLineMailingAddress": "SUITE 201",
    "MailingAddressCityName": "LOS ALAMITOS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90720",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "661-546-6365",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2821 H ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BAKERSFIELD",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93301-1913",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "661-546-6365",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/25/2021",
    "LastUpdateDate": "03/08/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SANCHEZ",
    "AuthorizedOfficialFirstName": "AMY",
    "AuthorizedOfficialMiddleName": "DIANE",
    "AuthorizedOfficialTitle": "MFT TRAINEE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "661-546-6367",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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