1225660178 NPI number — INPSYCH CENTER, A LICENSED CLINICAL SOCIAL WORKER CORPORATION

Table of content: (NPI 1225660178)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225660178 NPI number — INPSYCH CENTER, A LICENSED CLINICAL SOCIAL WORKER CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INPSYCH CENTER, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225660178
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/09/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
127 E 3RD AVE STE 201
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ESCONDIDO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92025-4248
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
760-492-5975
Provider Business Mailing Address Fax Number:
760-738-8128

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
127 E 3RD AVE STE 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ESCONDIDO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92025-4248
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-489-1092
Provider Business Practice Location Address Fax Number:
760-738-8128
Provider Enumeration Date:
02/09/2020

Additional Information

Authorized Official

Authorized Official Last Name:
STRACKA
Authorized Official First Name:
RACHAEL
Authorized Official Middle Name:
ELIZABETH
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
760-489-1092

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1689664609 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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