1942774963 NPI number — TRAUMA CHANGED PSYCHOTHERAPY SERVICES, INC.

Table of content: (NPI 1942774963)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942774963 NPI number — TRAUMA CHANGED PSYCHOTHERAPY SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRAUMA CHANGED PSYCHOTHERAPY SERVICES, INC.
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:
1942774963
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/12/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5444 CRENSHAW BLVD STE 201
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90043-2408
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
323-505-9500
Provider Business Mailing Address Fax Number:
310-933-1414

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5444 CRENSHAW BLVD STE 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90043-2408
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-505-9500
Provider Business Practice Location Address Fax Number:
310-933-1414
Provider Enumeration Date:
01/12/2019

Additional Information

Authorized Official

Authorized Official Last Name:
CASEY
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
T
Authorized Official Title or Position:
CO-FOUNDER/CFO
Authorized Official Telephone Number:
562-308-7171

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)





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