NPIMap

Organization Active NPI

Heart and Soul Collaborative

  • Psychologist
  • Riverside, CA
National Provider Identifier
1013624121
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
HEART AND SOUL COLLABORATIVE
Practice address
7000 Indiana Ave Ste 114
Riverside, CA 92506-4155
Phone
(951) 255-1510
NPI assigned
Oct 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ryan Hooper, M.P.H.,CHES
Title
Ceo/Executive Director
Phone
(951) 255-1510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

7000 Indiana Ave Ste 114
Riverside, CA 92506-4155

Mailing address

19069 Van Buren Blvd Ste 114-431
Riverside, CA 92508-9169
Phone (951) 255-1510

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL heartandsoulcollaborativeinc.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Heart and Soul Collaborative2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1013624121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19069 VAN BUREN BLVD STE 114-431",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089169",
            "telephone_number": "951-255-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 INDIANA AVE STE 114",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064155",
            "telephone_number": "951-255-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND SOUL COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-30",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "951-255-1510",
        "authorized_official_credential": "M.P.H.,CHES"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "heartandsoulcollaborativeinc.org",
            "affiliation": "N",
            "endpointDescription": "secure weblink",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7000 Indiana Ave Ste 114",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925064155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.