Active NPI
Sunny Hills Behavioral Health, Inc.
- Marriage & Family Therapist
- Fullerton, CA
National Provider Identifier
1023410255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF65512
- Legal business name
- SUNNY HILLS BEHAVIORAL HEALTH, INC.
- Practice address
- 111 W Bastanchury Rd
Suite 1a
Fullerton, CA 92835-2522 - Phone
- (714) 773-4111
- Fax
- (714) 773-4222
- NPI assigned
- Sep 18, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nawaz Mody
- Title
- Office Manager
- Phone
- (714) 773-4111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF65512 | CA | Primary |
Addresses
Primary practice location
111 W Bastanchury Rd
Suite 1a
Fullerton, CA 92835-2522
Mailing address
111 W Bastanchury Rd
Suite 1a
Fullerton, CA 92835-2522
Phone (714) 773-4111
National Provider Directory
National Provider Directory- Tax ID family
- Sunny Hills Behavioral Health Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urgent Care Clinic/Center
- Fullerton, CA
- NPI 1063151462
Locations
111 W Bastanchury Rd
Ste 1A
Fullerton, CA 92835
Phone (714) 773-4111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Fullerton, CA
- NPI 1962625384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410998400000",
"number": "1023410255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W BASTANCHURY RD",
"address_2": "SUITE 1A",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928352522",
"telephone_number": "714-773-4111",
"fax_number": "714-773-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W BASTANCHURY RD",
"address_2": "SUITE 1A",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928352522",
"telephone_number": "714-773-4111",
"fax_number": "714-773-4222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNNY HILLS BEHAVIORAL HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-18",
"last_updated": "2014-09-18",
"status": "A",
"authorized_official_last_name": "MODY",
"authorized_official_first_name": "NAWAZ",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "714-773-4111"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF65512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.