Organization Active NPI

Sunny Hills Behavioral Health, Inc.

  • Marriage & Family Therapist
  • Fullerton, CA
National Provider Identifier
1023410255
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF65512 Issued in CA
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

Updated by the provider on Sep 18, 2014

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Inc2 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.

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.

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.

Verify at the official NPI Registry.