NPIMap

Organization Active NPI

1 Spectrum Therapy

  • Behavior Analyst
  • Laguna Hills, CA
National Provider Identifier
1023747482
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
1 SPECTRUM THERAPY
Practice address
23046 Avenida de la Carlota Ste 600
Laguna Hills, CA 92653-1537
Phone
(714) 805-9070
NPI assigned
Jun 9, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jessica Chen Berghauser, BCBANPI 1386189082
Title
Ceo
Phone
(562) 201-7119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

National Provider Directory

National Provider Directory

Locations

22365 El Toro Rd
Lake Forest, CA 92630
Phone (714) 805-9070

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

23046 Avenida de la Carlota Ste 600
Laguna Hills, CA 92653-1537

Mailing address

22365 El Toro Rd Ste 151
Lake Forest, CA 92630-5053

Other practice location 1

22365 El Toro Rd Ste 151
Lake Forest, CA 92630-5053
Phone (714) 805-9070

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 11, 2024.

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1023747482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22365 EL TORO RD STE 151",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926305053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23046 AVENIDA DE LA CARLOTA STE 600",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531537",
            "telephone_number": "714-805-9070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22365 El Toro Rd Ste 151",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "CA",
            "postal_code": "926305053",
            "country_code": "US",
            "telephone_number": "714-805-9070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "1 SPECTRUM THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "BERGHAUSER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "CHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-201-7119",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.