Conscious Culture Psychology Clinic Inc.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

29218 Issued in CA

Legal business name

CONSCIOUS CULTURE PSYCHOLOGY CLINIC INC.

Practice address

5800 S Eastern Ave
Commerce, CA 90040-4016

Phone

(626) 430-4521

Fax

(626) 498-1483

NPI assigned

Aug 24, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Anita Louise Mihecoby, PHDNPI 1588099766

Title

Ceo

Phone

(626) 658-4297

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Anita Louise Mihecoby, PH.D.

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1588099766
  Medicare reassignment NPD Authorized official
• Nayeli Sandybel Gutierrez, MSW, ASCW

  • Clinical Social Worker
  • Commerce, CA
  • NPI 1245967561
  NPD (past)

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1033690235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 S EASTERN AVE STE 500",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900404033",
            "telephone_number": "626-658-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 S EASTERN AVE",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900404016",
            "telephone_number": "626-430-4521",
            "fax_number": "626-498-1483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Birch St Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602140",
            "country_code": "US",
            "telephone_number": "626-658-4297",
            "fax_number": "626-498-1483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONSCIOUS CULTURE PSYCHOLOGY CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "MIHECOBY",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-658-4297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health Service",
            "state": "CA",
            "license": "29218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IN249Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dejuanae Collins
• Elizabeth Collins
• Lakisha Collman
• Wendy Coloma, MFT
• Erin Jean Connaughton, PSY.D.
• Araceli Contreras
• Jasmyne Contreras
• Kendra Cook
• Carolyn Coolidge
• Dorothy Cooper

• Health Service Psychologist in Commerce, CA
• Providers in Commerce, CA by specialty
• Health Service Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.