Organization Active NPI

Crittenton Services for Children and Families

  • Adolescent and Children Mental Health Clinic/Center
  • Fullerton, CA
National Provider Identifier
1063796308
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CRITTENTON SERVICES FOR CHILDREN AND FAMILIES
Practice address
801 E Chapman Ave
Fullerton, CA 92831-3839
Phone
(714) 269-5353
NPI assigned
Oct 5, 2011
Last updated
Oct 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Mr. Anthony Edward Miranda
Title
Child and Family Specialist
Phone
(714) 269-5353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

801 E Chapman Ave
Fullerton, CA 92831-3839

Mailing address

6911 Brenner Ave
Buena Park, CA 90621-3416
Phone (714) 269-5353

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1063796308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 BRENNER AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213416",
            "telephone_number": "714-269-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E CHAPMAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313839",
            "telephone_number": "714-269-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENTON SERVICES FOR CHILDREN AND FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHILD AND FAMILY SPECIALIST",
        "authorized_official_telephone_number": "714-269-5353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "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 Oct 5, 2011; 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.