Organization Active NPI

Rooted in Play

  • Community/Behavioral Health Agency
  • Huntington Beach, CA
National Provider Identifier
1063957371
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ROOTED IN PLAY
Practice address
21282 Beach Blvd Apt 101
Huntington Beach, CA 92648-5720
Phone
(310) 890-3117
Fax
(866) 817-8882
NPI assigned
Dec 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Jenifer L Eaton, BCBANPI 1104226414
Title
Owner/Partner
Phone
(310) 890-3117

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

21282 Beach Blvd Apt 101
Huntington Beach, CA 92648-5720

Mailing address

1077 Belmont Ave
Long Beach, CA 90804-4225
Phone (310) 890-3117

Other names 1

  • J&M International Behavior Consulting Former legal business name

National Provider Directory

National Provider Directory

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": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1063957371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 BELMONT AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044225",
            "telephone_number": "310-890-3117",
            "fax_number": "866-817-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21282 BEACH BLVD APT 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485720",
            "telephone_number": "310-890-3117",
            "fax_number": "866-817-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED IN PLAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "310-890-3117",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J&M International Behavior Consulting",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.