NPIMap

Organization Active NPI

Personal Connections Therapy, Inc.

  • Marriage & Family Therapist
  • Claremont, CA
National Provider Identifier
1073277299
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PERSONAL CONNECTIONS THERAPY, INC.
Practice address
440 W Baseline Rd Ste B
Claremont, CA 91711-1607
Phone
(714) 584-0484
NPI assigned
Oct 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Suha M Albadawi, LMFTNPI 1508437898
Title
Owner
Phone
(909) 730-6208

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

440 W Baseline Rd Ste B
Claremont, CA 91711-1607

Mailing address

440 W Baseline Rd Ste B
Claremont, CA 91711-1607
Phone (714) 584-0484

Other practice location 1

440 W Baseline Rd Ste B
Claremont, CA 91711-1607
Phone (714) 584-0484

Other names 1

  • Suha M Albadawi Former legal business name

National Provider Directory

National Provider Directory

Locations

440 W Baseline Rd
Ste B
Claremont, CA 91711
Phone (714) 584-0484

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": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1073277299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W BASELINE RD STE B",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111607",
            "telephone_number": "714-584-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W BASELINE RD STE B",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111607",
            "telephone_number": "714-584-0484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 W Baseline Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "CA",
            "postal_code": "917111607",
            "country_code": "US",
            "telephone_number": "714-584-0484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERSONAL CONNECTIONS THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "ALBADAWI",
        "authorized_official_first_name": "SUHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-730-6208",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suha M Albadawi",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.