Active NPI
Central Coast Therapy
- Community/Behavioral Health Agency
- Paso Robles, CA
National Provider Identifier
1104295732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MFC50213
- Legal business name
- CENTRAL COAST THERAPY
- Practice address
- 1104 Vine St
Suite a
Paso Robles, CA 93446-5502 - Phone
- (805) 591-7234
- Fax
- (805) 259-4720
- NPI assigned
- Sep 24, 2015
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Michelle Branch
- Title
- Owner
- Phone
- (805) 423-7207
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Paso Robles, CA
- NPI 1790956456
National Provider Directory
National Provider DirectoryLocations
1104 Vine St
Ste A
Paso Robles, CA 93446
Phone (805) 591-7234
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MFC50213 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1104 Vine St
Suite a
Paso Robles, CA 93446-5502
Mailing address
1104 Vine St
Suite a
Paso Robles, CA 93446-5502
Phone (805) 591-7234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2015.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443052800000",
"number": "1104295732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 VINE ST",
"address_2": "SUITE A",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934465502",
"telephone_number": "805-591-7234",
"fax_number": "805-259-4720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 VINE ST",
"address_2": "SUITE A",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934465502",
"telephone_number": "805-591-7234",
"fax_number": "805-259-4720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL COAST THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-24",
"last_updated": "2015-09-24",
"status": "A",
"authorized_official_last_name": "BRANCH",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-423-7207"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "MFC50213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paso Robles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.