Organization Active NPI

Central Coast Therapy

  • Community/Behavioral Health Agency
  • Paso Robles, CA
National Provider Identifier
1104295732
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MFC50213 Issued in CA
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
Last updated
Sep 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Authorized official

Name
Michelle BranchNPI 1790956456
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.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MFC50213 CA Primary

Addresses

Primary 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

National Provider Directory

National Provider Directory

Locations

1104 Vine St
Ste A
Paso Robles, CA 93446
Phone (805) 423-7207

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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.

Verify at the official NPI Registry.