NPIMap

Organization Active NPI

The Co-Creative Center LLC

  • Behavior Analyst
  • Irvine, CA
National Provider Identifier
1104591239
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
THE CO-CREATIVE CENTER LLC
Practice address
19712 Macarthur Blvd Ste 101
Irvine, CA 92612-2407
Phone
(949) 385-1656
NPI assigned
Aug 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Peggy Tsai Truong, BCBANPI 1427353317
Title
Behavior Analyst
Phone
(408) 768-9800

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

19712 Macarthur Blvd Ste 101
Irvine, CA 92612-2407

Mailing address

19712 Macarthur Blvd Ste 101
Irvine, CA 92612-2407
Phone (949) 385-1656

Other identifiers 1

IdentifierTypeStateIssuer
1427353317OtherCABCBA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL thecocreatives.com Direct

National Provider Directory

National Provider Directory

Locations

19712 MacArthur Blvd
Ste 101
Irvine, CA 92612
Phone (949) 385-1656

16 Technology Dr
Ste 139
Irvine, CA 92618
Phone (949) 385-1656

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1104591239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19712 MACARTHUR BLVD STE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122407",
            "telephone_number": "949-385-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19712 MACARTHUR BLVD STE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122407",
            "telephone_number": "949-385-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CO-CREATIVE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "TSAI",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "408-768-9800",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1427353317",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "thecocreatives.com",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19712 MacArthur Blvd Ste 101",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926122407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.