Impact Recovery

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

IMPACT RECOVERY

Practice address

28202 Cabot Road
Suite 331
Laguna Niguel, CA 92677-1222

Phone

(714) 398-5874

Fax

(949) 248-2870

NPI assigned

Sep 25, 2018

Organization subpart

No

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

Authorized official

Name

Tiffany Buell, CMRS

Title

Billing Manager

Phone

(949) 842-2877

Specialties & licenses 4

Addresses

Locations

Practitioners 1

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

• Brian Thompson, IMF, CATC-IV

  • Marriage & Family Therapist
  • Laguna Niguel, CA
  • NPI 1235503533
  NPD

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1164907234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926931449",
            "telephone_number": "949-842-2877",
            "fax_number": "949-248-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28202 CABOT ROAD",
            "address_2": "SUITE 331",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771222",
            "telephone_number": "714-398-5874",
            "fax_number": "949-248-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "BUELL",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "949-842-2877",
        "authorized_official_credential": "CMRS"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Huynh, PHARMD
• Nga Huynh
• Mario Ibrahim
• Milena Imhof, PSYD
• Impact Phytherapy and Performance Fna Ko Golf Performance & PT PC
• Gellyn Inocencio
• Institute of Acupuncture and Lifestyle Medicine, Inc
• Integrated Behavioral Health Solutions
• Integrated Psychological Services a Professional Corporation
• Integrated Solutions Management LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

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