Active NPI
Positive Behavior Supports Corp
- Community/Behavioral Health Agency
- San Diego, CA
National Provider Identifier
1184158446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- POSITIVE BEHAVIOR SUPPORTS CORP
- Practice address
- 563 Balboa Ave
521
San Diego, CA 92111 - Phone
- (855) 832-6727
- NPI assigned
- Apr 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Nolan
- Title
- President
- Phone
- (855) 832-6727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
563 Balboa Ave
521
San Diego, CA 92111
Mailing address
563 Balboa Ave
521
San Diego, CA 92111
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492041600000",
"number": "1184158446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "563 BALBOA AVE",
"address_2": "521",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "563 BALBOA AVE",
"address_2": "521",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92111",
"telephone_number": "855-832-6727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POSITIVE BEHAVIOR SUPPORTS CORP",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-13",
"last_updated": "2017-04-13",
"status": "A",
"authorized_official_last_name": "NOLAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "855-832-6727",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.