Organization Active NPI

Hope Soars Behavioral Health Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Victorville, CA
National Provider Identifier
1184222671
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HOPE SOARS BEHAVIORAL HEALTH INC.
Practice address
12127 Mall Blvd # 148
Victorville, CA 92392-7665
Phone
(442) 242-1724
NPI assigned
Oct 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Jamesina Johns, NP
Title
NP/Ceo
Phone
(760) 220-7149

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

12127 Mall Blvd # 148
Victorville, CA 92392-7665

Mailing address

12127 Mall Blvd # 148
Victorville, CA 92392-7665
Phone (760) 220-7149

National Provider Directory

National Provider Directory

Locations

12127 Mall Blvd
#148
Victorville, CA 92392
Phone (442) 242-1724

15437 Anacapa Rd
#23
Victorville, CA 92392
Phone (760) 220-7149

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1184222671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12127 MALL BLVD # 148",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923927665",
            "telephone_number": "760-220-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12127 MALL BLVD # 148",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923927665",
            "telephone_number": "442-242-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE SOARS BEHAVIORAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "JAMESINA",
        "authorized_official_title_or_position": "NP/CEO",
        "authorized_official_telephone_number": "760-220-7149",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.