NPIMap

Organization Active NPI

Center for Evidence Based Treatment

  • Adult Mental Health Clinic/Center
  • Tustin, CA
National Provider Identifier
1205479631
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CENTER FOR EVIDENCE BASED TREATMENT
Doing business as
Center for Evidence Based Treatment
Practice address
14181 Yorba St Ste 206
Tustin, CA 92780-2055
Phone
(310) 770-7315
NPI assigned
Oct 17, 2019
Last updated
Oct 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Authorized official

Name
Tara Myers, LPCCNPI 1225352651
Title
Executive Direct
Phone
(310) 770-7315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Professional Counselor 101YP2500X
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

14181 Yorba St Ste 206
Tustin, CA 92780-2055

Mailing address

14181 Yorba St Ste 206
Tustin, CA 92780-2055
Phone (310) 770-7315

Other names 1

  • Center for Evidence Based Treatment Doing business as

National Provider Directory

National Provider Directory

Locations

14181 Yorba St
Ste 206
Tustin, CA 92780
Phone (310) 770-7315

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": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1205479631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14181 YORBA ST STE 206",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802055",
            "telephone_number": "310-770-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14181 YORBA ST STE 206",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802055",
            "telephone_number": "310-770-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR EVIDENCE BASED TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECT",
        "authorized_official_telephone_number": "310-770-7315",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Evidence Based Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.