Organization Active NPI

Omnilectic Therapy Collective, a Licensed Clinical Social Worker Corporation

Doing business as Omnilectic Therapy

  • Clinical Social Worker
  • Sylmar, CA
National Provider Identifier
1215854385
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OMNILECTIC THERAPY COLLECTIVE, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Doing business as
Omnilectic Therapy
Omnilectic Therapy Collective
Practice address
14456 Foothill Blvd Unit 44
Sylmar, CA 91342-1535
Phone
(714) 316-4707
NPI assigned
Jun 30, 2026
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Mary Tobon, LCSW
Title
Ceo
Phone
(714) 316-4707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

14456 Foothill Blvd Unit 44
Sylmar, CA 91342-1535

Mailing address

14456 Foothill Blvd Unit 44
Sylmar, CA 91342-1535
Phone (714) 316-4707

Other names 2

  • Omnilectic Therapy Doing business as
  • Omnilectic Therapy Collective Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1215854385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14456 FOOTHILL BLVD UNIT 44",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421535",
            "telephone_number": "714-316-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14456 FOOTHILL BLVD UNIT 44",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421535",
            "telephone_number": "714-316-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNILECTIC THERAPY COLLECTIVE, A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "TOBON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-316-4707",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnilectic Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Omnilectic Therapy Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylmar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.