NPIMap

Organization Active NPI

Assessment, Consultation, Counseling and Educational Support Services

  • Psychologist
  • Temecula, CA
National Provider Identifier
1225399231
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY14458 Issued in CA
Legal business name
ASSESSMENT, CONSULTATION, COUNSELING AND EDUCATIONAL SUPPORT SERVICES
Practice address
27268 Via Industria
Temecula, CA 92590-3751
Phone
(951) 265-6504
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Michael Kitlowski, PHD
Title
Co Owner
Phone
(951) 265-6504

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X 1-09-6512
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X PSY14458 CA Primary

Addresses

Primary practice location

27268 Via Industria
Temecula, CA 92590-3751

Mailing address

27268 Via Industria
Temecula, CA 92590-3751
Phone (951) 265-6504

Other names 1

  • A.C.C.E.S.S Other name

National Provider Directory

National Provider Directory
Tax ID family
Access2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

27268 Via Industria
Temecula, CA 92590
Phone (951) 265-6504

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1225399231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27268 VIA INDUSTRIA",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903751",
            "telephone_number": "951-265-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27268 VIA INDUSTRIA",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903751",
            "telephone_number": "951-265-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSESSMENT, CONSULTATION, COUNSELING AND EDUCATIONAL SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "KITLOWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "951-265-6504",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-09-6512",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A.C.C.E.S.S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.