NPIMap

Organization Active NPI

City of the Heart Psychological Service, a Professional Corporation

  • Clinical Psychologist
  • Perris, CA
National Provider Identifier
1225759673
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CITY OF THE HEART PSYCHOLOGICAL SERVICE, A PROFESSIONAL CORPORATION
Practice address
1550 Cheshire Dr
Perris, CA 92571-3726
Phone
(951) 623-9358
NPI assigned
Sep 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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

Authorized official

Name
Wolfgang Angelus Klebel, PHD
Title
Ceo
Phone
(951) 928-6326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1550 Cheshire Dr
Perris, CA 92571-3726

Mailing address

41580 Avenida Barca
Temecula, CA 92591-1561
Phone (951) 623-9358

National Provider Directory

National Provider Directory
Tax ID family
City of the Heart Psychological Service a Professional Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662336000000",
    "number": "1225759673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41580 AVENIDA BARCA",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925911561",
            "telephone_number": "951-623-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 CHESHIRE DR",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925713726",
            "telephone_number": "951-623-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF THE HEART PSYCHOLOGICAL SERVICE, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A",
        "authorized_official_last_name": "KLEBEL",
        "authorized_official_first_name": "WOLFGANG",
        "authorized_official_middle_name": "ANGELUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-928-6326",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; 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.