Psychfitness, Apmc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PSYCHFITNESS, APMC

Practice address

12373 Lewis St
Suite 103
Garden Grove, CA 92840-4676

Phone

(714) 867-6031

Fax

(714) 867-6033

NPI assigned

Dec 11, 2015

Organization subpart

No

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

Authorized official

Name

John Weinstein, MDNPI 1255402608

Title

Ceo

Phone

(714) 867-6031

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• John R Weinstein

  • Psychiatry Physician
  • Garden Grove, CA
  • NPI 1255402608
  NPD (past) Authorized official
• Susan K Badrtalei, PHD

  • Clinical Psychologist
  • Garden Grove, CA
  • NPI 1871693085
  NPD (past)

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1235504564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N PACIFIC COAST HWY",
            "address_2": "SUITE 441",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772870",
            "telephone_number": "714-867-6031",
            "fax_number": "714-867-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12373 LEWIS ST",
            "address_2": "SUITE 103",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404676",
            "telephone_number": "714-867-6031",
            "fax_number": "714-867-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHFITNESS, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "WEINSTEIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-867-6031",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prohealth Partners a Medical Group
• Prohealth Partners, a Medical Group, Inc.
• Prohealth Wellness Center
• Sofia Prorok, DPT PT CSCS
• Prudent Care Management, Inc. (Sprint Physical Therapy)
• Mayra Puentes Jaimes
• Ariana Marie Puentes
• Jocelyn Puga
• Allison Pulicicchio
• Puneet K Chahal, M.D. Inc

• Psychiatry Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.