The Lotus Collaborative, Inc., a Psychology Clinic

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC

Doing business as

Luminous Healing Center

Practice address

611 Mission St
Santa Cruz, CA 95060-3612

Phone

(831) 600-7103

NPI assigned

Oct 2, 2019

Last updated

Feb 1, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINICAs reported in NPPES

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

Authorized official

Name

Elizabeth Porter

Title

Director of Business Development

Phone

(831) 588-0497

Specialties & licenses 2

Addresses

Other names 1

• Luminous Healing Center Doing business as

Tax ID family

The Lotus Collaborative Inc a Psychology Clinic3 organizations share this tax ID, including this one

Part of

The Lotus Collaborative Inc a Psychology Clinic

Other organizations with this tax ID 2

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

• The Lotus Collaborative, Inc., a Psychology Clinic

  • Clinical Psychologist
  • Santa Cruz, CA
  • NPI 1407120579
  NPD tax ID
• The Lotus Collaborative, Inc., a Psychology Clinic

  • Clinical Psychologist
  • San Francisco, CA
  • NPI 1720566128
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Lotus Collaborative, Inc., a Psychology Clinic

  • Clinical Psychologist
  • Santa Cruz, CA
  • NPI 1407120579
  NPPES parent name

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1235770181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 MISSION ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603612",
            "telephone_number": "831-600-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MISSION ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603612",
            "telephone_number": "831-600-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC",
        "enumeration_date": "2019-10-02",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "831-588-0497"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luminous Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Bay School
• The Center for Embodiment Medicine, Psychological Services, Inc.
• The Free Guide (People First of Santa Cruz Couny)
• The Grove Integrative Psychology Institute P C
• The Human Family Therapy & Education
• The Lotus Collaborative, Inc., a Psychology Clinic
• The Well Mission Family Counseling Center PC
• Dorothee Sarah Theismann, MA
• Camille Juletta Dorthea Thienngern Bauerlein
• Kristin I. Thom, DO

• Clinical Psychologist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.