Active NPI
Body and Spirit Wellness
- Community/Behavioral Health Agency
- Santa Ana, CA
National Provider Identifier
1285102939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BODY AND SPIRIT WELLNESS
- Practice address
- 980 W 17TH St Ste C
Santa Ana, CA 92706-3554 - Phone
- (714) 606-8185
- Fax
- (949) 932-0901
- NPI assigned
- Nov 9, 2018
- Last updated
- Aug 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carmen R Thomas, LMFT
- Title
- Owner
- Phone
- (714) 606-8185
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
980 W 17TH St Ste C
Santa Ana, CA 92706-3554
Mailing address
PO Box 6464
Santa Ana, CA 92706-0464
Phone (714) 606-8185
Other practice location 1
5199 E Pacific Coast Hwy Ste 308
Long Beach, CA 90804-3358
Phone (714) 606-8185
Other names 1
- Body and Spirit Wellness Psychology Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565913600000",
"number": "1285102939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6464",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927060464",
"telephone_number": "714-606-8185",
"fax_number": "949-932-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 W 17TH ST STE C",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927063554",
"telephone_number": "714-606-8185",
"fax_number": "949-932-0901"
}
],
"practiceLocations": [
{
"address_1": "5199 E Pacific Coast Hwy Ste 308",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908043358",
"country_code": "US",
"telephone_number": "714-606-8185",
"fax_number": "949-932-0901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BODY AND SPIRIT WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-09",
"last_updated": "2019-08-16",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "CARMEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-606-8185",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Body and Spirit Wellness Psychology Inc",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.