Organization Active NPI

Peaceful Sunshine Psychology Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fremont, CA
National Provider Identifier
1285287268
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PEACEFUL SUNSHINE PSYCHOLOGY INC.
Practice address
46808 Lakeview Blvd Ste 102
Fremont, CA 94538-6543
Phone
(510) 560-4930
NPI assigned
Jul 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Authorized official

Name
Joyce Jotzu Sun, PHD
Title
Ceo
Phone
(510) 560-4930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

46808 Lakeview Blvd Ste 102
Fremont, CA 94538-6543

Mailing address

3235 Beard Rd
Fremont, CA 94555-2236
Phone (510) 560-4930

Other identifiers 1

IdentifierTypeStateIssuer
4136D525-A990-4B12-BOtherLYRA

National Provider Directory

National Provider Directory

Locations

46808 Lakeview Blvd
Ste 102
Fremont, CA 94538
Phone (510) 560-4930

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1285287268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 BEARD RD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945552236",
            "telephone_number": "510-560-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46808 LAKEVIEW BLVD STE 102",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945386543",
            "telephone_number": "510-560-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL SUNSHINE PSYCHOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "JOTZU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-560-4930",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LYRA",
            "identifier": "4136D525-A990-4B12-B",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.