NPIMap

Organization Active NPI

Sweet Mango Therapy Group, Licensed Clinical Social Worker, Inc.

Doing business as Sweet Mango Therapy Group, Inc.

  • Clinical Social Worker
  • San Ramon, CA
National Provider Identifier
1295315323
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SWEET MANGO THERAPY GROUP, LICENSED CLINICAL SOCIAL WORKER, INC.
Doing business as
Sweet Mango Therapy Group, Inc.
Practice address
11040 Bollinger Canyon Rd Ste E-439
San Ramon, CA 94582-4969
Phone
(925) 665-3668
NPI assigned
Apr 13, 2021
Last updated
Jan 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Christine Ann Ramos Melendres, LCSWNPI 1225431943
Title
Ceo
Phone
(925) 665-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

11040 Bollinger Canyon Rd Ste E-439
San Ramon, CA 94582-4969

Mailing address

11040 Bollinger Canyon Rd Ste E-439
San Ramon, CA 94582-4969
Phone (925) 665-3668

Other names 1

  • Sweet Mango Therapy Group, Inc. Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.sweetmangotherapy.com Direct
Other URL www.sweetmangotherapy.com Other

National Provider Directory

National Provider Directory

Locations

11040 Bollinger Canyon Rd
Ste E439
San Ramon, CA 94582
Phone (925) 665-3668

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1295315323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11040 BOLLINGER CANYON RD STE E-439",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824969",
            "telephone_number": "925-665-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 BOLLINGER CANYON RD STE E-439",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824969",
            "telephone_number": "925-665-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET MANGO THERAPY GROUP, LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2022-01-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "MELENDRES",
        "authorized_official_first_name": "CHRISTINE ANN",
        "authorized_official_middle_name": "RAMOS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-665-3668",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.sweetmangotherapy.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "practice information",
            "address_1": "11040 Bollinger Canyon Rd Ste E-439",
            "city": "San Ramon",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945824969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.sweetmangotherapy.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Services information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Services information",
            "address_1": "11040 Bollinger Canyon Rd Ste E-439",
            "city": "San Ramon",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945824969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sweet Mango Therapy Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sweet Mango Therapy Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.