Arabah Korsah Enninful

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

LPT41401 Issued in CA

Practice address

265 S Anita Dr Ste 201
Orange, CA 92868-3346

Phone

(714) 410-3505

NPI assigned

Oct 24, 2022

Last updated

Mar 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Exodus Recovery, Inc.

  • Community/Behavioral Health Agency
  • Orange, CA
  • NPI 1376146050
  NPD

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710028800000",
    "number": "1295452928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 S ANITA DR STE 201",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683346",
            "telephone_number": "714-410-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 S ANITA DR STE 201",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683346",
            "telephone_number": "714-410-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNINFUL",
        "first_name": "ARABAH",
        "middle_name": "KORSAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2024-03-10",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "LPT41401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aprille Engalla
• Katherine Engelby
• Darcy Engelhart
• David Andrew English, M.D.
• Scott Alan Engwall, MD
• Catherine Ennis-Dolendo, NP
• Arantxa Enriquez Diaz
• Michelle Enriquez-Rodriguez
• Amber Enriquez
• Jasmine G Enriquez

• Licensed Psychiatric Technician in Orange, CA
• Providers in Orange, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2024; 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.