NPIMap

Organization Active NPI

Reaching the Stars Center for Autism,Inc

  • Community/Behavioral Health Agency
  • Brentwood, TN
National Provider Identifier
1306116108
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
39923 Issued in CA
Legal business name
REACHING THE STARS CENTER FOR AUTISM,INC
Practice address
5105 Heathrow Blvd
Brentwood, TN 37027-6538
Phone
(818) 939-5324
NPI assigned
Jan 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Mr. Patrick Samuel Knight, MFT
Title
Clinical Supervisor
Phone
(818) 939-5324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 39923 CA Primary

Addresses

Primary practice location

5105 Heathrow Blvd
Brentwood, TN 37027-6538

Mailing address

4607 Lakeview Canyon Rd
Westlake Village, CA 91361-4028
Phone (818) 939-5324

National Provider Directory

National Provider Directory
Tax ID family
Reaching the Stars Center for Autisminc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1306116108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 LAKEVIEW CANYON RD",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614028",
            "telephone_number": "818-939-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 HEATHROW BLVD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370276538",
            "telephone_number": "818-939-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACHING THE STARS CENTER FOR AUTISM,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "818-939-5324",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "39923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.