NPIMap

Organization Active NPI

Assessment, Consultation, Counselling and Educational Support Services

  • Clinical Psychologist
  • Temecula, CA
National Provider Identifier
1306185707
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ASSESSMENT, CONSULTATION, COUNSELLING AND EDUCATIONAL SUPPORT SERVICES
Practice address
27268 Via Industria
Temecula, CA 92590-3751
Phone
(951) 265-6504
NPI assigned
Feb 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Michael Dewitt Kitlowsk
Title
Co-Director
Phone
(951) 265-6504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

27268 Via Industria
Temecula, CA 92590-3751

Mailing address

27268 Via Industria
Temecula, CA 92590-3751

National Provider Directory

National Provider Directory
Tax ID family
Access2 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": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1306185707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27268 VIA INDUSTRIA",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27268 VIA INDUSTRIA",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903751",
            "telephone_number": "951-265-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSESSMENT, CONSULTATION, COUNSELLING AND EDUCATIONAL SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "KITLOWSK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DEWITT",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "951-265-6504"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.