Spotlight Behavioral Healthcare Services PC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SPOTLIGHT BEHAVIORAL HEALTHCARE SERVICES PC

Practice address

14623 Hawthorne Blvd Ste 205a
Lawndale, CA 90260-1589

Phone

(323) 287-2880

NPI assigned

Dec 21, 2024

Organization subpart

No

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

Authorized official

Name

Chinyere IbeNPI 1255727566

Title

Owner

Phone

(323) 287-2880

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chinyere Ibe, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Carson, CA
  • NPI 1255727566
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1734739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734739200000",
    "number": "1316755317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14623 HAWTHORNE BLVD STE 205A",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601589",
            "telephone_number": "323-287-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14623 HAWTHORNE BLVD STE 205A",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601589",
            "telephone_number": "323-287-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOTLIGHT BEHAVIORAL HEALTHCARE SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-21",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A",
        "authorized_official_last_name": "IBE",
        "authorized_official_first_name": "CHINYERE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-287-2880"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Lawndale, CA
• Providers in Lawndale, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.