Agape Hearts Psychological Services, Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

AGAPE HEARTS PSYCHOLOGICAL SERVICES, INC

Practice address

275 W Hospitality LN Ste 319
San Bernardino, CA 92408-3265

Phone

(909) 783-2773

NPI assigned

Feb 12, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Anjali Sequeira, LMFTNPI 1588703912

Title

Chief Executive Officer

Phone

(909) 783-2773

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Anjali Sequeira, LMFT

  • Marriage & Family Therapist
  • Rialto, CA
  • NPI 1588703912
  NPD Authorized official

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1336732189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W HOSPITALITY LN STE 319",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083265",
            "telephone_number": "909-783-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W HOSPITALITY LN STE 319",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083265",
            "telephone_number": "909-783-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE HEARTS PSYCHOLOGICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "SEQUEIRA",
        "authorized_official_first_name": "ANJALI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "909-783-2773",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.