Active NPI
Autism Center
- Clinical Psychologist
- Ontario, CA
National Provider Identifier
1336926732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- AUTISM CENTER
- Practice address
- 317 W F St
Ontario, CA 91762-3205 - Phone
- (714) 325-5621
- Fax
- (909) 391-3068
- NPI assigned
- Sep 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pardis Amirhoushmand
- Title
- Ceo
- Phone
- (714) 325-5621
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
317 W F St
Ontario, CA 91762-3205
Mailing address
317 W F St
Ontario, CA 91762-3205
Phone (714) 325-5621
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Ontario, CA
- NPI 1003946179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694736000000",
"number": "1336926732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 W F ST",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917623205",
"telephone_number": "714-325-5621",
"fax_number": "909-391-3068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 W F ST",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917623205",
"telephone_number": "714-325-5621",
"fax_number": "909-391-3068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTISM CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A",
"authorized_official_last_name": "AMIRHOUSHMAND",
"authorized_official_first_name": "PARDIS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-325-5621"
},
"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 Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.