Organization Active NPI

Soleil Vitality Psychotherapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rancho Cucamonga, CA
National Provider Identifier
1336957455
Registry record updated Dec 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOLEIL VITALITY PSYCHOTHERAPY
Practice address
9668 Milliken Ave # 104-183
Rancho Cucamonga, CA 91730-6137
Phone
(626) 692-5954
NPI assigned
Dec 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2024

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

Authorized official

Name
Mari Santos, LCSWNPI 1629613963
Title
Ceo
Phone
(626) 692-5954

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

9668 Milliken Ave # 104-183
Rancho Cucamonga, CA 91730-6137

Mailing address

9668 Milliken Ave # 104-183
Rancho Cucamonga, CA 91730-6137
Phone (626) 692-5954

Other identifiers 1

IdentifierTypeStateIssuer
1629613963OtherCAMENTAL HEALTH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734825600000",
    "number": "1336957455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9668 MILLIKEN AVE # 104-183",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306137",
            "telephone_number": "626-692-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9668 MILLIKEN AVE # 104-183",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306137",
            "telephone_number": "626-692-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLEIL VITALITY PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-22",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "MARI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-692-5954",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "1629613963",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2024; 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.