Active NPI
Soleil Vitality Psychotherapy
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rancho Cucamonga, CA
National Provider Identifier
1336957455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mari Santos, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629613963 | Other | CA | MENTAL HEALTH |
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.
-
- Clinical Social Worker
- Rancho Cucamonga, CA
- NPI 1629613963
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.