NPIMap

Organization Active NPI

Avery Centre

  • Community/Behavioral Health Agency
  • Chino Hills, CA
National Provider Identifier
1356725808
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY24897
Legal business name
AVERY CENTRE
Practice address
5871 Pine Ave
Suite 230
Chino Hills, CA 91709
Phone
(909) 597-2226
NPI assigned
Jul 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Lyndee Venosta, MS, MA, MFT-I
Title
Manager
Phone
(760) 805-4127

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X LMFT96181 CA
Community/Behavioral Health Agency 251S00000X PSY24897 Primary

Addresses

Primary practice location

5871 Pine Ave
Suite 230
Chino Hills, CA 91709

Mailing address

5871 Pine Ave
Suite 230
Chino Hills, CA 91709-6537
Phone (909) 597-2226

Other names 1

  • Avery's Heroes Other name

National Provider Directory

National Provider Directory

Locations

5871 Pine Ave
Ste 230
Chino Hills, CA 91709
Phone (909) 597-2226

Practitioners & affiliated clinicians

Practitioners 7

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": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1356725808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5871 PINE AVE",
            "address_2": "SUITE 230",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096537",
            "telephone_number": "909-597-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5871 PINE AVE",
            "address_2": "SUITE 230",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "91709",
            "telephone_number": "909-597-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "VENOSTA",
        "authorized_official_first_name": "LYNDEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-805-4127",
        "authorized_official_credential": "MS, MA, MFT-I"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT96181",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": "PSY24897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avery's Heroes",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.