NPIMap

Organization Active NPI

Compass Behavioral Health, a Family Therapy Corp

Doing business as Compass Behavioral Health

  • Marriage & Family Therapist
  • Tustin, CA
National Provider Identifier
1366861643
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
40443 Issued in CA
Legal business name
COMPASS BEHAVIORAL HEALTH, A FAMILY THERAPY CORP
Doing business as
Compass Behavioral Health
Practice address
130 S B St
Tustin, CA 92780-3609
Phone
(888) 265-9114
Fax
(714) 486-1629
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Cherie Lynn Mills, MFTNPI 1659591840
Title
Owner
Phone
(888) 265-9114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 40443 CA Primary

Addresses

Primary practice location

130 S B St
Tustin, CA 92780-3609

Mailing address

130 S B St
Tustin, CA 92780-3609
Phone (888) 265-9114

Other identifiers 1

IdentifierTypeStateIssuer
193200000XOtherCAMULTI-SPECIALTY GROUP

Other names 1

  • Compass Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Compass Behavioral Health a Family Therapy Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1366861643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S B ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803609",
            "telephone_number": "888-265-9114",
            "fax_number": "714-486-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S B ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803609",
            "telephone_number": "888-265-9114",
            "fax_number": "714-486-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS BEHAVIORAL HEALTH, A FAMILY THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "CHERIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-265-9114",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "40443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTI-SPECIALTY GROUP",
            "identifier": "193200000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compass Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.