Active NPI
Barstow Healthy Lifestyle Consultation Inc
Doing business as Barstow Psychotherapy
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Barstow, CA
National Provider Identifier
1376028993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- BARSTOW HEALTHY LIFESTYLE CONSULTATION INC
- Doing business as
- Barstow Psychotherapy
- Practice address
- 100 Surrey Court
Barstow, CA 92311 - Phone
- (760) 957-7819
- NPI assigned
- Sep 28, 2018
- Last updated
- Jul 20, 2021
- 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
- Ms. Martha Obrien, LMFT
- Title
- MFT
- Phone
- (818) 515-8215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
100 Surrey Court
Barstow, CA 92311
Mailing address
PO Box 579
Barstow, CA 92312-0579
Phone (760) 957-7819
Other names 1
- Barstow Psychotherapy
National Provider Directory
National Provider DirectoryLocations
204 N 3rd Ave
Ste C
Barstow, CA 92311
685 N 1st Ave
Ste 208
Barstow, CA 92311
10063 Riverside Dr
#2401
Toluca Lake, CA 91602
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.
-
- Marriage & Family Therapist
- Barstow, CA
- NPI 1336408079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626739200000",
"number": "1376028993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 579",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923120579",
"telephone_number": "760-957-7819",
"fax_number": "760-307-5189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SURREY COURT",
"city": "BARSTOW",
"state": "CA",
"postal_code": "92311",
"telephone_number": "760-957-7819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARSTOW HEALTHY LIFESTYLE CONSULTATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-28",
"last_updated": "2021-07-20",
"certification_date": "2021-06-21",
"status": "A",
"authorized_official_last_name": "OBRIEN",
"authorized_official_first_name": "MARTHA",
"authorized_official_title_or_position": "MFT",
"authorized_official_telephone_number": "818-515-8215",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Barstow Psychotherapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Barstow Psychotherapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Barstow, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.