Active NPI
West Covina Foster Family Agency
- Clinical Social Worker
- Covina, CA
National Provider Identifier
1386779064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- WEST COVINA FOSTER FAMILY AGENCY
- Practice address
- 527 E Rowland St Ste 100C&D
Covina, CA 91723-3266 - Phone
- (626) 814-9085
- Fax
- (626) 814-2276
- NPI assigned
- Feb 22, 2007
- 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
- Sukhwinder Kaur Singh, RN
- Title
- Executive Director
- Phone
- (626) 814-9085
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Family Psychologist | 103TF0000X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | |||
| Rehabilitation Practitioner | 225400000X | |||
| Foster Care Agency | 253J00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
527 E Rowland St Ste 100C&D
Covina, CA 91723-3266
Mailing address
527 E Rowland St Ste 100C&D
Covina, CA 91723-3266
Phone (626) 814-9085
National Provider Directory
National Provider Directory- Tax ID family
- Casa Esperanza Strtp Pomona
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Pomona, CA
- NPI 1609414739
Locations
1107 S Glendora Ave
West Covina, CA 91790
Phone (626) 653-9913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640044800000",
"number": "1386779064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 E ROWLAND ST STE 100C&D",
"city": "COVINA",
"state": "CA",
"postal_code": "917233266",
"telephone_number": "626-814-9085",
"fax_number": "626-814-2276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 E ROWLAND ST STE 100C&D",
"city": "COVINA",
"state": "CA",
"postal_code": "917233266",
"telephone_number": "626-814-9085",
"fax_number": "626-814-2276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST COVINA FOSTER FAMILY AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2021-12-21",
"certification_date": "2021-12-16",
"status": "A",
"authorized_official_last_name": "SINGH",
"authorized_official_first_name": "SUKHWINDER",
"authorized_official_middle_name": "KAUR",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "626-814-9085",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "163WP0807X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.