Inner Wisdom Psychotherapy Assoc., Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INNER WISDOM PSYCHOTHERAPY ASSOC., INC

Practice address

17111 Beach Blvd Ste 204
Huntington Beach, CA 92647-5947

Phone

(714) 814-3336

Fax

(602) 467-3069

NPI assigned

Mar 30, 2020

Last updated

Mar 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Naomi C BabcockNPI 1619004736

Title

Owner/Supervisor

Phone

(714) 814-3336

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Naomi Babcock LCSW Former legal business name

Electronic endpoints 1

Tax ID family

Inner Wisdom Psychotherapy Assoc Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Inner Wisdom Psychotherapy Assoc., Inc

  • Clinical Social Worker
  • Costa Mesa, CA
  • NPI 1225642531
  NPD tax ID

Locations

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.

• Naomi Babcock

  • Clinical Social Worker
  • Costa Mesa, CA
  • NPI 1619004736
  NPD Authorized official

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1396373882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20951 SURGE LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926466625",
            "telephone_number": "714-814-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17111 BEACH BLVD STE 204",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475947",
            "telephone_number": "714-814-3336",
            "fax_number": "602-467-3069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 Main St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926486476",
            "country_code": "US",
            "telephone_number": "714-814-3336",
            "fax_number": "602-467-3069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNER WISDOM PSYCHOTHERAPY ASSOC., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/SUPERVISOR",
        "authorized_official_telephone_number": "714-814-3336"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1619004736",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.innerwisdompsychotherapyassoc.com",
            "affiliation": "N",
            "endpointDescription": "URL",
            "address_1": "17111 Beach Blvd Ste 204",
            "city": "Huntington Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926475947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Naomi Babcock LCSW",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Providers in Huntington Beach, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.