Organization Active NPI

Apex Recovery and Wellness, a Professional Corp.

  • Group Psychotherapy Psychologist
  • Walnut Creek, CA
National Provider Identifier
1427486133
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
APEX RECOVERY AND WELLNESS, A PROFESSIONAL CORP.
Practice address
36 Quail CT Ste 100
Walnut Creek, CA 94596-5514
Phone
(925) 262-4810
NPI assigned
Oct 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Authorized official

Name
Jon McKenzie
Title
Owner
Phone
(925) 262-4810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

36 Quail CT Ste 100
Walnut Creek, CA 94596-5514

Mailing address

145 NW Central Park PLZ Ste 115
Port St Lucie, FL 34986-2482
Phone (910) 583-2699

National Provider Directory

National Provider Directory

Locations

36 Quail Ct
Ste 100
Walnut Creek, CA 94596
Phone (925) 262-4810

145 NW Central Park Plz
Ste 115
Port St Lucie, FL 34986

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1427486133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 NW CENTRAL PARK PLZ STE 115",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862482",
            "telephone_number": "910-583-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 QUAIL CT STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965514",
            "telephone_number": "925-262-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX RECOVERY AND WELLNESS, A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-262-4810"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.