Therapeutic Rebel P.C.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THERAPEUTIC REBEL P.C.

Practice address

39520 Murrieta Hot Springs Rd Ste 219-2002
Murrieta, CA 92563-7713

Phone

(760) 573-8164

NPI assigned

Sep 10, 2021

Organization subpart

No

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

Authorized official

Name

Shauntis BusseyNPI 1750768115

Title

Owner / Ceo

Phone

(858) 829-5959

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shauntis L Bussey

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Murrieta, CA
  • NPI 1750768115

  Mental Health (Including Community Mental Health Center)

  NPD Authorized official

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1457020620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39520 MURRIETA HOT SPRINGS RD STE 219-2002",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925637713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39520 MURRIETA HOT SPRINGS RD STE 219-2002",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925637713",
            "telephone_number": "760-573-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC REBEL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "BUSSEY",
        "authorized_official_first_name": "SHAUNTIS",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "858-829-5959"
    },
    "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": []
}

• The Rehab Group
• The Rehab Group
• The Vein Luxe Academy LLC
• The Vein Luxe Academy LLC
• Thelma Immaculada E Edquid, M.D., P.C.
• Tracy Lien Thi, O.D.
• Kristya Thill
• Andrew Hok San Thio, MD
• Charity Linnet Thomann
• Thomas G Williams, MD Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.