NPIMap

Organization Active NPI

Resilient Communities

  • Psychologist
  • Cerritos, CA
National Provider Identifier
1467864587
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY24698 Issued in CA
Legal business name
RESILIENT COMMUNITIES
Practice address
18000 Studebaker Rd
#700
Cerritos, CA 90703-2679
Phone
(310) 619-4699
Fax
(310) 935-4557
NPI assigned
May 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Dr. Tekesia Jackson, PSY.DNPI 1457418055
Title
President/Psychologist
Phone
(310) 619-4699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY24698 CA Primary

Addresses

Primary practice location

18000 Studebaker Rd
#700
Cerritos, CA 90703-2679

Mailing address

PO Box 4204
Compton, CA 90224-4204
Phone (310) 619-4699

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1467864587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4204",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902244204",
            "telephone_number": "310-619-4699",
            "fax_number": "310-935-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 STUDEBAKER RD",
            "address_2": "#700",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032679",
            "telephone_number": "310-619-4699",
            "fax_number": "310-935-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TEKESIA",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-619-4699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY24698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.