Active NPI
Lasting Impressions Center
- Art Therapist
- Baldwin Park, CA
National Provider Identifier
1477140192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- Legal business name
- LASTING IMPRESSIONS CENTER
- Practice address
- 14305 Morgan St
Baldwin Park, CA 91706-3235 - Phone
- (818) 934-0846
- NPI assigned
- Dec 29, 2020
- 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
- Annalisa Rinetti
- Title
- Owner
- Phone
- (818) 934-0846
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | Primary | ||
| Dance Therapist | 225600000X | |||
| Music Therapist | 225A00000X |
Addresses
Primary practice location
14305 Morgan St
Baldwin Park, CA 91706-3235
Mailing address
14305 Morgan St
Baldwin Park, CA 91706-3235
National Provider Directory
National Provider DirectoryLocations
14305 Morgan St
Baldwin Park, CA 91706
Phone (626) 430-6197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609200000000",
"number": "1477140192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14305 MORGAN ST",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917063235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14305 MORGAN ST",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917063235",
"telephone_number": "818-934-0846"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LASTING IMPRESSIONS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-29",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A",
"authorized_official_last_name": "RINETTI",
"authorized_official_first_name": "ANNALISA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-934-0846"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dance Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Music Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baldwin Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.