Ok 2B Angry

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

OK 2B ANGRY

Practice address

139 E 3Rd Ave Ste 104
Escondido, CA 92025-4246

Phone

(760) 896-4357

NPI assigned

Sep 12, 2019

Last updated

Sep 12, 2019By 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

Mr. Servando Trevino Sr., LMFTNPI 1083849897

Title

Owner

Phone

(760) 638-3095

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Servando Trevino Sr., LMFT

  • Marriage & Family Therapist
  • Escondido, CA
  • NPI 1083849897
  NPD Authorized official

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1497305411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 E 3RD AVE STE 104",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254246",
            "telephone_number": "760-896-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 E 3RD AVE STE 104",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254246",
            "telephone_number": "760-896-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OK 2B ANGRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "SERVANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-638-3095",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Escondido",
            "affiliation": "N",
            "address_1": "139 E 3rd Ave Ste 104",
            "city": "Escondido",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920254246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Marriage & Family Therapist in Escondido, CA
• Providers in Escondido, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.