Lighthouse Psychological Services... a Beacon of Light

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

21817 Issued in CA

Legal business name

LIGHTHOUSE PSYCHOLOGICAL SERVICES... A BEACON OF LIGHT

Practice address

2291 W March LN Ste E-101
Stockton, CA 95207-6652

Phone

(209) 451-9475

Fax

(209) 451-9475

NPI assigned

Dec 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Shontinese Huey, PSY.DNPI 1538488119

Title

Director

Phone

(209) 451-9475

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, and the practitioner matching its NPPES authorized official.

• Shontinese Huey, PSY.D

  • Clinical Child & Adolescent Psychologist
  • Stockton, CA
  • NPI 1538488119
  NPD Authorized official

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1518401900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 556",
            "city": "SALIDA",
            "state": "CA",
            "postal_code": "953680556",
            "telephone_number": "209-451-9475",
            "fax_number": "209-451-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 W MARCH LN STE E-101",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076652",
            "telephone_number": "209-451-9475",
            "fax_number": "209-451-9475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2291 W March Ln",
            "address_2": "Ste. D-199",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952076652",
            "country_code": "US",
            "telephone_number": "209-261-4699",
            "fax_number": "209-451-1911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2291 W March Ln",
            "address_2": "Ste. D-199",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952076652",
            "country_code": "US",
            "telephone_number": "209-261-4699",
            "fax_number": "209-451-1911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIGHTHOUSE PSYCHOLOGICAL SERVICES... A BEACON OF LIGHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "HUEY",
        "authorized_official_first_name": "SHONTINESE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-451-9475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "21817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Liem, PH.D; LCSW
• Lien Huyen Thi Nguyen, MD., Inc.
• Lifetreat Nursing Corporation (Lifetreat urgentcare and wellness center)
• Lifeworks-Acs, Inc.
• Brittany Kiana Lightfoot
• Brianna Rose Ligotski, PT, DPT
• Alicia Renae Lillie
• Lily Pad Living Outreach
• Brandon Lim
• David C Lim, M.D.

• Community/Behavioral Health Agency in Stockton, CA
• Providers in Stockton, CA by specialty
• Community/Behavioral Health Agency in California

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